At Allz Well, we customize medications for dentists and their patients:
- When an adult or child needs a dose or concentration either col-xser or col-lgr than what is commercially available.
- For patients who cannot tolerate an ingredient in a manufactured medicine.
- When a dentist needs a medicine, but a manufacturer discontinued it.
- When a unique and creative solution is needed for dental treaament and the dentist requires a custom compound.
What type of dental compounds are custom made at Allz Well?
We custom-compounded medication to treat pre-and-post procedural anxiety syndromes, endodontic root-canal irrigation and instrumentation, dry sockets, periodontitis, oral-cancer diagnosis, pain, gingivitis, stomatodynia (also known as burning mouth syndrome), oral lesions (e.g., lichen planus), aphthous ulcers and post-surgical bleeding. You can depend on Allz Well for your dental procedures.
Here are some of our compounded products that are popular for use in the office by dentists and dental hygienists.
PFG is an anesthetic gel made from a powerful combination of tetracaine, lidocaine, and prilocaine that is to be used topically. It allows for gingival recontouring and other soft tissue procedures with little or no need for local anesthesia. If a patient were to be given local anesthesia via injection, the patient would experience no burn or sting. With PLT, you can nearly eliminate the need for lower blocks, which are not patient-friendly, and achieve instant pulpal anesthesia without any tongue or cheek numbness. It is typically dispensed in 30g and 45g tubes.
PLT-T is similar to PLT, but contains thickener and 2% phenylephrine to prevent bleeding. It is dispensed in 30g and 45g tubes.
PLT-S is similar to PFG, but contains sweetener, thickener, and 2% phenylephrine to prevent bleeding. It is dispensed in 30g and 45g tubes.
DYC is a topical anesthetic in the form of a rinse that patients can swish around for one minute to anesthetize gingival and palatal tissues. It is fantastic for hygiene patients that need some anesthesia. It also works well with patients that are afraid of needles, sensitive hygiene patients, and for patients who gag during impressions. It is dispensed in 480mL and 960mL bottles.
Topical Therapy for Pain and Infection
Topical medications offer an advantage over systemic administration of medications because of their rapid onset and low side-effect profile. Medicated lollipops, lozenges and adhering powders are ideal for keeping an antibiotic or antifungal in contact with an infected area in the mouth.
Burning Mouth Syndrome
Burning mouth syndrome (BMS), also known as glossopyrosis or glossodynia (when the burning occurs on the tongue only) is usually described as oral burning pain. The dorsal tongue, palate, lips and gingival tissues, individually or in combination, are the most common sites involved. Bilateral or unilateral oral burning pain has been found to be associated with jaw pain, taste changes, subjective dry mouth, geographic and fissured tongue, painful teeth, headache, neck and shoulder pain, difficulty speaking, nausea, gagging and swallowing difficulties.
Therapy for BMS includes the use of tricyclic antidepressants, benzodiazepines or gabapentin. Clonazepam is a benzodiazepine that appears to have excellent efficacy in the relief of the symptoms related to BMS both topically and orally. Topical medications, including clonidine, may be considered for application to local sites.
A combination of oral medications for the management of BMS (clonazepam, gabapentin, baclofen, and lamotrigine) has been found to decrease pain in more than 80% of patients. The most common adverse effects reported with the medication protocol were drowsiness and dizziness.
Treatment for Dry Mouth, Stomatitis, and Mucositis
Loss of saliva (xerostomia) is one of the most common complaints among patients who have received radiation therapy of the head and neck. Ask us about sialogogues (saliva stimulants) in customized dosage forms.
When a person is receiving chemotherapy or radiation, mouth infections and tenderness can interfere with the ability to eat. This condition is preventable. Allz Well can compound medications that enable patients to enjoy eating again. Allz Well Pharmacy can compound numerous medications into a preparation such as an oral rinse that contains the needed concentrations of each drug.
A three-drug mouthwash (lidocaine, diphenhydramine and sodium bicarbonate in normal saline) can provide effective symptomatic relief in patients with chemotherapy-induced mucositis.
Suppressing the Gag Reflex
The gag reflex can cause a patient considerable discomfort and interfere with dental procedures. An electrolyte tablet administered and retained in the mouth for a few minutes before the start of a procedure can suppress the gag reflex, allowing a mandibular block to be given with much greater ease.
Tablets can be prescribed for home use for patients who cannot properly perform oral hygiene procedures due to the gagging problem.
Compounding allows multiple active ingredients to be incorporated into customized mouthwashes, gels, troches, etc. For example, to treat periodontal disease, antibiotics can be formulated as a mouthwash, or added to an oral adhesive paste or a plasticized gel that will maintain the contact between the tissue and medication for a prolonged period of time.
Compounding dental mouthwashes or rinses may offer numerous advantages over commercially available dosage forms. Whereas elixirs, syrups, and suspensions often contain preservatives (e.g., alcohol)that may cause gastrointestinal irritation or sugar, which may make a preparation undesirable for diabetic patients, a customized preparation without the sugar and without the preservatives can significantly reduce or eliminate certain concerns.