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Mouthwash, mouth rinse, oral rinse or mouth bath, is a liquid which is held in the mouth
passively or swilled around the mouth by contraction of the perioral muscles and/or
movement of the head, and may be gargled, where the head is tilted back and the liquid
bubbled at the back of the mouth. A solution, often containing antiseptic, astringent, and
breath-sweetening agents, is used for cleansing the mouth and teeth, and for gargling.
Characteristics of an ideal Mouthwash:
It should be an effective antimicrobial agent and should have a pleasant odor.
It helps reduce plaque and other harmful bacteria buildup, especially between the
narrow crevices between the teeth.
It also temporarily combats bad breath.
Natural mouthwashes are as effective as commercial ones but without the synthetic
ingredients.
Certain mouthwash is as good as flossing.
Rinsing twice a day with the antiseptic mouth rinse was as effective as flossing for
reducing plaque and gingivitis between the teeth.
Mouthwash or mouth rinse is a product used for oral hygiene
Antiseptic and anti-plaque mouth rinse claims to kill the germs that cause plaque,
gingivitis, and bad breath.
Anti-cavity mouth rinse uses fluoride to protect against tooth decay.
Non corrosive on mucous membranes & oral tissue and low toxicity would be some
considerations as well as having an acceptable taste + sugar free.
Uses of mouthwash:
A mouthwash is used after brushing and flossing. This liquid is swished in the mouth and
then spit out. Mouthwashes are used for a variety of reasons:
Cleaning the mouth and teeth
Freshening the breath
Help prevent or control tooth decay
Reduce plaque (a thin film of bacteria that forms on teeth)
vomiting.
Hypersensitivity: Hypersensitivity reactions, including anaphylaxis.
Classification of mouthwash:
The U.S. Food and Drug administration has classified mouthwashes into different types:
Classification
Cosmetic
Description
These are over-the-counter products which are used after
brushing to remove oral waste. The effect of cosmetic
mouthwashes last from 10 minutes to a maximum period of
three hours. These mouthwashes are mainly fluoride based.
These mouthwashes help to reduce oral bacteria, prevent bad
breath and give a fresh, clean feeling in the mouth. Cosmetic
mouthwashes cannot reduce the risk of tooth decay.
Therapeutic
These mouthwashes contain ingredients that fight against oral
diseases, swelling and bleeding of gums. Therapeutic
mouthwashes are classified into antiplaque/ant gingivitis and
anticavity fluoride rinses.
Combination
These mouthwashes combine all the benefits offered by
cosmetic and therapeutic mouthwashes. They are ideal to
provide complete care.
Description
Fluoride mouthwashes
Antiseptic Mouthwashes
This
type
of
mouthwash
contains
Natural Mouthwashes
Magical Mouthwashes
suffering
from
mouth
ulcers,
Description
Fluoride mouthwashes
Cosmetic mouthwashes
Be
careful
about
consuming
They are
effective in that they can prevent the buildup of plaque to a certain degree but they
should be used in conjunction with a
toothbrush and dental floss. Avoid overuse
of these as the high levels of chlorhexidine
can cause discolouration of the teeth over a
long period of time. But if you do
experience this then your dentist or dental
Natural mouthwashes
are
useful
following
tooth
infection or injury.
Contain anti-bacterial ingredients which
help to reduce the build-up of plaque and
prevent gum disease.
Ingredients
Thickening agents
Humectants
Solvents
Detergents
(Surfactants)
Flavouring Agents
Sweeteners
Colouring Agents
Preservatives
Function
prevent the toothpaste from drying
out by binding water
control the viscosity and contribute
to give the toothpaste a creamy
consistency
Emulsifying effect by preventing the
solid and the liquid substances from
separating and give the possibility to
make oil in water emulsions.
Example
Glycerol
Sorbitol
Polyethylene glycol
Glycerine
Sorbitol
Gum( natural)
the
growth
of
organisms in mouthwashes.
Therapeutic Agents:
Therapeutic class
Anti-caris Agents
(PEG)
Propylene glycol
Cellulose Gum
Xanthan
Agents
Fluoride:
Fluoride is considered to be the most effective cariesinhibiting agent, and almost all toothpastes today contain
fluoride in one form or the other. The most common form is
sodium fluoride (NaF), but mono-fluoro-phosphate (MFP)
and stannous fluoride (SnF) are also used.
