Welcome to Indian Dental Academy The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients State of the art comprehensive training-Faculty of world wide repute &Very affordable

1. CHEMICAL PLAQUE
CONTROL
INDIAN DENTAL ACADEMY
Leader in Continuing Dental Education
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2.  Periodontal disease = microbial and
plaque induced inflammation.
 Therapeutic intervention and maintenance
therapy is based on plaque removal.
 100% plaque removal is a myth.
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3. What is plaque control?
 It is the regular removal of plaque and the
prevention of its accumulation on the teeth
and adjacent gingival surfaces.
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4. Is plaque the major etiologic agent
in periodontal disease?
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5. Loe et al (1965)
 Experimental gingivitis study……
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6. Effect of good supragingival
plaque control on subgingival
plaque and on disease
progression
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7.  Toothbrushing alone is insufficient
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8.  Use of adjuncts to oral hygiene
maintenance is essential
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9. Indications for chemical plaque
control
 As an adjunct to mechanical plaque
control
 Post periodontal surgery
 Medically compromised patients eg.
Leukemia, type I DM..
 During orthodontic therapy.
 Intermaxillary fixation
 Supra & subgingival irrigation
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10. Classification
 1st Generation
 2nd generation
 3rd generation
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11. Chlorhexidine
 Bisbiguanide of dicationic nature.
 Excellent substantivity
 Saliva– up to 5 hrs
 Mucosal surfaces--- up to 12 hrs
 Pincushion effect.
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12. Concentrations used
 0.12%-- 15ml.
 0.2%-- 10ml.
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13.  Bacteriostatic in lower concentrations,
bactericidal in higher .
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14. Side effects of CHX use
 Tooth staining.
 Increased calculus formation.
 Oral mucosal lesions.
 Parotid gland enlargements in some
cases.
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15. Essential oil rinses
 LISTERINE: Thymol,
Eucalyptol,
Methyl salicylate,
Menthol.
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16.  More of an antigingivitis than antiplaque
agent.
 Available OTC….
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17. Other agents…
 Triclosan….
 Cetylpyridinium chloride…..
 Delmopinol….
 Sanguinarine….
 Flourides….
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18. What next….
 Is CHX still the gold standard?
 Can any of the agents match CHX in their
substantivity and antiplaque efficacy?
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19.  Can chemical agents ever replace
toothbrushing?
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