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Medical Forum / General / Dentistry / November 2006

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pockets and listerine

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rabbit - 28 Nov 2006 18:03 GMT
My periodontist suggested root planing for two pockets, one of 4mm and
the other of 6mm.

I asked whether if the use of a mouthwash might obviate the need for
perio intervention. He said to try Listerine.  We agreed that for the
next 3 months I would try to keep the area clean and see if I could
"cure" the pockets on my own.

I am now trying Listering and am dipping the small interdental brush
into Listerine to get it between the teeth.  Not using it as a
mouthwash but applying directly between the teeth.

Question:  Is using listerine in this way, directly between the teeth,
a good idea.  Or might it damage the gums in some way.  Should I stick
with the mouthwash....or should I do both.

Thanks for any advice.
Mark & Steven Bornfeld - 28 Nov 2006 18:16 GMT
> My periodontist suggested root planing for two pockets, one of 4mm and
> the other of 6mm.
[quoted text clipped - 13 lines]
>
> Thanks for any advice.

    I see little risk--but I wouldn't expect miracles.  Listerine is a
mediocre antimicrobial.  I'd concentrate more on the interdental brush
and less on what you put on it.
    If you wanted a trial with a more effective antiseptic rinse, I'd ask
my dentist if a prescription for Peridex (chlorhexidene gluconate 0.12%)
is a good idea.  It can cause staining and occasionally  change in taste
sensation though, so generally I don't have my patients on it for more
than a couple of months.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie - 29 Nov 2006 15:58 GMT
>My periodontist suggested root planing for two pockets, one of 4mm and
>the other of 6mm.
[quoted text clipped - 13 lines]
>
>Thanks for any advice.

Am surprised that you weren't given an Rx for Peridex and an irrigating syringe.
Bill - 29 Nov 2006 18:58 GMT
> My periodontist suggested root planing for two pockets, one of 4mm and
> the other of 6mm.
>
> I asked whether if the use of a mouthwash might obviate the need for
> perio intervention.
____________________

One of the reasons to perform simple root planing is to avoid the need
for periodontal intervention.

Anti-microbial chemicals seem to work better when used in conjunction
with root planing.

- dentaldoc
 
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