How to Use Chlorhexidine Mouthwash With Water

Chlorhexidine mouthwash is a powerful antiseptic rinse often prescribed by dental professionals. Its primary purpose is to control oral bacteria and promote gum health. It is a common part of treatment plans for various gum conditions.

Understanding Chlorhexidine Mouthwash

Chlorhexidine is an antimicrobial agent that reduces bacteria in the mouth. It works by binding to the negatively charged cell walls of bacteria, disrupting their membranes and leading to cell death or inhibition of growth. This action makes it effective against a broad spectrum of microorganisms, including bacteria and some fungi.

Dentists commonly prescribe chlorhexidine mouthwash to treat conditions like gingivitis, which involves inflamed, swollen, and bleeding gums. It may also be used before or after oral surgery to prevent infections or as an adjunctive therapy for more severe gum disease. This mouthwash is typically available by prescription only.

Dilution Guidelines and Instructions

Chlorhexidine mouthwash is generally formulated for full strength use to ensure its effectiveness. It should not be diluted with water or other products, as this can reduce its potency and antibacterial action.

In rare instances, a dentist might advise dilution for specific reasons, such as managing taste sensitivity or severe oral irritation. If dilution is recommended, follow the dentist’s precise instructions regarding the ratio of chlorhexidine to water. For example, a 1:1 or 1:2 ratio might be suggested. Always use clean, preferably distilled, water for any dilution to avoid introducing contaminants. Dilution should only be carried out under direct professional guidance.

Proper Usage and Important Considerations

Typically, the recommended amount is 15 milliliters (approximately one tablespoon) of the undiluted rinse. This amount should be swished in the mouth for about 30 to 60 seconds, usually twice a day, after brushing and flossing. Always spit out the mouthwash after rinsing and do not swallow it.

To allow the chlorhexidine to bind effectively to oral tissues and provide a prolonged antibacterial effect, avoid eating, drinking, or rinsing your mouth with water immediately after use. A waiting period of at least 30 minutes is advised. Common temporary side effects include a change in taste perception, which usually subsides over time, and temporary tooth staining. These stains can often be removed during a professional dental cleaning.

When to Consult a Dentist

Chlorhexidine mouthwash use should always be under the guidance of a dental professional. If you experience any severe or persistent side effects, such as a rash, itching, swelling of the face or throat, or difficulty breathing, seek immediate medical attention, as these could indicate an allergic reaction. Less severe but bothersome side effects like persistent burning sensation, dry mouth, or significant changes in taste should also be reported to your dentist.

Consult your dentist if your oral condition does not improve or worsens despite using the mouthwash as directed. Never make changes to your prescribed usage, including attempting to dilute the mouthwash, without first discussing it with your healthcare provider. Your dentist can assess your progress, address concerns, and adjust your treatment plan as needed.