What is the Best Mouthwash for Periodontal Disease?

Periodontal disease, also known as gum disease, affects millions of people worldwide. While there are numerous mouthwashes available commercially, their effectiveness is often questionable, especially when it comes to addressing the deeper levels where gum disease typically resides.

Clara Leo provides a detailed analysis on utilizing certain mouthwashes, recommending Colgate for sensitive teeth, Equate Long Lasting for its alcohol content, and Repair Protect paste for its calcium phosphate content. However, despite these products being useful, they may not be sufficient on their own for treating periodontal disease effectively.

The Limitations of Commercial Mouthwashes

Commercial mouthwashes, while marketed to provide freshness and improved oral hygiene, often contain alcohol which can dry out the mouth. This drying effect can create an environment ripe for bacterial growth. Moreover, studies suggest that even the most effective commercial mouthwashes can only penetrate the gumline by a mere 1.5 millimeters, which is insufficient for gum disease that starts at a minimum of 4 millimeters below the gumline.

Chlorhexidine and Its Challenges

Chlorhexidine, a commonly prescribed mouthwash, has its own set of complications due to the formation of coagulated mineral/protein stains, making it difficult to maintain a clean oral environment. Furthermore, relying solely on mouth rinses to replace regular brushing, flossing, and professional cleanings is undoubtedly insufficient. It is essential to have a comprehensive and aggressive home care protocol to manage and improve periodontal health.

Home Protocols Proven to Be Effective

For those looking for a more effective method, a simple and clinically proven protocol involves the use of household products. It's important to note that while these methods can be effective, they should always be supplemented with regular dentalcheck-ups and professional cleanings.

Home Care Protocol

Continue with regular brushing, flossing, and the use of a WaterPik as recommended by your dentist or periodontist. Start using a homemade bleach solution to disinfect the gumline. Mix two teaspoons of hydrogen peroxide in one quart of water. This solution should be used twice a week, as it has a strong taste that may be unpleasant. If tolerance is an issue, reduce the amount to one teaspoon. Purchase a WaterPik with a reservoir and use it to apply the bleach solution twice a week only. After use, rinse the WaterPik with regular water to flush out the bleach. Use tap water with the WaterPik for the rest of the week to maintain a daily flushing of the gums. Chew xylitol-based gum, such as Orbit or Mentos, three times a day. Xylitol is a sugar substitute known to inhibit bacterial growth and produce a non-inhabitable microbial environment for bacteria. Regardless of the amount of xylitol, the outcome is effective in controlling bacterial populations. Alternatively, opt for xylitol breath mints for those who cannot or prefer not to chew gum.

These simple, yet effective, home care protocols can serve as a powerful adjunct to professional dental care, helping to reduce the risk and progression of periodontal disease. By combining these methods with regular dental visits, you can significantly enhance your oral health and maintain a healthier smile.

Conclusion

While commercial mouthwashes may offer temporary relief and freshness, they are not always effective in combating periodontal disease due to their limitations. Implementing home care protocols that involve the use of a bleach solution with a WaterPik, combined with the use of xylitol-based products, can provide a proven, effective solution for managing periodontal disease.