Teeth mouthwash
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Summary
10 papers analyzed
These studies suggest that various mouthwashes, including those with chlorhexidine, essential oils, arginine, and herbal formulations, effectively reduce dental biofilm, gingivitis, tooth sensitivity, and cariogenic plaque, while some may also manage bad breath and maintain oral hygiene.
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The Efficacy and Impact of Mouthwashes on Dental Health
Introduction to Mouthwashes and Dental Health
Mouthwashes are commonly used as an adjunct to regular oral hygiene practices such as tooth brushing and flossing. They are designed to target dental biofilm, gingivitis, dental caries, and bad breath, depending on their active ingredients. This article synthesizes current research on the effectiveness of various mouthwashes in maintaining oral health, focusing on their anti-biofilm, anti-gingivitis, and desensitizing properties.
Anti-Biofilm and Anti-Gingivitis Properties of Mouthwashes
Chlorhexidine and Essential Oils
Chlorhexidine gluconate (CHX) and essential oils (EO) are among the most studied active ingredients in mouthwashes. Systematic reviews consistently show that both CHX and EO significantly improve plaque and gingival indices, making them effective in reducing dental biofilm and gingivitis . CHX, in particular, is noted for its superior antiplaque properties, although it can cause tooth discoloration with prolonged use.
Alternative Antimicrobial Agents
Other antimicrobial agents such as alexidine and xylityl sesquicaprylate have also been evaluated for their efficacy. Alexidine has been shown to decrease plaque scores and plaque weight significantly, although its impact on gingivitis is less pronounced. Xylityl sesquicaprylate, derived from natural resources, has demonstrated promising results against several oral pathogens, suggesting its potential as an effective antiseptic ingredient in mouthwashes.
Desensitizing Mouthwashes
Arginine-Based Formulations
Tooth sensitivity is a common issue that can be addressed with desensitizing mouthwashes. Arginine-based mouthwashes have been developed to provide relief from sensitivity by occluding dentinal tubules. Clinical studies indicate that these mouthwashes significantly reduce sensitivity symptoms and can be used alongside arginine-containing dentifrices for enhanced effect .
Impact on Tooth Discoloration
Color Changes with Different Mouthwashes
The use of mouthwashes during orthodontic treatment can lead to noticeable changes in tooth color. Studies have shown that certain mouthwashes, such as those containing Tantum Verde and Klorhex, can cause significant discoloration of bracket-bonded tooth surfaces. In contrast, Listerine Cool Mint has been found to cause less discoloration, making it a preferable choice for individuals concerned about aesthetic changes.
Effectiveness in Orthodontic Patients
Reducing Cariogenic Biofilm
Orthodontic patients often face challenges in maintaining oral hygiene due to the presence of fixed appliances. Mouthwashes containing chlorhexidine, cetylpyridinium chloride, and other antiseptics have been shown to effectively reduce cariogenic plaque in these patients. This evidence supports the recommendation of mouthwashes as an auxiliary method for controlling biofilm in orthodontic care.
Conclusion
Mouthwashes play a significant role in enhancing oral hygiene by targeting dental biofilm, gingivitis, and tooth sensitivity. Chlorhexidine and essential oils are highly effective in reducing plaque and gingival inflammation, while arginine-based formulations offer relief from tooth sensitivity. However, users should be aware of potential tooth discoloration associated with certain mouthwashes. Overall, mouthwashes are a valuable adjunct to regular oral hygiene practices, particularly for individuals with orthodontic appliances or sensitivity issues.
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