Chlorhexidine mouthrinse reduces plaque and can improve gum health in people with low levels of gingivitis

Chlorhexidine mouthrinse_croppedGingivitis is a reversible condition when gums become red, swollen and can bleed easily. Gingivitis is also very common – studies suggest that as many as 50% to 90% of adults in the UK and USA suffer from it. In susceptible people gingivitis may lead to periodontitis, which is not reversible. In periodontitis inflammation is accompanied by loss of ligaments and bone supporting the teeth. If untreated it may eventually lead to tooth loss. Severe periodontitis is the sixth most widespread disease globally.

It is recognised that maintaining a high standard of oral hygiene is important for the prevention and treatment of gingivitis. Toothbrushing is the main method for maintaining good oral hygiene. Other cleaning methods commonly used include dental floss, interdental brushes and scaling and polishing carried out by a dental professional. Some people have difficulty controlling plaque build-up and preventing gingivitis using only conventional tooth cleaning. Therefore people sometimes use mouthrinses containing chlorhexidine in addition to conventional tooth cleaning. These mouthrinses are readily available over the counter; prescriptions generally not being required outside the USA. Continue reading

Do electric toothbrushes remove more plaque and lead to better oral health?

electic toothbrush_

Photo copyright Pau Artigas, under Creative Commons Licence

Removing plaque through effective toothbrushing has an important role in the prevention of gum disease and tooth decay. Dental plaque is the primary cause of gum inflammation, and this can lead to more serious oral conditions. The build up of plaque can also lead to tooth decay. There are different kinds of powered or electric toothbrushes available to the public, at a range of prices. Powered toothbrushes work in different ways – some move from side to side, and some in a circular motion. Are these kind of toothbrushes better to use than a manual toothbrush? Does their use lead to less inflammation in the gums? Continue reading

Interdental brushes – do they prevent and control tooth decay and gum disease?

D:DCIM100MEDIAIMG_0007.JPGGum disease and tooth decay are the main reasons for tooth loss. Unless brushed away, plaque (a sticky film containing bacteria) can build up on the teeth, which can lead to gum inflammation. Plaque is also a key factor in the development of tooth decay. Interdental brushes are designed to clean between the teeth, to remove the plaque in harder to reach areas. They are small headed toothbrushes, available in a range of different widths to match the space between the teeth. They can be cone-shaped or cylindrical. Together with dental floss, interdental brushes are one of the most commonly recommended, advertised and available aids for cleaning between the teeth. But is there evidence that they really work to control tooth decay and reduce gum disease? Continue reading