Metrogyl Denta is a dental antimicrobial gel, which contains an antiseptic and an antibiotic. It is used for treatment and prevention various diseases of the oral cavity and gums of an infectious-inflammatory nature. The instructions for use of Metrogyl Denta ointment indicate that it can be used by both adults and children.

The principle of action of the drug

If in oral cavity bleeding gums appeared, painful sensations or ulcers, then it is necessary to use a drug whose action is aimed at eliminating pathogenic microorganisms. In case of inflammatory process on the gums, the use of ointment should only be used when integrated approach to treatment. Inflammation of the gums occurs as a result of the appearance of plaque, as well as hard sub- and supragingival deposits on the teeth. Before using the ointment, it is recommended to have dental plaque removed at the dentist. After this, the dentist will prescribe complex therapy, including the use antiseptic rinses and gel. When severe inflammation Systemic antibacterial therapy is also used.

Note! When using Metrogyl Dent without brushing your teeth to remove plaque and tartar, the effect will be noticeable only for a short time.

With temporary improvement without professional cleaning There may be a decrease in bleeding and swelling of the gums. In this case, the inflammatory process will continue to develop, but asymptomatically. As a result, this can lead to gradual destruction of the bone around the teeth.

Indications for the use of Metrogyl Denta gel are the following diseases:

• acute and chronic periodontitis;
• gingivitis;
• cheilitis (inflammation of the lips);
• bacterial aphthous stomatitis;
• alveolitis of the hole after tooth extraction;
• inflammation of the mucous membrane under the installed prosthesis;
• inflammation of the hood located above the wisdom tooth;
• periodontitis or periodontal abscess.

Compound

One of the advantages of Metrogil Dent is its affordable price within 170-200 rubles. In addition, it has a pleasant taste. The drug is sold in 20-gram tubes. Volume active substances per 1 gram of gel is 10 mg of metronidazole and 0.5 mg of chlorhexidine digluconate. These substances are harmful to most aerobic and anaerobic bacteria, which are the cause of gum inflammation. It also contains excipients:

• sodium saccharinate;
• disodium edetate;
• propylene glycol;
• carbomer-940;
• levomenthol;
• sodium hydroxide;
• water.

Application

Metrogyl Denta gum ointment is applied after brushing the teeth to the inflamed areas of the oral mucosa and gums. Then follows antiseptic solution rinse your mouth for a minute. For this you can use, for example, Chlorhexidine. After this, it is advisable to blot the mucous surface of the mouth with dry gauze - this will ensure better fixation gel.

It is better to apply the gel itself in front of a mirror. A small amount of the drug is squeezed onto a finger or a cotton swab and thin layer applied to the edge of the gum, located directly near the teeth. The gel is applied to both sides of the gums - both the anterior and lingual. But pay the most attention to the front side.

Note! When treating the oral cavity with gel, the amount of saliva produced will increase, but it should not be swallowed, as usual, but spat out.

The drug is applied twice a day after eating and brushing your teeth. After treatment, it is not recommended to drink for half an hour and eat for 2-3 hours. In the evening, the procedure is repeated after thoroughly brushing the teeth with toothpaste and rinsing with an antiseptic solution. The duration of treatment is up to 10 days. For prevention chronic periodontitis or gingivitis, in order to avoid their exacerbation, it is recommended to use a course of gel treatment 2-3 times a year.

Drugs with similar properties

Metrogyl Denta gel has several cheaper analogues:

• Asepta gum balm, which also contains chlorhexidine and metronidazole. His approximate cost is 170 rubles. Tube weight – 10 g.
• Rotocan extract - intended for adults in the treatment of periodontal disease, periodontitis, etc. Has antimicrobial and anti-inflammatory properties. Cost – from 25 rubles. Volume – 25 ml.
• Metrodent dental gel, which is the most popular analogue of Metrogyl Dent, therefore has exactly the same indications and contraindications for use. Cost – from 100 rubles. Volume – 20 g.
• Romazulan solution. This herbal medicine has antimicrobial and anti-inflammatory properties. It can be used both externally and internally. Contraindicated in children under 12 years of age. Cost – from 110 rubles. Volume – 50 and 100 ml.
• Gel Dental Dentamet– used when infectious inflammation, toothache, periodontitis, gangrenous pulpitis, acute gingivitis and others dental diseases. Cost – from 125 rubles. Volume – 25 g.

