Gum inflammation is accompanied by a number of painful symptoms that not only affect your well-being, but also affect your ability to chew and speak normally. To eliminate unpleasant signs in dentistry, special gels are used. They act directly on the oral mucosa and are slightly absorbed into the blood, which makes them safe for children.
Painkillers and anti-inflammatory gels can be used during teething (Baby Doctor) and for complex treatment of gingivitis or stomatitis.
Indications for use of dental gels
The dentist may prescribe the gel to a child or adult when there are signs of gum inflammation. The reason for using the gel will also be stomatitis, which affects not only the gums, but also the entire oral mucosa.
Dental gel will help with the following symptoms and diseases:
- pain, burning, redness along the edge of the tooth crown;
- bleeding gums after chewing hard foods and brushing teeth;
- thrush, fungal stomatitis or oral candidiasis;
- glossitis (inflammation of the tongue) and papillitis (inflammation of the dental papilla);
- teething in a child;
- growth of wisdom teeth, which is accompanied by gum damage.
The medicine can only be used topically. The gel is applied to the affected areas of the mucous membrane up to 4 times a day, according to the instructions. After treating the gums, it is recommended not to eat anything for several hours, and not to drink for at least half an hour, so as not to wash off the drug. Before applying, be sure to rinse your mouth with an antiseptic or regular mouthwash.
Some types of gels are homeopathic remedies, therefore, in case of severe inflammation and pain they will be ineffective (Malavit), others have a strong anti-inflammatory and analgesic effect. There is a large selection of dental gels; it is important to understand how they differ, and which one is better for a particular problem.
Comments
Are there any other gels on sale besides Cholisal that you would recommend for teething?
Alena (02.10.2019 at 10:14) Reply to comment
- Dear Alena! It would be best if a doctor gives you recommendations based on the condition and individual characteristics of your child, because There are a lot of medications that help with teething. For example, “Kamistad Baby” or “Dantinorm Baby” - you can read detailed articles and reviews about them on our website.
Editorial staff of the portal UltraSmile.ru (04.10.2019 at 09:24) Reply to comment
Tell me, can Cholisal gel be used for a six-month-old baby who has started teething? The fact is that the child is very restless due to teething and I would like to help him somehow.
Vika (10/14/2019 at 6:07 pm) Reply to comment
How often can you use Cholisal gel for children under one year old whose first teeth have just begun to emerge? Is there any dosage and can this gel be used at night?
Elena (10/14/2019 at 6:15 pm) Reply to comment
The child just turned 5 months old and his teeth began to come out. Became restless and refuses to eat, we heard that Cholisal gel can help cope with problems such as pain and swelling of the gums. How often should a five month old baby use it?
Alisa (10/14/2019 at 6:17 pm) Reply to comment
Can Cholisal gel cause an allergic reaction in a child? It should be used correctly initially, in order to observe the baby’s reaction, the teeth are being cut, but I would also like to avoid the consequences.
Masha Archipenko (10/14/2019 at 6:19 pm) Reply to comment
Please tell me whether Cholisal gel will harm the child’s health? Why am I asking, because it contains chemical components... what effect do they have on the child’s body?
Anna (11/02/2019 at 12:44 pm) Reply to comment
How long can a child use Cholisal gel? During the examination, the doctor said that the upper two teeth were about to erupt, and the lower ones right behind them. Perhaps, immediately after these ones erupt, others will begin to erupt. My daughter is already acting restless, but if I start using Cholisal now, won’t it turn out that at the very peak of the pain I will have to stop using it?
Daria (11/11/2019 at 12:19 pm) Reply to comment
Today I purchased Cholisal, but have not used it yet. Tell me where is the best place to store this product after opening so that it does not lose its properties in the future? Thank you in advance for your answer.
Zhanna (11.11.2019 at 16:52) Reply to comment
I recently had my wisdom teeth cut out. I was periodically very sick, I made an appointment with the dentist, but I still have to live to see the dentist! A friend gave me this same Cholisal, if it helps children, then why don’t I try it, we are all children at heart. The pain was relieved. I would like to know for the future, since I have another tooth about to come out, what good analogues are there for adults?
Alice (11/11/2019 at 07:46 pm) Reply to comment
Cholisal helps not only children, but also adults with stomatitis. It stings slightly when you apply it to your gums. Can you recommend an analogue of this gel? Otherwise, it works fine for children, but for adults it is sometimes weak.
Nata (11/27/2019 at 10:42 pm) Reply to comment
How long does Cholisal last and how often can it be used? I didn’t use anything at all with my first child, the second one is very restless, there is no peaceful life without the gel!
Anna (11/28/2019 at 12:06 pm) Reply to comment
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Which gel is better?
