|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] (no subject)
hillivie423@adelphia.net wrote:
Can you suggest a brand name of such a spray? Cepacol spray comes to my mind.
*** Cepacol, unfortunately, is too harsh. The complete removal of plaque requires abrasion either by brush or some other means. The spray has to be prepared by pacing the appropriate, alcohol free mouthwash (see following) in one of those little plastic spray bottles available in any drug store, usually for travelling.
Fine PD. A clinical trial to compare the effect of two antiseptic mouthwashes on gingival inflammation.J Hosp Infect, 6 Suppl A:189-193 1985
A trial was made comparing the effects of efficient and thorough removal of plaque and debris alone, and with a daily antiseptic mouthwash. The results showed considerable variation but no significant difference in gingival inflammation between hygienic treatment and a daily mouthwash with chlorhexidine-gluconate or povidone-iodine. Povidone-iodine caused less staining of the teeth than chlorhexidine-gluconate.
Hirota K; Yoneyama T; Ota M; Hashimoto K; Miyake Y .Pharyngeal bacteria and professional oral health care in elderly people.Nippon Ronen Igakkai Zasshi, 34:125-129 1997
In 15 elderly residents of an old-age home, we measured the total number of bacteria and the numbers of streptococci and staphylococci in the pharynx over 5 months. Seven residents received professional oral health care from dentists and dental hygienists and eight practiced oral care by themselves or together with a helper. During the 5 months, the total number of bacteria and the numbers of streptococci and staphylococci decreased (p < 0.01) in those who received professional care. In contrast, the total number of bacteria and the numbers of streptococci and staphylococci neither did not change or increased in those who did not receive professional care
These findings show that professional oral health care by dentists and dental hygienists can decrease the total number of bacteria and the numbers of streptococci and staphylococci in the pharynx of elderly people, which might prevent aspiration pneumonia
Comparison of chlorhexidine delivery by mouthwash and spray on plaque accumulation.Kalaga A; Addy M; Hunter B.J Periodontol, 60(3):127-30 1989
The delivery of chlorhexidine by spray systems have been found useful in controlling plaque in handicapped individuals. This study using a single blind crossover design compared chlorhexidine delivery by mouthwash and spray for plaque inhibitory effects. A group of 14 volunteers participated in two 4 day, no oral hygiene regimens. During one regimen chlorhexidine was professionally sprayed onto the teeth twice a day and during the other chlorhexidine was rinsed twice a day under supervision. Plaque regrowth from a zero baseline was recorded using a plaque index and by area. Little plaque accumulated during the two periods. There was no significant difference in plaque measurements following the use of the spray or mouthwash. This study demonstrated that chlorhexidine when sprayed under optimal conditions was as effective as a mouthwash at controlling plaque despite only requiring one seventh of a dose from a rinse. The results have implications for the use and delivery of
chlorhexidine for plaque control and are relevant to the proposed mode of action of this antiseptic.
Jenkins S; Addy M; Newcombe RG. A comparison of cetylpyridinium chloride, triclosan and chlorhexidine mouthrinse formulations for effects on plaque regrowth. J Clin Periodontol; 21:441-4 . 1994.
This study aimed to compare equal concentrations of 3 antimicrobial agents on 20 healthy volunteers. The mouthrinses were 0.05% solutions of cetylpyridinium chloride (CPC), chlorhexidine and triclosan, together with a 0.1% CPC and a control rinse. All rinses produced lower mean plaque values compared to control, but triclosan did not reach significance. The greatest plaque inhibition was with 0.1% CPC although not significantly greater than the 0.05% CPC and chlorhexidine rinses.
And, to demonstrate different forms of delivery of mouthwash:
A comparison of three delivery methods of chlorhexidine in handicapped children. II. Parent and house-parent preferences.Francis JR; Addy M; Hunter B.J Periodontol, 58:456-9. 1987.
As part of a study of chlorhexidine used for plaque control three delivery methods of chlorhexidine were used: 0.2% mouthwash, 0.2% spray, and 1% gel in trays. Responses showed the least preference for, and most difficulties with, the gel in trays. The spray was the most popular and 96% of the respondents would be prepared to use this indefinitely.
This may be the most useful method for patients with swallowing impairment.
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
|
|