Does angular cheilitis require the use of cephalosporins?

Written by Li Cui
Dentistry
Updated on March 24, 2025
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Angular cheilitis is also relatively common in clinical practice, commonly referred to as cracked corners of the mouth. This condition is generally caused by a deficiency in vitamins and trace elements in the patient's body, or due to excessive internal heat, leading to erosion at the corners of the mouth. Furthermore, the surface may also exhibit a moist, whitish appearance accompanied by pain. At this time, it is advised that patients should not frequently lick the affected area with their tongue and may apply some anti-inflammatory ointment. If the pain is severe and the damage from angular cheilitis is significant, patients can appropriately take some oral cephalosporins. However, as cephalosporins are antibiotics, it is recommended that patients use them under a doctor’s guidance and not take them indiscriminately. If a patient is allergic to penicillin, cephalosporins should not be used, so it is advised not to take them without proper guidance.

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Written by Li Cui
Dentistry
1min 34sec home-news-image

How to determine the type of angular cheilitis.

Angular cheilitis is relatively common in everyday life, especially prevalent among children. The most common type seen is nutritional angular cheilitis, generally caused by a deficiency in vitamins due to children’s frequent picky eating, loss of appetite, and malnutrition. The symptoms usually manifest as moist whitish areas at both corners of the mouth, accompanied by ulcers and raw sores. In severe cases, it can spread to the inner mucosa and vary in length. Another type of angular cheilitis is streptococcal angular cheilitis, generally caused by infections from streptococci or staphylococci. This type of cheilitis typically results in erosion at the corners of the mouth, present with horizontal lines, and due to the bacterial infection, localized bleeding, crusting, and pus formation may occur. Local cleansing followed by the application of antibiotic ointments can be very effective for treating this condition. A less common type is fungal angular cheilitis, also known as candidal infection angular cheilitis, typically occurring in children when their immunity is compromised. The moist local environment leads to similar damage at the corners of the mouth, along with whitish erosion. It is crucial to maintain hygiene and boost the child's immune system to manage this type of angular cheilitis.

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Written by Li Cui
Dentistry
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What should I do if angular cheilitis does not heal for a long time?

Angular cheilitis generally exhibits a phenomenon of being long-lasting and difficult to cure, which may be related to inflammatory irritation. When the inflammation is not fully resolved, the infection associated with angular cheilitis may not easily subside. It is important for angular cheilitis to be treated actively with anti-infection methods and symptomatic treatments. During dry seasons, which are peak periods for triggering angular cheilitis, it is advisable for patients to avoid licking their lips when they feel dry. Doing so can actually increase the moisture on the lips, leading to the skin at the corners of the mouth being more susceptible to breakdown and secondary infection from surrounding diseases. For example, Candida albicans, a common type of fungus, can frequently infect these areas. Not only can this cause angular cheilitis, but it can also lead to recurrent episodes. Patients are advised to pay attention to their lifestyle habits.

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Written by Liang Xian
Pediatrics
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Treatment methods for children's cheilitis

In cases of angular cheilitis in children, it generally appears during the acute phase, especially if the child consumes spicy foods. Secondly, a deficiency in vitamins can also cause angular cheilitis. At this point, it is appropriate to supplement with vitamin B and vitamin C, and enhance care by maintaining oral cleanliness, drinking plenty of water, and favoring mild or cool liquid diets to avoid irritating foods. Additionally, topical treatments like watermelon frost and Xinnei San can be sprayed on the affected area, and for severe pain, lidocaine can be applied topically. If the child has a fever or other underlying illness, treatment should focus on the primary disease. Furthermore, it is also important to ensure the child's diet includes plenty of vegetables and fruits, which are rich in vitamins B and C.

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Written by Li Cui
Dentistry
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Angular cheilitis dermatitis is a deficiency of what?

Angular cheilitis is generally more common in the dry seasons of autumn and winter, because the skin around the lips is quite delicate. During the dry air of autumn and winter, the lips cannot withstand prolonged irritation, leading to dryness, peeling, and even bleeding of the lips. It can also occur in some patients who have long-term malnutrition, insufficient intake of vitamins, and some trace elements, leading to inflammation and erosion at the corners of the mouth, with no specific underlying causes identified. It is recommended that patients focus on regulating their diet and maintaining a healthy lifestyle. Drinking more water, eating fresh vegetables and fruits, avoiding staying up late, and developing good living habits are advisable. Taking certain vitamins and trace elements as needed, and applying anti-inflammatory ointment to the affected areas can help with inflammation and repair.

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Written by Wang Ji Zhong
Internal Medicine
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The causes of angular cheilitis

Angular cheilitis significantly impacts our daily eating habits; once affected, it often causes pain during meals. There are many factors behind the onset of angular cheilitis, primarily due to nutritional deficiencies, especially a lack of Vitamin B6. Therefore, we should avoid picky or poor eating habits and consume foods rich in vitamins to supplement deficiencies. Another cause is infection by bacteria or viruses. We need to enhance our immunity to prevent these pathogens from causing angular cheilitis. Additionally, irritants in the mouth, such as foreign bodies, can lead to angular cheilitis. When getting dental crowns or undergoing treatment, it is crucial to choose proper medical procedures to reduce irritation to the oral mucosa.