Sunstar America’s GUM PerioShield contains delmopinol, which breaks down plaque, protects against new plaque formation, and reduces gingival bleeding.
Sunstar America’s GUM PerioShield is the only rinse with the proprietary active ingredient delmopinol 0.2%, which breaks down and facilitates plaque removal, while creating a protective shield around teeth and gingiva to continuously repel and slow the formation of new plaque1-4 and pathogenic bacteria.5
Recommended for twice-daily use, the manufacturer says the clear liquid helps to stop ginvivitis, which can lead to periodontitis; prevent relapse after chlorhexidine treatment; and provide longterm at-home maintenance.
Bleeding and Pocket Depth Reduction
GUM PerioShield’s delmopinol inhibits bacteria’s ability to produce the polysaccharides necessary for plaque bacteria to thrive and proliferate, and is shown to help reduce plaque build-up and gingival bleeding by up to 36%.1
When the 9 hygienist-evaluators were asked about reduction in the number of bleeding points at 2-week recall, 3 rated it as excellent, 6 rated it as very good to good, and 1 rated it as fair. One evaluator said it “worked fabulously on patients with poor oral health/gingivitis, but I didn’t see much difference in those already brushing and flossing.” Five hygienists cited bleeding reduction as their favorite feature, with one stating that it “does very well at reducing and preventing gingival bleeding.” One hygienist said, “I was shocked to find no bleeding sites in any patient at 2 weeks.” She went on to say, “The tissue was firm, stippled, and pink.”
Two-week reduction of pocket depth was rated as excellent by 1 evaluator, as very good to good by 6, and as fair by 1. A Massachusetts hygienist said, “All follow-ups on my patients with generalized marginal and papillary edema with BOP of 3 to 6 mm revealed probing of no more than 3 mm.”
Ease of Use: Patient Compliance
GUM PerioShield has a 1.5% alcohol content and a low incidence of staining. Clinical studies reveal low frequencies of tooth discoloration (24%) and tongue staining (6%), which can be removed with conventional and interproximal cleaning.2-4 Tingling of the tongue (55% of patients) and taste disturbance (10.7% of patients) dissipated over the first 10 days of treatment.3
Eight hygienists rated ease of patient compliance; 2 as excellent, 3 as very good, 1 as good, and 2 as fair to poor. Observations included “numbness to the tongue” and a suggestion for “less alcohol for those with dry mouth.” One evaluator noted that “1 of 6 patients wouldn’t continue, citing excess salivation and flavor that lingered all day, even though her mouth felt cleaner.”
Five hygienists reported negative taste-related feedback, such as “strong and medicinal.” Four other hygienists reported positive feedback, citing “high patient acceptance” and “willingness to comply due to the agreeable taste.” One evaluator said it “doesn’t leave a bad after-taste yet leaves your mouth feeling clean and healthy.” Another evaluator said, “Five patients stayed on the rinse, and all 6 said their mouths felt more refreshed, that there was a ‘shield’ around the teeth, and that it was working.”
Overall Satisfaction
Overall satisfaction with GUM Perio- Shield was rated as excellent by 3 evaluators, as very good by 4, and as fair to poor by 2. A Michigan hygienist who gave the rinse an overall satisfaction rating of excellent said, “I can’t tell you how impressed I am…no calculus buildup on the linguals of anteriors. I’m a believer.” Another evaluator said, “I was excited to see how drastic the positive effects were when used correctly…my patients felt that finally something was working well enough to show results.” She concluded by saying, “This is an excellent product that I’ve already recommended to colleagues!”
References
1. Lang NP, Hase JC, Grassi, et al. Plaque formation and gingivitis after supervised mouthrinshing with 0.2% delmopinol hydrochloride, 0.2% chlorhexidine digluconate and placebo for 6 months. Oral Diseases. 1998;4:105-113.
2. Addy M, Moran J, Newcombe RG. Meta-analyses of studies of 0.2% delmopinol mouth rinse as an adjunct to gingival health and plaque control measures. J Clin Periodontal. 2007;34:58-65.
3. Hase JC, Attström R, Edwardsson S, et al. 6-month use of 0.2% delmopinol hydrochloride in comparison with 0.2% chlorhexidine digluconate and placebo. (I) Effect on plaque formation and gingivitis. J Clin Periodontal. 1998;25:746-753.
4. Claydon N, Hunter L, Moran J, et al. A 6-month home-usage trial of 0.1% and 0.2% delmopinol mouthwashes (I). Effects on plaque, gingivitis, supragingival calculus and tooth staining. J Clin Periodontal. 1996;23:220-228.
5. Rundegren J, Sjodin T, Petersson L, et al. Delmopinol interactions with cell walls of gram-negative and gram-positive oral bacteria. Oral Microbiol Immunol. 1995;10:102-109
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