Chemical plaque control plaque dental plaque is defined as a highly specific variable structural entity formed by sequential colonization of microorganism on the tooth surface, epithelium and restorations. The number and variation of chemical agents evaluated are quite large but most have antiseptic or antimicrobial actions and success has been extremely variable. What its like to get a chemical peel for acne scars duration. Strategies and agents in supragingival chemical plaque control. Abstract the bacteria forming pathogenic dental plaque on the tooth surfaces have long constituted a challenge for researchers with an interest in chemical degerming agents. Preliminary investigations have indicated that oxidizing peroxymonosulfate may effectively reduce this discoloration without interfering with the plaquepreventive capacity of chlorhexidine. Dental plaque removal plays an important role in oral health maintenance, which could be achieved by either mechanical or chemical plaque control. Periodontology 2000 issn 090667 chemical plaque control prevention for the masses john m. Chemical plaque control and prevention of extrinsic tooth discoloration in vivo.
An in vitro evaluation of hydrolytic enzymes as dental. A prospective casecontrol study to assess and compare the. Dental caries and periodontal disease are clearly not. Understand and compare various chemicals used to control microbial growth, including their uses, advantages and disadvantages, chemical structure, and mode of action. This article explores the critical analysis of various chemical plaque control strategies and the current trends in the control and prevention of dental. Chemical plaque control strategies in the prevention of. In the test group, the daily use of triclosan reduced the frequency of deep periodontal pockets, and the number of sites that exhibited additional probing attachment and bone loss. It is commonly found between the teeth, on the front of teeth, behind teeth, on chewing surfaces, along the gumline, or below the gumline cervical margins.
Effective compounds show persistence of action for many hours, notably chlorhexidine. Ppt chemical plaque control powerpoint presentation. Chemical antiplaque agents have been employed both in prevention and. Antimicrobial agents used in the control of periodontal. Chemical methods of plaque control include use of mouthwashes and antibiotic preparations. An overview of current knowledge and future challenges as dental plaque is generally accepted to be the predominant etiologic factor in gingivitis and periodontal disease and a prerequisite for the development of caries, these observations opened a new field of research on prevention of. Oct 14, 2019 a dog dental water additive works by using chemicals, natural andor nonnatural depending on the brand, to break down plaque and minerals that collect in the dogs mouth. Is an effective plaque inhibitory agent but less effective than chlorhexidine prevents development of gingivitis. Thus, there is a clear rationale for the use of antiplaque agents to augment mechanical means.
Management typically includes professionally administered plaque control, oral hygiene reinforcement, and addressing modifiable systemic or local factors. Chemical plaque control prevention for the masses moran. An in vitro evaluation of hydrolytic enzymes as dental plaque. Changing trends in oral hygeine and plaque control in children. Fluoride is added to toothpastes after discovering it significantly decreased dental cavities. Chemical plaque control plaque dental plaque is defined as a highly specific variable structural entity formed by sequential colonization of microorganism on the. Dental plaque is a biofilm or mass of bacteria that grows on surfaces within the mouth. The use of a mannequin for demonstration, as well as the use of a disclosing agent to highlight plaque. Chemical plaque control free essay example by essaylead. Mechanical plaque control is the mainstay for prevention of oral diseases, but it requires patient cooperation and motivation. Chemical agents in control of dental plaque in dentistry. A dog dental water additive works by using chemicals, natural andor nonnatural depending on the brand, to break down plaque and minerals that collect in the dogs mouth.
Over a period of nearly four decades there has been quite intense interest in the use of chemical agents to control plaque and thereby gingivitis. Hence, it is imperative for the clinicians to update their knowledge in chemical antiplaque agents and other developments for the effective management of plaque biofilmassociated diseases. This article explores the critical analysis of various chemical plaque control strategies and the current trends in the control and prevention of dental plaque biofilm. As the plaque grows outside the vascularized tissues, most trials have been conducted with locally applied antibiotics and antiseptics. Linking to a nonfederal website does not constitute an endorsement by cdc or any of its employees of the sponsors or the information and products presented on the website. It is a sticky colorless deposit at first, but when it forms tartar, it is often brown or pale yellow. Mouth washes generally contain chemical substances that prevent the growth of bacteria present in the dental plaque. Plaque control by mechanical means is laborious and time consuming. Antiadhesive agents pellicle surface to prevent the initial attachment of the primary plaque forming bacteria. A logical approach to the prevention of periodontal disease is through excellent supragingival plaque control.
