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Manual Antibiotics and Antiseptics in Periodontal Therapy

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Surfactants - dual function: to assist in the removal of debris from the mouth and provide antibacterial effects; aid in solubilisation of flavour and some active ingredients. Flavouring agents - provide some breathfreshening properties. Bisbiguanide antiseptics 2. Quaternary ammonium compounds 3.

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Essential oils EO 4. Natural products 5. Oxygenating agents 6. Amine alcohols 7. Bisbiguanide antiseptics CHX is the most studied and effective antiseptic in this category Developed in the s in England Cationic antiseptic Broad spectrum antimicrobial After 20 years of use by the dental profession, CHX is recognized as the GOLD standard against which other antiplaque and gingivitis agents are measured.

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The mechanism of CHX effect The antiplaque effect of CHX can be hypothesized as: Any bacteria adhering to the tooth surface are either killed bactericidal effect or are prevented from multiplying bacteriostatic effect The persistent, bacteriostatic effect of CHX is what makes CHX the gold standard. Optimizing the use of chlorhexidine CHX should not be used before, or immediately after using toothpaste or else it will reduce the effective delivery of CHX to the tooth surface in an active form.

Approved in in America Contain 2 phenol-related essential oils: Thymol 0. How does Listerine work? Microorganisms are killed by disrupting their cell walls and by inhibiting their enzyme activity Prevents bacteria from aggregating, and slows bacterial proliferation Reduces bacterial load.

Non surgical periodontal therapy

A recent systematic review on essential oils concluded When used as an adjunct to unsupervised oral hygiene, EO provides an additional benefit with regard to plaque and gingivitis reduction as compared to a placebo or control mouthrinse Some studies suggest as an alternative to CHX Pizzo et al. Safety of Listerine Long-term use safe Walker et al. No evidence of cancer Cole et al. Possibility of producing pathological change should be borne in mind when considering longterm use of a mouthwash over a lifetime Paraskevas H2O2 Most commonly used in cases of ANUG and pericoronitis Limited evidence available to suggest use as an antigingivitis or antiplaque agent.


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Considerable promise as antiplaque agents Octapinol was first studied, withdrawn for toxicologic. Delmopinol followed at 0. Other antiseptics Many other agents have been studied but most have been found to have little or no effect clinically. Can mouthrinses treat periodontitis?? The use of mouthrinses is increasing, especially as. Indications for use of mouthrinse as an adjunct 1.


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  • After surgical procedures 2. In medically compromised patients: those receiving chemotherapy or radiotherapy and bone marrow transplant patients. Conclusion CHX is the GOLD standard for mouthrinse CHX mouthwash does not affect subgingival plaque due to the lack of subgingival penetration Limited use in treatment of periodontitis Mouthrinses have a role in gingivitis prevention, but considering gingivitis does not necessarily progress to periodontitis, we need to question whether the use of chemical agents for the general population is really necessary. Read Free For 30 Days.

    Description: perio. Flag for inappropriate content. Related titles. Carousel Previous Carousel Next. Distribution of bacterial uropathogens and their susceptibility patterns over 12—year West Bank, Palestine. Jump to Page. Search inside document. Microorganisms are killed by disrupting their cell walls and by inhibiting their enzyme activity Prevents bacteria from aggregating, and slows bacterial proliferation Reduces bacterial load A recent systematic review on essential oils concluded When used as an adjunct to unsupervised oral hygiene, EO provides an additional benefit with regard to plaque and gingivitis reduction as compared to a placebo or control mouthrinse Some studies suggest as an alternative to CHX Pizzo et al.

    The use of mouthrinses is increasing, especially as adjuncts to the daily mechanical oral hygiene Netuschil, Mouthrinsing failed to achieve any significant penetration of pockets Pitcher et al. Ahead Dental Coaching. Rishabh Narula. Alan Amato. Belladonna Perdana Putra. Gonzalo Rojas. Elizabeth Snider. Rosana Villordon Solite.

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    Sidharth Routray. Leonardo Hansen. IJAR Journal. More From Cristina Ene. Cristina Ene. Periodontal Assessment and Managment in Fixed Prosthodontics. Popular in Patient. Jurado, A. Christiaan Castillo.

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    The realization, over the past three decades or so, of the microbial aetiology and specificity of periodontal diseases has led to an increasing use of antimicrobial agents in the management of periodontal infections. These include systemic antibiotics, topical antibiotics and topical antiseptics. Despite such frequent use of antibiotics in the management of periodontal diseases, the literature indicates only a few good controlled clinical trials that compare the efficacy of adjunctive antibiotic use to conventional periodontal therapy alone.

    This topic continues to generate interests among the dental research and clinical practice communities, especially in view of the global problem of the emergence of antibiotic resistant organisms. Hence, the knowledge base on the subject is increasing rapidly and, at the time of writing, FDI takes the following position:. Skip to main content.

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    Home Resources Policy Statements. Download PDF The realization, over the past three decades or so, of the microbial aetiology and specificity of periodontal diseases has led to an increasing use of antimicrobial agents in the management of periodontal infections. Hence, the knowledge base on the subject is increasing rapidly and, at the time of writing, FDI takes the following position: Statement Scientific evidence indicates that conventional periodontal treatment alone is adequate to ameliorate or resolve the clinical condition in the vast majority of patients with periodontal diseases.

    Adjunctive antimicrobial agents delivered either systemically or locally following appropriate diagnosis and thorough mechanical debridement to disrupt the microbial biofilm may enhance the effect of conventional periodontal therapy in appropriately selected patients or specific situations. Antimicrobial sensitivity testing may aid in determining the microbial component and antimicrobial susceptibility of suspected pathogens, helping to inform the practitioner in the process of selecting and prescribing an appropriate antibiotic for an individual patient.