Experts Call for Risk-Based Periodontal Prevention

New recommendations emphasize individualized use of adjunctive antiseptics when mechanical biofilm control alone may be insufficient.

By
News Staff
September 18, 2026

Inside Dental Hygiene

Overview

A multidisciplinary group of oral health experts advocates for individualized, risk-based strategies in preventing and managing periodontal diseases. The recommendations highlight the selective use of adjunctive antiseptic mouthrinses tailored to patient-specific needs.

Background

Periodontal diseases represent a significant health burden, with a notable prevalence among US adults. Effective management requires understanding individual patient risk factors and the limitations of mechanical oral hygiene alone. The integration of adjunctive antiseptic strategies may enhance periodontal care for patients with specific challenges in biofilm control.

Data Highlights

No numerical data provided in the article.

Key Findings

42.2% of dentate US adults aged 30 years or older have some degree of periodontitis.
Adjunctive antiseptics may reduce gingival inflammation and biofilm when used with mechanical plaque control.
Certain patient populations, such as those with diabetes or advanced age, may benefit from adjunctive strategies.
Mechanical oral hygiene remains the foundation of gingivitis management, but may be insufficient for some patients.
Chlorhexidine may be considered temporarily during specific phases of periodontal therapy.
Safety of antiseptics in children under 6 and pregnant or breastfeeding women has not been sufficiently studied.

Clinical Implications

Clinicians should assess individual patient characteristics and barriers to effective biofilm control when considering adjunctive antiseptic use.

Conclusion

The recommendations emphasize a tailored approach to periodontal care, integrating adjunctive antiseptic strategies within a broader preventive framework focused on mechanical biofilm control.