Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control

Great possibilities for oral rehabilitation emerged as a result of scientific consolidation, as well as a large number of dental implant applications. Along with implants appeared diseases such as mucositis and peri-implantitis, requiring management through several strategies applied at different st...

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Main Authors: Vinicius PEDRAZZI, Elaine Cristina ESCOBAR, José Roberto CORTELLI, Alex Nogueira HAAS, Ana Karina Pinto de ANDRADE, Claudio Mendes PANNUTI, Eliete Rodrigues de ALMEIDA, Fernando Oliveira COSTA, Sheila Cavalca CORTELLI, Sigmar de Mello RODE
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2014-01-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200301&lng=en&tlng=en
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author Vinicius PEDRAZZI
Elaine Cristina ESCOBAR
José Roberto CORTELLI
Alex Nogueira HAAS
Ana Karina Pinto de ANDRADE
Claudio Mendes PANNUTI
Eliete Rodrigues de ALMEIDA
Fernando Oliveira COSTA
Sheila Cavalca CORTELLI
Sigmar de Mello RODE
author_facet Vinicius PEDRAZZI
Elaine Cristina ESCOBAR
José Roberto CORTELLI
Alex Nogueira HAAS
Ana Karina Pinto de ANDRADE
Claudio Mendes PANNUTI
Eliete Rodrigues de ALMEIDA
Fernando Oliveira COSTA
Sheila Cavalca CORTELLI
Sigmar de Mello RODE
author_sort Vinicius PEDRAZZI
collection DOAJ
description Great possibilities for oral rehabilitation emerged as a result of scientific consolidation, as well as a large number of dental implant applications. Along with implants appeared diseases such as mucositis and peri-implantitis, requiring management through several strategies applied at different stages. Biofilm accumulation is associated with clinical signs manifest by both tooth and implant inflammation. With this in mind, regular and complete biofilm elimination becomes essential for disease prevention and host protection. Chemical control of biofilms, as an adjuvant to mechanical oral hygiene, is fully justified by its simplicity and efficacy proven by studies based on clinical evidence. The purpose of this review was to present a consensus regarding the importance of antimicrobial mouthrinse use as an auxiliary method in chemical peri-implant biofilm control. The active ingredients of the several available mouthrinses include bis-biguanide, essential oils, phenols, quaternary ammonium compounds, oxygenating compounds, chlorine derivatives, plant extracts, fluorides, antibiotics and antimicrobial agent combinations. It was concluded that there is strong clinical evidence that at least two mouthrinses have scientifically proven efficacy against different oral biofilms, i.e., chlorhexidine digluconate and essential oils; however, 0.12% chlorhexidine digluconate presents a number of unwanted side effects and should be prescribed with caution. Chemical agents seem beneficial in controlling peri-implant inflammation, although they require further investigation. We recommend a scientifically proven antiseptic, with significant short and long term efficacy and with no unwanted side effects, for the prevention and/or treatment of peri-implant disease.
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spelling doaj.art-1c287646a2d647d0b9f72ed2f3e57ebe2022-12-21T19:51:19ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072014-01-0128spe10.1590/1807-3107BOR-2014.vol28.0022S1806-83242014000200301Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm controlVinicius PEDRAZZIElaine Cristina ESCOBARJosé Roberto CORTELLIAlex Nogueira HAASAna Karina Pinto de ANDRADEClaudio Mendes PANNUTIEliete Rodrigues de ALMEIDAFernando Oliveira COSTASheila Cavalca CORTELLISigmar de Mello RODEGreat possibilities for oral rehabilitation emerged as a result of scientific consolidation, as well as a large number of dental implant applications. Along with implants appeared diseases such as mucositis and peri-implantitis, requiring management through several strategies applied at different stages. Biofilm accumulation is associated with clinical signs manifest by both tooth and implant inflammation. With this in mind, regular and complete biofilm elimination becomes essential for disease prevention and host protection. Chemical control of biofilms, as an adjuvant to mechanical oral hygiene, is fully justified by its simplicity and efficacy proven by studies based on clinical evidence. The purpose of this review was to present a consensus regarding the importance of antimicrobial mouthrinse use as an auxiliary method in chemical peri-implant biofilm control. The active ingredients of the several available mouthrinses include bis-biguanide, essential oils, phenols, quaternary ammonium compounds, oxygenating compounds, chlorine derivatives, plant extracts, fluorides, antibiotics and antimicrobial agent combinations. It was concluded that there is strong clinical evidence that at least two mouthrinses have scientifically proven efficacy against different oral biofilms, i.e., chlorhexidine digluconate and essential oils; however, 0.12% chlorhexidine digluconate presents a number of unwanted side effects and should be prescribed with caution. Chemical agents seem beneficial in controlling peri-implant inflammation, although they require further investigation. We recommend a scientifically proven antiseptic, with significant short and long term efficacy and with no unwanted side effects, for the prevention and/or treatment of peri-implant disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200301&lng=en&tlng=enMouthwashesBiofilmsPeri-ImplantitisMucositisDental Implants
spellingShingle Vinicius PEDRAZZI
Elaine Cristina ESCOBAR
José Roberto CORTELLI
Alex Nogueira HAAS
Ana Karina Pinto de ANDRADE
Claudio Mendes PANNUTI
Eliete Rodrigues de ALMEIDA
Fernando Oliveira COSTA
Sheila Cavalca CORTELLI
Sigmar de Mello RODE
Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control
Brazilian Oral Research
Mouthwashes
Biofilms
Peri-Implantitis
Mucositis
Dental Implants
title Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control
title_full Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control
title_fullStr Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control
title_full_unstemmed Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control
title_short Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control
title_sort antimicrobial mouthrinse use as an adjunct method in peri implant biofilm control
topic Mouthwashes
Biofilms
Peri-Implantitis
Mucositis
Dental Implants
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200301&lng=en&tlng=en
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