“Miracle Mouthwashes” and more!
Dental mouthwashes or rinses that are compounded to meet a patient’s specific needs may offer numerous advantages. It is desirable to compound mouthwashes using pharmaceutical grade bulk powders as a source of active ingredients (antibiotics, anesthetics, etc.) versus the common practice of combining available liquids due to concerns of palatability, flavor (different products have different flavors which may not be compatible), limiting alcohol content, and elimination of dyes used to color liquid preparations which may cause an allergic reaction or stain the oral mucosa (lining of the mouth).
Stability and compatibility are significant issues when drugs are manufactured and are required to endure the distribution cycle. An extended shelf-life is necessary for a drug to be stocked in a warehouse and then
a pharmacy. Each manufactured product has numerous ingredients that may contribute to compatibility or stability problems, but may need to be included so that the product can maintain its taste, purity, or consistency. If a preservative is necessary but the commercial product is diluted by mixing with other products, then the preservative may drop below its effective concentration.
When a medication is prepared at the time it is needed to meet the needs of a specific patient, many of these concerns can be eliminated. Compounding allows countless active ingredients to be incorporated into customized mouthwashes, gels, troches, etc. For example, to treat periodontal disease, antibiotics can be formulated as a mouthwash, or added to an oral adhesive paste or a plasticized gel that will maintain the contact between the tissue and medication for a longer period of time.
Various preparations are also available to treat stomatitis, burning mouth syndrome, and chemotherapy or radiation-induced mucositis. Anesthetic/analgesic and antibiotic/anti-infective mouthwashes are commonly requested. We can also compound mouthwashes that are
· alcohol-free which can reduce burning of irritated mucosa.
· sugar-free to reduce cariogenic potential and for diabetic patients.
· flavored to please each patient.
We welcome your questions and requests!