Rules for using mouthwash: how not to harm your teeth

Soldatova Lyudmila Nikolaevna

Candidate of Medical Sciences, Professor of the Department of Clinical Dentistry of the St. Petersburg Medical and Social Institute, Chief Physician of the Alfa-Dent Dental Clinic, St. Petersburg

Oral hygiene is not only regular brushing of teeth in the morning and evening, but also the use of other means to remove bad breath and prevent dental diseases. One of these products is mouthwash. Previously, decoctions of medicinal plants were used in this capacity. Modern medicine offers complex, balanced compositions that have a targeted effect and provide the desired therapeutic or preventive effect.

Purpose of rinses for the mouth and gums

Dentists recommend using these products for:

• Keeping your breath fresh.
• For people who smoke, the components included in the product prevent yellowing of tooth enamel, and also reduce the destructive effect of nicotine and tar on tooth enamel.
• Reducing the effect of “staining” of the enamel as a result of frequent consumption of coffee, tea, wine and other drinks that affect the color of teeth.
• To reduce inflammation in the gums and reduce their bleeding.
• Reduced enamel sensitivity.

Also recommended for use:

• People who suffer from various oral diseases.
• Patients who have braces, dentures or any other structures in the oral cavity.
• After operations in the oral cavity (tooth extraction, installation of implants, etc.).

It must be taken into account that rinses are used as an aid to oral care. They should not be used as a substitute for brushing your teeth. The liquid product helps get rid of food particles and germs that cannot be removed during regular cleaning.

Natural homemade recipes for brushing teeth

Natural toothpaste and homemade teeth cleaning recipes are very easy to make, and it's worth taking the time, even if it's just a few weeks, to give your body a break from fluoride. Although fluoride is very good for our teeth, strengthening them and helping to protect them from decay, it also has adverse effects on the nervous system. With increasing levels of fluoride being added to our drinking water and toothpastes, it is no surprise that more and more people are now choosing to make their own dental cleaners. Below are two tooth cleaning options that I often use to brush my teeth at home, and they are just as effective as the toothpaste I buy at the store.

Composition of funds

The composition may include the following main components:

1. Substances aimed at eliminating the risk of inflammation (antiseptics). These include: triclosan, chlorhexidine
2. Fluorine compounds (sodium fluoride, etc.)
3. Extracts from plants (extracts)
4. Xylitol
5. Ethanol

The components contained in each product may differ depending on the purpose for which a particular mouthwash is made. Ethyl alcohol is practically not used in modern rinses, since it can dry out the oral cavity.

Types of balms and mouth rinses

Depending on the composition, dental elixirs can belong to one of three groups.

Deodorizing . These are universal solutions for the prevention of gum and dental problems. They are suitable for everyone, as they freshen breath well. And they are indispensable for people who experience discomfort from bad breath or notice a specific taste in the mouth during the day. Typically, manufacturers label them as refreshers or balms for bad breath.

Anti-plaque . The intensity of plaque formation is determined by the activity of bacterial microflora. A mouth and gum rinse with antibacterial components inhibits the growth and reproduction of bacteria, thereby reducing the rate of plaque formation on the enamel surface. Often these products contain chlorhexidine. Its molecules have the ability to adhere to tooth enamel and prevent the proliferation of bacterial microflora for several hours. But within this advantage lies a threat. Chlorhexidine destroys all bacteria without dividing them into “bad” and “good”. And with prolonged use, it can cause persistent disturbances in the microflora of the oral cavity. Therefore, products with antiseptic components are not recommended for constant use. They should be used from time to time, in short courses over two weeks. After this, you should take a break and replace the antiseptic tooth elixir with another one without an antibacterial effect.

