What are 4 things that dentifrices can do to prevent or reduce; that aid in the selection of dentifrice?
dental caries (fluoride)
dentin hypersensitivity
inflammation
calculus formation
What are 2 things about dentifrices that aid in personal preference of selection?
flavor
cleansing and refreshing
When mechanical aids are not sufficient enough, what else can be used to supplement in maintaining optimum oral health?
chemotherapeutic mouth rinse
What type of rinse helps prevent caries for children and adults?
fluoride (preventive)
What type of rinse has active ingredients to reduce inflammation or prevent periodontal diseases and dental caries?
chemotherapeutic
What are 7 general functions of chemotherapeutic agents? (mouth rinses)
remineralization
antimicrobial
astringent
anodyne
buffering
deodorizing
oxygenating
Remineralization function of mouth rinse
restore mineral elements
antimicrobial function of mouth rinse
bactericidal or bacteriostatic
biofilm control
reduce gingivitis
astringent function of mouth rinse
shrink tissues
anodyne function of mouth rinse
alleviate pain
buffering function of mouth rinse
reduce oral acidity
deoderizing function of mouth rinse
neutralize odor
oxygenating function of mouth rinse
cleansing
What are 2 purposes/uses of mouth rinses in the dental clinic or office prior to treatment?
to reduce intraoral microorganisms
to reduce aerosol contamination during use of scalers
What are 3 purposes/uses of mouth rinse during self care?
as a part of personal oral self-care for specific needs
as a part of malodor control
posttreatment therapy
What type of fluoride in mouth rinse deposits fluoride on enamel or in a carious lesion as its mechanism of action?
sodium
What type of fluoride in mouth rinses, deposits fluoride on enamel of carious lesion, and has a tin ion that interferes with cell metabolism for antimicrobial effect?
stannous
What type of fluoride in mouth rinses, inhibits demineralization and enhances remineralization?
cariostatic
What are 3 types of concentrations that fluorides are available in?
dentifrice
gel
rinse
What are 3 general uses of fluoride?
prevent caries
reduce hypersensitivity
reduce gingivitis
Which agent of mouth rinse is efficient in the reduction of biofilm or caries when used topically, and the stannous type leads to modest reduction in gingivitis?
fluoride
What are 2 considerations with fluoride?
stannous type may stain teeth
avoid swallowing
What agent of mouth rinse has a cationic bisbiguanide with antibacterial activity that binds to hard and soft tissue?
chlorhexidine (CHX)
What agent of mouth rinse damages cytoplasm of cell membrane (bacterocidal); and binds to pellicle to prevent biofilm accumulation?
CHX
What agent of mouth rinse is bacteriicidal and bacteriostatic depending on concentration, and when bacteriostatic interferes with the cell wall transport system?
CHX
What agent of mouth rinse lasts 8-12 hours?
CHX
What is the most effective therapeutic/preventive agent available for clinical use (RX 0.12% in US)
CHX
What are 3 ways CHX comes in?
mouth rinse
varnish
controlled delivery
What agent is typically used for a pre-procedural rinse, perio-debridement, dental caries, immunocompromised, post-surgery, and temporary use for poor OH?
CHX
What agent is efficient in prevention and control of biofilm formation, reduces viability of existing biofilm, inhibits and reduces gingivitis, reduces mutans streptococci, and when used in varnish, reduces caries in children and those with xerostomia?
CHX
true or false. CHX varnish is available in the US
FALSE! It is NOT available here
low tioxicity, staining of teeth in restoration areas, increase in supra calc formation, altered taste perception, minor soft tissue irritation with desquamation of oral mucosa, and can be inactivated by sodium lauryl sulfate if rinsing right after brushing are all considerations for what agent?
CHX
How long must you wait after you brush to rinse with CHX?
30 minutes
What agent has a bisphenol and antimicrobial agent, and an antigingivitis agent?
Triclosan
What type of agent is effective atainst gram-negative and gram-positive bacteria; and can cause baceriolysis by acting on microbial cyctoplasmic membranes, and has low toxicity?
triclosan
What agent has mouthrinses and dentrifices available in other countries, dentrificdes available in the US, and reduces gingivitis and biofilm accumulation?
triclosan
What agent is efficient in reducing biofilm and bleeding on probing?
triclosan
when this agent is combined with PVM/MA it increases substantivity and efficacy; and it is easily released from oral tissue binding sites such as tooth surface and soft tissue. What agent are those considerations for?
triclosan
What type of agent disrupts cell walls and inhibits bacterial enzymes, has poor substantivity, and decreases pathogenicity of biofilm?
phenolic related essential oils
a combination of thymo, eucalyptol, menthol, and methyl salicylate are available as brand and generic name products in what agent?
phenolic relate essential oils
What agent is used for pts with OH difficulty, helps improve OH, adjunct for home care, and as a pre-procedural mouth rinse?
phenolic related essential oils
What agent is efficient in reducing biofilm and gingivitis?
phenolic related essential oils
burning sensation, bitter taste, must follow manufacturer instructions for use, and has a high alcohol content so must not be used by alcoholics, are considerations for what agent?
phenolic related essential oils
What agent has cationic agents that bind to oral tissue, ruptures cell walls and alters cytoplasm, has a strong initial attachment, decreases bacterial attachment to pellicles, and has low substantivity?
quaternary ammonium compounds
The most commonly used of this type of agent is CPC (cetylpyridinium chloride) 0.05%-0.07%; it reduces biofilm and is an adjunct for self care. What type of agent?
quaternary ammonium compounds
What type of agent is efficient in reducing biofilm and has a limit reduction in gingivitis?
quaternary ammonium compounds
Considerations for what agent include; stains teeth, increases supragingival calc formation, andn has a burning sensation with occasional desquamation?
quaternary ammonium compounds
What type of agent has oxygen that acts to debride the area, alters bacterial cell membrane and has a lower substantivity?
oxygenating agents
What type of agent is available in 10% carbamide peroxide, and 1.5% hydrogen peroxide, and has a short term use for symptoms of pericornitis and NUG?
oxygenating agents
What agent is efficient in negligible antimicrobial effect and debriding agent?
oxygenating agents
prolonged use in 3% hydrogen peroxide may result in gingival irritation and delayed tissue healing is a consideration for what agent?