Daily biofilm control and oral health: an epidemiological challenge consensus – brazilian advisory panel in oral health

Dental plaque is known as the primary etiological factor for the periodontal diseases. Knowledge about dental plaque has extensively evolved being recognized, not only as a simple bacterial conglomerate adhering to the tooth surface, but also defined as biofilm. Adequate oral hygiene is the most effective way to prevent periodontal disease and caries, which are caused by specific microorganisms found in the oral biofilm. Disorganization and constant removal of this biofilm represents the major strategy utilized in the prevention and treatment of such diseases. The inclusion of oral antiseptics, in daily home care, provides a more effective recommendation for prevention by dental professionals. It is possible to establish a hierarchical order of effectiveness. Chlorhexidine (CHX) promotes the highest anti-plaque effects followed by the essential oils (EOs), cetylpyridinium chloride (CPC) and finally triclosan. For anti-gingivitis action the EOs are equivalent to CHX being both superior agents when compared with CPC and triclosan. Based on the available scientific evidence this group of experts in oral care is favorable to recommending the daily use of an essential oil-containing mouthwash as the active principle, for the majority of the population, excluding children under 6 year of age, individuals with sensitivity to the formula components and those who present adequate oral hygiene using only mechanical methods (brushing and flossing) and dentifrice.

High-power diode laser use on Fordyce granule excision: a case report.

BACKGROUND: Fordyce granules are conventionally considered to be a developmental oral lesion with a higher incidence in men. OBJECTIVE: To report a clinical case of surgical lip Fordyce granule excision in a 19-year-old male. METHODS: Fordyce granules were excised using a high-power diode laser (gallium arsenide [GaAs], Diode Vision®, MDL, 10 Dental Laser Unit, GmbH, Lower Saxony, Germany) with wavelength emission at 980 ± 10 nm, in a continuous wave mode, pulse width of 0.5 µs, fiber optic delivery system of 400 µm in diameter, at 2.5 W. Subsequently, low-intensity laser therapy was applied (gallium-aluminum-arsenide [GaAlAs], at 670 nm, 50 mW, at 4 J/cm(2); Dentoflex®, São Paulo, Brazil] in order to stimulate a faster wound tissue-healing process and less postoperative pain and inflammation. CONCLUSION: The excellent esthetic result demonstrated the effectiveness of both high- and low-intensity laser therapy on the excision of Fordyce granules.