Contraindications

Metrogyl Denta is contraindicated for use in the presence of individual intolerance to chlorhexidine, metronidazole and other substances from its composition. In the instructions for the gel, the manufacturer indicated that its use is contraindicated for women in the first trimester of pregnancy or during breastfeeding. At urgent need When using the drug, nursing mothers are advised to temporarily stop breastfeeding child. It should also not be used by young children under 6 years of age.

Advantage this drug is a very small list of possible side effects, since the concentration of its active antibacterial substances very small. IN in rare cases rash, itching, hives, or mild degree numbness of the tongue and gums. If swallowed large quantities the drug may experience increased side effects, including dizziness, nausea and vomiting. In the most severe cases Convulsions and paresthesia may occur. In this case, gastric lavage will be necessary.

Know! If the doses and rules of use are strictly followed, the gel does not interact in any way with other medications.

Metrogil and Metrogil Denta - what is the difference?

Self-medication can be harmful to your health.
You should consult your doctor and read the instructions before use.

Metrogyl Denta gel: instructions for use

Compound

1 g of gel contains:

Active substances:

Metronidazole benzoate X 16.0 mg

(equivalent to metronidazole X 10.0 mg)

Chlorhexidine digluconate 20% solution.............................. 2.5 mg

(equivalent to chlorhexidine digluconate.................... 0.5 mg)

and excipients: propylene glycol, carbomer-940, disodium edetate, sodium saccharinate, levomenthol, sodium hydroxide, water.

Description

White or off-white opalescent soft gel

pharmachologic effect

The effectiveness of the drug is due to the presence of two antibacterial components in its composition:

a) metronidazole has an antibacterial effect against anaerobic bacteria, causing diseases periodontal: Porphyromonas gingivalis, Prevotella intermedia, Fusobacterium fusiformis, Wolinella recta, Eikenella corrodens, Borrelia vincenti, Bacteroides melaninogenicus, Selenomonas spp.

b) chlorhexidine - antiseptic and antimicrobial agent, effective against gram-positive and gram-negative aerobic and anaerobic bacteria (Treponema spp., Neisseria gonorrhoeae, Trichomonas spp., Chlamydia spp., Ureaplasma spp., Bacteroides fragilis). Some strains of Pseudomonas spp., Proteus spp. are weakly sensitive to the drug, and acid-resistant forms of bacteria and bacterial spores are also resistant. Does not interfere with the functional activity of lactobacilli.

At local application METROGYL DENTA gel is practically not absorbed.

Indications for use

Infectious inflammatory diseases periodontal and oral mucosa: - acute and chronic (edematous, hyperplastic, atrophic) gingivitis; acute ulcerative necrotizing gingivitis (Vincent gingivitis); acute and chronic periodontitis; periodontitis, periodontal abscess (as part of combination therapy).

Contraindications

Hypersensitivity to metronidazole, chlorhexidine, as well as nitroimidazole derivatives and any components included in the drug. Childhood up to 6 years old.

Pregnancy and lactation

Directions for use and doses

For dental use only.

For adults and children over 6 years old with inflammation of the gums (gingivitis), METROGYL DENTA® is applied to the gum area in a thin layer with your finger or using cotton swab 2 times a day. After applying the gel, you should refrain from drinking and eating for 30 minutes. It is not recommended to wash off the gel. The duration of treatment is on average 7-10 days.

Side effect

When METROGYL DENTA® gel is applied topically, allergic reactions (skin rash, itching, urticaria), as well as headache, may occur.

When used for periodontal pockets, the following were observed: side effects: From the outside immune system:

Rarely (> 1/10 LLC, 1/10 LLC, 1/10 000,

Dizziness

From the outside gastrointestinal tract Sometimes (> 1/1 000,

Temporary local sensitization Rare (> 1/10,000,

Stomatitis, gingivitis, taste disturbances, difficulty swallowing, nausea, vomiting

From the skin and subcutaneous connective tissue Rarely (> 1/10,000,

Diseases of the skin and subcutaneous connective tissue

Rarely (> 1/10 000,

Overdose

Accidental or intentional ingestion of large amounts of gel may cause increased side effects, caused mainly by metronidazole (chlorhexidine is practically not absorbed from the gastrointestinal tract). The following may be observed: nausea, vomiting, dizziness, and in more severe cases - paresthesia and convulsions. Treatment: gastric lavage, symptomatic therapy if necessary.

