Periodontal Treatment and Diagnosis Hydrogen Peroxide (2024)

Hydrogen peroxide is a pale blue, slightly viscous liquid that is used as a bleaching agent and antiseptic. In high concentrations, hydrogen peroxide is used as a rocketry propellant, due to the unstable chemical bonds of peroxide. In less volatile concentrations, hydrogen peroxide is found in many biological systems, including in the bodies of humans.

The first synthetic peroxides were generated in the late 1700s during scientific attempts to decompose air. As they were developed, these peroxides often used hydrochloric acid and sulfuric acid as precipitates. In 1811, French chemists Jean-Louis Thénard and Joseph Louis Gay-Lussac synthesized sodium peroxide, and throughout the 19th century, chemists continued to develop peroxides, until hydrogen peroxide was first commercialized in 1908 in Austria. Early hydrogen peroxide was found to be unstable, due to impurities, but in 1894, pure hydrogen peroxide was obtained by German chemist Richard Wolffenstein, through vacuum distillation. By the mid-1930s, the currently accepted molecular structure for hydrogen peroxide was proposed, and today, its formulation is commonly understood and its formulations are stable.

The majority of the world’s hydrogen peroxide is used to bleach paper and the pulp that is used to make paper. The second most-common use is as a mild bleach in laundry detergents; in some detergents, hydrogen peroxide is combined with sodium carbonate to produce sodium percarbonate, an effective bleaching compound that is activated at higher temperatures.

Hydrogen peroxide is currently used to remove impurities from wastewater, in sterilization processes for surgical tools and various surfaces, to treat acne, to remove stains, and to clean and disinfect. While hydrogen peroxide has multiple niche uses, it is used in dentistry as a bleaching agent that effectively whitens teeth. It is found in many different whitening toothpastes and works by oxidizing pigments on the enamel of the teeth. It may also be mixed with baking soda to make homemade toothpaste that has both abrasive and whitening properties, though this is not usually recommended by dentists due to the excessive abrasiveness of baking soda.

In the United States, low concentrations of hydrogen peroxide are widely available; the most common concentrations for typical over-the-counter “drugstore” hydrogen peroxide is 3% to 5%. Somewhat higher concentrations are also available for home use, though industrial-grade hydrogen peroxide concentrations as high as 35% to 70% are only available commercially. These higher concentrations are usually accompanied by a safety data sheet and are considered hazardous, as, in high concentrations, hydrogen peroxide oxidizes aggressively and can corrode human skin. Because hydrogen peroxide breaks down rapidly when exposed to light, it is usually stored in opaque containers that are also non-reactive.

Some dental professionals recommend that patients gargle with hydrogen peroxide to whiten the teeth; in fact, many commercially available mouthwashes contain low concentrations of hydrogen peroxide. For gargling purposes, it is recommended to use a 3% hydrogen peroxide solution that is diluted in two parts water for each part peroxide, to prevent irritation. Hydrogen peroxide may also be used in treatments for gum diseases, as it releases oxygen that works to destroy the bacterial biofilm that makes up dental plaque, the primary cause of gum disease. Hydrogen peroxide may be used in conjunction with root debridement to remove plaque from below the gumline and disinfect the mouth to prevent more plaque from building up. Gargling with hydrogen peroxide can also help relieve sore throats and minor mouth irritations like cuts or canker sores. Swallowing hydrogen peroxide, even in low concentrations, may cause nausea or stomach upset and should be avoided.

Periodontal Treatment and Diagnosis Hydrogen Peroxide (2024)

FAQs

Can hydrogen peroxide reverse periodontal disease? ›

Because it can kill harmful bacteria and break up plaque, dental professionals have been using hydrogen peroxide since the early 1900s to prevent and treat periodontitis. Along with treating gum disease, killing bacteria also effectively treats bad breath (halitosis).

How long does it take for hydrogen peroxide to cure gingivitis? ›

Hydrogen peroxide is an effective way to cure gingivitis at home in a week. This powerful antiseptic can help to kill bacteria that cause gum disease, as well as alleviate pain and inflammation.

Does peroxide and baking soda help periodontal disease? ›

Studies have shown that baking soda and peroxide together can kill some of the bugs that cause gum disease, reduce plaque and reduce gum inflammation. Did you know that it can also whiten teeth? Stir mixture into paste-like consistency.

