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A clinician's perspective on antimicrobial mouthrinses
1Department of Oral Medicine, School of Dental Medicine, State University of New York, Buffalo.
Journal of the American Dental Association (1939)
|August 1, 1994
Summary
Choosing the right antimicrobial mouthrinse is crucial for dental professionals and patients. While no single rinse is perfect, some options are ADA-accepted for periodontal health and may reduce aerosolized microbes during dental procedures.
Area of Science:
- Oral microbiology
- Periodontology
- Dental pharmacology
Background:
- Dental professionals must guide patients on selecting appropriate antimicrobial mouthrinses based on periodontal status.
- Key considerations include the rinse's chemical properties, action, effectiveness, safety, patient-reported taste, and cost.
Purpose of the Study:
- To review the factors influencing antimicrobial mouthrinse selection for periodontal conditions.
- To highlight the potential of preprocedural rinsing with antimicrobial mouthrinses to reduce aerosolized microorganisms.
Main Methods:
- Literature review and synthesis of current evidence on antimicrobial mouthrinses.
- Analysis of factors relevant to clinical use and patient acceptance.
Main Results:
- No ideal antimicrobial mouthrinse is available; however, chlorhexidine gluconate (Peridex) and Listerine (and its generics) hold the American Dental Association's Seal of Acceptance.
- Preprocedural rinsing is a promising application for reducing microbial aerosols during dental procedures.
Conclusions:
- Antimicrobial mouthrinses play a vital role in managing periodontal conditions, with selection requiring a balance of clinical efficacy and patient factors.
- The use of antimicrobial mouthrinses as a preprocedural rinse offers a strategy to enhance infection control in dental settings.
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