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Metrogyl Denta: instructions for use for various dental diseases

Stomatitis is a disease of the oral cavity in which... Inflammation is always accompanied by the appearance of blisters, erosions, etc.

Over time, the symptoms of the disease can progress and cause significant discomfort.

The main source that provokes the onset of the disease is and, but there are also a number of other factors for the development of stomatitis:

(mechanical, physical or chemical);
weakening immune system human, for example, with vitamin deficiency, gastrointestinal diseases, endocrine diseases);
factor.

In order to prevent complications, treatment of inflammation of the oral cavity and ulcers should be started immediately, since in the absence of necessary measures the disease can negatively affect the central nervous system and the human body as a whole. One of the ones that is effectively used in the local treatment of stomatitis is.

Medicinal properties of the medicine

Release forms:

toothpaste;
injections;
suspension;
gel for external use;
tablets 0.2 and 0.4 grams.

In dentistry, Metrogyl Denta is used in the form of a gel, which has antimicrobial effect thanks to what's in it contains an antibiotic - metronidazole and an antiseptic - chlorhexidine. Recommended for adults, as well as children over 6 years of age.

The effectiveness of the medicine is determined by the content of two bactericidal substances in its composition:

metronidazole has an antibacterial effect against anaerobic microorganisms that cause diseases of the mucous membranes;
– a disinfectant drug that is effective against both gram-positive and gram-negative microorganisms.

On initial stage development Metrogyl Denta stops developing infection and is one of the most effective drugs For local treatment ulcers

The gel is applied to inflamed areas of the oral cavity, it adheres well to the mucous membrane, is not absorbed deep into the tissue and stops areas of suppuration. Positive Action the drug is observed for 12 hours from the moment of application, after which the gel can be reapplied.

When is the gel especially effective?

Metrogyl gel is effective for all forms of stomatitis, but is especially in demand for this form. This type of disease is quite common and affects about 20% of the population.

and other forms of stomatitis;
chronic;
chronic and acute;
when, due to tooth extraction;
with aggravated gingivitis.

Using medication for stomatitis

For aphthous stomatitis, Metrogyl Denta gel is applied to the mucous membranes with a clean finger or cotton swab in one thin layer. Use the medicine 2 times a day.

After applying the product to the inflamed area, you should avoid drinking water and food for 30 minutes. This procedure repeat for 7-10 days. In general, the number of procedures depends on the degree of advanced disease.

The gel can be used for treatment for children over 6 years of age. Thus, the use of a treatment infants absolutely not recommended.

Contraindications:

intolerance to the constituent components;
first three months of pregnancy, breastfeeding;
age restrictions.

In addition to using the gel, painkillers and antipyretics may be prescribed. You should strive to get rid of the main cause of the disease. For this:

observe special gentle rules;
(if necessary);
reduce the activity of pathogenic bacteria.

The use of Metrogyl Denta gel does not replace daily use. This most important aspect on the road to recovery!

Possible side effects

When used locally, allergic reactions and headaches may occur.

If a significant amount of Metrogyl enters the stomach, it may increase side effects. Chlorhexidine is not actually absorbed into the blood, but bad feeling(nausea and dizziness) is caused by metronidazole.

If a person starts vomiting, he needs to undergo a gastric lavage procedure.

Point of view

Metrogyl Denta is popular among patients suffering from stomatitis, as confirmed by numerous reviews.

I used the medication in gel form when my child just started having stomatitis. It’s good that I noticed the disease right away.

My son is already an adult, 10 years old. Therefore, there were no problems with use. I simply applied it to the mucous membranes and gums with clean hands. I didn’t find any shortcomings, as everything began to heal very quickly. In about a week or less, we were practically free of this disease.

Olga, 31 years old

One day after work I felt a strange discomfort in my mouth. Overnight it turned into severe pain. The very next day I ran to the dentist, who diagnosed stomatitis and prescribed me Metrogyl Denta gel.

