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Lotions or creams should not be applied directly to the oral mucosa. Do not use a spatula or other implement to “spread out” the lotion or cream. The product should be first applied to the skin in the same manner as a normal lotion or cream. If the product is not absorbed after one application, wait at least 30 minutes before reapplication. The lotion or cream must not be shaken vigorously, as this will cause the product to become emulsified. It is important to ensure that the top third of the ointment or lotion is on the skin before applying to the oral mucosa. Do not massage the application site or spread the product out with a spatula.
Topical corticosteroids are the most widely used medications in oral medicine. They are usually the first line of therapy and are effective in a wide range of inflammatory conditions. Topical corticosteroids are available in a variety of preparations including gel, solution, ointment and spray. They are available in a variety of strengths ranging from 1 to 100 percent. Their main benefit is the localized effect of treatment which is important in diseases affecting the mucosa. This localized effect can be very effective in reducing exudate, pain and secondary infections which allows the treatment to be continued for longer periods.
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