Knowledge of dentists in the capital of a northeastern Brazilian state on the use of chemical agents as adjuvants in periodontal therapy




Mouth Atiseptics; Periodontal Diseases; Oral Hygiene; Knowledge.


Introduction: Dental biofilm is formed by the fixation and proliferation of bacteria in the acquired film existing on tooth surfaces and there is a direct relationship between the level of oral hygiene, quantity/quality of this biofilm and the prevalence of periodontal disease and its severity. However, the lack of proper brushing led to the search for chemical agents that would improve biofilm control. Objectives: To investigate the degree of knowledge of dentists about the use of these agents as adjuncts in periodontal therapy. Methodology: A questionnaire was applied to 164 dentists from the capital of a northeastern Brazilian state, containing questions such as: age, gender, academic degree, specialty, area of ​​expertise, form of professional updating and questions about chemical agents prescribed both in form of toothpaste and mouthwash. Results: Chlorhexidine was the preference of most respondents as for mouthwashes and Triclosan and Zinc Citrate were the most chosen substances for toothpastes. Conclusion: The knowledge about chemical agents as adjuvants in periodontal therapy by dentists proved to be limited, which may lead to incorrect prescriptions.

Author Biography

Natália Karol de Andrade, Centro Universitário Cesmac




Alshehri, F. A. (2018). The use of mouthwash containing essential oils (LISTERINE_) to improve oral health: A systematic review. Saudi Dental Journal, 30, 2–6.

Amini, P., Araujo, M. W. B., Mei-miau, W., Charles, C. A., & Sharma, N. C. (2009). Comparative antiplaque and antigingivitis efficacy of three antiseptic mouthrinses: a two week randomized clinical trial. Braz Oral Res., 23(3), 319-325.

Andrade, E., Weidlich, P., Angst, P. D. M., Gomes, S. C. & Oppermann, R. V. (2015). Efficacy of a triclosan formula in controlling early subgingival biofilm formation: a randomized trial. Braz Oral Res., 29(1), 1-8.

Araujo, D. B., Campos, E. J., Bastos, I. H. A., Paula, D. M., Tenório Junior, E. R. & Araujo, R. P. C. (2012). Mouthrinses: active ingredients, pharmacological properties and indications. Revista Gaúcha de Odontologia, 60(3), 349-357.

Azevedo, E. P., Ferreira N. M. C., Pereira S. L. S. & Lima, D. L. F. (2013). Informações dos fabricantes e representantes de produtos de higiene bucal sobre composição de enxaguatórios bucais. Perionews, 7, 588-592.

Barbosa, F. D. S. et al. (2017) Princípios ativos de enxaguatórios bucais comercializados em fortaleza, seus tipos e suas informações. Braz J Periodontol., 27(3), 07-15

Bozkurt, F. Y., Ozturk, M. & Yetkin, Z. (2005). The Effects of Three Oral Sprays on Plaque and Gingival Inflammation. J Periodontol., 76(10), 1645-1660.

Brignardello-Petersen, R. et al. (2014) A practical approach to evidence-based dentistry - How to search for evidence to inform clinical decisions. JADA, 145(12), 1262-1267.

Carneiro, S. D. R. M. et al. (2014) Identificação dos ingredientes ativos em enxaguatórios bucais, por cirurgiões-dentistas e acadêmicos. Perionews. 8, 470-414.

Charles, C. A. McGuir, J. A. Sharma, N. C. Qaqish, J. (2011). Comparative efficacy of two daily use mouthrinses: randomized clinical trial using an experimental gingivitis model. Braz Oral Res., 25(4), 338-344.

Cieplik, F. et al. (2019). Resistance Toward Chlorhexidine in Oral Bacteria - is there cause for concern? Frontiers in Microbiology, 10(587), 1-11.

Costa, L. F. N. P., Amaral, C. S. F., Barbirato, D. S. Leão, A. T. T. & Fogacci, MF. (2017). Chlorhexidine mouthwash as an adjunct to mechanical therapy in chronic periodontitis - A meta-analysis. JADA, 1-11.Cieplik, F., Jakubovics, N. S., Buchalla, W., Maisch, T., Hellwig, E. & Al-Ahmad, A. (2019). Resistance Toward Chlorhexidine in Oral Bacteria - is there cause for concern? Frontiers in Microbiology, 10(587), 1-11.

Demathé, A., Silva, A. R. S Carli, J. P, Goiato, M. C. & Miyahara, G. I. (2012). Odontologia baseada em evidências: otimizando a prática e a pesquisa. RFO., 17(1), 96-100.

Domingues, J. J., Oliveira, L. T. A., Costa, M. D. M. A., Silva, L. A. M., Nascimento, F., Dietrich, L. (2021). Uso de fitoterápicos e demais componentes vegetais e minerais na fabricação de produtos odontológicos naturais: Revisão de literatura. Research, Society and Development, 10(3), 1-10.

Eilwood, R. P., Worthington, H. V., Blinkhorn, A. S. B, Volpe, A. R. & Davies R. M. (1998). Effeet of a triclosan/copolymer dentifrice on the incidence of periodontal attachment loss in adolescents J Ciin Periodontol., 25, 363-367.

Farias, B. C., et al. (2011). Redução do índice de cálculo supragengival: dentifrício anticálculo versus dentifrício convencional. R. Periodontia, 21(1), 49-54.

Filogônio, C. F. N., Soares, R. M., Horta, C. R, Penido, C. V. C. R. & Cruz, R. A. (2011). Effect of vegetable oil (Brazil nut oil) and mineral oil (liquid petrolatum) on dental biofilm control. Braz Oral Res., 25(6), 556-61.