I didn’t wait long, and when I got home I immediately applied the gel to the ulcers that had just begun to emerge. After about 30 minutes, I began to notice that the pain began to subside, and after a couple of hours I was even able to have a snack. I also applied the gel at night, and the next morning I could smile fully. I’m glad that the doctor prescribed me this particular drug, it did its job so quickly.

Elena, 25 years old

Advantages and disadvantages

Advantages of using Metrogyl:

quick and long-term elimination of unpleasant sensations;
the drug adheres well to mucous membranes and is not washed off by saliva;
affordable price.

is not a complete pain reliever;
content active ingredients quite low.

Metrogyl Denta is effective for initial stomatitis, especially if the inflammation was caused by any infection.

The complex effect of the active components allows you to stop the development of the disease, relieve discomfort, and promote disinfection of the oral cavity.

To relieve symptoms and treat gum disease and oral cavity, there are now a sufficient number of medications. Gel Metrogyl Denta is one of the most effective means, which is highlighted by the country's leading dentists. The ointment has a pronounced anti-inflammatory and antibacterial effect. This medicine can be used to treat children from 6 years of age and adults.

Metrogyl Denta gel is available in 20g tubes and has a thick texture with a pleasant smell and taste.

Composition of the drug:

active substances that have a detrimental effect on most pathogenic organisms and aerobic bacteria– metronidazole 10 mg (antibiotic), chlorhexidine 0.5 mg;
additional ingredients - propylene glycol, levomenthol, sodium saccharinate, water, sodium hydroxide, carbomer 940, disodium edetate.

Inflammatory processes in the oral cavity need to be treated comprehensively, that is, use the ointment in combination with other drugs, antiseptic rinses and professional cleaning teeth from stones.

Metrogyl Denta dental ointment is indicated for use for the following infectious and inflammatory diseases in the oral cavity:

cheilitis;
periodontitis;
gingivitis in any form;
candidal and aphthous stomatitis;
inflammatory processes of the oral mucosa;
complications when wearing dentures and braces;
abscesses;
for inflammation of the empty socket, after tooth extraction;
any damage to the central nervous system;
epilepsy;
liver and kidney failure;
leukopenia.

Metrogyl Denta ointment cannot cure standard types of diseases such as stomatitis; this point is indicated in the instructions for the drug. The fact is that ordinary stomatitis is caused by viral organisms, and the drug does not contain components that could overcome viruses. Herpetic stomatitis It is better to treat in other ways. At allergic stomatitis It is also useless to use Metrogyl Dent.

Important! You cannot prescribe yourself an ointment to get rid of unpleasant symptoms, you definitely need to visit a dentist to find out the cause of the inflammation.

Main contraindications to the use of ointment:

individual intolerance to the components of the composition;
age up to 6 years.

Metrogyl Denta is safe drug, therefore the list of contraindications consists of only two conditions. It can also be used by pregnant (after the first trimester) and lactating women, but after consulting a doctor.

Instructions for use

Apply medicinal ointment for gums, Metrogyl Dent is needed in accordance with the instructions, depending on the problem that has arisen:

for periodontitis, the gel should be used after removing tartar and dirt, treating the pockets and all gums with a thin layer 2 times a day for two weeks;
in case of aphthous stomatitis, the ointment should be applied to the affected areas of the mucous membrane 2 times a day for a week;
inflammation of the gums - in this case, you need to apply it to the outer and inner surface apply a thin layer of ointment using a clean finger or cotton swab. Repeat the procedure twice a day, in a course of 10 days;
for chronic periodontitis, it is necessary to carry out preventive courses twice a year, apply ointment to the gums twice a day for a week;
after tooth extraction or after treatment in which the gum was cut or injured, as a preventive measure, apply a thin layer of ointment to the affected area 3 times a day.

The compatibility of Metrogyl Denta gel with other medications is one hundred percent, provided that the gel is used strictly according to the instructions. Doctors do not recommend using the ointment together with coumarin anticoagulants, phenobarbital and disulfiram.