A well-known representative is Dental. This is an anti-inflammatory gel; it contains corn oil, which promotes the formation of a protective barrier on the mucous membrane, which allows damaged cells to recover faster and prevent complications.
It is recommended to use Dental up to 4 times a day, applying it in a thin layer to the entire surface of the inflamed gum. This drug will also help those who are faced with denture stomatitis. The drug accelerates regeneration, reduces inflammation and relieves pain.
Parodium is another good remedy for inflammatory diseases of the oral mucosa. It is both an antiseptic and has an anti-inflammatory and hemostatic effect. Indicated for the treatment of periodontitis, gingivitis, traumatic and bacterial stomatitis.
Kalgel and Baby Doctor are one of the safest products for children during teething. They relieve pain, cool the gums, and begin to act almost instantly. Their only drawback is the short duration of pain relief; they can relieve unpleasant symptoms for up to 30 minutes.
The most well-known representatives, which are most often recommended by dentists, are the gels Metrogyl Denta, Asepta, Cholisal, Solcoseryl and Kamistad.
Anti-inflammatory toothpastes for children –
In the arsenal of oral hygiene products for young children, there are several toothpastes that have an anti-inflammatory effect and reduce gum sensitivity during teething. Their use on an ongoing basis for child oral hygiene will increase the effectiveness of the use of gels for topical use or systemic homeopathic preparations (24stoma.ru).
- Weleda children's toothpaste-gel (from 0 to 3 years)
contains the following active components - calendula extract, alginate, esculin, essential oils of mint and fennel, which have an anti-inflammatory effect. Does not contain sodium lauryl sulfate, preservatives, dyes, fluorine. Price for a 50 ml tube – from 350 rubles (made in Germany).
- SPLAT “BABY Vanilla” paste (from 0 to 3 years) is made in Russia, and the active ingredients are licorice extract, prickly pear extract, arginine, a complex of lactic enzymes (lysozyme, lactoferrin, glucose oxidase, lactoperoxidase). Most of these components have an anti-inflammatory effect and reduce the sensitivity of the gums during teething. Price per tube 40 ml from 150 rubles.
- Foam SPLAT “Junior Magic Foam” (any age) – this foam for cleansing teeth contains licorice extract, a complex of lactic enzymes, as well as creatine and dipotassium glycyrrhizinate. All these components have an anti-inflammatory effect on the oral mucosa during teething. The cost will be starting from 260 rubles (per 50 ml tube).
Metrogil Denta
Contains an antibacterial substance - metronidazole and an antiseptic - chlorhexidine. It is used to relieve gum pain during stomatitis, after dental treatment, during an inflammatory process due to infection or traumatic injury.
The gel is practically not absorbed, therefore it is safe for treating the oral mucosa of a child. But at the same time, the low concentration of the active ingredient makes it not the most effective against severe inflammation; after treatment, there may be a relapse.
What is the difference between Holisal and Holisal Dental
Many people do not pay attention to one additional word in the name of the drug. How exactly Cholisal differs from Cholisal Dental can be determined by comparing the indications for use and the composition of these two medicines. The presence of the word Dental determines the specific focus of one of the types of medications. Dental means dental, that is, for the oral cavity. However, if you compare the insert papers from the two medications, there are practically no differences from each other.
It should be noted that there is also Holisal Dental for children. Although the other two types of medicine are allowed to be used by children over one year old, during the eruption of the first teeth at the age of six to eight months, it is advisable to use the children's version.
Solcoseryl
One of the most popular gels in dentistry is Solcoseryl. This remedy is classified as a medicine (while many others act as balms), therefore it is recommended by dentists for the treatment of such unpleasant pathologies as oral candidiasis, viral, traumatic and necrotizing ulcerative stomatitis.
Solcoseryl gel will help get rid of pain; the active ingredients in its composition stimulate metabolic processes in the affected tissues, which accelerates regeneration.
Cholisal's analogs
Many buyers are looking for something to replace Cholisal with. This is not surprising, because the average cost is 400 rubles.
List of cheap analogues of Cholisal with prices.
| Analogue | Price in rubles | Manufacturer country |
| Holisal | 350-400 | Austria |
| Candide | 300-500 | India |
| Dentamet | 110-180 | Russia |
| Anti-Angin Formula | 350-400 | Netherlands |
| Dantinorm | 1000 | France |
| Metrogil Denta | 250-300 | India |
| Kamistad | 250-350 | Germany |
| Stomatophyte | 220-280 | Poland |
| Solcoseryl | 380-450 | Switzerland |
| Faringosept | 180-230 | Romania |
| Asepta | 160-300 | Russia |
| Dentinox | 380-420 | Germany |
| Dantinorm Baby | 1000 | France |
| Leader Baby | 230-280 | Russia |
| Kalgel | 450-500 | Poland |
The most popular children's dental analogs of Cholisal gel include such products as Kamistad, Metrogyl Denta, Kalgel, Solcoseryl, Asepta. Let's take a closer look at the listed medications.
