Modern supragingival plaque control.
Supragingival plaque control is essential for the maintenance of oral health. Despite the many chemotherapeutic agents available as mouthrinses and toothpastes, mechanical plaque removal is still the best method to achieve effective plaque control. This is due, in part, to the lack of development of oral antimicrobials with the effectiveness and substantivity of chlorhexidine gluconate but without its adverse effects of dental staining and calculus formation. The use of the numerous mechanical (manual and electric) oral hygiene devices extant and their effectiveness, however, are dependent upon patient dexterity and compliance and concomitant active professional treatment for the monitoring of home care, oral hygiene instruction and patient motivation. This paper evaluates the current methods available to reduce plaque and gingivitis with emphasis on their effectiveness at both supragingival plaque control and disease prevention. In addition, recent studies on the newer oscillating/rotating electric plaque removers and interdental cleaning devices will be discussed as related to their efficacy and compliance.
Department of Periodontics, School of Dental Medicine, State University of New York at Stony Brook 11794-8703, USA.
V J
VJ
Iacono
W A
WA
Aldredge
H
H
Lucks
S
S
Schwartzstein
D000890:Anti-Infective Agents / Q000009:adverse effects / Q000627:therapeutic use; D002710:Chlorhexidine / Q000009:adverse effects / Q000031:analogs & derivatives / Q000627:therapeutic use; D003728:Dental Calculus / Q000139:chemically induced; D003742:Dental Devices, Home Care; D003773:Dental Plaque / Q000517:prevention & control*; D005881:Gingiva; D005891:Gingivitis / Q000517:prevention & control; D006801:Humans; D009042:Motivation; D009048:Motor Skills; D009067:Mouthwashes / Q000627:therapeutic use; D009909:Oral Health; D009910:Oral Hygiene / Q000295:instrumentation; D010349:Patient Compliance; D010353:Patient Education as Topic; D012648:Self Care; D014075:Tooth Discoloration / Q000139:chemically induced; D014100:Toothpastes / Q000627:therapeutic use
D000890:Anti-Infective Agents; D009067:Mouthwashes; D014100:Toothpastes; C010882:chlorhexidine gluconate; D002710:Chlorhexidine