Remineralizing . Mineral compounds help strengthen tooth enamel. As a rule, fluoride compounds in various concentrations act in this capacity. On the packaging, the manufacturer must indicate the volume of fluorides in the solution. If the amount of active substance does not exceed 0.05%, it can be used daily for an unlimited time. Increased fluoride concentrations require monitoring when using dental elixirs. They can be used as prescribed by the dentist, in the recommended course or at intervals:

• once a week - at a fluoride concentration of 0.1%;
• once or twice a week - at a fluoride concentration of 0.2%.

“A mouthwash for everyday use should contain refreshing ingredients to give fresh breath,” explains Anna Derevyannykh. — It is desirable to have fluorides and calcium compounds that strengthen the enamel. Specific components, antiseptics or enzymes, are needed for diseases of the oral cavity, for example, gum disease.”

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Classification

The classification divides mouth products into two main groups:

• hygienic (cosmetic) - in fact, only masking the problem;
• medicinal - really eliminating it.

Hygienic ones include deodorizing mouth rinses - refreshing, eliminating unpleasant odor, and whitening - brightening tooth enamel.

Therapeutic rinses can be divided into:

• anti-caries;
• painkillers (anti-inflammatory);
• antibacterial;
• against gingivitis and plaque;
• against tartar;
• astringents.

Anti-caries products usually contain a lot of fluoride, which strengthens teeth well. They are often prescribed to those who wear braces.

Pain-relieving mouth rinses are designed to relieve acute pain associated with certain oral diseases. You can buy mouthwashes with this effect in pharmacies.

Antibacterial rinses destroy harmful microorganisms and keep gums healthy; they usually have a complex synthetic composition.

Rinses that are designed to prevent gingivitis and plaque act on bacteria, slowing their growth in the mouth. If the product contains antiseptics, for example, triclosan, then it is used only with a prescription.

Anti-tartar products contain calcium citrate.

Astringents constrict blood vessels, thereby reducing their sensitivity, and form a film on nerve endings, protecting them from inflammation.

Who needs dental rinses and why?

Let's start with the fact that this is an additional hygiene product. When rinsed correctly, the balm penetrates into the space between the teeth, providing quality care and prevention of many diseases.

If we go back to the distant past, natural dental hygiene products in the form of all kinds of decoctions and herbal preparations were known to our ancestors much earlier than pastes and powders. Many ingredients are still found in mouthwashes: oak bark, fir, green tea, chamomile and others.

First, let's define the classification. Rinses are hygienic and medicinal. The first ones relate more to cosmetic products. Their main task is to eliminate unpleasant odors. But medicinal ones are really capable of a lot.

Depending on the composition of the active ingredients, medicinal rinses can slow down the growth of bacteria and the deposition of plaque and tartar, prevent caries, strengthen the enamel, relieve inflammation and bleeding of the gums, and enhance the effect of whitening and fluoridation procedures. They will become reliable assistants in the prevention of many oral diseases. Among other things, mouth rinses are also good because most of them are convenient and completely ready-to-use products that can provide express care or quickly freshen breath.

Since most mouthwashes contain alcohol, you need to be extremely careful with them: follow the dosage, do not swallow, do not give to children. But alcohol-free products can be used by children from 6 years of age, pregnant women and those who do not drink alcohol.

How to use it correctly?

Recommendations for using the product:

1. The amount of product must correspond to the recommended amount. Information on the required dosage can be found in the package insert or on the cap of the rinse aid. Some manufacturers of products provide special dispensers that do not allow the use of liquid in excess of the norm.
2. The product must be diluted if this is stated in the instructions.
3. Mouthwash is usually used after daily brushing of teeth. More frequent use is possible only after consultation with your doctor.
4. The rinsing time is from 20 seconds to a minute.
5. The product should not be swallowed.
6. It is not recommended to consume food or liquid for half an hour after the procedure.
7. For young children, it is advisable to purchase products that are suitable for their age.

