Brushing and flossing are the cornerstones of good oral hygiene, but incorporating a mouthrinse can provide additional benefits, contributing to both a fresher mouth and improved oral health. This guide explores the different types of mouthrinses, their uses, and important considerations.

Mouthwash vs. Mouthrinse: What’s the Difference?

While the terms are often used interchangeably, the American Dental Association (ADA) makes a distinction:

Mouthwash: Typically used after brushing and flossing, mouthwashes often contain higher levels of alcohol to provide a fresh breath sensation. They primarily focus on freshening breath.
Mouthrinse: Designed to be used before brushing and flossing, mouthrinses can help control bad breath, reduce plaque buildup, and may contain ingredients to address specific oral health concerns. This term is more often used for oral care.

Cosmetic vs. Therapeutic Mouthrinses:

Another important distinction is between cosmetic and therapeutic mouthrinses:

Cosmetic Mouthwash: Primarily provides temporary breath freshening. It may not significantly reduce the risk of gingivitis or treat the underlying causes of bad breath (bacteria).
Therapeutic Mouthrinse: Offers benefits beyond just freshening breath. Therapeutic mouthrinses can:
- Treat gingivitis and other periodontal diseases.
- Reduce oral bacteria.
- Contain fluoride to help prevent cavities and strengthen enamel.

Choosing the Right Mouthrinse:

Consider these factors when selecting a mouthrinse:

Your Needs: Are you primarily looking for breath freshening, or do you have specific oral health concerns like gingivitis or cavity prevention?
Ingredients: Look for active ingredients like fluoride, chlorhexidine (for gingivitis), cetylpyridinium chloride (for reducing bacteria), or essential oils (for antibacterial properties).
Alcohol Content: If you have dry mouth, you may want to choose an alcohol-free mouthrinse, as alcohol can exacerbate dryness.
ADA Seal of Acceptance: The ADA Seal of Acceptance indicates that a product has been evaluated for safety and effectiveness. Look for this seal to ensure you’re choosing a quality product.
*The ADA provides an informative guide of all the dental care products, comparing different options

Potential Side Effects and Precautions:

Dry Mouth: Mouthrinses containing alcohol can contribute to dry mouth, especially with frequent use.
Swallowing: Children using mouthrinse should be supervised to prevent swallowing. Swallowing large amounts of mouthrinse, particularly those containing alcohol or fluoride, can be harmful and requires immediate medical attention and contacting Poison Control.
Staining: Some mouthrinses, particularly those containing chlorhexidine, can cause temporary tooth staining.
Burning Sensation: Some individuals may experience a burning sensation when using mouthrinses, especially those with higher alcohol content.

By understanding the different types of mouthrinses and their potential benefits and risks, you can choose the right product to complement your brushing and flossing routine, contributing to a healthier and fresher smile. Talk with the dentist if you have questions.

By Alexander Ash, DDS

Dr. Ash is the founder of Studio Dental Care. He earned his Doctorate at the University of Maryland School of Dentistry, followed by two General Residencies at New York-Presbyterian / Weill-Cornell Hospital and the UCLA Sepulveda VA Hospital.