Bonjela gel is an over-the-counter topical oral treatment designed to offer localized relief from minor mouth ailments. It is primarily used to soothe pain associated with common issues like mouth ulcers, cold sores, and sore spots caused by dentures or orthodontic devices. Its effectiveness relies on a dual-action formula that targets both pain and potential infection at the application site. Understanding how the gel works and when its various formulations are safe to use is crucial for proper application.
Composition and Mechanism of Action
The standard adult Bonjela formulation contains two primary active components: Choline Salicylate and Cetalkonium Chloride. Choline Salicylate acts as the main pain-relieving and inflammation-reducing agent in the gel. It is a derivative of salicylic acid, which belongs to the class of non-steroidal anti-inflammatory drugs (NSAIDs).
When applied to the inflamed tissue inside the mouth, Choline Salicylate is absorbed through the mucous membrane. It works by interfering with the body’s production of prostaglandins, which are compounds that trigger pain, swelling, and redness at an injury site. By inhibiting the enzymes responsible for prostaglandin synthesis, the gel reduces local inflammation and provides an analgesic effect.
The second active ingredient, Cetalkonium Chloride, provides an antiseptic function. It is a quaternary ammonium compound that works as a broad-spectrum antimicrobial agent. This component helps to cleanse the area and prevent the minor mouth wound, such as an ulcer, from becoming secondarily infected by bacteria. The combination of localized pain reduction and antiseptic action makes the gel effective for treating the symptoms of minor oral lesions.
Understanding the Different Formulations
The Bonjela brand offers distinct product lines developed for different age groups and specific oral conditions. The standard Adult or Cool Mint Gel contains Choline Salicylate and is specifically marketed for use by individuals over the age of 16. This product is intended for treating mouth ulcers and inflammation caused by dental devices.
Formulations intended for infants and young children, such as Bonjela Teething Gel, have been modified to exclude Choline Salicylate in many global markets. Instead, these children’s products often rely on a different combination of ingredients, such as a local anesthetic like Lidocaine and an antiseptic like Cetylpyridinium Chloride. This distinction is based on regulatory guidance and the recognized safety concerns associated with salicylates in young people.
A separate product, sometimes labeled as a Junior or Teething formulation, may contain a local anesthetic like Lidocaine Hydrochloride to numb the gums and a different antiseptic to prevent infection. The choice of product must always correspond to the user’s age and the specific condition being treated. Consumers must carefully read the product packaging to ensure they are selecting the appropriate salicylate-free option for children under 16.
Safety Concerns and Application Instructions
The most important health consideration when using the standard Choline Salicylate-containing gel is its association with salicylates, which are chemically related to aspirin. Regulatory bodies strongly advise against the use of salicylate-containing oral gels in individuals under the age of 16. This precautionary measure is due to a theoretical link between salicylates and Reye’s syndrome, a rare but serious condition that causes swelling in the liver and brain.
This concern is particularly heightened if the child is recovering from a viral illness, such as influenza or chickenpox, which is a known risk factor for Reye’s syndrome. Although the topical application provides localized treatment, the Choline Salicylate can be absorbed systemically through the oral mucosa, especially if the gel is used excessively. Overuse can lead to salicylate toxicity, which presents a separate, acute risk.
To use the adult gel safely, a small quantity, typically a pea-sized amount or about one centimeter of gel, should be applied directly to the sore area. The gel should be gently massaged into the affected spot using a clean fingertip. This application can be repeated every three hours as needed for pain relief.
It is strongly advised that the total number of applications does not exceed six times within a 24-hour period. Exceeding the recommended dosage can lead to the systemic absorption of Choline Salicylate, increasing the risk of adverse effects.
Contraindications
The gel should not be used if you have a stomach ulcer, are in the third trimester of pregnancy, or are breastfeeding. Furthermore, the gel should not be used in combination with other salicylate-containing products or if the user is taking blood-thinning medication, as salicylates can affect blood clotting. If symptoms persist for more than three to seven days, or if the condition worsens, discontinue use and consult a healthcare professional for further evaluation. Always prioritize the salicylate-free formulations for any oral discomfort in children under 16.