FAQ

General
Teething
Mouth Ulcers
Fever Blisters
Denture Sores
Inflamed Mouth
Brace Cuts

General

What can I use TEEJEL® GEL for?
To relieve oral pain caused by teething, mouth ulcers, inflamed tongue, brace cuts, denture sores and fever blisters.1B,C
Who can use TEEJEL® GEL?

TEEJEL® GEL is a topical analgesic, anti-inflammatory, sugar-free gel for adults, children and infants. 1A,C,D

Where can I buy TEEJEL® GEL?

TEEJEL® GEL can be found at retailers and leading pharmacy groups.

What does TEEJEL® GEL contain?
TEEGEL® GEL contains choline salicylate (active ingredient) 87,1 mg/g, alcohol and is sugar free.1D
How do I use TEEJEL® GEL?

Opening the tube:1A

  1. Remove cap and invert.
  2. Place cap over neck of tube.
  3. Press firmly until seal is broken.

Applying TEEJEL® GEL:

  1. Using a well washed finger or finger stall, apply an adequate amount of the gel (usually about one centimetre expressed from the tube for adults and older children and half a centimetre for infants up to 2 years) to the tender area of the buccal mucosa. (the inner lining of the lips and cheeks).
  2. Massage in well.
  3. Repeat the application 3 to 4 times daily before meals and also at bedtime.
How often can I use TEEJEL® GEL per day?

TEEJEL® GEL can be used up to 4 times a day before meals and also at bedtime.

Teething

When can I expect my child's first tooth to come in?

Teething can begin as early as 4 months of age, but most babies don’t get their first tooth until 6 months. Teeth usually come in pairs. The bottom front two teeth typically show up first, followed by the top ones (both sets are called central incisors).

Then the side front teeth (lateral incisors) fill in, followed by the molars and then the canines, which are the pointy teeth next to the front teeth. The back molars erupt last. Your baby should have a full set of primary teeth by age 3; permanent teeth won’t begin to replace them until the child is 6 years old.2A,3B

My baby was born with a tooth. Does it need to be pulled out?

It’s rare, but some children already have a tooth when they’re born, usually a bottom front tooth. It may be a real baby tooth or an extra tooth in the set that has grown over the baby tooth and permanent tooth underneath it.

This extra tooth will fall out when the baby tooth erupts. But sometimes these teeth – real or extra – need to be removed, to avoid the risk of choking if they’re loose, for example, so a tooth doesn’t get in the way of breastfeeding.12A,B,C

My child is 8 months old and still doesn't have his first tooth. Is something wrong?

Don’t worry. The first tooth can come in anytime between 4 and 12 months. If a tooth hasn’t come in by 1 year, there’s probably still no reason to worry if your child is growing fine otherwise – he may just be a late bloomer.

In rare instances, lack of teeth is a sign of metabolic disorder, but if that were the case, a child would have other growth problems as well.13

My 4-month-old is drooling and chewing on his hand. Does this mean he's teething?
It’s possible, but drooling and chewing aren’t always signs of teething. Your baby is on the young side for teething, and at 4 months, it’s natural for a baby to put objects into his mouth to explore them. Also at this age he’s beginning to produce more saliva than he can swallow, which causes drooling. But if you notice that your child is also cranky and fussy, and he tends to chew or gnaw on the breast or bottle more than suck, that sounds like teething. Besides increased drooling, chewing, and crankiness, another common teething symptom is loss of appetite. Gum swelling and the resulting sensitivity to hot and cold foods will make eating uncomfortable for your baby, and can also interfere with sleeping.

In addition, when teeth are coming through, the gums will look swollen and bumpy, and they may be lighter or darker in colour. Sometimes a bluish-red blister (called a haematoma) appears on the gum line where the tooth is coming in, and it may bleed a little when the tooth breaks the surface. Call your doctor if the blister lasts for more than a week without the tooth poking through.13

Why do I have to worry about cleaning my child's baby teeth? They're just going to fall out anyway.
Baby teeth are actually very important. They help children chew food, speak clearly, and retain the space for the permanent teeth. If baby teeth aren’t cared for properly, they can decay, leading to a gum infection called gingivitis that can affect the spacing and the health of the permanent teeth. Moreover, children who learn to take care of their baby teeth tend to have good dental habits as adults.

