Chemical plaque control - A brief review

Abstract

Dental plaque is a complex microbial population of bacterial and salivary polymers present on the tooth surface. It is understood that human diseases must be avoided and a high social concern for the population as a whole. The argument for the implementation of successful prevention measures is strong for life-threatening diseases or those with serious morbidity. However, regardless of seriousness, the case for avoiding any disease may be based on the belief that it is easier to be healthy than dead or sick. Thus plaque prevention is an efficient way to both treat and avoid periodontal diseases, it is an important component of gingival and periodontal diseases' primary management.

Fixed Prosthetic Restorations and Periodontal Health: A Narrative Review

“…In addition, the chemical agents (antiseptics) exhibit antimicrobial benefits when used for prosthesis disinfection, though only a few agents can be used safely without causing damage. The most common chemical agents consist of three types of mouthwash with antiplaque and antigingivitis effects, which are chlorhexidine (CHX); essential oils (EOs), ranked second; and cetylpyridinium chloride (CPC) [ 80 , 81 ]. The CHX solution (0.2%) is the most indicated [ 81 ].…”

“…The most common chemical agents consist of three types of mouthwash with antiplaque and antigingivitis effects, which are chlorhexidine (CHX); essential oils (EOs), ranked second; and cetylpyridinium chloride (CPC) [ 80 , 81 ]. The CHX solution (0.2%) is the most indicated [ 81 ]. EOs are the second choice as they are not as effective as the CPC solution (0.05% to 0.75%), which, however, has a greater potential for adverse reactions [ 80 ].…”

“…EOs are the second choice as they are not as effective as the CPC solution (0.05% to 0.75%), which, however, has a greater potential for adverse reactions [ 80 ]. The adverse effects of mouthwash includes a transient loss of taste sensation, bitter taste, soreness and burning sensation of the mucosa, dryness of the mucosa, and epithelial desquamation [ 81 ]. Fluoride solutions can be used for high caries risk patients.…”

Comparison of antimicrobial and wound-healing effects of silver nanoparticle and chlorhexidine mouthwashes: an in vivo study in rabbits

“…In patients who have recently experienced trauma or oral surgical procedures, adequate mechanical plaque control is not possible. In these cases, chemical methods for plaque control, such as mouthwashes can be used [ 1 , 2 ]. Antimicrobial mouthwashes can decrease the bacterial load in the oral cavity, and therefore, help in alleviating various oral diseases and inflammatory conditions [ 3 , 4 ].…”

Does Customized Handle Toothbrush Influence Dental Plaque Removal in Children with Down Syndrome? A Randomized Controlled Trial

“…Although there are several methods for controlling dental plaque, mechanical plaque removal by using a manual toothbrush remains the most effective and reliable method to achieve good oral health [ 5 , 6 ]. In addition, the use of interdental cleaning aids such as dental floss requires repetitive and time-consuming [ 7 ], and chemical methods help to improve plaque removal but it is not sufficient without tooth brushing [ 8 ]. Manual tooth brushing can be highly effective in plaque removal if performed in a correct manner, based on an adequate technique and time of use [ 5 , 6 ].…”