After application, Metrogyl Denta acts by reducing the growth of gram-negative and gram-positive bacteria. These microorganisms, through their active reproduction, cause pathological conditions in the oral cavity. Metronidazole and chlorhexidine are able to penetrate the very DNA of pathogenic organisms and destroy them from the inside. The drug is able to disinfect the oral mucosa, while preventing the appearance of new bacteria and infections.

Side effects and special instructions

Active substances, included in the drug, may cause side effects in patients sensitive to them:

allergic reactions of various types, itching, rashes;
nausea;
diarrhea.

If any side symptoms are detected, you should contact your dentist for a replacement. this tool a similar drug.

Important! Metrogyl Denta gel does not replace brushing your teeth, use toothpaste when applied medicine necessary!

Metronidazole, which is part of the ointment, is a potent antibiotic approved for use by pregnant women. But the instructions for the drug say that the gel cannot be used in the first trimester of pregnancy and during lactation.

Accidental ingestion of the ointment will most likely not affect human health in any way; in the case of children, it is recommended to take the adsorbent and consult a doctor.

After the expiration date or improper storage, the ointment should be thrown away; a spoiled product should not be used. Possible absorption of the drug poses a health hazard when using expired ointment; after application to the gums, the drug dissolves in the blood through the mucous membrane.

Information about the effect of the drug on vital functions, the ability to drive a car or other technical means absent.

The use of ointment for various inflammatory processes is effective only in combination with professional teeth cleaning and antiseptic rinses. When using only one Metrogyl Denta gel, improvement occurs, but not for long, since the ointment removes the symptoms, and the inflammation or infection continues to spread throughout the mucous membrane.

Price

Metrogyl Denta gel can be freely purchased at any pharmacy in the country; on average, its cost varies from 200 to 250 rubles per 20g tube.

Analogs

Today on the shelves of pharmacies you can find a large number of drugs with similar action. Metrogyl Denta gel has an absolute analogue - Asept ointment, with the same active ingredients, but at a higher cost.

Similar drugs that, if necessary, can replace Metrogyl Denta Ointment:

Cholisal is a gel with antimicrobial and analgesic effects. Has a higher cost;
Rotocan is an extract consisting of natural herbs And ethyl alcohol. This drug provides antiseptic effect, kills germs;
Metrodent gel – complete analogue Metrogyl Denta ointments;
Parodium gel – the active substance is chlorhexidine, the gel has antimicrobial effect;
Dicloran Denta - contains diclofenac, which provides an analgesic effect that is not found in Metrogyl Denta ointment. For diseases with painful sensations It would be advisable to replace Metrogyl gel with Dicloran. This analogue has a large list of contraindications and side effects from use, so you need to be extremely careful when using independent use this drug;
Dentamet - ointment domestic production, is intended for the treatment of various dental pathologies. Active ingredients: chlorhexidine, metronidazole. It is used for the following diseases: oral infections, periodontitis, gingivitis, pulpitis, etc. This is a direct analogue of Metrogyl Denta gel with a lower price.

Metrogil and Metrogil Denta, what is the difference

Metrogyl and Metrogyl Denta are two completely different drugs:

Metrogyl Denta is a dental ointment used for topical use in the oral cavity for inflammation and other dental diseases;
Metrogyl is a drug available in the form of an injection solution, ointment, and tablets. Used in the treatment of infectious diseases and gynecological diseases: bacterial vaginosis, trichomoniasis. Contains metronidazole. Metrogyl ointment is used intravaginally.

Both ointments have antibacterial properties, contain metronidazole, but are used in different areas.

Dental diseases localized in the oral cavity are considered one of the most unpleasant and painful for the patient. For effective treatment required modern drug with antibacterial and anti-inflammatory properties. In pharmacies you can find a huge selection of products, both domestic and imported. The price range for the corresponding medications is also huge. But dentists themselves often prescribe Metrogyl Denta gel, a modern drug with first-class healing properties.

What kind of pharmaceutical product is this, how effective is it in the fight against dental ailments, and most importantly, what reviews do patients who have used it leave?

