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Focuson MOUTHRINSES v16F_mouthrinsetable_Layout 1 3/28/14 11:04 AM Page 30 FOCUSonMOUTHRINSES This informative table provides details about the therapeutic and cosmetic mouthrinses currently available. Do patients truly understand how mouthrinses work? Some may think of them as “magic bullets” that will cure their dental ailments with just a swish and spit. Oral health professionals, however, know that this is not the case. Patients still need advice on the proper usage and selection of mouthrinses, and the best resource for mouthrinse information is you—their dental hygienist. As the dental team member whose focus is prevention, your knowledge of mouthrinses is paramount to providing excellent patient care. With so many different mouthrinses on the market today, keeping up to date on the prod- ucts available is challenging. This Dimensions of Dental Hygiene mouthrinse guide is intended to help you sort through both the therapeutic and cosmetic mouthrinse options. When consider- ing over-the-counter therapeutic mouthrinses, noting which products have received the American Dental Association’s Seal of Acceptance is also helpful, as they have been evaluated for safety and efficacy. We hope you find this guide useful when making product recommen- dations to patients who wish to add rinsing to their daily oral care regimens. —Jill Rethman, RDH, BA Editor in Chief Note: Mouthrinse manufacturers in the United States were invited to submit information for this table. This list includes those companies that responded to our request for information. There may be inadvertent product omissions. Manufacturer Product Active Indications Contraindications Name Name Ingredients 3M ESPE Preventive Care PerioMed™ 0.63% Stannous 0.63% Stannous fluoride Gingival inflammation, caries, hyper sensitivity Any known allergies to ingredients Fluoride Oral Rinse Concentrate PERIDEX™ Chlorhexidine 0.12% Chlorhexidine Gingivitis and periodontal bleeding Any known allergies to ingredients Gluconate 0.12% Oral Rinse gluconate or chlorhexidine OrthoWash™ Daily Rinse 0.044% Sodium fluoride in an Decalcification, caries Any known allergies to ingredients acidulated rinse ACT/Chattem Inc ACT® Total Care Anticavity Dry 0.02% Sodium fluoride Prevents caries, soothes dry mouth, moisturizes mouth None Mouth Mouthwash tissue, strengthens teeth, freshens breath ACT Total Care Anticavity 0.05% Sodium fluoride Prevents caries, rebuilds enamel, strengthens teeth, None Fluoride Mouthwash freshens breath ACT Braces Care™ Anticavity 0.02% Sodium fluoride Prevents caries, helps prevent white spots, strengthens None Fluoride Mouthwash teeth, alcohol-free, contains xylitol and aloe BEYOND Dental and Health Inc BEYOND Restoring Whitening Hydrogen peroxide Whitens teeth, provides tartar control, restores minerals Any known allergies to hydrogen Mouthwash to strengthen enamel, freshens breath peroxide BEYOND Antiseptic Mouthwash Cetylpyridinium chloride, Aids in the prevention of caries, gingivitis, and tartar In the case of fluoride intake from sodium fluoride build-up; freshens breath other sources, consult a dentist or physician BEYOND Mouthwash for Kids Tocopherol Improves oral health by aiding in caries prevention and None reducing free radicals CariFree/Oral BioTech CariFree® CTx3 Rinse 0.05% Sodium fluoride For daily use; alcohol-free fluoride rinse combined with None a high level of xylitol at an elevated pH; reduces caries while promoting remineralization; pH of 8 neutralizes acidic oral environment CariFree CTx4 Treatment Rinse 0.05% Sodium fluoride 0.2% Sodium hypochlorite dissolves biofilm and is a None broad spectrum antimicrobial for treatment of caries infection; pH of 10 neutralizes acidic oral environment Cetylite Industries Inc Protexin® Oral Rinse Zinc chloride Cleans the mouth of debris and ropy saliva; refreshes None breath after operative procedures; also available in a spray 30 Dimensions OF DENTAL HYGIENE dimensionsofdentalhygiene.com APRIL 2014 v16F_mouthrinsetable_Layout 1 3/28/14 11:04 AM Page 32 Manufacturer Product Active Indications Contraindications Name Name Ingredients Colgate Colgate® Total® Advanced 0.075% Cetylpyridinium chlo- Significantly reduces plaque, helps prevent gingivitis Not for children younger than 12 Pro-Shield™ ride Colgate Periogard® Rinse (Rx 0.12% Chlorhexidine glu- For use between dental visits as part of a professional Should not be used by those who only) conate program for treating gingivitis as characterized by red- are hypersensitive to chlorhexidine ness and swelling of the gingivae, including gingival gluconate or other formula ingredi- bleeding on probing; has not been tested on patients ents with acute necrotizing ulcerative gingivitis; for patients with existing gingivitis and periodontitis, see precautions