You can start oral care even before your child’s teeth come in. Wipe her gums once a day with a warm, wet washcloth or a dampened piece of gauze wrapped around your finger. Once the first couple of teeth come in, you can continue using wet gauze to clean the baby teeth (now twice a day), but also introduce a very soft baby toothbrush. Rub it across baby’s teeth to help her get used to the feeling. You probably won’t need to use the brush to actually clean her teeth until she’s eating only table foods (and has a significant number of teeth), at around 18 months. However, if your toddler has eaten sticky, sugary foods, you should get rid of the residue by gently cleaning her teeth with a wet toothbrush and some baking soda. Once your baby is about 2, you can begin using a pea-sized amount of toothpaste.13

When should I start brushing my baby’s teeth?
Even before any teeth arrive and the teething process begins, start a daily habit of cleaning your baby’s mouth/gums with a silicone finger stall. Brushing should start as soon as the first tooth appears. A special brush is required for infants, ideally something with a small head and extra soft bristles. Taking care of your baby’s oral health from an early age will undoubtedly contribute to the quality of his or her life.14

Mouth Ulcers

What are the different types of mouth ulcers?
There are 3 types of mouth ulcers: minor, major, and herpetiform.5A

  • Minor – most common type. 1-5 ulcers which is less than 10 mm in diameter, surrounded by a bright red inflamed halo. These ulcers usually heal within 10-14 days
  • Major – 1-10 ulcers which are usually deeper, larger ulcers with more irregular borders. Could take weeks to months to heal. Symptoms such as a difficulty to swallow, fever and general malaise are often experienced with these ulcers.
  • Herpetiform – these ulcers are not related to the Herpes Simplex virus. They are usually grouped in clusters of 10-100 pinpoint ulcers on the side of the tongue and may merge to form large painful ulcers. Often seen in females aged 20-29 years.
Are there other reasons that could cause mouth ulcers that I should know of?

Aphthous-like ulcers is often seen in other condition, such as:6B

  • Nutritional deficiency: Up to 20% of patients are deficient of iron, folic acid (folate), or vitamin B.
  • Malabsorption in gastrointestinal disorders: About 3% of patients experience these
    disorders, particularly celiac disease but, occasionally, Crohn disease, anaemia, and dermatitis herpetiformis.
  • Immune deficiencies: Ulcers may be seen in patients with HIV and other immune defects.
  • Drugs, especially NSAIDs, alendronate for osteoporosis)
  • Sodium lauryl sulfate (SLS), a detergent in some oral healthcare products that may aggravate
    or produce oral ulceration
How can I treat a mouth ulcer?
Mouth ulcers need time to heal and there is no quick fix. Most ulcers will eventually resolve by itself, and treatment is needed if discomfort is significant.6C,D

The goals of treatment are:

  • Avoid things that irritate your mouth ulcer, or remove the cause of the ulcer if possible
  • reduce pain
  • Reduce the duration of the ulcer

Fever Blisters

How do I treat fever blisters?
Antiviral medicine can help cold sores (fever blisters) heal faster, but it cannot get rid of the virus. One would need to take them each time you can feel a cold sore coming on, as early as possible. To alleviate the pain from a fever blister, topical products like TEEJEL® GEL can be applied to the affected area to help reduce both the pain and inflammation.1C, 10I,J
How to prevent a first herpes infection?
Because Herpes Simplex virus infection is contagious, people with infection of the lips should avoid kissing as soon as they feel the first tingling (or, if no tingling is felt, when a blister appears) until the sore has completely healed. They should not share a drinking glass and, if possible, should not touch their lips. 10H
When having a recurrence, for how long can the virus be transmitted?
The virus can be transmitted from the first signs of a recurrence (first tingling or even if there is no tingling), up until there is any sign of the sore left. Physical or direct contact with other persons or a person’s own hands should be restricted until the sore has completely healed. 10H

Denture Sores

How do I care for my dentures?
Moisten the toothbrush and apply a non-abrasive soap or denture paste (regular toothpaste is too abrasive). Brush every surface, inside and out, scrubbing gently. A variety of over-the-counter denture cleanser products may be safely used (by following the manufacturer’s instructions) to remove most stains. Do not use bleach on your dentures unless your dentist or prosthodontist gives you special instructions on using bleach. It is not possible to whiten dentures like natural teeth

because dentures are made of plastic. To minimize staining, properly clean your dentures daily to remove food and plaque bacteria.