The aim of the study was to compare the effect of mechanical cleaning regimen and a chemical plaque control regimen on the. A meticulous, selfperformed, supragingival plaque control maintained over a 3 year period failed to prevent recurrent periodontitis. Chemical plaque control agents are of limited therapeutic value and are more valuable in the preventive mode. Plaque control methods of plaque control mechanical. This presentation includes chemicals which are widely accepted for use in dentistry for prevention as well as removal of plaque from tooth surfaces and appliance used in oral cavity. Chemical agents for the control of plaque and plaque. An in vitro evaluation of hydrolytic enzymes as dental plaque control agents ruth g. Any mechanical or chemical plaque control regime positive control or. Apr 30, 2015 approaches to chemical supragingival plaque control 1 antiadhesive agents 2 antimicrobial agents 3 plaque removal agents 4 antipathogenic agents addy and moran 1997 16. Pdf chemical plaque control strategies in the prevention of.
Pdf chemical plaque control prevention for the masses. Pdf chemical agents for the control of plaque and plaque. Singlemultiple enzymes can break up or disperse the plaque matrix nonenzymatic, dispersing, denatureing, modifying agents that can alter the structure or metabolic activity of the plaque. Numerous chemical agents have been evaluated for the supplementation of patientdependent mechanical plaque control and thus the reduction or prevention of oral diseases. Disclosing agents in dentistry are being used to identify bacterial plaque for instruction, evaluation and research purposes. Hence, it is imperative for the clinicians to update their knowledge in chemical antiplaque agents and other developments for the effective. Chemical plaque control free download as powerpoint presentation. Extrinsic discoloration of teeth has frequently been observed in connection with the use of chemical plaquepreventive agents. Agents that can interfere with the attachment of all or some of the oral bacteria to the pellicle surface or to each other.
The effect of plaque control on gingivitis and periodontitis is welldocumented. Huge assortment of examples to help you write an essay. Antibacterial agents in the control of supragingival plaque. This presentation provides an overview of the technologies available for the chemical control of plaque. Learn vocabulary, terms, and more with flashcards, games, and other study tools. So chemicals are used as adjuncts to mechanical means. In shortterm investigations, chemical plaque control oral rinsing twice a day with 0. Experimentally produced human gingivitis heals completely within one week when the same method is employed. Such control is not generally achieved by mechanical oral hygiene procedures alone. The efficiency of dental plaque control measures based on. The same pattern can be followed when fluoride is used in com. Pdf chemical plaque control strategies in the prevention. Probably the most of import cariespreventive maps of spit are the flushing and neutralizing effects, normally.
Approaches to chemical supragingival plaque control 1 antiadhesive agents 2 antimicrobial agents 3 plaque removal agents 4 antipathogenic agents addy and moran 1997 16. The search for clinically effective antiplaque agents has been stimulated by findings in laboratory and animal studies of plaque dynamics. A free powerpoint ppt presentation displayed as a flash slide show on. Chemical plaque control various chemical agents also work as adjuncts to mechanical plaque control for effective removal of dental plaque. Links with this icon indicate that you are leaving the cdc website the centers for disease control and prevention cdc cannot attest to the accuracy of a nonfederal website. Agents for the management of plaque and gingivitis s. Moran periodontal disease in its simplest form, chronic gingivitis, is certainly pandemic but is of such low morbidity that the case for prevention and indeed treatment is harder to sustain. The chemical agents which act on the plaque ultrastructurally and prevent the formation of plaque are usefull in prevention than in a cure. Most interest in antibacterial agents has been in the control of plaquerelated diseases, particularly chronic gingivitis.