Peroxyl® Rinse 1.5% Hydrogen peroxide For use in cleansing canker sores, minor mouth None wounds, and minor gum inflammation Dental Herb Co Tooth & Gums Tonic® Cinnamon bark, eucalyptus, For daily use; nonalcohol, nonstaining antimicrobial Allergy to any product ingredient lavender, peppermint, and rinse for reducing gingival inflammation, periodontal thyme essential oils; echi- bleeding, and breath malodor; also indicated for post- nacea and gotu kola herbal surgical and post-implant care extracts DENTSPLY Professional Oris® Chlorhexidine Gluconate 0.12% Chlorhexidine For use between dental visits as part of a professional Should not be used by individuals 0.12% Oral Rinse gluconate program for the treatment of gingivitis as characterized who are known to be hypersensi- by redness and swelling of the gingivae, including gingi- tive to chlorhexidine gluconate or val bleeding on probing; for patients with coexisting other formula ingredients; not gingivitis and periodontitis, see precautions tested among patients with acute necrotizing ulcerative gingivitis Dr. Fresh Inc FireFly® Angry Birds Mouth 0.05% Sodium fluoride Anticaries rinse; alcohol and sugar free; no mess cup Consult a dentist or physician for Rinse and pump use in children younger than 6 FireFly Hello Kitty Mouth Rinse 0.05% Sodium fluoride Anticaries rinse; alcohol and sugar free; no mess cup Consult a dentist or physician for and pump use in children younger than 6 SmileGuard Mouth Rinse 0.05% Sodium fluoride Anticaries rinse; alcohol and sugar free Consult a dentist or physician for use in children younger than 6 Dr. Harold Katz LLC TheraBreath Oral Rinse OXYD-8 (proprietary stabilized Treats breath malodor and eliminates sour, bitter, and None ClO2) metallic tastes in the mouth; also indicated for those with xerostomia PerioTherapy Oral Rinse PeriO2 (proprietary stabilized Treats the anaerobic bacteria that allow the initiation of None Oxychlor compounds), zinc periodontal diseases, xerostomia, breath malodor, and gluconate (ZincRx), melaleuca taste disorders alternifolia (tea tree) leaf oil TheraBreath PLUS Oral Rinse OXYD-8, zinc gluconate, Formulated to combat chronic breath malodor; also None camellia sinensis leaf extract, works on: coffee breath, cigar and smokers’ breath, bad aloe barbadensis leaf juice, breath due to medication-induced xerostomia, odor xylitol, melaleuca alternifolia from post-nasal drip, morning breath, dry mouth symp- leaf oil toms, and persistent gum irritation GlaxoSmithKline Biotene Dry Mouth Oral Rinse Glycerin, xylitol, sorbitol Relief of xerostomia symptoms; alcohol free None solution Biotene PBF Propylene glycol, xylitol, Relief of oral dryness; helps loosen plaque-biofilm Contains milk and egg derivatives Oral Rinse sodium benzoate, benzoic (with brushing); alcohol free acid, mutanase, fisodium phosphate, zinc gluconate, lactoferrin, lysozyme, lac- toperoxidase, potassium thiocyanate, aloe vera gel, calcium lactate ProNamel® Fluoride Rinse Fluoride 225 ppm Helps protect against the effects of acid erosion; None provides extra protection against the effects of acid erosion when used in conjunction with twice-daily brushing with a fluoride toothpaste Henry Schein ACCLEAN® Mouthwash 70% Sorbitol Use as part of an effective oral hygiene program Do not swallow; only administer to children under adult supervision Johnson & Johnson Healthcare LISTERINE® ZERO™ Mouthwash Four essential oils: eucalyp- A less intense, zero-alcohol formula that cleans deep to Not for patients younger than 12 Products, Division of tol, menthol, methyl salicy- kill breath malodor bacteria for a clean, fresh mouth McNeil-PPC Inc late, thymol LISTERINE Antiseptic Four essential oils: eucalyp- Kills bacteria that cause breath malodor, plaque, and Not for patients younger than 12 Mouthwash tol, menthol, gingivitis; available in regular, less intense, and tartar methyl salicylate, thymol control LISTERINE TOTAL CARE & Sodium fluoride 0.02% Helps prevent caries; restores enamel; strengthens Not for patients younger than 12 TOTAL CARE ZERO Mouthwash (0.01% w/v fluoride ion) teeth; kills breath malodor bacteria; freshens breath; (LISTERINE TOTAL CARE) cleans the whole mouth Not for patients younger than 6 (LISTERINE TOTAL CARE ZERO) 32 Dimensions OF DENTAL HYGIENE dimensionsofdentalhygiene.com APRIL 2014 v16F_mouthrinsetable_Layout 1 3/28/14 11:14 AM Page 33 Mouthrinse Guide Manufacturer Product Active Indications Contraindications Name Name Ingredients NOWsystem Inc TRIOLOGY™ Professional Oral Tritiserum™ (a patent-pending Cleanses and reduces pain associated with infected gin- Contains almond oil, not for use Cleansing & Care Debriding biologic blend of aloe vera, gival tissue from periodontal diseases; mouth sores by individuals with nut allergies; Rinse sweet
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