Mouth Rinses Flashcards

1
Q

define adverse effect

A

harmful to patient

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2
Q

define side effect

A

may be harmful, useful or beneficial

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3
Q

describe compliance

A

ability of patient to follow through/motivation to use product

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4
Q

describe substantivity

A

ability of an agent to absorb to teeth and surfaces and be released at therapeutic levels

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5
Q

describe cosmetic

A

pleasant taste/sensation, decrease microorganisms, halitosis control

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6
Q

describe therapeutic

A

reduction in plaque, gingivitis and/or caries

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7
Q

describe efficacy

A

the quality of being successful in producing an intended result

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8
Q

what are the types of mount rinses

A
  • cosmetic
  • therapeutic
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9
Q

describe cosmetic mouth rinses

A
  • available OTC
  • helps to enhance taste in mouth
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10
Q

describe therapeutic mouth rinses

A
  • available over the counter or prescription
  • help reduce/control plaque, gingivitis, halitosis, caries, xerostomia
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11
Q

what are the purposes of mouth rinses

A
  • used to flush food debris from the oral cavity
  • freshen breath
  • deposit fluoride on teeth
  • available in liquid form
  • primarily cosmetic benefit
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12
Q

what is the traditional, cosmetic purpose for mouth rinse

A

fresh breath

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13
Q

what contributes to halitosis

A

bacteria and plaque accumulation

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14
Q

what percentage of halitosis orgininates from oral cavity

A

90%

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15
Q

what percentage of halitosis results from systemic or nonoral cause

A

10%

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16
Q

mouth rinses have no effect on breath after _____

A

3-5 hours

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17
Q

do mouth rinses have antibacterial function

A

no

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18
Q

what do mouth rinses usually contain

A

-flavoring agent
- astringent refreshing the mouth

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19
Q

what are the active ingredients in mouth rinses and what do they do

A
  • 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
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20
Q

what is the mechanism of action of chlorhexidine, stannous fluoride, and essential oils

A

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

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21
Q

what is the mechanism of action of triclosan

A

chemical inhibitor of fatty acid synthesis which is required for lipid production in the bacteria which in turn eventually kills the cell

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22
Q

what is alcohol used for

A

a solvent, taste enhancer, and an agent providing aftertaste - burn

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23
Q

what are the negative effects of alcohol containing mouth rinses

A

burning mouth, drying of oral tissues, risk of oral cancer

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24
Q

what are the regulations for prescriptions and over the counter products

A
  • FDA protects consumers from useless/harmful products
  • therapeutic claims must have research to support claim
  • evaluaetes prescription/OTC products
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25
Q

what is the council on scientific affair of the ADA

A
  • voluntary program that companies pay into
  • helps consumers may wise choices
  • new submissions cost $14,500 to evaluate and $3,500 to maintain
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26
Q

what must toothpastes contain to get the ADA seal

A

fluoride

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27
Q

do we recommend based on ADA only

A

no

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28
Q

if a listerine product has zero in its name then:

A

NO alcohol is present

29
Q

what are the active ingredients in listerine if the claim is for gum health or tartar control

A

essential oils

30
Q

what are the active ingredients in listerine if the claim is for cavity protection

A

sodium fluoride 0.02%

31
Q

how many listerine mouth washes are there

A

18

32
Q

how many ACT mouth rinses are there

A

6

33
Q

what is the active ingredient in ACT

A

Sodium fluoride 0.05%

34
Q

what is the active ingredient in ACT whitening mouth wash

A

sodium fluoride 0.02%

35
Q

what brand makes scope brand of mouth rinses

A

Crest

36
Q

whitening mouth washes usually use _____ as whitening agent

A

hydrogen peroxide

37
Q

what is colgate peroxyl helpful for

A

mouth sores as it has 1.5% hydrogen peroxide

38
Q

what active ingredient in colgate ortho defense

A

sodium fluoride 0.04%

39
Q

what is the active ingredient is Closys

A

CPC 0.075% or sodium fluoride 0.05%

40
Q

what are the mouth rinses and sprays for xerostomia

A
  • biotene
  • oasis
  • spry
41
Q

what is the most effective antiplaque agent

A

chlorhexidine gluconate

42
Q

is chlorhexidine OTC

A

no

43
Q

what is chlorhexidine gluconate

A

a cationic compound that binds to hydroxyapatite of tooth enamel, pelicle, plaque, ECM of plaque, and mucous membrane

