Antimicrobial Therapy And Chemical Agents

The difficulties in the personal or professional application of mechanical treatments and the presence of areas that serve as reservoirs for microorganisms in periodontal lesions in the oral environment have brought up methods that provide chemical plaque control in the prevention, treatment, and maintenance of periodontal diseases. It has been suggested that various chemical agents be used alone or in combination to increase the effectiveness of mechanical treatment.

Antimicrobial periodontal therapy is based on the fact that periodontal diseases are infectious diseases. The goal of antimicrobial therapy for periodontal diseases is to destroy periodontal pathogens in the oral cavity.

Local application of antimicrobial agents is recommended because it prevents adverse reactions that may arise from systemic application and can be localized at high concentrations in infected areas.

Local antimicrobial agents can be applied individually with oral hygiene practices at home, or they can be applied professionally as a treatment method. Local application of antimicrobial agents to the supragingival region is usually done in two different ways: 1. Application through mouthwashes 2. Pulsed irrigation

In order to achieve this therapeutic goal, various types of antimicrobial chemical agents (chlorhexidine gluconate (CHX), oxygen releasing agents, amine fluoride, stannous fluoride (SnF2), sanguinarine, essential oils and phenol compounds have been introduced and evaluated.

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