Concept and practice of plaquecontrol semantic scholar. Mechanical vector definition of mechanical vector by. Chemical plaque control strategies in the prevention of. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries.
Changing trends in oral hygeine and plaque control in children. Its use is becoming widespread as an adjuvant treatment of mechanical control, particularly in individuals with compromised oral hygiene. Chemical attack attack and degradation of the mechanical integrity of the silver coating. Pdf chemical plaque control prevention for the masses. Plaque control is the most essential step towards maintaining a proper and a healthy oral environment. Pdf chemical plaque control strategies in the prevention. Pdf chemical plaque control strategies in the prevention of.
Study plaque removal and gingival health after use of a novel. Download mechanical and chemical plaque control in the simultaneous. Dec, 20 pentapati, kalyana chakravarthy 20 mechanical plaque control. Mechanical plaque control, as measured by the oral hygiene effort of the individual patient, is the most important predictive factor in determining the overall prognosis of the treatment therapy. The natural physiologic forces that clean the oral cavity are inefficient in removing dental plaque. Chemical mechanical polishing or planarization is a process of smoothing surfaces with the combination of chemical and mechanical forces. Therefore, adjunctive chemical plaque control using chlorhexidine and antibiotics has also been suggested as an additional therapeutic strategy to augment mechanical plaque control. Chemical plaque control various chemical agents also work as adjuncts to mechanical plaque control for effective removal of dental plaque. Besides it also deals with the prevention of calculus formation. To report the evidence on the effect of mechanical andor. Plaque control methods of plaque control mechanical. Chx has antibacterial effect and reduces plaque formation and gingivitis. Plaque it also control deals is an withmethod effective prevention of of treating as well as calculus preventing pdl diseases.
Chlorhexidine is a cationic compound that binds to the hydroxyapatite of tooth enamel, the pellicle, plaque bacteria, the extracellular polysaccharide of the plaque, and especially to the mucous membrane. Apr 01, 2016 mechanical plaque control is the mainstay for prevention of oral diseases, but it requires patient cooperation and motivation. With the advent of technology, newer methods of plaque control are available. The effect of a schoolbased plaque control programme on. Reductions in plaque and gingivitis scores may be obtained by mechanical plaque control. A protocol was designed to identify randomized rcts and controlled ccts clinical trials, cohort studies and prospective case series pcs, with at least 6 months of followup. The books nine chapters cover plaque formation, mechanical selfcare, professional mechanical cleaning, chemical plaque control, use of fluorides, use of fissure sealants, integrated caries prevention and control for children and young adults, oral health promotion and needsrelated prevention programs, and analytical computerized oral. Antimicrobial agents used in the control of periodontal. There has been an increased interest in the use of these agents among disabled population as mechanical plaque control remains inadequate in this group. Chemical plaque control plaque dental plaque is defined as a highly specific variable structural entity formed by sequential colonization of microorganism on the tooth surface, epithelium and restorations. Chemical plaque control strategies in the prevention of biofilmassociated oral diseases 1mohammed jafer, 2shankargouda patil. Proper control of bacterial plaque is obtained through the mechanical removal of the biofilm.
Mechanical plaque control is the removal and prevention of microbial plaque. The effectiveness of plaque control by selfcare depends on motivation, knowledge, oral hygiene instruction, oral hygiene aids and manual dexterity. Red plague control plan rpcp the control of cuprous. It is the primary level of prevention of periodontal disease and caries. Research open access efficacy of essential oil mouthwash with. Experimentally produced human gingivitis heals completely within one week when the same method is employed. There are various ways to control plaque mechanically. Plaque control it is the removal of microbial plaque and the prevention of its accumulation on the teeth and adjacent gingival tissues. Plaque control free download as powerpoint presentation. S introduction dental plaque is defined clinically as a structured, resilient, yellowgrayish substance that adheres tenaciously to the intraoral hard surfaces including removable and fixed restoration. Preventive materials, methods, and programs journal of. Eschler currently, department of periodontics, prevention, and geriatrics, university of michigan, ann arbor, mi. So chemicals are used as adjuncts to mechanical means. The control of biofilm accumulation on teeth has been the cornerstone of periodontal disease prevention for decades.
The proceedings of this workshop should serve as a followup to those of the nidrs landmark 1985 workshop, until now widely regarded as the definitive source for stateofthescience. It can be thought of as a hybrid of chemical etching and free abrasive polishing. During the fourth clinical session, the patients who had more than 25% sites with bleeding papillae on light probing were placed in a separate group group 2 which used a mechanical and chemical plaque control protocol. The addition of fluoride to mechanical plaque control is relevant for caries management. Plaque control it is the removal of microbial plaque and the prevention of its accumulation on the tooth and adjacent gingival tissues to prevent calculus formation. Thus, there is a clear rationale for the use of antiplaque agents to augment mechanical means. Chlorhexidine is the most commonly used mouthwash for chemical plaque control. Table 1 addresses selection of appropriate mechanical aids for various clinical situations. All books are in clear copy here, and all files are secure so dont worry about it. Apr, 2020 order to maintain or improve oral health, the removal of plaque and the prevention of its accumulation on the teeth and adjacent gingival tissues are needed. Mechanical plaque control methods are ideal means to control plaque. An uptodate needsrelated combination of mechanical and chemical plaque control measures by selfcare and professionals is the most efficient method for prevention and control of periodontal. Descriptive results based on type of intervention are presented in table 4.
