MODERN APPROACHES TO THE MANAGEMENT OF HERPETIC STOMATITIS IN CHILDREN: CLINICAL PERSPECTIVES FROM SOUTH ASIA

Abstract

Herpetic stomatitis is a common viral infection of the oral mucosa caused primarily by Herpes simplex virus type 1 (HSV-1). It frequently affects infants and young children, leading to fever, painful oral ulcers, irritability, feeding difficulties, dehydration, and temporary decline in quality of life. In South Asian countries, including Pakistan, delayed clinical presentation, limited awareness, nutritional deficiencies, and inconsistent access to pediatric oral healthcare may worsen disease burden. Conventional management includes antiviral therapy, hydration, pain relief, and oral hygiene support. However, recent advances in pediatric dentistry and oral medicine have introduced innovative adjunctive approaches such as photobiomodulation therapy, probiotic support, bioadhesive healing gels, immunonutrition, and telehealth monitoring. This article reviews modern strategies for managing herpetic stomatitis in children with emphasis on practical implementation in developing healthcare settings. The evidence suggests that integrated treatment models combining early diagnosis, antiviral therapy, symptom control, nutritional support, and novel adjunctive methods significantly improve recovery outcomes and reduce complications. These approaches may be especially valuable in resource-variable regions.