How does hydrogen peroxide debride teeth? ›

The FDA has approved the use of hydrogen peroxide as a temporary oral debriding agent. Hydrogen peroxide can break through the slime barrier that protects biofilm and destroys bacterial cell walls. It releases oxygen and creates an environment unfit for anaerobic bacteria to survive.

How I cured my periodontal disease? ›

You can't cure it because once you lose structural support around your teeth, you don't usually get all of it back. However, periodontal treatment can reduce infection and rebuild your bone and tissue to some degree. Another factor is genetics.

What does hydrogen peroxide do for periodontal disease? ›

Plaque is a sticky film containing bacteria. Failure to remove this results in hardened tartar. Using hydrogen peroxide in caring for teeth and gums eliminates harmful bacteria. This cuts down the formation of plaque and tartar.

Can too much hydrogen peroxide hurt your gums? ›

Hydrogen peroxide is a highly reactive substance which can damage oral soft tissues and hard tissues when present in high concentrations and with exposures of prolonged duration.

Is it OK to rinse your mouth with hydrogen peroxide daily? ›

Gargling with 3% hydrogen peroxide daily can be too strong for oral use and may cause irritation or damage over time. It's generally recommended to dilute it to a 1% or 1.5% concentration and limit its use.

Can you apply hydrogen peroxide directly to gums? ›

Hydrogen Peroxide Rinse – A mix of water and hydrogen peroxide can help treat sore, red, or swollen gums. To use hydrogen peroxide for receding gums combine 1/4 cup of 3 percent hydrogen peroxide with 1/4 cup of water, swish for 30 seconds, and spit it out. This can be repeated two to three times a week.

What toothpaste reverses periodontal disease? ›

Paradontax is a leading name when it comes to bleeding gums, designed to help reduce this symptom which often accompanies gum disease. With daily use, this stannous fluoride toothpaste removes plaque, prevents gum problems, and can considerably lessen gum bleeding, providing relief and helping to improve oral health.

How can I reverse periodontal disease at home? ›

Proper oral hygiene practices, such as brushing your teeth twice a day with fluoride toothpaste and flossing daily, can go a long way in preventing and reversing gum disease. Additionally, using an antibacterial mouthwash can help kill bacteria that contribute to gum inflammation.

Which is better salt water rinse or hydrogen peroxide? ›

Quick Answer: Is It Better to Gargle With Salt or Peroxide? For Disinfection: Hydrogen peroxide, when diluted correctly, is effective for disinfecting canker sores and oral sores. For Sore Throats: Salt water is a safe and soothing option to alleviate sore throat discomfort without the risk of irritation.

How can I debride my teeth at home? ›

Some toothpastes contain baking soda as it acts as a gentle abrasive to remove plaque from teeth. Make a paste by stirring a few drops of water with half a teaspoon of baking soda. Apply the paste to your teeth using your toothbrush and brush your teeth gently with the paste for one minute, then rinse well with water.

Can hydrogen peroxide help receding gums? ›

Hydrogen peroxide isn't just great for first aid. It's also an excellent natural remedy for receding gum tissue. It can also help treat swollen and sore gums too. Not to mention that it can also whiten your teeth a bit.

How long should I leave hydrogen peroxide on my teeth for? ›

Keep adding hydrogen peroxide until you have a good paste. Apply the created paste onto your teeth using a toothbrush. Let the paste remain on your teeth for about two minutes. Properly rinse off the paste from your teeth by gargling water around inside your mouth.

Does swishing hydrogen peroxide help with gum disease? ›

Peroxide mouth rinse, specifically hydrogen peroxide, can help alleviate gum infection symptoms or gingivitis. The antibacterial properties of hydrogen peroxide can help reduce the bacteria in the mouth, which contribute to gum infections.

What kills the bacteria that causes periodontitis? ›

Antibiotics. Topical or oral antibiotics can help control bacterial infection. Topical antibiotics can include antibiotic mouth rinses or putting gel containing an antibiotic into gum pockets. Sometimes oral antibiotics are needed to get of bacteria that cause infections.

Does hydrogen peroxide heal receding gums? ›

Hydrogen peroxide isn't just great for first aid. It's also an excellent natural remedy for receding gum tissue. It can also help treat swollen and sore gums too.

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