Abstract
Great possibilities for oral rehabilitation emerged as a result of scientific consolidation, as well as a large number of dental implant applications. Along with implants appeared diseases such as mucositis and peri-implantitis, requiring management through several strategies applied at different stages. Biofilm accumulation is associated with clinical signs manifest by both tooth and implant inflammation. With this in mind, regular and complete biofilm elimination becomes essential for disease prevention and host protection. Chemical control of biofilms, as an adjuvant to mechanical oral hygiene, is fully justified by its simplicity and efficacy proven by studies based on clinical evidence. The purpose of this review was to present a consensus regarding the importance of antimicrobial mouthrinse use as an auxiliary method in chemical peri-implant biofilm control. The active ingredients of the several available mouthrinses include bis-biguanide, essential oils, phenols, quaternary ammonium compounds, oxygenating compounds, chlorine derivatives, plant extracts, fluorides, antibiotics and antimicrobial agent combinations. It was concluded that there is strong clinical evidence that at least two mouthrinses have scientifically proven efficacy against different oral biofilms, i.e., chlorhexidine digluconate and essential oils; however, 0.12% chlorhexidine digluconate presents a number of unwanted side effects and should be prescribed with caution. Chemical agents seem beneficial in controlling peri-implant inflammation, although they require further investigation. We recommend a scientifically proven antiseptic, with significant short and long term efficacy and with no unwanted side effects, for the prevention and/or treatment of peri-implant disease.
Highlights
Aiming at controlling dental caries and periodontal disease and maintaining fresh and enjoyable breath, dental clinical routine should include several steps, such as detailed anamnesis, clinical examination, image analysis, moldings, treatment plan, and oral hygiene instructions
Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control new diseases, such as peri-implant mucositis and peri-implantitis,[1] whose management requires several strategies applied at different stages
It should be noted that non-surgical treatment can be effective for periimplant mucositis treatment, this has not been observed for peri-implantitis
Summary
Vinicius PEDRAZZI(a) Elaine Cristina ESCOBAR(b) José Roberto CORTELLI(c) Alex Nogueira HAAS(d) Ana Karina Pinto de ANDRADE(b) Claudio Mendes PANNUTI(e) Eliete Rodrigues de ALMEIDA(f) Fernando Oliveira COSTA(g) Sheila Cavalca CORTELLI(c) Sigmar de Mello RODE(h). (a)Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, Universidade de São Paulo - USP, Ribeirão Preto, SP, Brazil. (b)Periodontology Department, School of Dentistry, Faculdades Metropolitanas Unidas - FMU, São Paulo, SP, Brazil. (c)Periodontology Department, School of Dentistry, Universidade de Taubaté - UNITAU, Taubaté, SP, Brazil. (d)Periodontology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul - UFRGS, Rio Grande do Sul, RS, Brazil. (e)Periodontology Department, School of Dentistry, Universidade de São Paulo - USP, São Paulo, SP, Brazil. (f)Epidemiology and Pediatric Dentistry Department, School of Dentistry, Universidade Cruzeiro do Sul UNICSUL, São Paulo, SP, Brazil. (g)Periodontology Department, School of Dentistry, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brazil. (h)Dental Materials and Prosthesis Department, Instituto de Ciência e Tecnologia - ICT, Univ Estadual Paulista - UNESP, São José dos Campos, SP, Brazil. Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control*
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