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Top 7 Gels for Mouth Ulcer (Canker Sores/Aphthous Ulcer) in Pakistan for Adults and Children – Recommended by Pharmacist.

Mouth Ulcers are defined as small sores that form on your gums, lips, tongue, inner cheeks or roof of your mouth Typically appear as shallow, round or oval spots with a yellow-white center and a red border, more specifically known as aphthous ulcer or Canker sore. They often cause irritation, pain, and burning and stingy feel.

This is one of the top most problem encountered due to the following reasons:   

The first and foremost step is to identify the cause of the mouth ulcer (canker sores) and rectifying it whether it includes correcting vitamin deficiency or modifying the lifestyle habits e.g. avoidance of spicy food and hot drinks along with abandoning the irrational use of medicines e.g. NSAIDs (using without any indication of pain), or harsh chemicals containing toothpastes and hard bristles toothbrushes etc.

 Though no medication like B-blockers or nicorandil, should be stopped without proper consultation with the attending physician.

One of the most important things is to identify the difference between the mouth ulcer (Canker sores), and the oral thrush as both have different route causes and treatment. So, before starting the treatment Let’s first look at the difference between the two:

Feature

Oral Thrush

Canker Sore

Cause

Fungal infection (Candida albicans)

Non-infectious — often due to stress, injury, or certain foods

Appearance

Creamy white patches that can be wiped off (may leave red surface)

Small, round/oval ulcer with white or yellow center and red border

Pain

Mild to moderate burning

Sharp pain, especially when eating spicy/acidic food

Location

Anywhere in mouth, including tongue, cheeks, palate

Inside lips, cheeks, tongue, or gum base — never on the outer lips

Contagious?

Yes

No

Treatment

Antifungal medicines (nystatin, fluconazole)

Topical gels, mouth rinses, avoid triggers

Common in

Babies, denture wearers, people with weak immunity

Teens, young adults, anyone under stress or with mouth injury

Now it’s the time to unlock the top most recommended gels for mouth ulcers (Canker sores) which are highly recommended by the pharmacists and physicians.

So, let’s break the suspense:

Most commonly recommended gels for mouth ulcer (Canker sores) in Pakistan are as follow:

  1. Dentisept Gel®
  2. Somogel®
  3. Clinical Gel®
  4. Enziclor Gel®
  5. Bonjela®
  6. Citacol gel®
  7. Kenalog In Orabase gel®

Dentisept Gel® For Mouth Ulcers:

The clinical pearls of dentisept gel are as follow:

Clinical Points

Dentisept Gel®

🔖Drug Category

Analgesic/Antiseptic

⚕Composition

·        Benzydamine HCL 1% w/w

·        Cetylpyridinium Chloride 0.1 %w/w

✅Indications

Oro-dental disorders like stomatitis, aphthous ulcer (Canker sores), plaque, gingivitis, denture ulcers, burning mouth syndrome,

Oro-pharyngeal disorders like sore throat, tonsilitis, pharyngitis, and

Part of remedial plan following throat surgery

👩⚕️Dosage

Above 6 years of age, apply small quantity to the affected area every 2-3 hr to a maximum of 12 times per day.

  • Recommended after meals

🚫Contraindication

Pregnancy 🤰

Lactation 🍼and

Children <6yr of age 🧒

⚠Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

😓Adverse Effects

·        Alteration in taste

·        Reversible Staining of teeth after prolonged use

·        Increase calculus formation

2. Somogel® for Mouth Ulcers

The clinical pearls of somogel are given as follow:

Clinical Points

SomoGel®

🔖Drug Category

Antiseptic/Local Anesthetic (Pain relieving)

Composition

·        Lignocaine INN 0.6% w/w

·        Cetylpyridinium Chloride 0.02 %w/w

·        Menthol 0.06% w/w

·        Eucalyptol 0.1% v/w

·        Ethanol 33% v/w

 

Indications

Localized lesion of mouth like stomatitis, aphthous ulcer (Canker sores), glossitis, gingivitis, and teething troubles in babies

👩‍⚕️Dosage

Apply a small quantity to the sore area. Repeat every three hours.

Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

😓Adverse Effects

  • Metallic taste
  • Skin lesions
  • Circumoral tingling
  • Dizziness
  • Convulsions

3. Clinica gel® for Mouth Ulcers

The clinical pearls of clinica gel are given as follow:
 

Clinical Points

Clinica Gel®

🔖Drug Category

Antibacterial + Antifungal

Composition

·        Chlorhexidine Gluconate 0.2% w/w

 

Indications

Peridontal infections, gingivitis, plaque reduction, periodontal hygiene, pre and post implantation patients and oral candidiasis

👩‍⚕️Dosage

Above 6 years of age, apply small quantity to the affected area 2-3 times a day.