The manufacturer positions the medication in question as a means for treating inflammatory processes, preventing exacerbations, as well as associated complications on the gums and oral mucosa. Objectively speaking, this is a small fraction of the indications for which the medicine is prescribed.

What else does Metrogyl Denta help with, you will learn from the material presented below (see “indications and contraindications”). We strongly recommend that you consult your dentist before using this medication. Only a doctor can accurately diagnose the disease and prescribe the appropriate medicine to eliminate it.

Clinical and pharmacological group

Gel for gums Metrogil Denta belongs to a large group local drugs with antimicrobial action. It is used only in dentistry and is considered an antimicrobial and antiseptic agent. It's about about the combination medication received wide use in dental practice.

To better understand the mechanism of its influence on problem areas, we should dwell in more detail on the pharmacological action.

pharmachologic effect

Metrogyl denta is a drug with pronounced antimicrobial properties. The effect of the medication is determined by its components, in this case it is metronidazole and chlorhexadine.

The influence on pathogenic forms of bacteria is carried out as follows:

suppression of the activity of gram-positive and gram-negative bacteria of anaerobic and aerobic type (caused by chlorhexadine digluconate);
in the structure of pathogenic DNA, areas responsible for nucleic acid synthesis are blocked;
blocking cell division with subsequent death of the microorganism.

In this method, it is possible to quickly relieve toothache, since the active ingredients anesthetize the treatment area, which is achieved by eliminating swelling, pathogenic bacteria. Despite the pronounced antimicrobial effect of Metrogil denta, the activity and functional abilities of lactobacilli remain the same.

Release form and composition

The medicine is supplied in laminated plastic tubes of 20, 10 and 5 g. Each tube is packaged in a cardboard box. Some manufacturers present the medicine in aluminum tubes, top part always covered with sealed foil. Visually it is colorless, translucent, medium thick, soft consistency. The taste has something in common with children's toothpaste.

Composition of Metrogil Denta gel (for every 1 g of substance):

chlorhexadine bigluconate (20%) – 0.5 mg;
benzonate metronidazole – 10 mg.

If we talk about auxiliary elements, they are represented by propylene glycol, water, levomenthol, carbomer-980, sodium hydroxide.

Storage conditions and periods

Metrogyl denta gel is prescribed to be stored either by the dentist or by the patient, in a specially designated place.

Optimal temperature regime– from 8 to 25 degrees.
It is strictly forbidden to store the gel in the refrigerator or freeze it, because in this case, the properties of the composition are leveled.
The shelf life of an airtight tube is up to 36 months from the date indicated on the package.

Purchase only sealed and airtight tubes. If the above conditions are not met, medicinal properties composition are lost.

Instructions for use

In most cases inflammatory process, localized on the gums, develops as a result of dental plaque and accompanying microbes.

Step-by-step instruction by application:

Before use dental gel Metrogil Denta is important to clean your teeth from tartar and plaque. Otherwise, the effect of the medicine will be minimal and short-lived.
At the second stage, the attending physician prescribes drug therapy and regular rinsing antiseptics(gum area 2-4 times a day).
For pathological lesions, systemic antibacterial drugs are prescribed to reduce antimicrobial activity.

It is important to get rid of not only the symptoms of inflammation (swelling, bleeding), but also the pathogenic process itself. If this is not done, in bone tissue Deformation processes may become more active, which invariably entails tooth mobility.

Indications and contraindications

The medication in question is used for therapeutic purposes for inflammatory and infectious diseases localized in the oral cavity. The pharmaceutical product is prescribed for the following diseases:

An accurate diagnosis can only be made by the attending physician. For some lesions, the medication may be useless. It is important to take into account contraindications for use in order to eliminate the risk of worsening the disease.

Contraindications to the use of Metrogil Dent:

Individual intolerance to the components of the medication.
Children under 6 years of age.
Tendency to allergic reactions to nitroimidazole.

Each patient is individual, and therefore it is important to take into account all possible nuances of using the drug.

