topical antimicrobials
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1
best form of plaque and gingivitis control
mechanical oral hygiene
2
characteristics of a perfect agent
1. safe (non toxic or allergenic, no unfavorable microflora made)
2. effective for both plaque and gingivitis
3. proper substantivity; bound to, slowly released from oral surface
4. specific effects on pathogenic flora
5. acceptable taste, low cost, ease of use
2. effective for both plaque and gingivitis
3. proper substantivity; bound to, slowly released from oral surface
4. specific effects on pathogenic flora
5. acceptable taste, low cost, ease of use
3
only prescription agent that is FDA approved
chlorhexidine
4
only over the counter MOUTHRINSE approved by ADA
products containing essential oils and cetylpyridinium chloride (EOs and CPC)
5
only over the counter TOOTHPASTE approved by ADA
colgate total SF and crest pro-health (stannous fluoride)
6
commonly used 0.12% soln of chlorhexidine is called
peridex
7
chlorhexidine mechanism
rupture bact cell membrane to cause leakage
bind salivary mucin, reducing pellicle formation
bind bact, inhibit adsorption onto teeth
bind salivary mucin, reducing pellicle formation
bind bact, inhibit adsorption onto teeth
8
side effect of chlorhexidine
tin or metallic taste
stain on tongue and teeth; REVERSIBLE
inc calculus formation
stain on tongue and teeth; REVERSIBLE
inc calculus formation
9
chlorhexidine use
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