CHEMICAL PLAQUE

CONTROL

DR SYATIRAH

PLAQUE ?
Dental plaqueisabiofilmormassofbacteriathatgrowson
surfaceswithinthemouth.Itisastickycolorlessdepositatfirst,but
whenitformstartaritisbrownorpaleyellowthatiscommonly
foundbetweentheteeth,frontofteeth,behindteeth,onchewing
surface,alongthegumline,andbelowthegumline
cervicalmargins.[
Dentalplaqueisalsoknownasmicrobialplaque,oralbiofilm,
dentalbiofilm,dentalplaquebiofilmorbacterialplaquebiofilm

MOUTHRINSES

Chemical plaque control

agents

st

generation
Antibiotics
Phenol
Quarternar
y
ammonium
compound
sanguinari
ne

2nd
generation

Bisguanites
(chlorohexidine
)

3rd

generation
delmopinol

st

generation agent
TRICLOSAN

LOSAN IS INTRODUCE IN TOOTHPASTE and

OUTHRINSE TO REDUCE PLAQUE
ORMATION

D ALONG WITH ZINC CITRATE OR CO-POLYMER GANT

HANCE IT RETENTION IN ORAL CAVITY

DELAY PLAQUE MATURATION

BITS FORMATION OF PROSTAGLANDIN AND LEUKOTR

QUARTERNARY AMMONIUM COMPOUNDS

ANTISEPTICS
> ACTIVE AGAINST GRAM+ organisms( EFFECTIVE AGAINST
DEVELOPING PLAQUE)

ANGUINARINE
GRAMnegative organisms

ANTIBIOTICS

x ( vancomycin,erythromycin,nidamycin,kanamycin)
ut used of this agents has been reduced due to pontential of bact. Resistance an
ypersensitivity reaction)

NZYMES

mucinase,mutanase,dextranase etc)
ble to breakdown already formed matrix of plaque calculus

2
BIS-BIGUANIDES
( CHLORHEXIDINE GLUCONATE 0.2 %)
generation
nd

ANTIBACTERIAL ACTION
BACTERICIDAL AT HIGH CONC
BACTERIOSTATIC AT LOW CONCENTRATION

active against Gram-positive and

Gram-negative organisms, facultative
anaerobes, aerobes, and yeasts

1. mouthwash designed to reduce dental plaque and oral bacteria.

2. It has been shown to have an immediate bactericidal action and a
prolonged bacteriostatic action due to adsorption onto the pelliclecoated enamel surface.

3. , chlorhexidine lasts longer in the mouth than other mouthwashes,

which is partly why it is to be preferred over other treatments for
gingivitis.

4. To treat periodontal pockets equal or greater than 5 mm,

There are oral pathologic conditions in which the maintenance of oral

hygiene with the twice-daily use with 0.12% chlorhexidine gluconate
solution is required for healing and regeneration of the oral tissues.
These conditions included
-gingivitis, periodontitis, dental traumas (such as subluxation), oral
cysts, and after wisdom tooth extraction.

Chlorhexidine gluconate dosing

information
Usual Adult Dose for Gingivitis:
15 mL twice daily after brushing. Oral rinse
should be retained for 30 seconds then
expectorated after rinsing.
Usual Adult Dose for Mucositis:
15 mL twice daily after brushing. Oral rinse
should be retained for 30 seconds then
expectorated after rinsing.
Usual Adult Dose for Periodontitis:
Initial: One 2.5 mg chip inserted into a
periodontal pocket with probing pocket
depth greater than or equal to 5 mm, up to
8 chips in one visit.
Maintenance: Administration is
recommended once every 3 months in
pockets with remaining probing depth
greater than or equal to 5 mm.

ADVERSE EFFECT
white patches or sores inside your
mouth or on your lips;
mouth ulcers; or
swelling of your salivary glands
(underneath your jaws).
Common side effects may include:
mouth irritation;
dry mouth;
unusual or unpleasant taste in
your mouth; or
decreased taste sensation.

RD

GENERATION

DELMOPINOL
- INHIBIT PLAQUE GROWTH
- REDUCE GINGIVITIS
- LACK OF SUBSTANTIVITY

INDICATION : PREBRUSHING MOUTHRINSE

DENTRIFICES

FUNCTIONS OF TOOTHPASTE IN CONJUCTION WITH

TOOTHBRUSHING????
1.
2.
3.
4.
5.
6.

MINIMIZE BUILD UP PLAQUE

ANTICARIES ACTION
REMOVAL OF STAINS
REMOVAL OF FOOD DEBRIS
MOUTH FRESHENER
Desensitizing paste

COMPOSITION OF DENTRIFICES
1.POLISHING / ABRASIVE AGENTS
2.BINDING/THICKENING AGENTS
3.DETERGENT/SURFACTANTS
4.HUMECTANTS
5.FLAVORING AGENTS
6.SWEETENERS AND COLORING AGENTS
7.AGENTS
8. WATER
9.PRESERVATIVES
10. THERAPEUTIC AGENTS

ACTIVE INGREDIENT
1.ANTIBACTERIAL AGENTS ( TRICLOSAN,DELMOPINOL)
2.ANTICARIES AGENTS (SODIUM MONOFLUOROPHOSPHATE,
SODIUM FLORIDE,STANNOUS FLOURIDE)

3. ANTICALCULUS AGENTS (ZN CHLORIDE,ZN CITRATE,GANTREZ ACID)

4.DESENSITIZING AGENTS (SODIUM FLUORIDE,POTASSIUM NITRATE
STRONTIUM CHLORIDE)

arginine-calcium carbonate desensitizing pas

THANK YOU
KAK AMIRAH
KAK MIEE
ABG DIEE
KAK LINDA
MAT JUE

SPECIAL THANK YOU

DR AMIRHAM