44
Q

CHX absorbed to hydroxyapatite is believed to:

A

inhibit bacterial colonization and prevent pellicle formation

45
Q

how long does CHX work for

A

8-12 hours

46
Q

when is CHX used

A

-during perio therapy
- after surgery
- irrigate perio pockets following SRP which can decrease inflammation and subgingival plaque accumulation

47
Q

what is the alcohol concentration in CHX

A

12%

48
Q

what is the concentration of CHX in non alcohol form

A

0.12%

49
Q

is there a difference in efficacy of alcohol and alcohol free CHX

A

no

50
Q

do alcohol and alcohol free CHX have FDA approval and ADA seal of approval

A

FDA approval but no ADA seal of approval

51
Q

how long should CHX be used

A

short term use only

52
Q

what are the disadvantages of CHX

A

stains teeth and alters taste buds

53
Q

how do you use CHX

A
  • brush/floss prior to rinsing
  • dispense 15m:, apply 1 tablespoon twice per day for 30 seconds
  • do not rinse with water after, wait 30 minutes
54
Q

why do you brush/floss before rinsing with CHX

A

because toothpaste inactivates the mechanism of action of CHX

55
Q

what are the pros of CHX

A
  • antimicrobial affect on bacteria, fungus, viruses
  • aids in management of periodontitis, caries, peri-implantitis, infections associated with extractions
  • gold standard following most oral surgeries
56
Q

what are the cons of CHX

A
  • stains teeth with prolonged use
  • can cause metallic taste with excessive use
  • can cause black hairy tongue appearance
  • supragingival calculus
  • requires prescription
  • should not be used long term
57
Q

what is similar to CHX

A

salt water mouth rinse

58
Q

what are the benefits to saltwater rinse

A

inexpensive, easily accessible

59
Q

how do you use salt water mouth rinse

A

1 cup warm water to 1 teaspoon salt, mix well, rinse in mouth for 30 seconds then spit

60
Q

when do you use mouth rinses

A
  • based upon need - caries, gingivitis, perio, sx
  • patients who have manual dexterity issues and need assistance with plaque control
  • pre/post surgery
  • mouth sores- colgate peroxyl
61
Q

what are the negative outcomes of mouth rinse use

A
  • alters natural microbiome that occurs in the oral cavity
  • dries out oral mucosa
  • causes imbalances in pH levels
  • may worsen halitosis
  • may cause ulcers/increased risk for oral cancer
  • may contribute to development of gingivitis
62
Q

what is the claim with oil pulling

A

reduced inflammatino/improves gingival health

63
Q

what is oil pulling

A
  • ancient ayurvedic practice of swishing oil in your mouth for several minutes
  • originated in India centuries ago
  • coconut oil is ideal
64
Q

how do you oil pull

A
  • floss/brush your teeth before you start oil pulling
  • place a tablespoon of oil in your mouth
  • swish the oil in your mouth for 1-3 minutes
  • spit out the oil in the trash can
  • rinse with water
65
Q

how often do you oil pull with gingivitis/periodontitis

A

once per day

66
Q

how often do you oil pull if you have good oral health

A

1-2 times per week

67
Q

what are the best oils to use with oil pulling

A
  • coconut, sesame, safflower, sunflower, olive
  • anything that is cold-pressed or organic oil
68
Q

what does oil pulling not do

A
  • does not replace brushing and flossing
  • does not cure TMJ
  • does not loosen crowns or fillings
  • doesnt whiten teeth
  • doesnt cure diseases
  • doesnt pull toxins from your blood stream
69
Q
A