OraVital - professional treatment for gum disease, bad breath, halitosis, gingivitis, periodontitis
OraVital® System FAQ

OraVital® Treatment FAQ


Why is it better to use OraVital® mouth rinse than a national brand mouthwash that I can buy at the drugstore?

For some people, national brand mouthwashes can reduce plaque and control mild gum disease and/or halitosis. However, most people need something more powerful. Dental professionals can prescribe antiseptic and antibiotic rinses that are significantly more effective than drug store brands. For example, while leading national mouthwash brands can reduce symptoms of mild gum disease by about 11%, OraVital® antiseptic rinses prescribed by a professional can reduce mild and moderate gum disease by about 40% and our antibiotic rinses reduce symptoms by 85% (clinical average) for gum disease. OraVital® treatment is even more effective for bacteria-caused halitosis.

Your OraVital® dental professional can advise you which option is best for you.

What is oral microbial analysis and why is it important?

Oral microbial analysis consists of taking of samples of bacteria found in the mouth, specifically the teeth, tongue and back of the tongue and examining these samples for bacteria that causes oral infection. A report with information on the types of bacteria that is present in the three locations is sent to the dental office. The clinicians use the report as one of the diagnostics to determine treatment. For more information click here.

What is the advantage of topically applied medication?

When you use a topically applied medication, the medication is not absorbed into your system. With this method systemic side effects are avoided. A very important advantage of topically applied antibiotics is that the bacteria in your body is not exposed to the medication and therefore will not develop resistance. Lastly, topically applied medication is directed at the infected areas immediately. When medications are taken systemically, it takes time for sufficient medication to reach the mouth, in some cases as long as 10 days. Topical applications are much more efficient. With topically applied medication, 100% of the medication is applied to the gingiva, whereas only 10% of the medication becomes available in the oral cavity with systemic applications.

My gums bleed when I brush or floss. How can OraVital® help me?

Gums bleed when there is an overgrowth of periodontal bacteria causing an oral infection. The OraVital® System was designed to effectively eliminate harmful oral bacteria. After OraVital® treatment, your gums will stop bleeding and return to a normal, healthy state. Click here to learn more about OraVital® treatment of oral infections like gum disease.

What is the likelihood of success in treating oral infection?

OraVital® medications are very effective in treating mild to moderate periodontal disease and halitosis with a 85% success rate. Our medications are directed specifically against those bacteria that are responsible for these oral infections. Once the oral infection is treated, we use an antimicrobial maintenance system that includes home care to prevent the return of infection.

How do I know that the treatment has worked?

OraVital® clinicians conduct a variety of analytical tests before and after OraVital® treatment and compare these results to determine the effectiveness of the treatment. These comparative results clearly show whether levels of aggressive bacteria causing oral infection and halitosis have been adequately reduced and rebalanced following treatment. It is important to note that bacteria can never be fully eradicated, but can be reduced and rebalanced to ensure ongoing optimal oral health.

Is OraVital® medication covered by insurance?

OraVital® antibiotic and antimicrobial rinses have drug identification numbers and are eligible for medical insurance coverage through private plans.

How much does OraVital® treatment cost?

OraVital® treatment is, for the most part (typically 60% to 80%), covered by dental insurance. The extent of the coverage depends on the individual policy. The treatment cost depends on a number of factors unique to each patient and is determined at the time of your first assessment.

How long does the treatment take?

The treatment consists of 3 appointments, about an hour each. The first appointment is for an assessment and initial treatment. The second appointment is to evaluate the tissues after treatment and to take microbiology samples for the purpose of checking the mouth bacteria and to prescribe the maintenance program. The third appointment is to evaluate the effectiveness of this personal program and make changes if needed. All of these appointments build on each other to provide a balance in the mouth bacteria and to ensure that the tissues are healthy.

How can the medication in the OraVital® rinse get to the bacteria hidden beneath my gums?

Bacteria need to be exposed to a minimum concentration of antibiotic in order to be controlled. The concentration of medication in the OraVital® rinse is many times higher than the minimum levels required to kill bacteria. Gum tissue that is infected is typically swollen, which creates spaces around the tooth. When the OraVital® rinse is swished between the teeth as directed, the medication is able to penetrate into the tissues and accumulate in these pockets.

To further increase the likelihood of success, flossing between the teeth immediately after the rinse is used will help to ensure that the necessary particles of medication are moved into the pockets and spaces around the teeth.

Does the oral medication have any side effects?

Our medications are in the form of rinses with instructions to rinse and spit out without swallowing any of the medication, thus eliminating any systemic interaction and side effects.

How long will a client need to continue to use maintenance rinses?

After being on the OraVital® treatment program for 2 or 3 years most clients no longer require the maintenance rinses. Sometimes clients choose to continue using one of the non-prescription rinses because they like the safety of having a rinse, while reducing usage to once a day or even less frequently. Occasionally, lifestyle changes resulting in stress, poor diet or illness can result in the return of mouth odour and/or the periodontal disease. When this happens, a full retreatment with the antibiotic medication rinses and a return to the maintenance rinse regiment would be required.

If I am pregnant or about to be pregnant am I allowed to take this medication?

Research shows that there is an oral-systemic link of infection between the mouth and body. Pregnant women who have oral infections therefore incur an increased risk of low birth weight babies and/or early delivery. If you have gingivitis, periodontitis or halitosis, it is advisable to have this treated prior to becoming pregnant. If you are already pregnant, this treatment can be applied in the second trimester. It is always advisable to consult your obstetrician prior to treatment.

What if the OraVital® treatment doesn't seem to work for me?
  1. Improper use of the rinse (non-compliance):
    • If in the infected area the level of antibiotic is not maintained at the minimum level, the anaerobic bacteria will reproduce quickly and reach their original populations in a matter of hours. Bacteria are able to double the size of their colonies every 4 to 8 hours if the antibiotic levels drop below the minimum effectiveness threshold.

      Therefore, (1) skipping a single dose in the prescribed regimen, (2) failing to use the rinse properly, (3) failing to deliver the antibiotic rinse/cream into the infected area, or (4) washing out the mouth with water, drinks or food within 30 minutes of using the rinse will greatly reduce or even nullify the effectiveness of the medication. Non-compliance or poor rinse/cream application are the main reasons why antibiotics appear to be ineffective.

  2. Insensitivity of the bacteria to the antibiotic:
    • If the OraVital® rinses have been used properly, but bacterial levels appear to remain high, it is possible that the bacteria are present in the mouth are insensitive to the antibiotic found in the rinse. Although the rinses are effective against most periodontal bacteria, there are some species that do not respond to this medication. Your OraVital® clinician can prescribe an alternate rinse system that we have made available for this purpose.

Where can I get OraVital® treatment for gum disease, halitosis, and oral infection?

OraVital® Clinics are carefully selected, full-service dental clinics that have special OraVital® equipment and training. Click here for a directory of OraVital® Clinics.