Do not brush your dentures with normal toothpaste. Toothpastes are designed to be used on teeth, and they often contain materials and chemicals that help whiten and strengthen teeth, but may harm dentures, which are made of a very durable plastic. You should use a dish washing liquid and a special denture brush to clean your dentures by hand every day. After rinsing them thoroughly, soak your dentures in water-based cleaning solution overnight.

When dentures breaks, the best solution is to return to the professional who made your dentures and have the cracked denture repaired professionally.

Can I sleep in my dentures?
You can wear your dentures at night, but it is preferred that they be removed. Removing your dentures at night will give your gums and bone a chance to relax from the pressure of the denture during the day. If you need to wear your dentures for social reasons or to prevent your jaws from over closing, you should find time during the day to properly clean your mouth and dentures. You should never wear your dentures 24 hours a day without properly cleaning.
After a very long time of denture wearing, I'm losing gum and bone. Can this be fixed?
Research shows that once the teeth are removed, the jawbone shrinks and changes shape. Typically, dentures should be checked every year, and often they should be remade when they lose their fit and are loose in your mouth after 5-10 years of use. By using dental adhesive, you may have masked the loose fit of your dentures. Also, it is important that you take your dentures out at night to allow your gum tissues to rest and decrease the possibility of denture sores.

Inflamed Mouth

If I experience an inflamed mouth, what can I do to determine what the cause is?

First you should eliminate the more obvious causes such as:

  • Physical irritation, such as heat burns from food or drinks, or irritation from dentures or braces.
  • Contact irritation, such as acidic or sharp food and allergies from food, toothpaste or
    propolis.

Secondly the doctor will need to do some tests:

  • Swabs for viruses, bacteria or fungi
  • Biopsy for changes in the tissue
  • Blood tests
  • Patch tests to identify allergies
If I experience an inflamed mouth, how do I treat it?

Treatment for stomatitis depends on the cause.
Infections may require specific treatment such as antibiotics or antifungal medicine if the cause is an infection.
Nutritional deficiencies can be corrected with supplements.
In some cases, you may need corticosteroids; your doctor would need to prescribe the above medication for you.

Symptomatic treatment could also include:

  • Antiseptic mouthwash
  • Protective pastes
  • Local anaesthetic products
  • Oral analgesics (pain killers)

Brace Cuts

How can I effectively treat cuts in my mouth from metal braces?
There are a variety of quick and easy ways to reduce discomfort:7

  • Taking pain relief medication7C
    • For the cuts caused by braces, use TEEJEL® GEL topically, which is rapidly absorbed by the mucous membranes, to offer pain relief and to help reduce inflammation.1C
    • Taking painkillers such as ibuprofen and paracetamol can also help to relieve pain in the jaws and gums. This deep pain is normally brought about by the gradual shifting of one’s teeth as they get used to the new braces.
  • Eating cold or frozen treats7D
    • These numb areas in the mouth where there might be sores. They can also help to treat swollen gums.
  • Using the orthodontist wax7E
    • Wax for braces provides a kind of barrier between the inside part of the lips and cheeks and the brace brackets. This barrier can also prevent gum irritation too.
  • Massaging your gums7F
    • Use a clean finger to gently massage around the gums. You can also stroke the gums with ice afterwards to help them relax.
  • Chew more7H
    • Chewing helps to exercise your mouth increasing the blood flow to supporting structures in around the teeth. This, in turn, helps to heal the sores and lesions in your mouth reducing associated discomfort.
  • Practising better dental hygiene7G
  • Rinsing with warm salt water7I