Rinse for oral health

September 11, 2013

SINGAPORE – Many people use mouthwash as part of their dental regimen. But it should not be a substitute for brushing or flossing, says Dr TramHoang, a dental surgeon at Q&M Dental Centre.

“Mouthwash or mouth rinse can be used to freshen breath, help prevent or slow the progression of tooth decay (cavities), reduce the amount of plaque (bacterial biofilms), reduce how quickly plaque turns into tartar, reduce gingivitis (inflammation in the gums), and sensitivity that is associated with gum recession,” she says.

“Mouthwash is only a supplement to proper tooth-brushing, flossing, and receiving regular dental check-ups with professional cleaning. Using a mouthwash to mask bad breath can leave more serious problems of tooth decay or gum disease untreated which may eventually lead to tooth loss.”

Some mouthwash manufacturers claim that their products “remove plaque”, and “prevent gum disease”.

She points out: “Bacterial plaque needs to be mechanically removed by brushing and flossing so simply swishing with a mouthwash is not any better at removing plaque than rinsing with water.”

She says: “If someone thoroughly brushes their teeth twice daily, flosses daily, visits their dentist regularly, and is considered to be in good oral health by their dentist, then I would consider that to be adequate.”

People who have spaces or gaps in between their teeth can use additional cleaning aids such as interdental brushes or other special toothbrushes to clean around braces or hard to reach places in the mouth.

For maximumeffectiveness, Dr Tram advises consumers to floss and brush their teeth before using mouthwash.

On how to rinse, she says: “You should rinse with your lips together and your teeth slightly apart and swish the liquid around the inside of your mouth.”

Most mouthwash manufacturers recommend keeping the rinse in your mouth for at least 30 seconds before spitting out.

She says: “Rinsing, eating, or smoking within 30 minutes after using the mouthwash may dilute the ingredients in the rinse and make it less effective.”

Which mouthwash you should choose depends on why you want to use it.

Dr Tram says: “Some people just want a mouthwash to freshen their breath, and most mouthwashes are able to do this. Cosmetic mouthwash reduces bad breath and often leaves a pleasant taste. Therapeutic mouthwashes have ingredients to reduce plaque, gingivitis, cavities,or sensitivity and usually also freshen breath.”

People who are at a high risk for getting cavities or have many fillings should use a mouthwash that has fluoride which strengthens tooth enamel and thereby reduces the risk of getting future cavities, she says. “People who have a history of gum disease can consider mouthwashes that are antiseptic or anti-plaque.”

If your teeth are sensitive to cold foods or sweets, there are mouthwashes specially formulated to treat the exposed root surfaces of teeth. There are a variety of options in the market. For instance, Systema Sensitive Soothing Mouthwash is suitable for people with sensitive teeth and is said to numb pain and relieve red and swollen gums.

A Lion Corporation spokesman says that Systema also offers a complete gum care system for healthy gums and teeth. The regime includes its Super-Tapered Soft & Slim bristled toothbrush; GumCare Toothpaste; Interdental Brush &Gel; as well as its mouthwash.

Ms Nor Aziah, associate director, Singapore Oral Care, Colgate-Palmolive (Marketing), says that most consumers are unaware that 80 per cent of the bacteria in their mouth resides on the tongue, area near the throat, the palate (roof of the mouth) and gums which are usually neglected during brushing.

She says: “Colgate Plax has a large selection of mouthwashes, each catering to different needs and preferences ranging from minty to tea flavours and even sensitive and whitening formulas.”

The brand’s newest flavour is Plax Fruity Fresh, which was launched in June.

Common side effects of using mouthwashes is a burning sensation that can be felt on the cheeks, tongue, or gums and less common side effects can include, ulcers, tooth sensitivity, stains on the teeth, and altered taste perception. Dr Tramsays that mouthwashes that are alcohol-free tend to cause less burning sensation or other side effects, and can also be effective.

She adds: “Children under the age of six shouldn’t use mouthwashes containing fluoride because they may accidentally swallow the rinse, which may cause fluoride toxicity.”

Source: The Straits Times

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Category: Features, Wellness and Complementary Therapies

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