Chemical Agents in Periodontal Care
systemic delivery: refers to administering chemical agents in the form of a tablet or capsule
Topical delivery: refers to intraoral placement of a chemical agent or local delivery using controlled-release devices into a periodontal pocket where the chemical agent then comes into contact with biofilm forming either on the teeth or in the periodontal pocket
therapeutic dentifrices
subgingival irrigation
therapeutic mouth rinses
controlled release delivery devices
tablets; capsules
help control more aggressive forms of periodontitis
fights acute oral infections
reduce severity of gingival inflammation
reduction in hypersensitivity, inflammation, supra calculus, surface stains
disruption and dilution of bacteria within the biofilm
subject supra bacteria to therapeutic levels of a drug for a period of a week or longer
chemical agents used in biofilm control
metal salts
oxygenating agents
fluorides
phenolic compunds
bisbiguanide antiseptics
quaternary ammonium
antibiotics
tertiary amine surfactant
side effects of essential oil rinses
bitter taste
drying out of mucous membranes
burning sensation in mouth
side effects of chlorhexidine gluconate rinses
discoloration of tongue
alterations of taste
extrinsic staining of teeth
transient anesthesia
allergic reaction
increase in calculus formation
toothpaste ingredients
stannous fluoride
triclosan
pyrophosphates
zinc citrate
reduce supra calculus
reduses supra biofilm and gingival inflammation
reduces supra calculus and inflammation
reduces supra calculus