Mouth Rinses Flashcards
define adverse effect
harmful to patient
define side effect
may be harmful, useful or beneficial
describe compliance
ability of patient to follow through/motivation to use product
describe substantivity
ability of an agent to absorb to teeth and surfaces and be released at therapeutic levels
describe cosmetic
pleasant taste/sensation, decrease microorganisms, halitosis control
describe therapeutic
reduction in plaque, gingivitis and/or caries
describe efficacy
the quality of being successful in producing an intended result
what are the types of mount rinses
- cosmetic
- therapeutic
describe cosmetic mouth rinses
- available OTC
- helps to enhance taste in mouth
describe therapeutic mouth rinses
- available over the counter or prescription
- help reduce/control plaque, gingivitis, halitosis, caries, xerostomia
what are the purposes of mouth rinses
- used to flush food debris from the oral cavity
- freshen breath
- deposit fluoride on teeth
- available in liquid form
- primarily cosmetic benefit
what is the traditional, cosmetic purpose for mouth rinse
fresh breath
what contributes to halitosis
bacteria and plaque accumulation
what percentage of halitosis orgininates from oral cavity
90%
what percentage of halitosis results from systemic or nonoral cause
10%
mouth rinses have no effect on breath after _____
3-5 hours
do mouth rinses have antibacterial function
no
what do mouth rinses usually contain
-flavoring agent
- astringent refreshing the mouth
what are the active ingredients in mouth rinses and what do they do
- sanguinarie
- ammonium compounds- CPC, added to reduce bad breath
- phenolic compounds: low substantivity
- fluoride: reduces incidence of caries
- chlorhexidine: helps control plaque and gingivitis
- stannous fluoride: helps control plaque and gingivitis
- essential oils: helps control plaque and gingivitis
- triclosan : reduced production of plaque and gingivitis
what is the mechanism of action of chlorhexidine, stannous fluoride, and essential oils
chemotherapeutic effect against plaque/biofilm accumulation as they decrease the amount of free floating planktonic bacteria, by binding their positive ions to the bacterias negative ions resulting in cell lysis
what is the mechanism of action of triclosan
chemical inhibitor of fatty acid synthesis which is required for lipid production in the bacteria which in turn eventually kills the cell
what is alcohol used for
a solvent, taste enhancer, and an agent providing aftertaste - burn
what are the negative effects of alcohol containing mouth rinses
burning mouth, drying of oral tissues, risk of oral cancer
what are the regulations for prescriptions and over the counter products
- FDA protects consumers from useless/harmful products
- therapeutic claims must have research to support claim
- evaluaetes prescription/OTC products
what is the council on scientific affair of the ADA
- voluntary program that companies pay into
- helps consumers may wise choices
- new submissions cost $14,500 to evaluate and $3,500 to maintain
what must toothpastes contain to get the ADA seal
fluoride
do we recommend based on ADA only
no