title: Mouthrinse recommendation for prosthodontic patients.
abstract: Different reasons can contribute to classifying dental prosthesis wearers as high-risk individuals in relation to dental biofilm accumulation. These include a past history of oral disease, age and additional retentive areas. Other common complaints include inflammation and halitosis. Moreover, prosthesis replacement and prosthetic pillar loss are generally associated with caries and periodontal disease recurrence. Therefore, the present study undertook to make a critical review of the literature, aiming at discussing the main aspects related to chemical agent prescriptions for dental prosthesis wearers. Most of the articles were selected based on relevance, methods and availability in regard to the specific subject under investigation, without considering publication year limitations. Different types of prostheses and their impact on teeth and other oral tissues were reported. It was demonstrated that there is greater biofilm buildup and increased inflammatory levels in the presence of different types of prostheses, suggesting that additional measures are required both on population-wide and individual levels in order to control these factors. Mechanical control consists of a combination of manual or electric toothbrush and toothpaste, as well as specific devices for interdental cleaning. Although many chemical agents exhibit antimicrobial benefits when used for prosthesis disinfection, only a few agents can be used safely without causing damage. Regarding the selection of antiseptics by the overall population, chlorhexidine is the most indicated in the short term and in sporadic cases. The most indicated adjuncts to overcome the deficiencies and limitations of daily mechanical biofilm control are products containing essential oils as active ingredients.
authors.affiliation: Periodontology Department, School of Dentistry, Universidade de Taubaté, Taubaté, SP, Brazil.
authors.forename: Sheila Cavalca
authors.initials: SC
authors.lastname: Cortelli
authors.affiliation: Periodontology Department, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Fernando Oliveira
authors.initials: FO
authors.lastname: Costa
authors.affiliation: Dental Materials and Prosthesis Department, Instituto de Ciência e Tecnologia, Univ Estadual Paulista, São José dos Campos, SP, Brazil.
authors.forename: Sigmar de Mello
authors.initials: Sde M
authors.lastname: Rode
authors.affiliation: Periodontology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, RS, Brazil.
authors.forename: Alex Nogueira
authors.initials: AN
authors.lastname: Haas
authors.affiliation: Periodontology Department, School of Dentistry, Faculdades Metropolitanas Unidas, São Paulo, SP, Brazil.
authors.forename: Ana Karina Pinto de
authors.initials: AK
authors.lastname: Andrade
authors.affiliation: Periodontology Department, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Claudio Mendes
authors.initials: CM
authors.lastname: Pannuti
authors.affiliation: Periodontology Department, School of Dentistry, Faculdades Metropolitanas Unidas, São Paulo, SP, Brazil.
authors.forename: Elaine Cristina
authors.initials: EC
authors.lastname: Escobar
authors.affiliation: Epidemiology and Pediatric Dentistry Department, School of Dentistry, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil.
authors.forename: Eliete Rodrigues de
authors.initials: ER
authors.lastname: Almeida
authors.affiliation: Periodontology Department, School of Dentistry, Universidade de Taubaté, Taubaté, SP, Brazil.
authors.forename: José Roberto
authors.initials: JR
authors.lastname: Cortelli
authors.affiliation: Endodontics and Prosthesis Department, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Vinicius
authors.initials: V
authors.lastname: Pedrazzi
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D018441:Biofilms / Q000187:drug effects*; D003731:Dental Caries / Q000517:prevention & control; D003773:Dental Plaque / Q000517:prevention & control*; D017266:Dental Prosthesis / Q000382:microbiology*; D005891:Gingivitis / Q000517:prevention & control; D006801:Humans; D009067:Mouthwashes / Q000627:therapeutic use*; D009910:Oral Hygiene / Q000379:methods
chemical_list: D000891:Anti-Infective Agents, Local; D009067:Mouthwashes