Precautions for use

Before purchasing the product, you should consult with your doctor, since, in addition to the obvious benefits, there are several negative factors associated with its use:

1. Change in taste sensations.
2. Darkening or change in the natural color of tooth enamel as a result of prolonged use of mouthwash.
3. If the product contains ethanol (ethyl alcohol), its use is hazardous to health (since there is a possibility of accidental ingestion of the liquid).

Do not forget about the individual intolerance of the body to some components. It is recommended to carefully study the composition before using the product so as not to cause harm to health. The most common side effects when using mouthwash:

• Burning in the mouth.
• Nausea.
• Diarrhea.
• Dry mouth.
• The appearance of seizures.
• Blueness of fingertips.
• The appearance of an inflammatory process in the lymph nodes.
• Dizziness.
• Blue lips.
• Excessive thirst.
• Impaired coordination of movements.
• Difficulty breathing, etc.

If at least one of the above symptoms appears, you should stop using the drug and consult your doctor. If the product is used as prescribed by a doctor, the risk of side effects is minimal.

What's in commercial mouth rinses?

It is worth living in harmony with nature, taking care of yourself, your loved ones and the environment. We noticed that many mouthwashes that we buy have such an intense smell or taste that they cause irritation to the mucous membranes.

Such liquids contain carcinogenic dyes and various acids that destroy tooth enamel. It's hard to believe that a delicate hygiene product can contain harmful substances. However, this is true.

While rinsing your mouth, you may accidentally swallow. And the oral mucosa absorbs liquid. As a result, toxic substances enter the bloodstream and are distributed throughout the body.

Here are commonly found ingredients in commercial products.

• Alcohol. Dries out the mouth and may cause an unpleasant odor as a result;
• Chlorhexidine. An antiseptic component that constricts blood vessels and, as a result, causes cardiovascular diseases, including increased blood pressure;
• Hexetidine. A substance with antibacterial and bactericidal properties that can lead to neurological disorders;
• Parabens. Increase the risk of endocrine disorders, allergies and immunotoxicity;
• PEG (polyethylene glycol) and PPG (polypropylene glycol). The toxic gas ethylene oxide is used in production. Additionally, these components may also be contaminated with dioxane or contain poisonous gas particles, which will ultimately cause DNA damage;
• Methyl salicylate. Ingredient that causes severe poisoning;
• SLS and SLES. Substances that may be contaminated with carcinogenic dioxane with mutagenic properties.

It's no surprise that the number of oral cancer cases is increasing every year. Moreover, recent research shows that these powerful antiseptics kill both harmful and beneficial bacteria found in the mouth.

Researchers at Harvard University have linked these antibacterial treatments to an increase in diabetes cases.

Forest balm rinse for gums composition instructions for use

Mouthwash: is it necessary and who should use it?

Today, rinsing liquids are not very popular. However, the question of whether modern man needs them should be answered in the affirmative. After all, it is very important to maintain a healthy oral cavity, preventing the proliferation of pathogenic bacteria.

In case of weak gums, their tendency to bleeding and inflammation, chronic diseases and when recovering from surgery, the use of gum rinses is simply necessary. Such products contain substances to relieve inflammation and quickly heal gum tissue, strengthen and reduce bleeding.

If you have very sensitive teeth, it is also worth using a mouthwash regularly. There are products specifically designed for teeth that react painfully to hot and cold foods and drinks. They not only strengthen tooth enamel, but also create a protective film that lowers the sensitivity threshold and also protects teeth from cervical caries.

Using mouthwash during pregnancy will help many expectant mothers keep their teeth intact and healthy. Indeed, during this period, bleeding gums, increased sensitivity of teeth, and damage due to a lack of vitamins and minerals may appear. Therefore, it is especially important to monitor oral hygiene. Special compounds create a protective film, preventing the destruction of tooth enamel.

Rinse aids "ASEPTA"

Typically, manufacturers of rinses produce them in specialized series, each product is “responsible” for the treatment (prevention) of a specific disease (or diseases that are closely related to each other). For example, Asepta Fresh mouthwash helps get rid of unpleasant odors thanks to the antibacterial effect of plant extracts and mint with lime. You can buy mouthwash in regular pharmacies and stores, large supermarkets, online pharmacies and online stores.

