Incorporating Antimicrobial Mouthrinses Into Oral Hygiene: Strategies for Managing Oral Biofilm and Gingivitis
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2007 Journal of Dental Hygiene Journal Special Supplement to Access magazine of Dental Hygiene T HE A MERICAN D ENTAL H YGIENISTS’ASSOCIATION Incorporating Antimicrobial Mouthrinses into Oral Hygiene: Strategies for Managing Oral Biofilm and Gingivitis • Changing Perspectives on the Use of Antimicrobial Mouthrinses • The Role of Dental Plaque Biofilm in Oral Health • Safety and Efficacy of Antimicrobial Mouthrinses in Clinical Practice • Strategies for Incorporating Antimicrobial Mouthrinses into Daily Oral Care • Antimicrobial Mouthrinses in Contemporary Dental Hygiene Practice: The Take Home Message This special issue of the Journal of Dental Hygiene as a supplement to Access was made possible through an educational grant from Johnson & Johnson Healthcare Products Division of McNEIL-PPC, Inc. about the authors Guest Editor This special issue of the Journal of Dental ■ MICHELE LEONARDI DARBY, RDH, MS, is the graduate program director Hygiene was funded by an unrestricted in dental hygiene at Old Dominion University in Norfolk, Virginia. She educational grant from Johnson & Johnson lectures internationally, is the author of over 50 articles, has published 3 Healthcare Products Division of McNEIL- books, and has served on several editorial advisory boards, currently PPC, Inc. serving as associate editor of the International Journal of Dental Hygiene and as an editorial review board member of the Journal of Dental Hygiene Continuing Education Program and Dimensions of Dental Hygiene. In 1981, she was a member of the first To obtain 2 hours of continuing education delegation of dental hygienists to visit the People’s Republic of China. She credit, once you have thoroughly reviewed this has received many awards, including the Warner Lambert–American supplement, please complete the exam at Dental Hygienists’ Association Award for Excellence in Dental Hygiene and http://www.adha.org/CE_courses/course16/. the designation of Eminent Scholar by Old Dominion University. Open to all licensed U.S. dental hygienists, Authors ADHA’s CE Program offers Journal of Dental Hygiene readers the opportunity to ■ JOANNA ASADOORIAN, RDH, MSc, is an associate professor in the earn CE credit. Your exam will be graded by School of Dental Hygiene at the University of Manitoba and works the ADHA staff using questions reviewed privately as a dental hygienist in periodontology. She has published and and developed in cooperation with the regularly lectures on her research interests, which include quality University of North Carolina School of assurance, maintaining competence in health care professionals, clinical Dentistry, a recognized provider of CE decision making, and oral health care products for home use. She credit. serves on the editorial review board for the Journal of Dental Hygiene. Credit for this CE program expires one year ■ LOUIS G. DEPAOLA, DDS, MS, is a professor in the Department of from the date of publication (both print and Diagnostic Sciences and Pathology at the University of Maryland Dental online). Duplicate submissions will be School and the director of dental training for the PA/Mid-Atlantic AIDS disregarded. Submit your exam only once. Education and Training Center. He is an international lecturer; has authored and coauthored over 130 journal articles, book chapters, and Continuing education credits issued for abstracts; and has been awarded over 75 research and service grants, participation in this CE activity may not including ones for the study of antiplaque chemotherapeutic agents. He apply toward license renewal in all licensing serves as a consultant to many professional organizations and from jurisdictions. It is the responsibility of each 2002 to 2005 served on the American Dental Association Council on participant to verify the licensing Scientific Affairs. He is a diplomate of the American Board of Oral requirements of his or her licensing or Medicine and the American College of Dentists. regulatory agency. ■ JOANN R. GURENLIAN, RDH, PhD, is a former chair of the Department Any questions? Contact ADHA of Dental Hygiene at Thomas Jefferson University in Philadelphia and Communications Division: 312/440-8900. past president of the American Dental Hygienists’ Association. She continues to consult and to offer continuing education services in the health care field. She has authored over 100 articles, is the coauthor of The Medical History: Clinical Implications and Emergency Prevention in Dental Settings, and is the recipient of numerous awards, including the American Dental Hygienists’ Association Distinguished Service Award. She is the vice president of the International Federation of Dental Hygienists and chairs a work group for