  • Recommended after meals

 

🚫Contraindication

Children <6yr of age 🧒

Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

😓Adverse Effects

Reversible Staining of teeth after prolonged use

 

4. Enziclor gel® for Mouth Ulcers

The clinical pearls of Enziclor gel are almost same to the Dentisept gel which are mentioned as below:
 

Clinical Points

Enziclor Gel®

🔖Drug Category

Analgesic/Antiseptic

Composition

·        Benzydamine HCL 1% w/w

·        Cetylpyridinium Chloride 0.1 %w/w

Indications

Oro-dental disorders like stomatitis, aphthous ulcer (Canker sores), plaque, gingivitis, denture ulcers, burning mouth syndrome,

Oro-pharyngeal disorders like sore throat, tonsilitis, pharyngitis, and

Part of remedial plan following throat surgery

👩‍⚕️Dosage

Above 6 years of age, apply small quantity to the affected area every 2-3 hr to a maximum of 12 times per day

  • Recommended after meals

 

🚫Contraindication

Pregnancy 🤰

Lactation 🍼and

Children <6yr of age 🧒

Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

😓Adverse Effects

·        Alteration in taste

·        Reversible Staining of teeth after prolonged use

·        Increase calculus formation

5. Bonjela® for Mouth Ulcers

The clinical pearls of bonjela are given as follow:
 

Clinical Points

Bonjela Gel®

🔖Drug Category

Antiseptic/Salicylate

Composition

Active ingredient: Choline salicylate 8.7% (NSAID)

Other ingredients:
Cetalkonium chloride 0.01 % (as preservative), ethanol, glycerol, Hypromellose, menthol, purified water, saccharin sodium, Star anise oil

Also contains:
40% v/v Alcohol and Saccharin. Cetalkonium Chloride as preservative.

Indications

Oral ulcers, painful stomatitis, gingivitis, & stomatitis

Infant teething & Denture discomfort

👩‍⚕️Dosage

Adults & Children over 4 months: Take gel on the tip of index finger and rub gently on the affected area, every 3-4 hourly

No more than 6 doses should be given in 24 hours.

  • Recommended after meals

 

🚫Contraindication

Third trimester of Pregnancy 🤰

Lactation 🍼and

Children <4months of age 🧒

Stomach Ulcer

Unless a doctor has told you to, do not use in children under 16 years of age with or recovering from chickenpox, influenza or fever.

Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

Avoid prolong use

6. Citacol® for Mouth Ulcers

The clinical pearls of citacol are similar to the clinical pearls of Dentisept gel and Enziclor gel:
 

Clinical Points

Citacol Gel®

🔖Drug Category

Analgesic/Antiseptic

Composition

·        Benzydamine HCL 1% w/w

·        Cetylpyridinium Chloride 0.1 %w/w

Indications

Oro-dental disorders like stomatitis, aphthous ulcer (Canker sores), plaque, gingivitis, denture ulcers, burning mouth syndrome,

Oro-pharyngeal disorders like sore throat, tonsilitis, pharyngitis, and

Part of remedial plan following throat surgery

👩‍⚕️Dosage

Above 6 years of age, apply small quantity to the affected area every 2-3 hr to a maximum of 12 times per day

  • Recommended after meals

 

🚫Contraindication

Pregnancy 🤰

Lactation 🍼and

Children <6yr of age 🧒

Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

😓Adverse Effects

·        Alteration in taste

·        Reversible Staining of teeth after prolonged use

·        Increase calculus formation

7. Kenalog In Orabase® for Mouth Ulcers

The clinical pearls of Kenalog are given as follow:
 

Clinical Points

Kenalog In Orabase®

🔖Drug Category

Corticosteroid

Composition

·        Triamcinolone Acetonide 0.1%

Indications

Lesions of oral mucosa (canker sores, and traumatic lesions etc.)

Relieves pain and inflammation

Steps to using Kenalog in Orabase®

 

  1. Dab a small amount of paste (about 6mm) onto the affected area. Apply a thin film over the affected area
  2. Do not rub the paste in or try to spread the paste
  3. Once the paste is applied correctly, a smooth, slippery film will develop.

 

👩‍⚕️Dosage

 

  • 2-3 times a day
  • Recommended after meals
  • Before bedtime as steroid will work during the whole night
  • Use until all your symptoms have resolved.

 

🚫Contraindication

Don’t use in following conditions, unless prescribed by your doctor:

Pregnant or planning to conceive

Sensitivity to triamcinolone

Have infection in mouth or throat or have TB , stomach ulcer, herpes lesions of known viral origin or diabetes

 

Precautions

Avoid Contact with eyes 👁

Not to be swallowed 🍽

😓Adverse Effects

·        Irritation

·        Burning

·        itching

·        Thinning of mucosal lining with prolong use

References

NHS. (n.d.). Mouth ulcers. NHS. Retrieved August 17, 2025, from https://www.nhs.uk/conditions/mouth-ulcers/

Cleveland Clinic. (2023, June 6). Mouth ulcers: Types, causes & treatment. Cleveland Clinic. Retrieved August 17, 2025, from https://my.clevelandclinic.org/health/diseases/21766-mouth-ulcer

Tariq, W. M. (2023). PharmaGuide (26th ed.). PharmaGuide Publishing Company.

Reckitt Benckiser Pty Ltd. (2023). Bonjela Teething & Mouth Ulcer Gel 15g [Product webpage]. Bonjela Australia. Retrieved August 17, 2025, from https://www.bonjela.com.au/products/teething-mouth-ulcer-gel/

Aspen Pharmacare Australia Pty Ltd. (2024). What is Kenalog in Orabase®? Kenalog in Orabase® | Treatment for Mouth Ulcers. Retrieved August 17, 2025, from https://www.kenalog.com.au/kenalog/

 

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