Interaction with other drugs

When applied topically in recommended doses, no systemic interaction of Metrogyl Denta gel with other drugs was detected. However, you should carefully prescribe Metrogyl Denta ® gel with certain medications. Warfaria and other coumarin anticoagulants. Metronidazole enhances the anticoagulant effect, which leads to an increase in prothrombin time. Disulfiram. Concomitant use increases the toxicity of the drugs, which can lead to the development neurological symptoms. Phenobarbital, phenytin. When used simultaneously with metronidazole, it decreases antimicrobial activity the last one. The reason is the accelerated metabolism of metronidazole. Cimetidine. Suppresses the metabolism of metronidazole, which may lead to increased concentrations of metronidazole in the blood serum.

Features of application

The use of METROGYL DENTA® gel does not replace hygienic brushing of teeth, therefore, during the course of treatment with the drug, teeth brushing should be continued. Avoid getting the gel into your eyes. While using the drug, you should not drink alcohol; this can lead to a teturam-like reaction in the form of stomach cramps, nausea, vomiting, headache and flushing of the face.

You should not take the drug for more than 10 days. If necessary, consult a doctor.

If the medicine has become unusable or has expired, do not throw it away. wastewater or outside! Place the medication in a bag and place it in the trash. These measures will help protect the environment!

Precautionary measures

In general, Metronidazole and other medicines containing nitroimidazole should not be taken for longer than 10 days. This period can only be exceeded in in some cases for particularly serious indications. Treatment should be repeated as rarely as possible. Limiting the treatment period is necessary, since otherwise the possibility of damage to human germ cells cannot be excluded. In addition, growth of certain tumors was observed in animal tests.

The combined drug is active against gram-negative and gram-positive anaerobic and aerobic bacteria, and is also effective against periodontal pathogens. The drug has a fluid consistency that allows it to penetrate deeply into periodontal pockets.

"Metrogil Denta" is used for inflammatory and infectious diseases of the oral mucosa and periodontal disease. Such diseases include chronic and acute gingivitis and periodontitis, periodontal disease, Vincent's ulcerative-necrotizing gingivitis, aphthous stomatitis, cheilitis, juvenile periodontitis, as well as post-extraction alveolitis, periodontal abscess and periodontitis. The gel is also used for inflammation of the oral mucosa while wearing dentures. The drug is contraindicated in children under 6 years of age and in patients with individual intolerance to chlorhexidine and metronidazole. Should be taken with caution during pregnancy and lactation, with liver, peripheral and central diseases. nervous system and blood diseases. During drug therapy, you should not drink alcoholic beverages.

Metrogyl Denta can cause side effects such as headaches and allergic reactions - hives, itching and skin rash. In case of an overdose of the drug, convulsions and paresthesia, dizziness and digestive problems may occur.

Use of the drug

For gingivitis, adult patients and children over six years of age are given the drug twice a day. The gel must be applied to the gum area and not washed off. The duration of the course is from 7 to 10 days. After using the drug, you should refrain from eating and drinking for half an hour.

The dentist applies gel to periodontal pockets, having previously removed dental deposits from them. The duration of the procedure is 30 minutes. The number of applications depends on the severity of the disease. Then the patient applies the drug to the gums twice a day for 10 days.

During therapy aphthous stomatitis The doctor prescribes applying Metrogyl Denta to the inflamed area of ​​the oral mucosa twice a day for a week.

To prevent exacerbations of chronic periodontitis and gingivitis, the drug is used on the gum area twice a day for 10 days. The course is conducted 2-3 times a year. After tooth extraction, for preventive measures post-extraction alveolitis, treat the hole with gel three times a day for 7 days.

