Are you struggling to find a mouthwash that prevents periodontal diseases, reduces caries and targets gingivitis? Mouthwash is the go-to solution as topical analgesic and anti-inflammatory agent for oral health. However, most of the time we find ourselves standing in front of the shelf with an array of mouthwashes with special ingredients such as Chlorhexidine, Thymol etc, and have no idea what to do with them.
First off, find out what your oral conditions are:
Cavities or caries are small holes that appear on your teeth due to decay. These openings usually form on the chewing surface of your teeth, but in some instances it can form on root cavity. Cavities are common and affect people of any age group, and usually they are easily treated when detected earlier. When you do not treat your cavities, the holes get bigger and affect more layers of your teeth, leading to infection, severe toothache and tooth loss.
Symptoms: Toothache, sensitive tooth, pain when you bite down, visible holes on teeth
Periodontal Diseases, as the name suggests, is a group of diseases the affect the areas surrounding the teeth; these areas include the bacterial infections to gums, periodontal ligament and alveolar bones. It is caused by a few factors including inadequate brushing, diet that is rich in sugary foods, and family history. At early stages, infection affects gums and this condition is more commonly known as gingivitis.
Gingivitis is gum inflammation caused by buildup of bacteria. You can be more susceptible to gingivitis if you have plaque buildup. Plaques form when your diet is rich in sweets and carbohydrates (eg raisins, cakes, 3in1 beverages, kuih, milk), and these foods get left on the teeth without proper cleaning. If left untreated, gingivitis develops into more serious forms of infection affecting the root of the teeth.
Symptoms: Swollen gums, bright red or darker gums, painful gums, bad breath (halitosis).
Periodontitis is a gum disease that leads to gum and bone pulling away from the teeth. This forms pockets around the teeth, and they collect dirt and food debris that can lead to serious bacterial infections. Bacteria will product toxins that further damage the gum tissues, and you can find that these “pockets” get deeper, which leads to irreversible damage such as teeth falling off and teeth bone damage.
Symptoms: Receding gum, buildup of plaque and tartar around teeth, pain when chewing, bad breath, red and swollen gums, loose teeth, change in position of your teeth
Mouthwash can be recommended to treat every stages of infection from mild to severe, reduce swelling and pain, and reduce halitosis (bad breath). There are a few groups of mouthwashes with specific actions to help with these symptoms:
|Types of Mouthwash||Brands We Carry||What It Does||Helps These Conditions||How to Use|
|Chlorhexidine||Oradex Everyday Antiseptic Mouthwash (Green), Oradex Antibacterial Mouthwash (Blue), Bactidol||Broad spectrum antimicrobial activity||Plaque, gingivitis, post surgery disinfection||Use 30 minutes to 2 hours after using toothpaste, twice daily.|
|Benzydamine hydrochloride||Difflam-C||Analgesic, anti-microbial, anti-inflammatory, anaesthetic properties||Radiation-induced oral mucositis, Ulcerative disease in the gums||Use every 1.5 to 3 hours|
|Essential oils – Thymol, Eucalyptol, Menthol, Tea Tree Oil, Methyl salicylate||Thymol, Prodental B Natural Tea Tree Oil, Oradex Dual Action Oral Rinse (Red), Oradex Smoker’s Mouthwash (Yellow)||May be able to penetrate plaque biofilm with antimicromial action (bacteria and fungi), prevent bacterial aggregation, slow bacterial growth, reduce plaque maturation||Gingivitis, halitosis (bad breath), plaque
Not suitable for individuals suffering from xerostomia, dental erosion, ethanol-induced oral dryness, and children
|May dilute with warm water, gargle for 30 seconds twice daily|
|Cetylpyridinium chloride, sodium benzoate and triclosan||Maxifresh Daily Anti-bacterial, Listerine Total Care, Listerine Tartar Control, Oral-B Pro Health||Inhibit and reduce plaque buildup, antiseptic, anti-microbial||Routine oral hygiene||Rinse mouth for 1 minute or gargle for 30 seconds, morning and night|
|Hyaluronic acid||Gengigel Hydrogel Mouthrinse||Reduces pain and inflammation, accelerates healing||Denture soreness, minor gingivitis, post dental procedure soreness||3 to 5 times a day for 3 to 4 weeks|
|Povidone-iodine||Betadine Gargle and Mouthwash||Delivers free iodine to bacterial cell. Broad spectrum activity against bacteria, fungi, protozoa and viruses.||Plaque, gingivitis, routine oral hygiene, reduces severity of radiation mucositis||Gargle or rinse for at least half a minute, every 2 to 4 hours.|
|Fluoride-containing||Xerostom, Oral-B Pro Health, Pepsodent Expert Protection, Pearlie White Fluorinze||Increases enamel resistance to acid attack, reduces dental caries||Xerostomia post-chemotherapy or post-radiotherapy, post orthodontic treatment||Rinse for 1 minute without dilution|
|Sodium bicarbonate||TheraBreath Oral Rinse||Increase salivary pH, suppress growth of Streptococcus mutans (a type of aciduric micro-organism)||Patients suffering from xerostomia, halitosis (bad breath)||Rinse mouth for 1 minute or gargle for 30 seconds, morning and night|
|Pure activated charcoal||Amento Premium Oral Rinse||Anti-microbial, freshen breath, believed to have teeth whitening properties however this is inconclusive||Routine oral hygiene||Rinse mouth for 1 minute or gargle for 30 seconds, morning and night|