Plaque reducing action

Fluorides. Most woddwide reductions in dental decay can be ascribed to fluoride incorporation into drinking water, dentifrices, and mouth rinses. Numerous mechanisms have been described by which fluoride exerts a beneficial effect. Fluoride either reacts with tooth enamel to reduce its susceptibihty to dissolution in bacterial acids or interferes with the production of acid by bacterial within dental plaque. The multiple modes of action with fluoride may account for its remarkable effectiveness at concentrations far below those necessary with most therapeutic materials. Fluoride release from restorative dental materials foUow the same basic pattern. Fluoride is released in an initial short burst after placement of the material, and decreases rapidly to a low level of constant release. The constant low level release has been postulated to provide tooth protection by incorporation into tooth mineral. 

Mechanism of Action An immunologic agent that interferes with the activation of T-lymphocytes by binding to the lymphocyte antigen, thus reducing the number of circulating T-lymphocytes. Therapeutic Effect Prevents T cells from becoming overactive, which may help reduce symptoms of chronic plaque psoriasis. Pharmacokinetics Half-life 270 hr... 

Chlorhexidine initially was used as a general disinfectant because of its broad antibacterial action (9). It was later shown to inhibit dental caries and reduce the formation of dental plaque (10). In vitro inhibition studies have shown chlorhexidine to be effective against species found in infected root canals such as Enterococcus faecalis (11) and Streptococcus mutans (12), and because of this, it was introduced as an endodontic irrigant in the early 1960 s (10). Chlorhexidine is increasingly being incorporated into endodontic materials due to its ability to increase antimicrobial properties and improve prognosis. 

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