3 - Non-surgical Therapy - Chemical Home Care Flashcards
What chemical cleaning options are available to patients for home use?
toothpaste and mouthwash
What ingredients are present in toothpaste (8)?
fluorides, triclosan, humectants (xylitol), surfactants, abrasives
foaming, thickening, and flavoring agents
What abrasives are present in toothpaste (6)?
Ca++ phosphates, Ca++ pyrophosphates, Ca++ carbonate, Na++ bicarbonate, hydrate silica, alumina
_______ _____ control is necessary to reduce gingival inflammation. This can be done through brushing and flossing. These ________ methods may not be enough.
- supragingival plaque
- mechanical
Toothpaste as a drug:
- Target: ?
- Route: ?
3: Carrier: ?
- calcified and soft tissue (teeth/gums)
- toothbrush - mouth
- inactive ingredients potentiate
(T/F) - Triclosan/copolymer toothpaste is equally or slightly more effective than regular fluoride for plaque reduction AND reducing gingival inflammation (Loe and Silness index).
T
The normal triclosan MIC for bacteria is 0.29 - 0.78 ug/mL, whereas it is _______ for dental plaque.
4.14 ug/mL
Triclosan inhibition of IL-1B and TNF-a inflammatory mediators leads to favorable inhibition of _______.
PGE2 (Prostaglandin E2)
Though SnF (stannous fluoride) and triclosan both have anti-inflammatory effects, triclosan is favorable because ________.
SnF causes staining (looks fluorotic)
Fluroide usage in higher concentrations for children under age 6 should balance ________ and _______.
- risk of fluorosis
- caries
Mouth washing is good because: ________________.
Teeth are only 25% of the mouth, liquid caries can travel
What is the only mouthwash that must be prescribed? What ingredient is the reason?
- 0.12% CHX (cetylpridinium chloride)
- chlorhexidine
Supragingival Mouthwashes: __________
- 26% acohol (phenolic)
- indication: plaque, bad breath, gingivitis
- action: essential oils inhibit gingivitis symptoms
- 56% gingivitis reduction, 36% plaque reduction
Listerine
Mouthwash Mechanism of action: __________
- broad spectrum G+ and G-
- disrupts CW
reduce plaque endotoxin levels
Listerine
Supragingival Mouthwashes: _________
- 0.05% cetylpyridinium chloride
- reduce plaque and gingivitis
CPC (cetypyridinium chloride) - Viadent