Chlorhexidine rinse has a positive effect on gingivitis and inconclusive. In shortterm investigations, chemical plaque control oral rinsing twice a day with 0. To report the evidence on the effect of mechanical and or chemical plaque control in the simultaneous management of gingivitis and caries. Abstract aim to report the evidence on the effect of mechanical andor chemical plaque control in the simultaneous management of gingivitis. Plaque control can be of two types mechanical plaque control chemical plaque control mechanical plaque control dental plaque is one of the most important etiological factors. Various chemical antiplaque agents are used table 3. However, their use is limited by general population due to lack of knowledge and awareness. The effect of plaque control on gingivitis and periodontitis is welldocumented.
Gingival fluid flow after gingivectomy related to mechanical. Request pdf mechanical and chemical plaque control in the simultaneous management of gingivitis and caries. Mechanical plaque control free download as powerpoint presentation. The mechanical approach was significantly better than both the chemical approach and control in terms of plaque reduction. Such control is not generally achieved by mechanical oral hygiene procedures alone. The efficiency of dental plaque control semantic scholar. Srinu chemical plaque control free download as powerpoint presentation. Exposure to chemicals present in the environment oxygen, sulfur compounds, salt, etc. Read online mechanical and chemical plaque control in the simultaneous.
Andrew joiner, in handbook for cleaningdecontamination of surfaces, 2007. Adequate control of biofilm accumulation on teeth has been the cornerstone of prevention of periodontitis and dental caries. Chemical plaque control inhibition of plaque development elimination of existing plaque inhibition of calcification of plaque inhibition of microbial colonization on tooth. The difficulty in achieving an ideal mechanical plaque control has led scientists and clinicians to seek chemical antimicrobial agents that could help inhibit. Plaque control by mechanical means is laborious and time consuming. Gingival fluid flow after gingivectomy related to mechanical or chemical plaque control nophadol suppipat formerly a research associate in the department of periodontology, dental faculty, university of oslo, oslo, norway. Request pdf mechanical and chemical home plaque control. Antiplaque agents, chemical plaque control, oral hygiene, essential oils, alcohol, mouthwash background the daily removal of supragingival dental plaque is a major factor in the prevention of caries, gingivitis and periodontitis.
The principle routes to chemical plaque control are to prevent colonization of the tooth surface, to inhibit the growth of microorganisms, the prevent plaque maturation, to modify plaque biochemistry and to modify plaque ecology to a less pathogenic. Mechanical plaque control is the mainstay for prevention of oral diseases, but it requires patient cooperation and motivation. Interestingly, combining the chemical and the mechanical approach did not. The mechanical and the chemical approach resulted in similar reductions of gingivitis both were significantly better than control. To report the evidence on the effect of mechanical andor chemical plaque control in the simultaneous management of gingivitis and caries. The combined use of chemical agents with mechanical plaque control in the simultaneous management of gingivitis and caries is still limited in evidence. Mechanical and chemical methods of plaque control can prevent gingivitis. The level of plaque control that is achieved through current stateoftheart mechanical and chemical methods including tooth brushing, flossing, antibacterial or anti plaque formulations leaves room for improvement 15. In may 1998, a 4day workshop was held to consider the role of mechanical plaque control, whether supplemented with chemical agents or not, in the prevention and treatment of dental caries and periodontitis. Fluorides were adjunctive with either mechanical or chemical plaque control interventions. Mechanical plaque control professional toothcleaning ptc.
Many patients are unable, unwilling or untrained to practice routine effective. Mechanical plaque control is the removal of microbial plaque. Examples are the mosquito that carries the malaria parasite plasmodium between humans, and the tsetse fly that carries trypanosomes from other animals to humans. Mechanical and chemical plaque control in the simultaneous. Chemical plaque control a time tested method and known for decades as an adjunct to mechanical plaque control. The indication of either intervention should be based on individual needs and risk assessment. The addition of fluoride to mechanical plaque control is signif icant for caries management. Material and methods a protocol was designed to identify randomized rcts and controlled ccts clinical trials, cohort studies and prospective case series pcs, with at least 6 months of follow. Mechanical plaque removal depends heavily on patient compliance, and sometimes it is difficult to establish daily. Chemical antiplaque agents have been employed both in prevention and. Efficiency of plaque and calculus removal bradford m.
Plaque control instructions were given during the first and subsequent clinical sessions. Several reports indicate that chemical control of plaque may be an effective and useful mean to overcome these shortfalls, 14. However, the widespread prevalence of gingivitis suggests the inefficiency of selfperformed mechanical plaque control in preventing gingival inflammation. Thus, there is a clear rationale for the use of antiplaque agents to augment. It is a highly specific variable structural entity formed by sequential colonization of microorganisms on the tooth surface, epithelium and restorations.
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