Possible unwanted effects
The instructions prescribe using the drug with caution during pregnancy and breastfeeding, that is, the product must be recommended by a specialist, which involves monitoring its use and abandoning the gel, if necessary.
Thus, domestic medicine does not prescribe treatment with Cholisal gel during the first trimester of pregnancy.
Complications and negative consequences when using Cholisal gel were observed by practicing doctors extremely rarely. However, increased individual sensitivity to the ingredients of the drug can manifest itself as:
- not a strong burning sensation in the areas where the product was applied;
- redness;
- itching
These side effects most often disappear within a few minutes.
However, when the first unwanted symptoms appear, experts recommend stopping using the gel, since the cause of an allergic reaction may be:
- salicylates;
- anise oil,
as well as other ingredients included in the product.
In addition, dentists advise using the optimal amount of the drug during procedures, avoiding overdose.
In addition, it should be taken into account that the use of cholisal with other analgesics, anti-inflammatory drugs, antipyretic syrups can increase the concentration of active substances in the body, and an excess of antibiotics and antiseptics can also cause an allergic reaction.
Considering the free sale of Cholisal gel in pharmacies, before purchasing and using the drug, you should consult with a specialist, which will allow you to use the modern combined action product most effectively.
Adverse reactions and overdose
In some cases, after direct contact of the oral mucosa and the ointment, undesirable reactions may occur in the form of a burning sensation and tingling sensation. Such reactions are normal and disappear on their own after a few minutes. In rare cases, allergies may occur.
If serious side effects occur, you should stop using the gel and tell your doctor.
There are no cases of drug overdose. The ointment should not be swallowed; it is intended for external use only. If part of the medicine gets inside, then you need to rinse the stomach and, if necessary, begin symptomatic treatment.
special instructions
The drug is intended exclusively for topical use. It cannot be taken orally. The medicine does not affect the ability to operate machinery or drive vehicles. There is also no limitation of physical activity.
For long-term and short-term treatment, it is not recommended to use Cholisal simultaneously with other antibacterial agents. The medication combines well with other drugs. No obvious incompatibility was identified.
If the permissible dosage is increased excessively, Cholisal can enhance the effect of other painkillers, antipyretic and anti-inflammatory drugs.
If the recommended dose is observed, such an effect is not observed.
The gel cannot be frozen or stored in the refrigerator.
The optimal storage temperature is 25 °C. The medicine should be kept out of the reach of children. The shelf life of the medicine is 3 years. After opening the tube, the gel is stored for no more than 2 weeks. The duration of continuous therapy should not exceed 10 days.
Cholisal composition, release form
Cholisal is a modern dental drug with a pronounced analgesic, anti-inflammatory and antibacterial effect. The gel acquires its unique healing properties thanks to a combination of the following active ingredients:
- Anise oil (1.6 mg per 1 g of gel) is a natural oil that has a calming effect on inflammation and kills pathogenic microorganisms;
- cetalkonium chloride (87.1 mg per 1 g of gel) – a broad-spectrum antiseptic;
- Choline salicylate (100 mcg per 1 g of gel) is an analgesic that also relieves inflammation.
Auxiliary components: 50 mg of glycerin, up to 1 g of water, 390 mg of ethyl alcohol, 20 mg of hyaetellose, 1.5 mg of methyloxybenzoate, 0.8 mg of propyl parahydroxybenzoate.
Why is this composition so good?
When most dental preparations that are used topically differ only in their superficial effect, Cholisal gel penetrates into the deep layers of the oral mucosa. This property is given to the gel by the active substance choline salicylate. The component formed from salicylic acid acts on the site of inflammation, blocking inflammatory mediators in the oral mucosa. The analgesic component has a light structure, so it penetrates quite deeply into the layers of the mucous membrane.
Cholisal gel acts simultaneously on bacteria, fungi and viruses; this universal property is given to it by a broad-spectrum antiseptic - cetalkonium chloride.
The product is available in gel form, 10 g in aluminum tubes, sealed cardboard packs.
Properties and composition
Dental gel is a homogeneous transparent mass to which no dyes are added. The basis of the solution is oil produced from anise seeds, which gives the product a certain specific smell.
The composition includes several active components, namely:
- citalkonium chloride, which is an effective antiseptic substance that can have a detrimental effect not only on pathogenic bacteria and fungal microorganisms, but also on viruses;
- choline salicylate, capable of penetrating into tissues, providing not only an antipyretic, analgesic and anti-inflammatory effect, but destroying both fungal life forms and microbes, stopping the activity of microorganisms living in acidic and alkaline environments,
allowed pharmacists to create a drug that promotes the complex treatment of common dental diseases.
