Document Type : Original Article


Assistant Professor of Pediatrics Rheumatology, Department of Pediatrics, School of Medicine, Milan University, Milan. Italy


Repetition and type of oral hygiene should be done based on oral cavity examination instead of routine. A soft, small toothbrush with a neutral pH moistened with water is more effective than scrubs or sticky foams. Hydrogen peroxide diluted in a 20% solution in a ratio of 1 to 4 diluted with water or sodium bicarbonate (one-half teaspoon per 500 cc) of water can be used to remove debris and dissolve thick mucus. If there are signs of infection such as stomatitis or generitis, antimicrobial mouthwashes or toothpaste such as (Chalrhexidine gluconate 1%) can be used, but the best way to prevent infection is to clean plaque. To prevent dry lips, they should be lubricated with Vaseline or kg gel. Neutral mouthwash solution that does not cause dry mouth, as it may be very easy to use by the patient, but has not been shown to have an effect on maintaining mucosal cohesion. Limited use of glycerin and lemon water-absorbing mouthwash 2-3 times a day may help stimulate saliva secretion. Artificial saliva spray can be used if the mouth is very dry and the patient's fluid intake is limited or they have difficulty swallowing. Dentures should be removed at night, cleaned and soaked in water. Being hydrated will help relieve dry mouth.


Main Subjects