(20,22) Evidence supports the use of a mouthrinse containing chlorhexidine gluconate (e.g., Peridex[TM] or PerioGard[R]), essential oils (e.g., Listerine[R]), or povidone iodine as a one-minute preprocedural rinse
within 30 minutes prior to the procedure.
To combat the time-perception challenge, Gutierrez has patients literally watch a clock with a second hand that is available in her operatory while doing the preprocedural rinse. "If I am recommending a home rinse, I show them how long 30 seconds can be.
In addition to stressing the length of the 30-second rinse, Gutierrez also uses the preprocedural rinse time to explain the reason for and the information about the tie between chronic inflammatory gum disease with systemic issues.