Best Alcohol-Free Medicinal Mouthwashes for Gum Health

Q: Best Alcohol-Free Medicinal Mouthwashes for Gum Health

Hello Mr. Huang： 1. If the gingival inflammation is caused by periodontal disease, mouthwash can only serve as an adjunctive measure. The key is to thoroughly clean the dental plaque and calculus, which will naturally improve the gingival inflammation. If you

Alcohol-free medicated mouthwash recommendations?

Hello Dr.
Tseng,
I completed the first phase of periodontal treatment (subgingival scaling) at the end of February and am currently under observation.
Although I have been consistently using a water flosser and mouthwash (Bai Ling brand, containing chlorhexidine but with an unknown concentration), I still often feel inflammation in the gums between my teeth after applying pressure, and I experience mild discomfort and occlusal pain throughout the day.
Recently, I found information indicating that mouthwashes are categorized into therapeutic and cosmetic types, but several therapeutic mouthwashes that do not contain alcohol seem to have had their drug licenses revoked last year, and I cannot find any brands available for purchase online.

I would like to ask the doctor:
1.
Would it be better for my situation to use a therapeutic mouthwash?
2.
Could you recommend a few therapeutic mouthwashes that do not contain alcohol?
Thank you, Dr.
Tseng.
Wishing you good health, safety, and happiness!

Mr. Huang, 30~39 year old female. Ask Date: 2024/03/31

Dr. Zeng Guanghui reply Dentistry

Hello Mr.
Huang:
1.
If the gingival inflammation is caused by periodontal disease, mouthwash can only serve as an adjunctive measure.
The key is to thoroughly clean the dental plaque and calculus, which will naturally improve the gingival inflammation.
If you really want to use mouthwash, consider using an alcohol-free mouthwash to avoid the long-term irritating effects of alcohol on the mucous membranes.
2.
There are several types of alcohol-free mouthwashes available on the market, but the main focus should still be on visiting a dentist to properly clean the dental plaque and calculus to alleviate the symptoms of periodontal disease.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital

Reply Date: 2024/03/31

More Info

When it comes to maintaining gum health, especially after undergoing periodontal treatments like scaling and root planing, the choice of mouthwash can significantly impact recovery and overall oral hygiene. Your concern about using an alcohol-free medicinal mouthwash is valid, particularly since alcohol can cause dryness and irritation in the oral cavity, which may exacerbate gum inflammation.

1. Importance of Medicinal Mouthwash
Using a medicinal mouthwash can be beneficial for several reasons:
- Antimicrobial Properties: Medicinal mouthwashes often contain active ingredients that help reduce bacteria in the mouth, which is crucial for preventing further gum disease.

- Soothing Effects: Many formulations are designed to soothe inflamed gums and promote healing.

- Plaque Control: Regular use can help in controlling plaque buildup, which is essential for maintaining gum health.

Given your ongoing discomfort and inflammation, it may indeed be more beneficial for you to use a medicinal mouthwash rather than a standard cosmetic one. Medicinal mouthwashes are specifically formulated to address oral health issues, including gingivitis and periodontal disease.

2. Recommendations for Alcohol-Free Medicinal Mouthwashes
Here are some alcohol-free medicinal mouthwashes that are well-regarded for their efficacy in promoting gum health:
- Chlorhexidine Gluconate Mouthwash: This is a prescription mouthwash that is highly effective in reducing plaque and gingivitis. It is available in various concentrations, and while it may have a slight alcohol content in some formulations, many are alcohol-free. Always check the label or consult your dentist for the right prescription.

- TheraBreath Fresh Breath Oral Rinse: This mouthwash is alcohol-free and contains ingredients that help neutralize bad breath and reduce plaque. It is known for its soothing properties and is a good option for those with sensitive gums.

- CloSYS Oral Rinse: CloSYS is another alcohol-free mouthwash that is effective in killing bacteria without causing irritation. It contains chlorine dioxide, which helps to neutralize bad breath and promote gum health.

- Listerine Zero Alcohol Mouthwash: While Listerine is often associated with its alcohol-containing products, they also offer a zero-alcohol version that provides antimicrobial benefits without the drying effects of alcohol.

- ACT Anticavity Fluoride Rinse: This mouthwash is primarily aimed at preventing cavities but also helps in maintaining gum health. It is alcohol-free and contains fluoride, which can strengthen teeth and support overall oral health.

Additional Considerations
- Consult Your Dentist: Before starting any new mouthwash, especially after a dental procedure, it's essential to consult with your dentist. They can provide personalized recommendations based on your specific condition and treatment plan.

- Follow Usage Instructions: When using medicinal mouthwashes, follow the instructions provided by your dentist or the product label. Overuse can lead to side effects, such as staining of the teeth or altered taste sensation.

- Maintain Good Oral Hygiene: In addition to using mouthwash, continue with regular brushing and flossing. Using a soft-bristled toothbrush and gentle techniques can help minimize irritation to your gums.

- Monitor Symptoms: Keep track of your symptoms. If you continue to experience discomfort or if your symptoms worsen, it’s crucial to return to your dentist for further evaluation.

In summary, using an alcohol-free medicinal mouthwash can be a beneficial addition to your oral care routine, especially following periodontal treatment. The options listed above are effective and can help support your gum health. Always consult with your dental care provider to ensure that you are using the most appropriate products for your needs.

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