the National Diabetes Education Program. ■ ANN ESHENAUR SPOLARICH, RDH, PhD, holds several academic appointments and currently teaches at the Arizona School of Dentistry and Oral Health, University of Southern California School of Dentistry, and University of Maryland Dental School in addition to practicing dental hygiene. An international lecturer, she has published over 60 articles and 6 chapters in dental hygiene textbooks, has been active in research, serves on several editorial review boards, and is a consultant to the National Center for Dental Hygiene Research. She is the current chair of the American Dental Hygienists’ Association Council on Research. She has received several awards, most recently, the University of Pennsylvania Dental Hygiene Alumni Achievement Award in 2002. Inside Journal of Dental Hygiene Message 3 Changing Perspectives on the Use of Antimicrobial Mouthrinses Michele Leonardi Darby, RDH, MS Supplement Incorporating Antimicrobial Mouthrinses into Oral Hygiene: Strategies for Managing Oral Biofilm and Gingivitis 4 The Role of Dental Plaque Biofilm in Oral Health JoAnn R. Gurenlian, RDH, PhD 13 Safety and Efficacy of Antimicrobial Mouthrinses in Clinical Practice Louis G. DePaola, DDS, MS Ann Eshenaur Spolarich, RDH, PhD 26 Strategies for Incorporating Antimicrobial Mouthrinses into Daily Oral Care Joanna Asadoorian, RDH, MSc 32 Antimicrobial Mouthrinses in Contemporary Dental Hygiene Practice: The Take Home Message Michele Leonardi Darby, RDH, MS Special supplement The Journal of Dental Hygiene 1 ■ STATEMENT OF PURPOSE The Journal of Dental Hygiene is the refereed, scientific publication of the American Dental Hygienists’ Association. It promotes the publication of Journal original research related to the profession, the education, and the practice of dental hygiene. The journal supports the development and dissemination of a dental hygiene body of knowledge through scientific inquiry in basic, applied, of and clinical research. Dental ■ EDITORIAL REVIEW BOARD Hygiene Celeste M. Abraham, DDS, MS Heather L. Jared, RDH, BS, MS Cynthia C. Amyot, BSDH, EdD Wendy Kerschbaum, RDH, MA, MPH Joanna Asadoorian, RDH, MSc Salme Lavigne, RDH, BA, MSDH special supplement Caren M. Barnes, RDH, BS, MS Jessica Y. Lee, DDS, MPH, PhD Phyllis L. Beemsterboer, RDH, MS, EdD Deborah S. Manne,RDH,RN,MSN,OCN Stephanie Bossenberger, RDH, MS Ann L. McCann, RDH, BS, MS Kimberly S. Bray, RDH, MS Stacy McCauley, RDH, MS Lorraine Brockmann, RDH, MS Gayle McCombs, RDH, MS Patricia Regener Campbell, RDH, MS Shannon Mitchell, RDH, MS Dan Caplan, DDS, PhD Tricia Moore, RDH, BSDH, MA, EdD EXECUTIVE DIRECTOR Barbara H. Connolly, PT, EdD, FAPTA Christine Nathe, RDH, MS Ann Battrell, RDH, BS, MSDH Valerie J. Cooke, RDH, MS, EdD Kathleen J. Newell, RDH, MA, PhD [email protected] MaryAnn Cugini, RDH, MHP Johanna Odrich, RDH, MS, DrPh Susan J. Daniel, AAS, BS, MS Pamela Overman, BSDH, MS, EdD DIRECTOR OF COMMUNICATIONS Michele Leonardi Darby, RDH, MS Vickie Overman, RDH, BS, MEd Catherine Davis, RDH, PhD. FIDSA Fotinos S. Panagakos, DMD, PhD, MEd Jeff Mitchell Connie Drisko, RDH, BS, DDS M. Elaine Parker, RDH, MS, PhD [email protected] Jacquelyn M. Dylla, DPT, PT Ceib Phillips, MPH, PhD Deborah E. Fleming, RDH, MS Marjorie Reveal, RDH, MS, MBA EDITOR EMERITUS Jane L. Forrest, BSDH, MS, EdD Kip Rowland, RDH, MS Mary Alice Gaston, RDH, MS Jacquelyn L. Fried, RDH, BA, MS Judith Skeleton, RDH, BS, MEd, PhD Mary George, RDH, BSDH, MEd Ann Eshenaur Spolarich, RDH, PhD EDITOR-IN-CHIEF Ellen Grimes, RDH, MA, MPA, EdD Sheryl L. Ernest Syme, RDH, MS Rebecca S. Wilder, RDH, BS, MS JoAnn R. Gurenlian, RDH, PhD Terri Tilliss, RDH, BS, MS, MA, PhD [email protected] Linda L. Hanlon, RDH, BS, MEd, PhD Nita Wallace, RDH, PhD Kitty Harkleroad, RDH, MS Karen B. Williams, RDH, PhD Harold A. Henson, RDH, MEd Charlotte J. Wyche, RDH, MS STAFF EDITOR Laura Jansen Howerton, RDH, MS Pamela Zarkowski, BSDH, MPH, JD Katie Barge Lisa F. Harper Mallonee,BSDH,MPH,RD/LD [email protected] LAYOUT/DESIGN Jean Majeski ■ SUBSCRIPTIONS Paul R. Palmer The Journal of Dental Hygiene is published quarterly, online-only, by the American Dental Hygienists’ Association, 444 N. Michigan Avenue, Chicago, IL 60611. Copy- right 2007 by the American Dental Hygienists’ Association. Reproduction in whole or part without written permission is prohibited. Subscription rates for nonmembers are one year, $45; two years, $65; three years, $90; prepaid. ■ SUBMISSIONS Please submit manuscripts for possible publication in the Journal of Dental Hygiene to Katie Barge at [email protected]. 2 The Journal of Dental Hygiene Special supplement Introduction Changing Perspectives on the Use of Antimicrobial Mouthrinses Michele Leonardi Darby, RDH, MS s oral health care profes- maintaining oral health. The papers incorporate health-promoting behav- sionals, we need to make within