CHEMICAL PLAQUE   CONTROL    INDIAN DENTAL ACADEMY Leader in Continuing Dental Education   www.indiandentalacademy.com
 Periodontal disease = microbial and  plaque induced inflammation. Therapeutic intervention and maintenance  therapy is ...
What is plaque control?   It is the regular removal of plaque and the    prevention of its accumulation on the teeth    a...
Is plaque the major etiologic agent      in periodontal disease?       www.indiandentalacademy.com
Loe et al (1965)   Experimental gingivitis study……           www.indiandentalacademy.com
Effect of good supragingivalplaque control on subgingival    plaque and on disease          progression     www.indiandent...
   Toothbrushing alone is insufficient           www.indiandentalacademy.com
   Use of adjuncts to oral hygiene    maintenance is essential           www.indiandentalacademy.com
Indications for chemical plaque                 control As an adjunct to mechanical plaque  control Post periodontal sur...
Classification 1st Generation 2nd generation 3rd generation         www.indiandentalacademy.com
Chlorhexidine Bisbiguanide of dicationic nature. Excellent substantivity Saliva– up to 5 hrs Mucosal surfaces--- up to...
Concentrations used 0.12%-- 15ml. 0.2%-- 10ml.         www.indiandentalacademy.com
   Bacteriostatic in lower concentrations,    bactericidal in higher .            www.indiandentalacademy.com
Side effects of CHX use Tooth staining. Increased calculus formation. Oral mucosal lesions. Parotid gland enlargements...
Essential oil rinses   LISTERINE: Thymol,               Eucalyptol,               Methyl salicylate,               Mentho...
 More of an antigingivitis than antiplaque  agent. Available OTC….          www.indiandentalacademy.com
Other agents… Triclosan…. Cetylpyridinium chloride….. Delmopinol…. Sanguinarine…. Flourides….         www.indiandenta...
What next…. Is CHX still the gold standard? Can any of the agents match CHX in their  substantivity and antiplaque effic...
   Can chemical agents ever replace    toothbrushing?           www.indiandentalacademy.com
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Chemical plaque control / /certified fixed orthodontic courses by Indian dental academy

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Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.


Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients

State of the art comprehensive training-Faculty of world wide repute &Very affordable

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Chemical plaque control / /certified fixed orthodontic courses by Indian dental academy

  1. 1. CHEMICAL PLAQUE CONTROL INDIAN DENTAL ACADEMY Leader in Continuing Dental Education www.indiandentalacademy.com
  2. 2.  Periodontal disease = microbial and plaque induced inflammation. Therapeutic intervention and maintenance therapy is based on plaque removal. 100% plaque removal is a myth. www.indiandentalacademy.com
  3. 3. What is plaque control? It is the regular removal of plaque and the prevention of its accumulation on the teeth and adjacent gingival surfaces. www.indiandentalacademy.com
  4. 4. Is plaque the major etiologic agent in periodontal disease? www.indiandentalacademy.com
  5. 5. Loe et al (1965) Experimental gingivitis study…… www.indiandentalacademy.com
  6. 6. Effect of good supragingivalplaque control on subgingival plaque and on disease progression www.indiandentalacademy.com
  7. 7.  Toothbrushing alone is insufficient www.indiandentalacademy.com
  8. 8.  Use of adjuncts to oral hygiene maintenance is essential www.indiandentalacademy.com
  9. 9. Indications for chemical plaque control As an adjunct to mechanical plaque control Post periodontal surgery Medically compromised patients eg. Leukemia, type I DM.. During orthodontic therapy. Intermaxillary fixation Supra & subgingival irrigation www.indiandentalacademy.com
  10. 10. Classification 1st Generation 2nd generation 3rd generation www.indiandentalacademy.com
  11. 11. Chlorhexidine Bisbiguanide of dicationic nature. Excellent substantivity Saliva– up to 5 hrs Mucosal surfaces--- up to 12 hrs Pincushion effect. www.indiandentalacademy.com
  12. 12. Concentrations used 0.12%-- 15ml. 0.2%-- 10ml. www.indiandentalacademy.com
  13. 13.  Bacteriostatic in lower concentrations, bactericidal in higher . www.indiandentalacademy.com
  14. 14. Side effects of CHX use Tooth staining. Increased calculus formation. Oral mucosal lesions. Parotid gland enlargements in some cases. www.indiandentalacademy.com
  15. 15. Essential oil rinses LISTERINE: Thymol, Eucalyptol, Methyl salicylate, Menthol. www.indiandentalacademy.com
  16. 16.  More of an antigingivitis than antiplaque agent. Available OTC…. www.indiandentalacademy.com
  17. 17. Other agents… Triclosan…. Cetylpyridinium chloride….. Delmopinol…. Sanguinarine…. Flourides…. www.indiandentalacademy.com
  18. 18. What next…. Is CHX still the gold standard? Can any of the agents match CHX in their substantivity and antiplaque efficacy? www.indiandentalacademy.com
  19. 19.  Can chemical agents ever replace toothbrushing? www.indiandentalacademy.com

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