Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis

The objective of this study was to compare the safety and efficacy of 0.2% hyaluronic acid (HA) topical gel and dexamethasone topical ointment in the treatment of recurrent aphthous ulcers (RAU) in children. This retrospective observational study included 104 patients who had more than two episodes...

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Main Authors: Zheng Yang, Miaojuan Li, Lin Xiao, Zhiming Yi, Min Zhao, Shengjie Ma
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2020-06-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000800609&tlng=en
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author Zheng Yang
Miaojuan Li
Lin Xiao
Zhiming Yi
Min Zhao
Shengjie Ma
author_facet Zheng Yang
Miaojuan Li
Lin Xiao
Zhiming Yi
Min Zhao
Shengjie Ma
author_sort Zheng Yang
collection DOAJ
description The objective of this study was to compare the safety and efficacy of 0.2% hyaluronic acid (HA) topical gel and dexamethasone topical ointment in the treatment of recurrent aphthous ulcers (RAU) in children. This retrospective observational study included 104 patients who had more than two episodes of oral aphthous ulcers per year and were treated with HA (n=52) or dexamethasone (n=52) from August 15, 2014 to September 3, 2018. Therapy efficacy was evaluated based on the ulcer size and pain score before versus 7 days after either therapy. The paired t-test, chi-squared test, and independent t-test were utilized for statistical analyses. There was no significant difference in ulcer size or pain score between the HA and dexamethasone groups, on day 1 or day 7. Both treatments were tolerated well and no side effects were reported. No significant differences in body temperature, respiration rate, pulse, or systolic/diastolic blood pressure were observed between the start (day 1) and end of treatment (day 7), for either treatment. HA and dexamethasone showed similar efficacy in reducing ulcer size and pain scores, and were tolerated equally well in children with RAU. Future high-quality studies with larger numbers of patients are needed to confirm our findings.
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spelling doaj.art-b398a9c2a1c644b6a20566168f85780f2022-12-22T04:13:25ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2020-06-0153810.1590/1414-431x20209886Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysisZheng Yanghttps://orcid.org/0000-0003-1175-5663Miaojuan Lihttps://orcid.org/0000-0002-2068-2905Lin Xiaohttps://orcid.org/0000-0002-0507-3191Zhiming Yihttps://orcid.org/0000-0002-0152-6405Min Zhaohttps://orcid.org/0000-0001-9989-9092Shengjie Mahttps://orcid.org/0000-0002-1313-0889The objective of this study was to compare the safety and efficacy of 0.2% hyaluronic acid (HA) topical gel and dexamethasone topical ointment in the treatment of recurrent aphthous ulcers (RAU) in children. This retrospective observational study included 104 patients who had more than two episodes of oral aphthous ulcers per year and were treated with HA (n=52) or dexamethasone (n=52) from August 15, 2014 to September 3, 2018. Therapy efficacy was evaluated based on the ulcer size and pain score before versus 7 days after either therapy. The paired t-test, chi-squared test, and independent t-test were utilized for statistical analyses. There was no significant difference in ulcer size or pain score between the HA and dexamethasone groups, on day 1 or day 7. Both treatments were tolerated well and no side effects were reported. No significant differences in body temperature, respiration rate, pulse, or systolic/diastolic blood pressure were observed between the start (day 1) and end of treatment (day 7), for either treatment. HA and dexamethasone showed similar efficacy in reducing ulcer size and pain scores, and were tolerated equally well in children with RAU. Future high-quality studies with larger numbers of patients are needed to confirm our findings.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000800609&tlng=enDexamethasoneHyaluronic AcidOral ulcerAphthous stomatitisAphthous ulcer
spellingShingle Zheng Yang
Miaojuan Li
Lin Xiao
Zhiming Yi
Min Zhao
Shengjie Ma
Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis
Brazilian Journal of Medical and Biological Research
Dexamethasone
Hyaluronic Acid
Oral ulcer
Aphthous stomatitis
Aphthous ulcer
title Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis
title_full Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis
title_fullStr Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis
title_full_unstemmed Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis
title_short Hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children: efficacy and safety analysis
title_sort hyaluronic acid versus dexamethasone for the treatment of recurrent aphthous stomatitis in children efficacy and safety analysis
topic Dexamethasone
Hyaluronic Acid
Oral ulcer
Aphthous stomatitis
Aphthous ulcer
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020000800609&tlng=en
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