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• Post surgical cases<br />
• Caries protocol cases<br />
Phenolic Compounds – Listerine antiseptic and its generic equivalents<br />
• Active ingrediants: Essential Oils (GOT TO KNOW It)<br />
o Thymol<br />
o Eucalyptol<br />
o Methyl salicylate<br />
o Menthol<br />
• Org formula: 26.9%, cool mint 21.6%<br />
o Twice as much alcohol as CHX<br />
• Alters cell membranes causing leakage and cell death<br />
• 18-25% decrease in plaque and gingivitis<br />
o about half as effective as CHX (good to know)<br />
• low substantivity<br />
• Does it replace floss???<br />
o NO!!! Benefit is in conjunction with brushing and flossing<br />
• Side Effects<br />
o Bad taste<br />
o Burning sensation<br />
o Tooth staining (?) – not a big issue, but one study tried to<br />
show it<br />
• Dose: Rinse with 20ml, bid, for 30 sec<br />
• Before ADA seal – use with minor cuts and infectious dandruff<br />
Listerine Zero<br />
• Introduced in 2010<br />
• Claims:<br />
o “4 essential oil formula”<br />
o “for patients who want/need alcohol-free rinse”<br />
• BUT ITS NOT Listerine antiseptic without alcohol<br />
o It’s a cosmetic rinse – freshens breath<br />
• Essential oils is for flavoring – not a therapeutic concentration
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