Asepta Fresh mouthwash is made from natural plant ingredients:

• Lime and mint provide pleasant flavor profiles.
• Potassium and sodium remove plaque and tartar.
• Extracts of witch hazel, sage and chamomile provide antimicrobial and anti-inflammatory effects.
• Xylitol protects tooth enamel.
• Potassium citrate reduces the sensitivity of enamel.

Characteristics of Asept Fresh and its effects:

• Protects teeth and gums from plaque.
• Has a calming effect.
• Prevents the occurrence and development of carious formations in the oral cavity.
• Preserves the natural whiteness of tooth enamel.
• Provides fresh breath for a long period.
• Prevents gum inflammation and reduces bleeding.
• The product does not contain components such as alcohol and dyes.
• It can be used for an unlimited amount of time.
• Has no contraindications.

Taking into account the peculiarities of the action of various rinses, dentists recommend using not one, but several products - either alternating them or using them in combination. Since these products play a supporting role, they are usually matched with appropriate toothpastes. Complex influence is much more effective.

Regular use of properly selected rinses is not only an attractive appearance of the oral cavity, but also the health of teeth and gums.

With essential oil

It is better to prepare rinses with essential oils in alcohol for long-term storage.

There are 2 simple recipes:

1. Mix 200 ml of vodka, 20 drops of mint oil, 15 thyme, 5 sage and 5 myrrh. A teaspoon of the mixture is added to a glass of water before each rinse.
2. Mix 200 ml of vodka, 10 drops of lemon juice, 15 tea tree oil, 10 lavender. This product also has a whitening effect. Applies like the previous one.

A good antibacterial rinse would be one with tea tree oil and mint. To prepare, you need to take 200 ml of water, 5 drops of mint oil and 5 tea tree oil. This product will give you a feeling of freshness and cleanliness.

Other recipes for natural alcohol-based mouthwashes:

1. 200 g of vodka is mixed with 500 ml of water, 30 ml of glycerin and 10 ml of aloe juice are added to the solution. The mixture is brought to a boil, then 20 drops of mint oil are added.
2. Add 5 drops of mint oil and 5 mg of cinnamon powder to a glass of vodka. This remedy should sit for several days. After preparation, the mixture is filtered and used for rinsing.
3. Mix two teaspoons of mint and sage, add 5 tablespoons of red sandalwood powder. The mixture is poured with a liter of water and 200 ml of alcohol. The product is infused for a week in a dark place.
4. The container contains 50 ml of water, 100 ml of vodka, 15 drops of lemon juice and 20 bergamot oil. The contents are shaken and infused for 7 days. Before use, a teaspoon of infusion is diluted in 50 ml of water.

Clinical researches

ASEPTA rinses are clinically proven effective. For example, repeated clinical studies have proven that the two-component oral product ASEPTA ACTIVE more effectively combats the causes of inflammation and bleeding compared to single-component rinses - it reduces inflammation by 41% and reduces bleeding gums by 43%.

Sources:

1. The role of anti-inflammatory rinse in the treatment of periodontal diseases (L.Yu. Orekhova, A.A. Leontyev, S.B. Ulitovsky) L.Yu. OREKHOVA, Doctor of Medical Sciences, Prof., Head of Department; A.A. LEONTIEV, dentist; S.B. ULITOVSKY, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I. P. Pavlova
2. Report on determining/confirming the preventive properties of commercially produced personal oral hygiene products: Asepta toothpaste used in combination with Asepta mouthwash and Asepta gum balm Head. Department of PFS Doctor of Medical Sciences Professor S.B. Ulitovsky St. Petersburg State Medical University named after Academician I.P. Pavlova. Faculty of Dentistry. Department of Preventive Dentistry.