Mouth Rinses

Question 1

define adverse effect

Answer 1

harmful to patient

Question 2

define side effect

Answer 2

may be harmful, useful or beneficial

Question 3

describe compliance

Answer 3

ability of patient to follow through/motivation to use product

Question 4

describe substantivity

Answer 4

ability of an agent to absorb to teeth and surfaces and be released at therapeutic levels

Question 5

describe cosmetic

Answer 5

pleasant taste/sensation, decrease microorganisms, halitosis control

Question 6

describe therapeutic

Answer 6

reduction in plaque, gingivitis and/or caries

Question 7

describe efficacy

Answer 7

the quality of being successful in producing an intended result

Question 8

what are the types of mount rinses

Answer 8

• cosmetic
• therapeutic

Question 9

describe cosmetic mouth rinses

Answer 9

• available OTC
• helps to enhance taste in mouth

Question 10

describe therapeutic mouth rinses

Answer 10

• available over the counter or prescription
• help reduce/control plaque, gingivitis, halitosis, caries, xerostomia

Question 11

what are the purposes of mouth rinses

Answer 11

• used to flush food debris from the oral cavity
• freshen breath
• deposit fluoride on teeth
• available in liquid form
• primarily cosmetic benefit

Question 12

what is the traditional, cosmetic purpose for mouth rinse

Answer 12

fresh breath

Question 13

what contributes to halitosis

Answer 13

bacteria and plaque accumulation

Question 14

what percentage of halitosis orgininates from oral cavity

Answer 14

90%

Question 15

what percentage of halitosis results from systemic or nonoral cause

Answer 15

10%

Question 16

mouth rinses have no effect on breath after _____

Answer 16

3-5 hours

Question 17

do mouth rinses have antibacterial function

Answer 17

no

Question 18

what do mouth rinses usually contain

Answer 18

-flavoring agent
- astringent refreshing the mouth

Question 19

what are the active ingredients in mouth rinses and what do they do

Answer 19

• sanguinarie
• ammonium compounds- CPC, added to reduce bad breath
• phenolic compounds: low substantivity
• fluoride: reduces incidence of caries
• chlorhexidine: helps control plaque and gingivitis
• stannous fluoride: helps control plaque and gingivitis
• essential oils: helps control plaque and gingivitis
• triclosan : reduced production of plaque and gingivitis

Question 20

what is the mechanism of action of chlorhexidine, stannous fluoride, and essential oils

Answer 20

chemotherapeutic effect against plaque/biofilm accumulation as they decrease the amount of free floating planktonic bacteria, by binding their positive ions to the bacterias negative ions resulting in cell lysis

Question 21

what is the mechanism of action of triclosan

Answer 21

chemical inhibitor of fatty acid synthesis which is required for lipid production in the bacteria which in turn eventually kills the cell

Question 22

what is alcohol used for

Answer 22

a solvent, taste enhancer, and an agent providing aftertaste - burn

Question 23

what are the negative effects of alcohol containing mouth rinses

Answer 23

burning mouth, drying of oral tissues, risk of oral cancer

Question 24

what are the regulations for prescriptions and over the counter products

Answer 24

• FDA protects consumers from useless/harmful products
• therapeutic claims must have research to support claim
• evaluaetes prescription/OTC products

Question 25

what is the council on scientific affair of the ADA

Answer 25

- voluntary program that companies pay into - helps consumers may wise choices - new submissions cost $14,500 to evaluate and $3,500 to maintain

Question 26

what must toothpastes contain to get the ADA seal

Answer 26

fluoride

Question 27

do we recommend based on ADA only

Answer 27

no

Question 28

if a listerine product has zero in its name then:

Answer 28

NO alcohol is present

Question 29

what are the active ingredients in listerine if the claim is for gum health or tartar control

Answer 29

essential oils

Question 30

what are the active ingredients in listerine if the claim is for cavity protection

