Maximising support with evidence-based plaque management


When Johnson & Johnson introduced collectively a bunch of dental hygienists and therapists for the very first Hygienist Advisory Panel assembly, they shared their views in relation to plaque administration.

The group additionally explored the proof base in relation to the advantages and any limitations of mechanical cleansing. In addition to doable adjunctive help within the type of a chemotherapeutic mouthwash.

Constructing on the outcomes of the sooner Nationwide Advisory Panel fashioned of key opinion leaders, the group then agreed on the next consensus:

‘Wholesome gums don’t bleed when brushed. Twice every day brushing alongside the gum line and cleansing in between the enamel is important to help a wholesome mouth. Fluoride mouthwashes clinically confirmed to cut back germs (plaque) provide extra profit.’

Under the age of seven

‘Spit don’t rinse.’

Over the age of seven

‘For higher gum well being, after brushing spit after which rinse with a fluoride mouthwash that’s clinically confirmed to cut back germs (plaque).’

The present proof base

When investigating the proof base for adjunctive plaque administration, Figuero and colleagues (2020) concluded that adjunctive antiseptics in mouthwash present statistically important reductions in plaque in comparison with mechanical cleansing alone at six months.

This was the result of a scientific overview and meta-analysis exploring the adjunctive use of 11 completely different mouth rinse formulations (Figuero et al, 2020).

In addition they got here to the conclusion that: ‘…regardless of the excessive variability within the variety of research evaluating every energetic agent and the completely different dangers of bias, CHX [chlorhexidine] and EOs [essential oils], in mouthrinses seemed to be the simplest energetic brokers for plaque…management.’

The Figuero and colleagues’ (2020) outcomes add to the pre-existing proof base introduced by Araujo and colleagues (2015). This was the primary meta-analysis to display the clinically important, site-specific good thing about adjunctive important oil mouthwash in individuals inside a six-month interval (that’s, between dental visits).

The evaluation revealed that 36.9% of topics utilizing mechanical strategies with important oil-containing mouthwash skilled not less than 50% plaque-free websites after six months. This compares to only 5.5% of sufferers utilizing mechanical strategies alone (Araujo et al, 2015).

The Johnson & Johnson mouthwash vary

Throughout the Johnson & Johnson mouthwash vary, it has been demonstrated that, when used as an adjunct to mechanical cleansing, Listerine Whole Care, an important oil mouthwash with fluoride, manages plaque ranges to assist forestall gingivitis and caries (Boyle, Koechlin and Autier, 2014; Duckworth et al, 2009).

Listerine Whole Care might due to this fact help the efforts of a affected person requiring early intervention. That is by advantage of its important oil formulation consisting of eucalyptol, thymol, menthol and methyl salicylate, all of that are confirmed to:

  • Penetrate the plaque biofilm (Pan et al, 2000)
  • Handle the bacterial load of the mouth (Minah et al, 1989)
  • Scale back maturation of remaining biofilm colonies (Johnson & Johnson knowledge on file).

It has been demonstrated that, when used as an adjunct to mechanical cleansing, Listerine Whole Care achieves 5 instances extra plaque-free websites than mechanical strategies alone, which can assist to stop gum illness (Araujo et al, 2015).

Listerine Whole Care merchandise additionally comprise fluoride, from 220 ppm to 300 ppm, relying on the product in query, which can contribute to anti-caries safety (Duckworth et al, 2009) .

Via its vary of mouthwashes, Johnson and Johnson helps dental groups work in partnership with sufferers, with particular merchandise designed to enhance residence care routine outcomes considerably, which helps to help the periodontal and dental well being of your sufferers when used along side mechanical cleansing.

For extra data, go to


Araujo MWB, Charles C, Weinstein R, McGuire J, Parikh-Das A, Du Q, Zhang J, Berlin J and Gunsolley J (2015) Meta-analysis of the impact of an important oil-containing mouthrinse on gingivitis and plaque. J Am Dent Assoc 146: 610-22

Boyle P, Koechlin A and Autier P (2014) Mouthwash use and the prevention of plaque, gingivitis and caries. Oral Dis 20(1): 1-76

Duckworth RM, Maguire A, Omid N, Steen IN, McCracken GI and Zohoori FV (2009) Impact of rinsing with mouthwashes after brushing with a fluoridated toothpaste on salivary fluoride focus. Caries Res 43: 391-6

Figuero E, Roldán S, Serrano J, Escribano M, Martín C and Preshaw P (2020) Efficacy of adjunctive therapies in sufferers with gingival irritation. A scientific overview and meta-analysis. J Clin Periodontol 47: 125-43

Minah GE, DePaola LG, Overholser CD, Meiller TF, Niehaus C, Lamm RA, Ross NM and Dills SS (1989) Results of 6 months use of an antiseptic mouthrinse on supragingival dental plaque microflora. J Clin Periodontol 16: 347-52

Pan P, Barnett ML, Coelho J, Brogdon C and Finnegan MB (2000) Willpower of the in situ bactericidal exercise of an important oil mouthrinse utilizing an important stain technique. J Clin Periodontol 27: 256-61

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