Antimicrobial mouthrinse use as an adjunct method in peri-implant biofilm control

Made available in DSpace on 2019-09-11T20:58:31Z (GMT). No. of bitstreams: 0 Previous issue date: 2014Great 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.[RODE, Sigmar de Mello] Univ Estadual Paulista, BrazilCOSTA, Fernando Oliveira] Universidade Federal de Minas Gerais, BrazilALMEIDA, Eliete Rodrigues de] Universidade Cruzeiro do Sul, BrazilPANNUTI, Claudio Mendes] Universidade de São Paulo, BrazilHAAS, Alex Nogueira] Universidade Federal do Rio Grande do Sul, BrazilCORTELLI, José Roberto; CORTELLI, Sheila Cavalca] Universidade de Taubaté, BrazilESCOBAR, Elaine Cristina; ANDRADE, Ana Karina Pinto de] Faculdades Metropolitanas Unidas, BrazilPEDRAZZI, Vinicius] Universidade de São Paulo, Brazi