Answer 30

sodium fluoride 0.02%

Question 31

how many listerine mouth washes are there

Answer 31

18

Question 32

how many ACT mouth rinses are there

Answer 32

6

Question 33

what is the active ingredient in ACT

Answer 33

Sodium fluoride 0.05%

Question 34

what is the active ingredient in ACT whitening mouth wash

Answer 34

sodium fluoride 0.02%

Question 35

what brand makes scope brand of mouth rinses

Answer 35

Crest

Question 36

whitening mouth washes usually use _____ as whitening agent

Answer 36

hydrogen peroxide

Question 37

what is colgate peroxyl helpful for

Answer 37

mouth sores as it has 1.5% hydrogen peroxide

Question 38

what active ingredient in colgate ortho defense

Answer 38

sodium fluoride 0.04%

Question 39

what is the active ingredient is Closys

Answer 39

CPC 0.075% or sodium fluoride 0.05%

Question 40

what are the mouth rinses and sprays for xerostomia

Answer 40

- biotene - oasis - spry

Question 41

what is the most effective antiplaque agent

Answer 41

chlorhexidine gluconate

Question 42

is chlorhexidine OTC

Answer 42

no

Question 43

what is chlorhexidine gluconate

Answer 43

a cationic compound that binds to hydroxyapatite of tooth enamel, pelicle, plaque, ECM of plaque, and mucous membrane

Question 44

CHX absorbed to hydroxyapatite is believed to:

Answer 44

inhibit bacterial colonization and prevent pellicle formation

Question 45

how long does CHX work for

Answer 45

8-12 hours

Question 46

when is CHX used

Answer 46

-during perio therapy - after surgery - irrigate perio pockets following SRP which can decrease inflammation and subgingival plaque accumulation

Question 47

what is the alcohol concentration in CHX

Answer 47

12%

Question 48

what is the concentration of CHX in non alcohol form

Answer 48

0.12%

Question 49

is there a difference in efficacy of alcohol and alcohol free CHX

Answer 49

no

Question 50

do alcohol and alcohol free CHX have FDA approval and ADA seal of approval

Answer 50

FDA approval but no ADA seal of approval

Question 51

how long should CHX be used

Answer 51

short term use only

Question 52

what are the disadvantages of CHX

Answer 52

stains teeth and alters taste buds

Question 53

how do you use CHX

Answer 53

- brush/floss prior to rinsing - dispense 15m:, apply 1 tablespoon twice per day for 30 seconds - do not rinse with water after, wait 30 minutes

Question 54

why do you brush/floss before rinsing with CHX

Answer 54

because toothpaste inactivates the mechanism of action of CHX

Question 55

what are the pros of CHX

Answer 55

- antimicrobial affect on bacteria, fungus, viruses - aids in management of periodontitis, caries, peri-implantitis, infections associated with extractions - gold standard following most oral surgeries

Question 56

what are the cons of CHX

Answer 56

- stains teeth with prolonged use - can cause metallic taste with excessive use - can cause black hairy tongue appearance - supragingival calculus - requires prescription - should not be used long term

Question 57

what is similar to CHX

Answer 57

salt water mouth rinse

Question 58

what are the benefits to saltwater rinse

Answer 58

inexpensive, easily accessible

Question 59

how do you use salt water mouth rinse

Answer 59

1 cup warm water to 1 teaspoon salt, mix well, rinse in mouth for 30 seconds then spit

Question 60

when do you use mouth rinses

Answer 60

- based upon need - caries, gingivitis, perio, sx - patients who have manual dexterity issues and need assistance with plaque control - pre/post surgery - mouth sores- colgate peroxyl

Question 61

what are the negative outcomes of mouth rinse use

Answer 61

- alters natural microbiome that occurs in the oral cavity - dries out oral mucosa - causes imbalances in pH levels - may worsen halitosis - may cause ulcers/increased risk for oral cancer - may contribute to development of gingivitis

Question 62

what is the claim with oil pulling

Answer 62

reduced inflammatino/improves gingival health

Question 63

what is oil pulling

Answer 63

- ancient ayurvedic practice of swishing oil in your mouth for several minutes - originated in India centuries ago - coconut oil is ideal

Question 64

how do you oil pull

Answer 64

- floss/brush your teeth before you start oil pulling - place a tablespoon of oil in your mouth - swish the oil in your mouth for 1-3 minutes - spit out the oil in the trash can - rinse with water

Question 65

how often do you oil pull with gingivitis/periodontitis

Answer 65

once per day

Question 66

how often do you oil pull if you have good oral health

Answer 66

1-2 times per week

Question 67

what are the best oils to use with oil pulling

Answer 67

- coconut, sesame, safflower, sunflower, olive - anything that is cold-pressed or organic oil

Question 68

what does oil pulling not do

Answer 68

- does not replace brushing and flossing - does not cure TMJ - does not loosen crowns or fillings - doesnt whiten teeth - doesnt cure diseases - doesnt pull toxins from your blood stream