Mouthrinse recommendation for prosthodontic patients

Abstract

Different reasons can contribute to classifying dental prosthesis wearers as high-risk individuals in relation to dental biofilm accumulation. These include a past history of oral disease, age and additional retentive areas. Other common complaints include inflammation and halitosis. Moreover, prosthesis replacement and prosthetic pillar loss are generally associated with caries and periodontal disease recurrence. Therefore, the present study undertook to make a critical review of the literature, aiming at discussing the main aspects related to chemical agent prescriptions for dental prosthesis wearers. Most of the articles were selected based on relevance, methods and availability in regard to the specific subject under investigation, without considering publication year limitations. Different types of prostheses and their impact on teeth and other oral tissues were reported. It was demonstrated that there is greater biofilm buildup and increased inflammatory levels in the presence of different types of prostheses, suggesting that additional measures are required both on population-wide and individual levels in order to control these factors. Mechanical control consists of a combination of manual or electric toothbrush and toothpaste, as well as specific devices for interdental cleaning. Although many chemical agents exhibit antimicrobial benefits when used for prosthesis disinfection, only a few agents can be used safely without causing damage. Regarding the selection of antiseptics by the overall population, chlorhexidine is the most indicated in the short term and in sporadic cases. The most indicated adjuncts to overcome the deficiencies and limitations of daily mechanical biofilm control are products containing essential oils as active ingredients.

Oral Biofilms: Development, Control and Analysis

“…Antiplaque oral rinses have proven to be effective against biofilms [17]. Rinses that contain chlorhexidine gluconate, as well as those that contain essential oils, while effective in plaque removal also have unwanted side effects.…”

A population‐based study on the association between chronic periodontitis and sialolithiasis

“…Interestingly, although most physicians encourage patients to improve their oral hygiene to prevent dental problems, few physicians were intended to decrease the risk of developing sialolithiasis, and no study has ever reported the association between chronic periodontitis and sialolithiasis. Poor oral hygiene is believed to be largely responsible for an increased bacteria load in the oral cavity, and many studies have reported that improved oral hygiene largely decreases the risk of bacterial infection‐related comorbidities . Chronic periodontitis is highly associated with pathogenic bacteria in the oral microbiome .…”

Oral Biofilms: Development, Control, and Analysis

“…Antiplaque oral rinses have been proven to be effective against biofilms [ 17 ]. While effective in plaque removal, rinses that contain chlorhexidine gluconate, as well as those that contain essential oils, have unwanted side effects.…”