Compounding for Dentists

In recent years, compounding has experienced a renaissance as modern technology and innovative techniques and research have allowed more dentists, healthcare providers, and pharmacists to customize medications to meet specific patient needs.

Due to its variety of patients, dentistry is an ideal arena for compounded medications. From an eight-year-old getting a cavity filled to an eighty-year-old getting fitted for dentures, each patient is unique and may benefit from custom-compounded medication

Working closely with a compounding pharmacist, a dental practitioner can prescribe medications for procedural anxiety, pain relief, dry socket treatments, fluoride treatments, gum disease, plaque removal, ulcers, canker sores, and even tooth whitening.

As with many medical treatments, the therapeutic options available to dentists can be limited. Some patients may not respond well to standard medications. Compounding enhances the acceptability and application of medications through its ability to customize dosage forms. Some nauseated patients or those who cannot swallow a tablet or capsule can receive the medicine through a transdermal gel. Patients who suffer from needle anxiety can receive a topical anesthetic to allow for painless dental injections. Other creative solutions for medication problems include liquids, pastes, lip balms, or even lollipops

While your main method of treatment and patient care does not involve medications, more and more often are patients looking to their Dentists for help with all of their oral issues.

We are dedicated to meeting the unique needs of your dental patients, and we welcome your questions and medication problems.

Below are examples of compounding ideas that can help with common oral health concerns:

Angular Cheilitis:

  • Clotrimazole 2%, Ibuprofen 2%, Tea Tree Oil 5% Topical Cream
  • Miconazole 2%, Ibuprofen 1%, Tea Tree Oil 1% Topical Cream

Burning Mouth Syndrome:

  • Capsaicin 0.25mg Troche
  • Amitriptyline HCL 2%, Gabapentin 6%, Lidocaine HCl 0.5% Oral Rinse

Dry Mouth/Xerostomia:

  • Pilocarpine HCL 2mg Troche
  • Pilocarpine 10mg/ml Oral Spray


  • Acyclovir 5%, Lidocaine 1% Lip Balm
  • Acyclovir 5%, Lidocaine 1%, Aloe, Lysine, Deoxy-D-Glucose Lip Balm

Mouth Ulcers:

  • Polyox 301 Bandage
  • Oral Adhesive Paste

Oral Lichen Planus:

  • Tretinoin 0.1%, Clobetasol Propionate 0.05% oral adhesive Paste/Rinse
  • Tretinoin 1mg, Clobetasol Propionate 0.5mg Troche

Oral Candida/Thrush:

  • Clotrimazole 10mg Troche
  • Nystatin 100,000 unit Troche

Pre-Procedure Anxiety:

  • Midazolam 1mg/ml oral solution

Temporomandibular Joint Disorder:

  • Ketoprofen 5%, Cyclobenzaprine HCl 0.5%, Lidocaine HCL 5%, Bupivacaine HCL 1% in Lipoderm cream
  • Ketoprofen 10%, Cyclobenzaprine HCl 2% in Lipoderm cream