Since the early 1900s, oral rinsing has become a standard part of American culture. Consider for a moment that we are discussing a time when the typical household had an annual income of $3,000, no cars, phones, or indoor plumbing. And yet, mouth rinsing is still a cornerstone of general healthcare more than a century later. Today's options, however, are not the mouthwashes your grandfather used! Oral rinsing has undergone nothing short of a revolution, largely due to cutting-edge technologies and consumer demand. There is a seemingly endless supply of trendy flavors to persuade customers to buy and stay compliant, and new product compositions and iterations of old goods are routinely tried.
The repackaging of old goods and the emergence of novel, occasionally bizarre habits like oil pulling have caused dental practitioners all around the world to look into the most recent clinical studies. With claims of having analgesic, anti-inflammatory, antisepsis, and anti-cavity qualities, contemporary oral rinses are now frequently multifunctional treatments that are essential for preserving the patient's oral health. However, as we'll go over in more detail below, we are now also acknowledging the significance of mouth rinses in maintaining the safety of the dental hygienist while delivering clinical care.
In addition to regular brushing, dental hygienists already know that oral rinse is one of the most adherent home care regimens we can suggest to our patients. We are aware of how crucial it is to cater our professional advice to every single patient based on their unique demands, behavioral traits, and health routines. Oral rinses can differ from one another just as much as the sun differs from the moon. Oral rinses can be acquired without a prescription, over the counter, or solely at dental offices, depending on the active ingredients. Oral rinses may be categorized as a medication, cosmetic, or both under the Federal Food, Drug and Cosmetic Act, depending on their intended usage.
In order to determine the most common methods dental professionals are now using for oral rinses in a post-COVID-19 context, an informal survey of the American dental sector was conducted in October 2020. Unsurprisingly, using oral rinse as a pre-procedural rinse before the clinical session was by far the most common technique throughout the pandemic era. The cause? It is well established that pre-procedural rinsing greatly reduces oral bacteria.
Activated chlorine dioxide, which is present in OraCare Health Rinse, is also useful against human coronavirus, according to an interesting new study published on July 1, 2020. In just one minute, the human coronavirus was found to be reduced by 99.99% by the activated chlorine dioxide in OraCare, and the reduction persisted for 60 minutes. These findings suggest that OraCare is an excellent pre-procedural rinse because it not only reduces the number of germs in the oral cavity but also might contribute to reducing the number of pathogenic microbes that are left over.
Clinical technologies have advanced far beyond their 20th century roots, and cutting-edge oral rinses are currently being developed that can assist in treating several ailments at once. Take Jane Tooth, a pseudonymous 52-year-old Caucasian woman who struggles with obesity and a high-carbohydrate diet, as an example. In addition to not flossing, having a family history of heart disease, and having recently complained of dry mouth, Jane presents with a history of periodontal disease. She claims that she dislikes getting close to people because she feels self-conscious about her foul breath. Every three months, Jane sees her dental hygienist for periodontal maintenance. She is overdue for a thorough oral examination, full-mouth radiographic imaging, and periodontal charting.
Oral rinse should continue to be an important part of Jane's home care routine as well as her professional appointments. The dental hygienist should employ an oral rinse during the clinical session as a pre-procedural rinse or as a post-procedural irrigation after rendering therapeutic care. Naturally, the dental hygienist needs to advise daily home rinsing as well. In this situation, a rinse that reduces oral odor can be selected, which will probably increase Jane's compliance.
Future development of multipurpose oral rinses for the 21st century will make it more crucial than ever for formulations to reduce or eliminate negative side effects. Many more recent rinses, like chlorhexidine, have a reputation for staining, changing taste, and even causing oral discomfort, whereas older staple rinses like iodine and hydrogen peroxide claim a variety of negative effects. Since there was no cell toxicity at 60 minutes in the aforementioned study, activated chlorine dioxide found in Oracare is thankfully safe for human tissue. This makes activated chlorine dioxide completely safe for use on humans.
It's critical to figure out how dental hygienists can keep using oral rinses in our clinical care as long as they remain common home items. It's similarly crucial to keep advising oral rinses to our patients as a supplement to brushing and interdental cleaning for at-home care. What an improvement for oral rinsing!
Kristin Goodfellow RDH
Kristin is Chief Clinical Officer of OraCare, a practicing Registered Dental Hygienist