Angular cheilitis may be caused by a number of factors, and the best angular cheilitis treatment is chosen according to the cause. The most common of these factors is vitamin B deficiency. When this is the case, the best treatment for angular cheilitis is vitamin B replacement, usually by injection. Angular cheilitis can also be caused or worsened by bacteria, and in these cases, topical antibiotic creams or ointments may be necessary. When it is caused by a fungal infection, it may be treated with an anti-fungal cream. In general, the treatment is topical.
Angular cheilitis is also known as perleche or cheilosis. It is a commonly seen condition and refers to drying out or "chapping" in the corners of the mouth. In severe cases it may result in cracking or splitting of the lip and can be very painful. In some cases the cheilitis may become infected with bacteria or fungi, and these issues need to be tended to. Typically, though, the condition clears up on its own or with mild topical treatment.
The condition is often a sign of a deficiency of vitamins or essential minerals such as vitamin B, zinc or iron. It may be seen in malnourished people or those with bulimia or anorexia. In the case of bulimia, the condition is worsened by the frequent vomiting. The best angular cheilitis treatment in these cases is to treat the relevant deficiency with either vitamin B, zinc or iron, depending on the patient. Dietary changes to increase the levels of the deficient substance may also be effective.
Angular cheilitis may be seen as one of the symptoms of denture stomatitis. Fungal infection is common in these cases. Improved denture hygiene practices and topical anti-fungals such as nystatin or clotrimazole are the best angular cheilitis treatment in this setting. Diagnosing the causative organism would need to be done by a physician.
Mild cases of angular cheilitis tend to occur in winter. It is often exacerbated by continual wetting of the lips, which worsens the chapping. Topical barrier creams may be useful, especially for people with recurring cheilitis. Some complementary products, such as tea tree oil and aloe vera may also be helpful, especially where no bacterial or fungal infection is present.
The best angular cheilitis treatment depends entirely on the cause of the condition. Initially, symptoms can usually be treated using over-the-counter medicine. Preventative hydration using topical barrier creams during sensitive times may be advisable.