What does a person usually do when health problems arise? It is logical to assume that he will go to the clinic. There you will have to wait in line, despite pre-registration. Another option is to find paid clinic, fortunately there are enough of them now. The same doctors working part-time will receive you attentively and cordially, identify several diseases and will certainly convince you to urgently undergo treatment, and only with them. Also, many are often interested in the opinions of their friends and acquaintances about a particular product. We have prepared for you the most complete report on medicine"Metrogil Denta": reviews about it (including whether it can be used this medicine during pregnancy), indications for use and contraindications, as well as much other useful information.

Official information about the drug

Metrogyl Denta is produced by Unique Pharmaceutical. This is an Indian company with representative offices in almost all countries of the world. The company based its scientific developments on the centuries-old experience of Ayurvedic medicine in India. Her commitment to the use of small doses of medications is known. Control over product release is carried out in accordance with GMP rules. If you see these small letters on any medicinal packaging, this means that the drug can be trusted. For example, in Russia, out of 350 pharmaceutical companies, only a few work with this type of control. It (control) represents an impartial check of all levels of production: from cultivation and delivery of raw materials to packaging finished products. Expert reviews received by Metrogil Denta are carefully studied in the company’s laboratories. Of course, such activities are more expensive and are reflected in the price of the medicine.

Pharmacological action of the drug “Metrogil Denta”, its composition, price, release form

Main active ingredients: metronidazole and chlorhexidine. Metronidazole is known as antimicrobial agent. It is widely used in therapy, surgery, and gynecology. It is also used for treatment peptic ulcer stomach and duodenum, chronic colitis, inflammatory processes in the urinary system, for infections of the genital organs, for the prevention of postoperative complications.

And chlorhexidine is an antiseptic. Known for his local action for preoperative instruments, gloves, cleaning of medical premises. Substances that provide a gel consistency are also added to the drug “Metrogil Denta”, making the product convenient to use in dental practice. Release form: plastic or aluminum tubes containing from 5 to 50 grams of the drug. In addition, Metrogyl is produced in the form of a gel intended to solve cosmetic problems and for the treatment of inflammatory processes of the external genital organs in women. The price of the drug is from 80 to 100 rubles per tube.

The drug “Metrogil Denta” (gel): reviews and indications for use

Various inflammatory diseases of the oral cavity, bite of the buccal mucosa, inflammation of the periodontal tissues, infection of the gums after wearing dentures, treatment of a wound during the removal of a diseased tooth - all this is an indication for the use of the drug in dentistry. In addition, the drug works well on loose sore gum during the eruption of third molars, or “wisdom teeth.” Doctors speak of the product as an inexpensive, well-functioning antiseptic, and often prescribe it to their patients. But there is also a group of people who should not use Metrogyl. So, the drug is contraindicated:

• in the first trimester of pregnancy and during the lactation period;
• children under 6 years old;
• at allergic reaction into its components.

What you need to know when using Metrogyl Denta in gel form

Some doctors remind you to stop taking it during treatment with gel. alcoholic drinks. After all, even with applications, part of the drug is absorbed into the blood. There is a method of metronidazole to induce a vomiting reaction in the treatment of alcoholism. This drug is incompatible with alcohol-containing drinks. Negative combined effects of the drug Metrogyl Denta with anticoagulants have been noted (the substance enhances their effect, bleeding is possible). Sleeping pill"Phenobarbital", on the contrary, reduces the effect of the medication in question. Danger occurs if the gel is accidentally swallowed. Metronidazole, which is part of it, causes nausea and dizziness. First aid is gastric lavage.

Method of use of the drug “Metrogil Denta”

When using the medicine in dental practice, it is recommended: in the morning and evening after brushing your teeth, try to dry the oral cavity as best as possible (breathe with open mouth or wipe with a napkin), apply the gel to the gums from the outside and inside. If necessary, apply to the buccal mucosa using a cotton swab or finger. Most of The gel should remain on the front surface of the teeth. After this, you should not drink for 30 minutes, and it is not recommended to eat food for 2-3 hours. The drug has a menthol taste and smell. At this time, do not swallow the saliva, but spit it out. First ones are better procedures should be carried out under the supervision of a dentist, and then independently. The course of treatment is 7-10 days.

