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Perio > Chemical Plaque Control > Flashcards

Chemical Plaque Control Flashcards

0
Q

How can chemical agents be classified?

A

Group A
group B
Group C

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1
Q

How can chemicals be used to control plaque?

A

Prevent adherence of bacteria
Prevention of multiplication of bacteria
Chemical removal of plaque

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2
Q

What are the features of group A agents?

A

Substantivity
Antibac
Anti plaque

CAN SUBSTITUTE MECHANICAL

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3
Q

Which agents are in group A?

A

CHX
Delmopinol
Salifluor
Acidified sodium chlorite

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4
Q

How does CHX work?

A 
Dicationic 
Gold  standards 
Bis bi guanine 
Anti bac 
Anti fungal
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5
Q

What percentage mouth wash do we give for CHX?

A

0.2%

Inhibits plaque

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6
Q

What effect does 1% have?

A

Cidal then static

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7
Q

What is the down side of CHX?

A

Altered taste and staining,parotid swelling,

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8
Q

By how much does CHX reduce plaque by?

A

50-90%

95% in five days

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9
Q

How does CHX damage the bacteria?

A

It’s is cationic to attracted to negative bacteria cell wall and disrupts it causing all components to leak out

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10
Q

How does Delmopinol work?

A

Anti adherent but Poorly retsined

It makes plaque matrix fall off the tooth has good efficacy

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11
Q

How does acidified sodium chlorite work?

A

Broad spectrum Antimicrobials, vital and fungal

Substantial similar to CHX

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12
Q

What is Goup B?

A

Little or no substantivity
Good spectrum
Some plaque inhibition

ADJUNCT

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13
Q

What are example of group B agents?1

A

Triclosan
Quarternary ammonium compound
Essential oils
Metal ions

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14
Q

How does Triclosan work?

A 
Found in PLAX and COLGATE total
Non ionic chlorinated bisphoenol 
Broad spectrum antibac and absorbed onto lipid cell wall 
Some anti inflam 
Reduces BOP and Pockeing
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15
Q

What are examples of essential oils?

A

Listerine: plaque reduction

16
Q

What are example of the metal ions?

A

Stannous fluoride and zinc citrate

17
Q

What are group C?

A

Antibac in Vitro
Moderate to low plaque inhibition
Not recommended

18
Q

What are the group C compounds?

A 
POSH F
Povidine iodide
Oxygenating agents
Sanguinarine
Hexitine

Fluorides

19
Q

What is calculus ?

A

In organic compound of brushite followed by ortho calcium Phosohate and it contains HAP

20
Q

What are anti calculus agents?

A

Crystal growth inhibitors: pyro phosphates, diphospjayes and zinc salts
Antimicrobials: Triclosan
Calcium lactate

21
Q

How can you treat oral malodour?

A

Decrease VSC

Hydrogen peroxide, CHX, metal ions, Triclosan

Perio (6 decks)

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