Treatment of severe oral mucositis in a pediatric patient undergoing chemotherapy

Oral Medicine

This article reports the resolution of a case of severe oral mucositis and the treatment protocol that promoted complete remission of the lesions.

A male 13-year-old patient with chondroblastic osteosarcoma in the left distal thigh and acute lymphoblastic leukemia undergoing cancer treatment with methotrexate presented with severe oral mucositis.

The treatment protocol included the use of 10ml of a mucositis mouthwash and low-level laser therapy.

The lesions remitted after five days of gargling with the mucositis mouthwash and two sessions of low-level laser therapy on the lesions.

The use of a treatment protocol consisting of a mucositis solution associated with low-level laser therapy effectively resolved a case of severe chemotherapy-induced oral mucositis.

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The monitoring and treatment of oral mucositis lesions in children and adolescents undergoing chemotherapy are necessary to prevent the patient from suffering from induced comorbidities.

INTRODUCTION : Chemotherapy-induced mucositis is one of the most important undesirable side effects of cancer treatment, promoting the worst cases of morbidity, increasing length of hospital stay, and frequently reducing the odds of controlling the tumor and the patient's life expectancy.


° RIBEIRO, Isabella Lima Arrais, VALENÇA, Ana Maria Gondim, & BONAN, Paulo Rogério Ferreti. (2015). Treatment of severe oral mucositis in a pediatric patient undergoing chemotherapy. RGO - Revista Gaúcha de Odontologia, 63(4), 467-471.

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