3/22/2023 0 Comments Swish mouthwash![]() ![]() SB does not have any direct antimicrobial effects but has an active role as a cleansing agent because of its ability to dissolve mucus and loosen debris. On the other hand, bland oral rinses such as 0.9% saline solution, sodium bicarbonate (SB) solution, or saline-SB solution have been introduced for oral health care which not only promote patient comfort but also help in maintaining moisture content of the oral epithelial barriers, and thus, also help in reduction of secondary infection risk. ![]() ![]() Moreover, cost factor of such medications is a major hindrance in their introduction in clinical practice. Till date, an array of medicated as well as nonmedicated solutions utilizing antimicrobial, anti-inflammatory properties, mucosal coating, or recent advances such as cryotherapy, lasers, and growth factors have been used, but the effectiveness of such therapies is still obscure. Stephan in his time honored study has shown that plaque on tooth surface, when exposed to sucrose, can accelerate acid production, resulting in pH drop which could only be gradually restored to the baseline plaque pH. To understand the disease pathophysiology, it is considered that fermentation, which yields strong organic acids such as lactic acid along with other acids helps in promoting acidic environment that causes dissolution of the tooth enamel causing caries. In present day practice, dental plaque has been established as the chief causative agent for dental caries. ![]()
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