The drug “Metrogil Denta”: reviews for periodontal disease

Many dentists believe that in the treatment of this pathology, only applying gel in the form of applications is insufficient. If there is tartar or plaque, it must first be removed. When using the drug, a short-term improvement in the condition is possible, but then the process may turn into chronic form. Therefore, in in this case Self-medication is strictly not recommended. At the first signs of periodontal disease (damage to the periodontal tissues), you should immediately consult a doctor.

"Metrogil Denta": reviews for stomatitis

Stomatitis - not so much rare pathology even among adults, not to mention children. In dentistry, the drug Metrogyl Denta is also used to eliminate this problem. Reviews from patients who have experienced the effects of the drug mentioned are very contradictory. The fact is that it is effective only for aphthous stomatitis (aphthous stomatitis is small painful sores). To heal ulcers, you can apply the drug. Unfortunately, it has neither analgesic nor antiallergic effects. It is these symptoms that are most pronounced with stomatitis. Doctors recommend in such cases to use more suitable drug- “Holisal”. There is information about good result when using Metrogyl Denta gel for the treatment of an adult with chickenpox.

Is it possible to use Metrogyl Denta for the treatment of pregnant and nursing mothers?

Doctors do not recommend using the drug Metrogyl Denta during pregnancy. Reviews of the use in this case of another remedy, which we have already mentioned in our article, namely “Cholisala,” are much better. It is indicated for stomatitis at all stages of pregnancy and even during breastfeeding. However, it is better to consult a pediatrician about possible influence active substance for a newborn. In any case, only a specialist can prescribe this or that drug to a woman in interesting position(or a young mother), taking into account the benefits for the mother and possible risk for the fetus.

Use of the drug “Metrogyl Denta” for acne

The drug helps to cope with problems such as acne, trophic ulcer, eczema and seborrhea. It can be applied to difficult-to-heal wounds and bedsores. It is also effective for hemorrhoids and fissures anus. The gel should be applied to thoroughly cleansed skin twice a day - morning and evening. The course of treatment is from three to ten weeks (depending on the severity of the lesion skin). Many people are interested in whether the drug Metrogyl Denta helps with acne? Reviews from teenagers and their parents contain information that cosmetologists and dermatologists do not recommend for treatment acne use this tool. Metrogyl-gel is suitable for these purposes. People claim that, provided regular use drug, positive effect achieved within 2-3 months. Many advise enhancing the effect by simultaneous use of tablets containing metronidazole ( oral administration). His trade names— “Cleon” or “Flagal”. These drugs are prescribed one tablet 3 times a day, the course of treatment is 7-10 days. Note! If you believe the reviews, the gel does not remove scars after acne has healed.

Use of the drug in the prevention of gum disease

Doctors advise adding home first aid kit medicine "Metrogil Denta". Reviews of its use confirm that it can help even in emergency cases. Some people use it to treat hot tea burns on the roof of their mouth and also to treat tongue bites. Although there are some comments: it turns out that when long-term use this tool darkening of the tooth enamel is observed. There is information about the treatment of schoolchildren aged 10-12 years with the drug. During recess, children were asked to brush their teeth, and then doctors applied gel to their gums. At home, before going to bed, it was proposed to repeat the procedure (under parental supervision). After 5 days, during a repeated examination, dentists noted a positive effect - the incidence of gum inflammation was significantly reduced.

The drug “Metrogil Denta” is also used for prevention. Reviews about its action in this case are also positive. But they cannot replace daily hygiene care for oral hygiene and teeth cleaning. By the way, there is a recommendation to use the gel during regular morning hygiene, applying to toothbrush first a layer of gel and then toothpaste. Of course, there will be no effect from a single use. You need to tune in regular use of this product along with good cleansing toothpastes, vitamins and calcium supplements. And in case of occurrence serious problems with teeth, skin, and if you are in doubt whether you should use the drugs in question, it is best to consult a doctor.

In our article we tried to provide you with full information about the medication, we examined both forms - gel and ointment “Metrogil Denta”. Reviews, recommendations for use, contraindications and side effects are also discussed in the material. We hope this will help you in choosing a dental care product, and will also dispel any doubts about whether you should use this medicine, or, perhaps, it is better to pay attention to something else.

Pathologies of the oral cavity modern society extremely common. According to the latest statistics, more than half of the world's population suffers from dental caries. Diseases such as stomatitis, periodontitis, gingivitis, etc. are not as common, but they are no less dangerous, and, as a rule, are caused by caries.