Directions for use and doses

Few patients know how to use Metrogil Denta for a particular disease of the tongue or oral cavity. If the diagnosis has already been established, it is recommended to adhere to the following dosages and frequency:

Side effects and special instructions

Despite the fact that the medication is applied topically, the following side effects and reactions are possible in case of overdose:

In case of side effects, it is important to stop therapy, and in case of internal contact, gastric lavage is indicated.

Special instructions:

Metrogil Denta helps against acne, blackheads, boils, oily seborrhea;
after applying the gel, saliva is actively released, it is recommended to spit it out;
the solution does not require additional solution.

To rule out side effects, it is important to consult a dentist.

Use during pregnancy and breastfeeding

During pregnancy, women often experience problems in the oral cavity, especially with teeth. In accordance with the instructions for use, the use of pharmaceutical product in the 1st trimester. A similar restriction applies to women who are breastfeeding.

Application of the medication during lactation is possible, but only as prescribed by a doctor. During this period, it is important to switch the child to infant formula. After the therapeutic course, feeding is resumed.

Use in childhood

Many people are interested in whether children can use Metrogil Denta - experts give a positive answer, but under several conditions. Breastfeeding is strictly prohibited. Metrogyl denta for children under 6 years of age is taboo. In each specific case, the doctor prescribes the drug to the child, in individually determines from what age and in what frequency

The cost of Metrogil Dent ointment ranges from 100 to 280 rubles (Johnson & Johnson, NIZHFARM). The medication is available in pharmacies over-the-counter and freely. Prices may vary by region and pricing policy manufacturer's company.

How to replace Metrogil Denta

In case of allergic reaction or individual intolerance to Metrogil Denta gel, the doctor prescribes analogues or substitutes. In Russia they are cheaper, Western substitutes are more expensive.

The best analogues:

Before use, it is important to study the instructions for use, indications for use and the list of contraindications. Often different drugs they differ. There are a number of highly specialized medications that can easily cope even with acute ulcerative necrotic formations.

The composition of the drug includes metronidazole benzoate and 20% solution chlorhexidine digluconate as an active ingredient, as well as carbomer 940, disodium edetate, propylene glycol, sodium saccharinate, sodium hydroxide, water.

Release form

The product is available in the form of a gel. The gel is soft, opalescent, white or almost white. Contained in plastic tubes of 5, 10, 20 g.

pharmachologic effect

Gel Metrogyl Denta is antimicrobial drug, its effect is due to two antibacterial components.

Substance metronidazole produces an antibacterial effect against anaerobic bacteria that provoke the development of periodontal diseases. This Fusobacterium fusiformis, Bacteroides melaninogenicus, Porphyromonas gingivalis, Wolinella recta, Prevotella intermedia, Eikenella corrodens, Selenomonas spp., Borrelia vincenti.

Substance chlorhexidine produces an antimicrobial and antiseptic effect. Acts on gram-positive and gram-negative anaerobic and aerobic bacteria. Some strains demonstrate weak sensitivity to chlorhexidine Proteus spp., Pseudomonas spp.. Bacterial spores and acid-resistant forms of bacteria are resistant to the substance. When using chlorhexidine, the functional activity of lactobacilli is not impaired.

Pharmacokinetics and pharmacodynamics

Metrogyl Denta is almost not absorbed when applied topically.

Indications for use

The instructions indicate the following indications for use of Metrogyl Denta:

Vincent's ulcerative-necrotizing gingivitis in acute form;
gingivitis acute and chronic;
periodontitis acute and chronic;
, which is complicated by gingivitis;
juvenile periodontitis;
inflammatory process of the oral mucosa due to wearing dentures;
cheilitis ;
post-extraction alveolitis (inflammatory process of the hole after a tooth has been removed);
periodontal , (in combination treatment).

Contraindications

Metrogyl Denta dental gel should not be taken in the following cases:

in case of intolerance to components;
with intolerance to derivatives nitroimidazole ;
under the age of 6 years.

Side effects

If the ointment is applied topically, as negative effects may develop allergic manifestations as , itching , rash , may also be noted headache .

Gel Metrogyl Denta, instructions for use (Method and dosage)

The official instructions for use of Metrogyl Denta indicate that the gel is intended exclusively for use in dentistry.

