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CHEMICAL PLAQUE CONTROL

Chinthamani Laser Dental Clinic
INTRODUCTION
 Chemical

plaque control agents are an ideal
adjunct to mechanical plaque control
procedures.
 They are mainly used in individuals with
defective host defense mechanism
mentally or physically handicapped
patients who have undergone surgical
procedures post operatively
FIRST GENERATION ANTI
PLAQUE AGENTS
 First

generation agents include
antibiotics
phenols
quaternary ammonium compounds
oxygenating compounds
sanguanarine
They are capable of reducing plaque scores by
about 20-50%
PHENOLIC COMPOUNDS
 Reduces

plaque accumulation
 They are essential oils, thymol, methyl
salicilate, benzoic acid &boric acid.
 Popular example is listerine
 It acts on bacterial cell wall cause disruption
and also inhibition of bacterial enzymes.
 Recommended usage is twice daily
 Adverse effects of listerine include burning
sensation and bitter taste.
TRICLOSAN
 It

is both phenolic and non ionic germicide
with low toxicity & a broad spectrum of
antibacterial activity.
 Acts on microbial cytoplasmic membrane ,
inducing leakage of cellular constituents and
there by causing bacteriolysis.
 It delayes plaque maturation and inhibit
formation of inflamatory mediators .
SANGUINARINE






Contains alkaloid extract from sanguinarine
canadensis.
Effective against wide variety of gram –ve
organism
Exhibit good retentive property with dental
plaque when used as mouth rinse
Oxygenated compounds
 Includes

hydrogen peroxide and per borate
mouth rinse.
 Alters the membrane permiability of
microorganisms .
 Hydrogen peroxide is used in patients with
acute necrotising ulcerative gingivitis
QUATERNARY AMMONIUM
COMPOUNDS
 Includes

cetylpyrinidium chloride &
benzethonium chloride.
 The positively charged molecule reacts with
the negatively charged cell membrane &
there by destroys the cell wall structure.
 Effective against developing plaque which
contain predominantly gram +ve organism.
Thank You

Email.id:chinthamanidental@gmail.com
044-43800059 , 92 83 786 776
www.chinthamanilaserdentalclinic.com
Thank You

Email.id:chinthamanidental@gmail.com
044-43800059 , 92 83 786 776
www.chinthamanilaserdentalclinic.com

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Chemical Plaque Control

  • 2. INTRODUCTION  Chemical plaque control agents are an ideal adjunct to mechanical plaque control procedures.  They are mainly used in individuals with defective host defense mechanism mentally or physically handicapped patients who have undergone surgical procedures post operatively
  • 3. FIRST GENERATION ANTI PLAQUE AGENTS  First generation agents include antibiotics phenols quaternary ammonium compounds oxygenating compounds sanguanarine They are capable of reducing plaque scores by about 20-50%
  • 4. PHENOLIC COMPOUNDS  Reduces plaque accumulation  They are essential oils, thymol, methyl salicilate, benzoic acid &boric acid.  Popular example is listerine  It acts on bacterial cell wall cause disruption and also inhibition of bacterial enzymes.  Recommended usage is twice daily  Adverse effects of listerine include burning sensation and bitter taste.
  • 5. TRICLOSAN  It is both phenolic and non ionic germicide with low toxicity & a broad spectrum of antibacterial activity.  Acts on microbial cytoplasmic membrane , inducing leakage of cellular constituents and there by causing bacteriolysis.  It delayes plaque maturation and inhibit formation of inflamatory mediators .
  • 6. SANGUINARINE    Contains alkaloid extract from sanguinarine canadensis. Effective against wide variety of gram –ve organism Exhibit good retentive property with dental plaque when used as mouth rinse
  • 7. Oxygenated compounds  Includes hydrogen peroxide and per borate mouth rinse.  Alters the membrane permiability of microorganisms .  Hydrogen peroxide is used in patients with acute necrotising ulcerative gingivitis
  • 8. QUATERNARY AMMONIUM COMPOUNDS  Includes cetylpyrinidium chloride & benzethonium chloride.  The positively charged molecule reacts with the negatively charged cell membrane & there by destroys the cell wall structure.  Effective against developing plaque which contain predominantly gram +ve organism.
  • 9. Thank You Email.id:chinthamanidental@gmail.com 044-43800059 , 92 83 786 776 www.chinthamanilaserdentalclinic.com
  • 10. Thank You Email.id:chinthamanidental@gmail.com 044-43800059 , 92 83 786 776 www.chinthamanilaserdentalclinic.com