Chemical agents for the control of plaque and plaque microflora. The microorganisms of plaque have been shown to be associated with both dental caries and periodontal disease. A protocol was designed to identify randomized rcts and controlled ccts clinical trials, cohort studies and prospective case series pcs, with at least 6 months of followup, reporting on plaque, gingivitis and caries. The efficiency of dental plaque control measures based on risk prediction, using modern prophylactic methods roxana vacaru, angela codruta podariu, daniela jumanca. Mechanical plaque removal remains the primary method used to prevent dental diseases and maintain oral health. Supragingival plaque, antiplaque agents, clinical efficacy, mode of action. Scribd is the worlds largest social reading and publishing site. There has been an increased interest in the use of these agents among disabled population as mechanical plaque control remains inadequate in. Twice daily tooth brushing and once daily interdental cleaning with an interdental brush or dental floss are recommended, and adjunctive chemical plaque control agents such as. Stimulation of saliva consequences in a flushing consequence and the clearance of unwritten dust and noxious agents. Such agents also are of no value in the treatment of chronic periodontitis unless delivered directly into pockets by irrigation or sustaineddelivery vehicles. Chemical plaque control plaque dental plaque is defined as a.
The plaquecontrol potential of commercially available amylase, lipase and protease was evaluated by observing their effects on coaggregation and on bacterial viability within various plaque microcosms. The principle routes to chemical plaque control are to prevent colonization of the tooth surface, to inhibit the growth of microorganisms, the prevent plaque maturation, to modify plaque biochemistry and to modify plaque ecology to a less pathogenic. The principle routes to chemical plaque control are to prevent colonization. Local delivery of antimicrobial agents to the oral cavity. However, an improved understanding of the infectious nature of dental diseases has dramatically revitalized interest in chemical methods of plaque control the ada council on scientific affairs has adopted a program for acceptance of plaque control agents.
Chemical plaque control dentistry chemical substances. Mechanical and chemical plaque control in the simultaneous. A number of antimicrobial agents have been studied in respect to the control of supragingival plaque and they can be divided into bisguanide antiseptics, quaternary ammonium antiseptics, phenolic. Using chemicals to control microorganisms microbiology. It is generally accepted that the formation of dental plaque at the interfaces of toothgingiva is one of the major causes of gingival. Antibacterial agents in the control of supragingival. Chemical plaque control and prevention of extrinsic tooth. Use the link below to share a fulltext version of this article with your friends and colleagues. A quantitative coaggregation assay indicated that protease significantly inhibited the extent of coaggregation of actinomyces naeslundii and streptococcus oralis p. Hence, it is imperative for the clinicians to update their knowledge in chemical antiplaque agents and other developments for the effective management of plaque. The individual mechanical procedures for plaque control at home consist of use of tooth brushes, dental floss and gingival massage.
Antiadhesive agents pellicle surface to prevent the initial attachment of the primary plaqueforming bacteria. Nevertheless, for the most common dental diseases, caries and periodontitis, there. A wide variety of chemicals can be used as disinfectants or antiseptics. Effective at high dilutions and in the presence of organic material 3.
Concept and practice of plaquecontrol semantic scholar. Plaque control it is the removal of microbial plaque and the prevention of its accumulation on the teeth and adjacent gingival tissues. But when approximal plaque control as practiced by the pt is insufficient, eo mouth rinse may be beneficial. In addition to physical methods of microbial control, chemicals are also used to control microbial growth.
Chemical plaque control read this full essay for free. There has been an increased interest in the use of these agents among disabled population as mechanical plaque control remains inadequate in this group. But plaque remaining after mechanical cleaning absorbs mouth rinse antimicrobials, serving as a reservoir to prolong the products substantivity. Apr 01, 2016 mechanical plaque control is the mainstay for prevention of oral diseases, but it requires patient cooperation and motivation.
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