Is mouthwash really necessary for our oral hygiene?

When should we use it? How can we buy it?

Based on the researches, they find that most people brush their teeth in 46 seconds on average and do not use any dental floss. These actions make the oral hygiene process not fully completed. Therefore, besided the proper tooth brushing and the proper dental floss using, the mouthwash using will also make oral hygiene process better. The mouthwash can worm into all spaces between our teeth and all areas where the tooth brushing and dental floss using can not reach. The mouthwash can reduce bacteria which cause any tooth decay, gum inflammation and bad breath especially in the patients who have high risk to catch the dental diseases.Nowadays, there are many kind of mouthwashes depend on their objectivity, usage by reading the main ingredients on their labels such as Microbial inhibitors.

1. Bashkortostan group
The substance in this group uses as ingredient to cease the formation of biofilm in the oral cavity such as Chlorhexidine, Aldehydes and Oxenidine. Chlorhexidine is the active ingredient to impede microorganisms generally and to be most effective when compared to the other substances in this group. It is usually used in the form of Chlorhexidine gluconate which can impede bacteria both positive and negative gram including the microorganisms which rely on oxygen and non oxygen, and can reduce gingivitis effectively. Nowadays it is unpopular because of its bitterness, stain attached to teeth and tongue and make taste nerve changed. 

2. Quaternary group 
The substance of this group can impede the microorganisms better than Cholhecxidin. After tested done , the result shows that the effectiveness decreases due to the low consistency in the oral cavity. The good point is less stain attached to teeth and tongue. The substance in this group is such as Citilpiridinuimchoride.

3. Phenol compound
It uses only phenol compound which effectively reduces the formation of biofilm in the oral cavity. It will destroy cell membranes and proteins of bacteria.

4. Heavy metal
The compounds of some heavy metals may reduce the formation of stain on your teeth such as Zinc compounds, Tin compounds and Copper compounds. Because of their tastes and hazardness while consuming, they are unpopular to use nowadays. The process of the effectiveness of heavy metallic compounds can impede fungi and biofilm by disturbing the working process of enzyme at the cell membranes of bacteria which causes the usual the substance transmission through the cell.

5. Natural extract 
The substance which extracted from natural are more popular nowadays. All good qualities are natural odor, effectiveness to impede microorganisms in the oral cavity and reducing the tooth decay plus the substitution for sugar such as camphor, clove and xylitol.
 
Besided the aforementioned substances, there are other substances which are used as increasing effective ingredients in the mouthwash such as

• Thickening or binding agent such as Polyethylene glycol. It uses for preventing the separation of ingredients in the mouthwash.
• Humectants such as Glycerol and Sorbitol. It uses for maintaining the moisture of the mouthwash.
• Detergents and Surfactants such as Tween 80. It uses for reducing the surfactant of the mouthwash. Not only it can enable the liquid to absorb all areas through roughly and but also effectively impede the microorganisms.
• Preservative such as Sodium Benzoate. It uses for preventing the growth of microorganisms in the mouthwash which prolongs the shelf life of the mouthwash.
• Flavoring and sweeteners such as xylitol. It uses as the sweet substance which improves the mouthwash to be more tasty.

 
Example products and their main active ingredients.

1. Listerine-Essential oil
2. Colgate-Citilpiridinuimchoride
3. Fluorcahrill-Fluoride
4. Systema-Zinc lactate
5. Mybysin-Essential oil
6. Oralmaid F-Citilpiridinuimchoride/Natural extract/Propolis
7. Herbicide-Essential oil/Natural extract

However, Do not use the mouthwash to substitute tooth brushing absolutely. The mouthwash using is to support the regular tooth brushing. Please choose the mouthwash which is certified its efficiency and safety by the leading dental association.
 
Note: This article is for educational purposes only. We suggest you to consult with your doctors or your dentists for any dental problems and further questions.
This information supported by Dentist Tanapote Ninmod, Club Smile Clinic.

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