Xylitol:
Xylitol is a sugar alcohol that cannot be fermented by oral
microorganisms. It is considered to be a cariostatic agent
since it can inhibit the carbohydrate metabolism in different
oral micro-organisms.
Calcium/Phosphate:
Calcium and phosphate supplementation in a mouthwash will
increase the concentration of these ions in the oral cavity. This
has been reported to improve remineralisation and increase
fluoride uptake
Sodium Bicarbonate:
Several studies have shown that bicarbonate is one of the
salivary components that potentially modifies the formation
of caries. It increases the pH in saliva, and in this way creates
Anti-Plaque Agents
Metal-ions:
The most widely used metal-ions in dental preparations are
zinc (Zn2+) and stannous (Sn2+). These metals have the
ability to limit bacterial growth, inhibit plaque 10 formation,
inhibit the glycolytic sequence in oral anaerobic bacteria, and
to restrict the ability of plaque bacteria to convert urea to
ammonia.
Stannous- ions:
Stannous-ions are added to dentifrices and mouthwashes in
the form of stannous fluoride or stannous pyrophosphate.
Stannous fluoride was frequently used as a vehicle for
fluoride in dental preparations.
Amyloglucosidase and Glucose oxidase:
These are enzymes that are claimed to reduce plaque,
gingivitis and dental caries. Their mechanism of action is by
activating
the
antibacterial
lactoperoxidase-thiocyanate
system in saliva.
Essential oils:
Essentials oils of Thymol, menthol, eucalyptol and methyl
salicylate are thought to have anti-bacterial activity by
altering the bacterial cell wall.
Chlorhexidine:
Chlorhexidine formulations are considered to be the gold
standard antiplaque mouth rinses due to their prolonged
broad spectrum antimicrobial activity and plaque inhibitory
potential. Chlorhexidine is effective against both Grampositive and Gram-negative bacteria.
Anti-Calculus Agents
Pyrophosphate:
Pyrophosphate has recently been introduced in dentifrices to
inhibit the formation of supragingival dental calculus.
Pyrophosphate is added as tetra sodium pyrophosphate, tetra
potassium pyrophosphate or disodium pyrophosphate.
Zinc:
Anti-halitosis Agents
bacteria.
These
bacteria
use
sulphur
Formulation
Ingredient
Quantity
Justification
Methyl Salicylate
0.6g
Eugenol
0.44g
Flavouring
agent,
Mild
antibacterial agent
Menthol
1g
Flavouring agent
Hexachlorophene
0.6g
Antibacterial agent
Sodium benzoate
1g
Preservative
SLS
0.75g
3g
Emulsifying agent
Water
Upto 100ml
Sorbitol
(5-10)%
Manitol/Glycerin/Sucrose
Solution
Procedure
The menthol is triturated with mortar and pestle to make fine powder and then transfer
into the previous solution and shake to make it disappear in water.
Then methyl salicylate, Eugenol are taken in the solution and shake for few minutes.
After that in a different beaker, 100 ml water and poloxomer 407 is poured into the
water and keep it (15-30) mins without shake to get the clear solution.
When clear solution is prepared, it is poured into the previous solution and shakes for
10 mins.
After that SLS added into the solution and shake for 5 min.
Trial Formulation:
Trial Formulation: 01
Ingredients
Quantity
cup
Justification
Vehicle
2 tsp
Distilled Water
Baking Soda
2 drops
Flavouring agent.
2 drops
Prevent
tooth
decay,
Procedure
1. a container use a small mason jar
2.
cup filtered or distilled water (find the best water purification systems here)
kills
Baking soda will settle to the bottom of the jar when not in use, so be sure to shake
mouthwash before each use. Swish about 2-3 teaspoons of this homemade formula in mouth
for a minute or two. As with any mouthwash, try to avoid swallowing this while gargling.
Quantity
Justification
16-ounce
Vehicle
1tsp
Distilled Water
Baking Soda
Procedure
1. Mix all the ingredients properly.
Use:
Rinse, gargle, and spit after meals, before bed, and anytime mouth feel dry or sore.