Goes, P. E. M., Lima, V. N., Carvalho, F. S. R., Queiroz, S. B. F., & Camargo, I. B. (2013). Sialolito gigante em ducto de Wharton: um caso distinto e revisão da literatura. Rev. cir. traumatol. buco-maxilo-fac. 13(4), 81-88.

Gonçalves, E. M. et al. (2009). Investigação dos ingredientes ativos presentes nos colutórios e dentifrícios encontrados no mercado brasileiro. R. Periodontia, 19(1), 52-57.

Gonçalves, E. M., Filho, E. P. P., Aragão, P. R. C., Segundo, T. C. P. & Lima, D. L. F. (2010). Grau de conhecimento dos cirurgiões-dentistas na prescrição de colutórios e dentifrícios. R. Periodontia, 20(4), 51-55.

Gunsolley, J. C. (2006) A meta-analysis of six-month studies of antiplaque and antigingivitis agents. The Journal of the American Dental Association. 37(12), 1649-1657.

Haas, A. N. et al. (2016). Essential oils-containing mouthwashes for gingivitis and plaque: Meta-analyses and meta-regression. Journal of Dentistry, 1-9.

Haas, A. N., Flores, M. F., Pelino, J. & Gatta, A. D. (2010). Dental Students’ Overall Knowledge Regarding Oral Antiseptics. R. Periodontia, 0(3), 47-52.

Herrera, D. et al. (2005). Efficacy of a 0.15% benzydamine hydrochloride and 0.05% cetylpyridinium chloride mouthrinse on 4-day de novo plaque formation. J Clin Periodontol., 32, 595–603.

Miranda, S. L. F., Damaceno, J. T., Feveri, M., Figueiredo, L. C., Soares, G. M. S., Feres, M. & Bueno-Silva, B. (2020). In Vitro Antimicrobial Effect of Cetylpyridinium Chloride on Complex Multispecies Subgingival Biofilm. Braz. Dent. J., 31(2), 103-108.

Nascimento, M. M., Gordan, V. V., Garvan, C. W., Browngardt, C. M. & Burne RA. (2009). Correlations of oral bacterial arginine and urea catabolism with caries experience. Oral Microbiol Immunol., 24, 89–95.

Oliveira, S. M. A, Torres, T. C., Pereira, S; L; S., Mota, O. M. L. & Carlos, M. X. (2008). Effect of a dentifrice containing Aloe Vera on plaque and gingivitis control. A double-blind clinical study in humans. J Appl Oral Sci., 16(4), 293-296.

Pannuti, C. M., Mattos, J. P., Ranoya, P. N., Jessus, A. M., Lotufo, R. F. M. & Romito, GA. (2003). Clinical effect of a herbal dentifrice on the control of plaque and gingivitis. A double-blind study. Pesqui Odontol Bras., 17(4), 314-318.

Silva, A. F., Silva, E. T. C., Costa, S. R. R., Bezerra, P. L., Lourenço, A. H. A. & Bernardino, I. M. (2021). O uso do aloe vera como coadjuvante no tratamento periodontal. Research, Society and Development, 10(1), 1-6.

Sousa, A. M., Pochapski, M. T., Santos, F. A. & Pilatti, GL. (2009). Estudo clínico sobre a influência do dentifrício na efetividade da clorexidina no controle do biofilme dental. R. Periodontia, 19(1), 71-75.

Sreenivasan, P. K., Haraszthy, V. I. & Zambon, J. J. (2012). Antimicrobial efficacy of 005% cetylpyridinium chloride mouthrinses. Letters in Applied Microbiology, 56, 14-20.

Tartaglia, G. M., Tadakamadla, S. K., Connelly, S. T., Sforza, C. & Martín, C. (2019). Adverse events associated with home use of mouthrinses: a systematic review. Ther Adv Drug Saf, 10, 1-29.

Villalpando, K. T., Casarin, R. C. V., Pimentel, S. P., Cirano, F. R. & Casati, M. Z. (2010). A randomized clinical evaluation of Triclosan containing dentifrice and mouthwash association in the control of plaque and gingivitis. Quintessence International, 41(10), 855-861.

Zarandia, A., Salahaddin, S. & Faramarzi, M. (2016). Efficacy of Different Concentrations of Chlorhexidine Mouthwash on Plaque Accumulation and Periodontal Parameters. Journal of Periodontology & Implant Dentistry, 18(1), 8-11.

Zhang, J., Malik, N. A., McGrath, C. & Lam, O. L. T. (2018). The effect of antiseptic oral sprays on dental plaque and gingival inflammation: A systematic review and meta-analysis. Int J Dent Hygiene, 1–11.

Zina, L. G. & Moimaz, S. A. S. (2012). Odontologia baseada em evidência: etapas e métodos de uma revisão sistemática. Arq Odontol., 48(3), 188-199.



How to Cite

FARIAS, K. L. de .; SANTOS, M. A. dos .; GOMES, D. M. .; LUCAS, J. N. V. .; BRAGA, W. T. de S. .; MATTA, A. K. B. da .; ANDRADE, N. K. de . Knowledge of dentists in the capital of a northeastern Brazilian state on the use of chemical agents as adjuvants in periodontal therapy. Research, Society and Development, [S. l.], v. 10, n. 9, p. e42210918084, 2021. DOI: 10.33448/rsd-v10i9.18084. Disponível em: Acesso em: 23 sep. 2021.



Health Sciences