When gum inflammation Children over 6 years of age and adults need to apply the product to the gums with a finger or a cotton swab; the layer should be thin. The product must be applied twice a day. It is not advisable to wash off the product. After the procedure, you should not eat or drink for half an hour. Treatment lasts from 7 to 10 days.

Patients with periodontitis it is necessary to treat periodontal pockets with gel, and also to apply the gel to the gums after dental plaque has been removed. The first time the procedure is usually performed by a doctor, then the patient applies the gel independently. The ointment should be applied 2 times from 7 to 10 days.

People with aphthous stomatitis the gel should be applied to the affected mucosa twice a day for 7 to 10 days.

To prevent aggravation chronic periodontitis and gingivitis , Metrogyl Denta should be applied to the gums 2 times a day for 7-10 days. It is advisable to practice such courses 2-3 times. in year.

To prevent post-extraction alveolitis after the patient’s tooth has been removed, the hole is treated with ointment immediately after removal, then drugs are used 2-3 times. per day for another 7-10 days.

Overdose

If a large amount of gel was accidentally or intentionally swallowed, the side effects of the drug may increase. These phenomena are mainly due to the influence of metronidazole. Dizziness, vomiting, nausea develop, and in case of severe overdose - convulsions , paresthesia . The patient's stomach is washed and symptomatic therapy is given.

Interaction

If the gel is applied topically in the doses indicated in the instructions, it almost does not interact with other drugs.

But it is still not recommended to use the gel with certain medications. Thus, it should not be used with coumarin anticoagulants , as the blood clotting time increases. When used simultaneously with the level of toxicity of both drugs increases. When used simultaneously with and the effectiveness of metronidazole decreases.

UNIQUE Pharmaceutical Laboratories Unique Pharmaceutical Laboratories (a division of J.

Country of origin

India

Product group

Dental drugs

A drug with antimicrobial action for topical use in dentistry

Release forms

tube 20g

Description of the dosage form

Dental gel

pharmachologic effect

A combined antimicrobial drug, the effect of which is determined by the properties of the components included in its composition. Metronidazole is active against anaerobic bacteria, causing diseases periodontal: Porphyromonas gingivalis, Prevotella intermedia, Fusobacterium fusiformis, Wolinella recta, Eikenella corrodens, Borrelia vincenti, Bacteroides melaninogenicus, Selenomonas spp. Chlorhexidine is an antiseptic and antimicrobial agent, active against gram-negative and gram-positive aerobic and anaerobic bacteria: Treponema spp., Neisseria gonorrhoeae, Trichomonas spp., Chlamydia spp., Ureaplasma spp., Bacteroides fragilis. Some strains of Pseudomonas spp., Proteus spp. are weakly sensitive to chlorhexedine, and acid-resistant forms of bacteria and bacterial spores are also resistant. Does not interfere with the functional activity of lactobacilli.

Pharmacokinetics

At local application Metrogyl Denta® gel is practically not absorbed.

Special conditions

The use of Metrogyl Denta® gel does not replace hygienic brushing of teeth, therefore, during the course of treatment with the drug, teeth brushing should be continued.

Compound

metronidazole benzoate 16 mg, which corresponds to the content of metronidazole 10 mg of chlorhexidine gluconate 20% solution 2.5 mg, which corresponds to the content of chlorhexidine gluconate 500 mcg Excipients: propylene glycol, carbomer-940, disodium edetate, sodium saccharinate, levomenthol, sodium hydroxide, water.

Metrogyl Denta indications for use

Infectious and inflammatory diseases of periodontal and oral mucosa: - acute and chronic gingivitis; - acute ulcerative-necrotizing gingivitis of Vincent; - acute and chronic periodontitis; - juvenile periodontitis; - periodontal disease complicated by gingivitis; - aphthous stomatitis; - cheilitis; - inflammation of the oral mucosa when wearing dentures; - post-extraction alveolitis; - periodontitis, periodontal abscess (as part of combination therapy).