Chlorhexidine mouthrinse: Reduced plaque and gingivitis when used as adjunct to mechanical oral hygiene procedures

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51 studies were included in this Cochrane review of chlorhexidine mouthwash as an adjunct to mechanical oral hygiene measures. The review provides high quality evidence for a large reduction in the build-up of plaque at 4 to 6 weeks or 6 months. There is also high quality evidence of a moderate reduction in gingivitis in patients with mild gingivitis which may not be clinically important.

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Toothpaste and plaque removal

Plaque off, Fluoride on. Brushing your teeth really is that simple.
Image: Adam Drewes (CC BY-NC-SA 2.0)

This review of the efficacy of brushing with and without a toothpaste for plaque removal identified 10 trials involving a total of 444 patients. While the results suggest no differences other reviews have demonstrated clear oral health benefits from brushing with toothpaste.

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Toothbrushing, plaque removal and gingivitis

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The aim of this review was to appraise and summarise systematic reviews of the efficacy and safety of available homecare toothbrush regimens for mechanical plaque removal on plaque and gingivitis in adults. Ten systematic reviews were included confirming that toothbrushing is effective in reducing levels of dental plaque.

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Professional mechanical plaque removal for secondary prevention of periodontal disease

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For this review of professional mechanical plaque removal 19 studies were identified. While benefits were shown for an number of outcomes; tooth loss; clinical attachment; pocket depth and bleeding on probing the impact on long-term tooth survival and stability of periodontal parameters has still to be assessed.

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