Chemical control of supragingival plaque Flashcards
Classification of elements that inhibit the formation of supra-gingival plaque-according to mechanism of action
- Antiadhesive
- Antimicrobial
- Plaque removal
- Antipathogenic
Antiadhesive
- Acts at pellicule surface
- Interferes w/ bacterial matrix formation
Antimicrobial
- Inhibits primary plaque proliferation
- Bactericidal
Plaque removal
- Mechanical removal-brush combined w/antimicrobial mouthwash
Antipathogenic
- Inhibits pathogenicity of microorganisms w/out destroying them
Methods of plaque control
- Toothpastes
- Mouthwashes
- Sprays
- Irrigators
- Chewing gum
- Varnishes
Effectiveness of chemical plaque control agents depends on
- Adsorption and prolonged retention on oral surfaces
- Bacteriostatic/bactericidal action
Chlorhexidine characteristics
- Gluconate, acetate, hydrochloride salts
- Antimicrobial
- Cationic nature=>miminises absorption through skin and mucosa
Side effects of chlorhexidine
- Discolouration
- Taste affected
- Mucosal erosion
- Uni/bilateral parotid swelling
- Increased supragingival calculus germination
Types of antiplaque agents and medications
- Antibiotics
- Enzymes
- Bis bigaunide antiseptics
- Quaternary ammonium compounds
- Phenols+essential oils
- Natural products
- Flourides
- Metal salts
- Oxidising agents
- Detergents
- Alcohols
- Salicylamide
Chemical control of supragingival plaque
Antibiotics
- Antimicrobial
- Penicillin
- Vancomycin
Chemical control of supragingival plaque
Enzymes
- Plaque removal
- Antimicrobial
- Protease
- Lipase
- Oxidase
Chemical control of supragingival plaque
Bisguanide antiseptics
- Antimicrobial
- Chlorhexidine
Chemical control of supragingival plaque
Quaternary ammonium compounds
- Antimicrobial
- Cetylpyridium chloride
Chemical control of supragingival plaque
Phenols+essential oils
- Antimicrobial
- Anti-inflammatory
- Thymol
- Eucalyptol
- Triclosan
Chemical control of supragingival plaque
Natual products
- Antimicrobial
- Sanguinarine
Chemical control of supragingival plaque
Flourides
- Antimicrobial
- Sodium flouride
Chemical control of supragingival plaque
Metal salts
- Antimicrobial
- Tinto
- Zinc
Chemical control of supragingival plaque
Oxidising agents
- Antimicrobial
- Hydrogen peroxide
Chemical control of supragingival plaque
Detergents
- Antimicrobial
- Sodium sulphate
Chemical control of supragingival plaque
Alcohols
- Inhibition
- Delmopinol