Instructions for use
First, you need to read the instructions for use of the Holisal Dental dental gel. Adults can rub a product about 1 cm long into the affected areas of the mouth up to three times a day. It is convenient to perform the procedure shortly before eating in order to numb the wounds and be able to easily swallow food. Also apply before bedtime.
Of course, before the procedure you need to rinse your mouth thoroughly, dry the wounds slightly, then rub in the product with just one or two fingers, massaging the areas. Children are allowed to perform the procedure once or twice per day. The gel must be half a centimeter long.
To avoid undesirable consequences, each time before use you must read the instructions for the Holisal Dental dental gel and pay special attention to the shelf life.
Pharmacological properties of the drug Cholisal
The drug uses the synergistic effect of components: anti-inflammatory, analgesic and antiseptic. The main active ingredient of the drug, choline salicylate, has a local anti-inflammatory and mild analgesic effect. The mechanism of the analgesic, antipyretic and anti-inflammatory action of salicylates is associated with inhibition of COX activity, as well as thromboxane synthetase activity. As a result, the synthesis of prostaglandins is inhibited, primarily prostaglandins E and F in tissues altered by inflammation, in the wall of the gastrointestinal tract and kidneys. Applied topically, in normal doses it does not have a systemic effect. Cetalkonium chloride enhances the analgesic and anti-inflammatory effects. The antiseptics included in the gel base, methyl parahydroxybenzoate and propyl parahydroxybenzoate (in concentrations of 0.15 and 0.08%, respectively), have an antibacterial effect. Choline salicylate quickly penetrates the mucous membranes (approximately 2 times faster than acetylsalicylic acid). Salicylates easily penetrate most tissues and body fluids. They have a high affinity for blood proteins and tissues, binding (50–80%) to blood plasma albumins. The half-life of salicylates is 2–4 hours. The biotransformation of salicylates occurs in tissues, mainly in the liver to salicylic acid, from which salicylamic acid, glucuronides, acetal, and gentisic acid are formed. Biotransformation products are excreted in the urine (75% is salicylic uric acid). Approximately 10% of salicylates are excreted unchanged in the urine. Excretion occurs slowly, approximately 50% of the dose is eliminated within 24 hours.
Interesting facts about teeth
- The first teeth were called “milk” by Hippocrates. The name is directly related to breastfeeding. The great philosopher believed that they are formed only through breastfeeding. He was right! Without the huge proportion of calcium contained in mother's milk, the formation of not only milk teeth, but also molars is impossible.
- Teeth remain healthy only thanks to saliva. It normalizes the acid-base balance and kills germs.
- Prosthetics for damaged teeth began in ancient times in Egypt and Rome. They used both animal teeth as crowns and structures made of expensive metals in the form of bridge prostheses.
Possible problems when using the drug
Dentists say that the product does not always have a positive effect. Some people may have an allergic reaction to Cholisal gel. In this case, analogues are selected with an alternative composition, and treatment continues.
Dentists also note that the anise oil included in the drug can cause excessive salivation. If for an adult this does not present any discomfort, then with small children everything is different. So, babies in the first year of life do not yet swallow all the saliva that comes out. In this case, liquid flows out of the mouth and irritates the skin. Dentists also say that children can choke on saliva. Most often, this problem occurs in babies in the first six months of life.
That is why the drug is prescribed for children with extreme caution and only in some cases.
If you use the drug incorrectly, complications may occur. The most common violation is neglect of sterility. So, applying medicine with dirty hands can cause an infection. In this case, dentists say that the patient not only does not experience relief, but also develops an infection. In this case, the person additionally needs antimicrobial therapy.
Reviews about Cholisal
Most reviews about the use of the drug by adults and children are positive. The gel is able to quickly and effectively eliminate pain and inflammation and cools the affected area. If you use the medicine at night, the effect will last almost until the morning. Also has an antipyretic effect. For many, the advantage is that the composition does not contain lidocaine, to which many have adverse reactions and allergies.
There are many rave reviews from patients who had stomatitis. Within 3-5 minutes after application, you can notice a significant improvement in the condition, pain disappears, and after 15-20 minutes the inflammation is relieved. If you apply compresses before bed, then after a couple of days the signs of stomatitis will almost completely disappear.
The gel is sold in pharmacies. It can be bought without a doctor's prescription.
Pharmacology and pharmacodynamics
The medication has an antimicrobial effect and also has anti-inflammatory and analgesic effects.
The active ingredient choline salicylate relieves pain and inflammation at the site of application of the gel. The analgesic effect lasts for an average of 4-7 hours.
The second active element has a powerful antiseptic effect. Effectively copes with harmful bacteria.
The structure of the ointment promotes its rapid absorption into tissues, reaches the nerve endings in a short time and remains on the oral mucosa for a long time. Almost does not enter the blood.
