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. 2016 Jan 27;16:42. doi: 10.1186/s12885-016-2073-z

Table 5.

Management of oral mucositis

Systemic Topical
1. Pain management Diluting agentsb: Saline, bicarbonate rinses, frequent water rinses, dilute hydrogen peroxide rinses
 • Analgesics: WHO ladder Topical anaestheticsb: Dyclonine HCl, xylocaine HCl, benzocaine HCl, diphenhydramine HCl
 • Adjuncts: Relaxation, imagery, biofeedback, hypnosis and transcutaneous electrical nerve stimulation
Analgesic agentsb: Benzydamine HCl
 • Beta-carotene
Coating agentsc: Kaolin-pectin, aluminium chloride, aluminium hydroxide, magnesium hydroxide, hydroxypropyl cellulose, sucralfate
2. Radioprotectorsa
Lip Lubricantsc: Water-based lubricants, lanolin
 • Amifostine: Scavenge free radicals
3. Biologic Response Modifiersa
 • G-CSF, GM-CSF, Keratinocyte Growth Factor

aMore relevant in Bone Marrow Transplant cases and not crucial in radiotherapy patients

bMost practiced and accepted form of topical therapy

cThough mentioned in-frequently in literature and case discussions, they have failed to generate sufficient impact in routine practice