what are seven general functions of chemotherapeutic agents
remineralization
antimicrobial
astringent
anodyne (alleviate pain)
buffering
deodorizing
oxygenating
what do we use mouthrinses for in the clinic?
pre-procedural rinse
what is the purpose of a pre-procedural rinse?
reduce microorganisms in mouth
limit aerosols
stannous fluoride is a ____ ion that interferes with cell ____ for _____ effect
tin
metabolism
antimicrobial
t/f cariostatic fluoride inhibits remineralization and enhances demineralization
FALSE cariostatic inhibits demineralization and enhances remineralization
t/f stannous fluoride may stain teeth
true
what is chlorhexidine used for?
pre procedural
perio debridement
dental caries
immunocompromised pt
post surgery
temporary use for poor OH
what is the fficacy of chlorhexidine?
prevent and control biofilm
reduces viability of existing biofilm
inhibits and reduces gingivites
reduces mutans streptococci
what is an example of chlorhexidine used on children to reduce caries?
varnish
t/f chlorhexidine inactivated by sodium lauryl sulfate if rinsing immediately after brushing
true
what is the efficacy of triclosan?
reduction of biofilm and BOP
what preventive and therapeutic agent of a mouthrinse disrupts the cell walls/inhibits bacterial enzymes, has poor substantivity, decreases pathogenicity of biofilm
phenolic-related essential oils
what preventitive and therapeutic agent of a mouthrinse uses oxygen to debride area and alter bacterial cell membrane with a low substntivity
oxygenating agents
what preventitive and therapeutic agent of mouthrinses is used short term for symptoms of pericoronitis and NUG
oxygenating agents
what are three inactive ingredients of mouthrinses?
water
alcohol
flavoring
what is targeted application of pulsated or steady stream of water or other irrigant for preventive or therapeutic purposes
irrgation
when would you send irrigation home with a pt
deep pockets
ortho
after surgery
what are the 5 purposes of oral irrigation
reduce bacteria
control inflammation
subgingival bacteria at compatible level with health
reduces subgingival pathogenic bacteria and inflammatory mediators
alternative for flossing
what are five benefits of oral irrigation
reduction of gingivitis and bleeding
reduction/alteration of biofilm biproducts
penetration into pocket
delivery of antimicrobial agents
perio maintenance pts
what is a hollow tube used to direct irrigants into a pocket?
cannula
what are two types of oral irrigation methods?
power driven
non power driven
what are four delivery methods for oral irrigation?
supraginigval
marginal
subgingival
pulsating
what is a special consideration for oral irrigation
premed to prevent bacteremia
what are two forms available for oxygenating agents?
10% carbamide peroxide
1.5% hydrogen peroxide
what is an available form for quanternary ammonium compunds?
CPC (cetylpryidinium chloride) .05-.07%
what is the purpose of quanternary ammonium compounds
reduces biofilm
limited reduction in gingivities
what are four examples of phenolic related essential oils?
thymol
eucalyptol
menthol
methyl salicylate
what is phenolic related essential oils used for?
helps to improve OH pre procedural rinse
what is contraindicaiton for phenolic related essential oils?