Periogard Oral Rinse contains 5-10% ethanol and it has a pH range of 5-7, which is near neutral. Pharmacokinetic studies with a 0.12% chlorhexidine gluconate oral rinse indicate approximately 30% of the active ingredient is retained in the oral cavity following rinsing. This retained drug is slowly released into the oral fluids. Studies conducted on human subjects and animals demonstrate chlorhexidine gluconate is poorly absorbed from the gastrointestinal tract.
Teeth staining is more pronounced with heavy plaque on teeth
Chlorhexidine gluconate is a prescription oral rinse and can cause staining of oral surfaces, such as tooth surfaces, restorations, and the dorsum of the tongue, which is the top part of the tongue you see. Not all patients will experience a visually significant increase in toothstaining. In clinical testing, 56% of chlorhexidine gluconate oral rinse users exhibited a measurable increase in facial anterior stain, compared to 35% of control users after six months; 15% of chlorhexidine gluconate users developed what was judged to be heavy stain, compared to 1% of control users after six months. Stain will be more pronounced in patients who have heavier accumulations of unremoved plaque.
In clinical tests, users of chlorhexidine gluconate oral rinse had more calculus on the teeth, on the side of the dental crowns, than non-chlorhexidine gluconate users.
Herbal mouthrinse was found to be a potent plaque inhibitor, though less effective than Chlorhexidine Gluconate, according to a study by the Department of Periodontology and Oral Implantology at the National Dental College and Hospital in India. However, the herbal mouthrinse was preferred by the patients for its taste, convenience of use and aftertaste in their mouth after rinsing. Moreover, it can serve as a good alternative for patients with special needs as in case of Diabetics, Xerostomics, etc. for people who need to avoid alcohol and sugar.
Special needs people are always a challenge in dentistry
Many times people admitted to nursing homes or to intensive care units have a high amount of dental plaque. Intellectually and physically disabled, as well as those with high caries and periodontal disease activity, require additional vigilance and interventions to prevent oral disease activity.
I would like to point out two additional overlooked populations that fall into this category, of a challenge in dentistry, are hospitalized patients and nursing home residents.
RECOMMENDED READING
No comments:
Post a Comment