Particularly dangerous is the widespread habit of neglecting such ailments as caries. This attitude to the problem leads to the fact that small and easily eliminated caries sooner or later develops into more dangerous disease, difficult to treat.

Achievements modern medicine provide wide range methods and means for the treatment of dental diseases. Gel Metrogil Denta is one of the most popular medicines for the treatment of pathologies of the oral cavity. Having a pronounced antibacterial effect, it is used not only in the treatment, but also in the prevention of infectious and infectious-inflammatory pathologies such as gingivitis, periodontitis and periodontal disease. In addition, Metrogyl Denta is successfully used to prevent caries and also slows down its development.

Pharmacological properties

Metrogyl Denta is a combined antibacterial drug. The mechanism of action of the drug is due to its action active ingredients– metronidazole and chlorhexidine.

Metronidazole is antibacterial and anthelmintic. Destroys all types of bacteria and protists that cause periodontitis. Ineffective against aerobes. Interacting with transport proteins cells, metronidazole disrupts the synthesis nucleic acids, which leads to the death of the microorganism.

Application

It is used topically, exclusively for the treatment of dental diseases.
For adults and children over six years of age, gums with gingivitis are treated with gel 2 times a day. The drug should not be washed off. The duration of the course of therapy is 7-10 days. After using the drug, you must refrain from eating for the next half hour.

In case of periodontitis, after removing tartar, periodontal pockets are treated with gel. Then an applicator soaked in the preparation is applied to the gums (application time – 30 minutes). The number of procedures is determined by the severity of the disease. Gel applications can be carried out without the help of a doctor. Metrogyl Denta is used 2 times a day for 7-10 days.

For stomatitis accompanied by aphthae, the gel is used to treat the affected areas of the oral mucosa 2 times a day for a period of time. 7-10 days.

To prevent gums, treat them with gel 2 times a day. Course duration is 7-10 days. Preventive courses are recommended every 4-6 months.

When a tooth is removed, there is a possibility of inflammation of the tooth socket. Therefore, in order to prevent alveolitis, immediately after tooth extraction, the hole is carefully treated with the drug. Then a preventive course is carried out - the gel is applied 2-3 times a day for 7-10 days.

Side effects

At correct use Metrogyl Denta, the likelihood of developing systemic side effects is extremely low, however, in some cases the following symptoms are observed:

• allergic manifestations (rash, itching, nettle fever).

Interaction with other medications

When applied topically in correct dosage Metrogyl Dent's interaction with other medications is insignificant. However, it is impossible to guarantee the absence of such reactions. Therefore, Metrogyl Denta is not recommended for use with certain medications.

Coumarin anticoagulants (in particular Warfirin). Metronidazole potentiates the effect of anticoagulants, increasing blood clotting time.

Disulfiram. Concomitant use with Metrogyl Denta increases the toxicity of both drugs, which can affect the state of the central and peripheral nervous system.

Phenobarbital, phenytoin. When used simultaneously with metronidazole antibacterial effect the latter decreases.

Cimetidine. When used simultaneously with metronidazole, it prevents the breakdown of the latter in the liver, which leads to an increase in its content in the blood.

special instructions

Using Metrogyl Dent does not replace brushing your teeth.
During the period of using the drug, you must abstain from alcohol.
Avoid contact of the drug with the eyes.

Clinical trials

This study was conducted by the Department of Children's therapeutic dentistry MGMSU. The head of the study is Professor V.M. Elizarova.

Metrogil Dent found wide application in the treatment of gum diseases in both adults and children. IN this study The use of the drug Metrogyl Denta in the treatment of chronic gingivitis in children 10-15 years old was studied.

115 children participated in the study. In children with chronic gingivitis in remission (90 subjects), tartar and dental plaque were eliminated.

The gel was applied to the gums and the junction of the gums and teeth. Gel application time is 30 minutes. Next, patients were recommended to use the gel for 10 days as follows: 2 times a day after brushing their teeth, treat the gums and spaces between the teeth with the drug. After the procedure, refrain from drinking and eating for at least half an hour.

On days 4-5 of testing, the children were examined again. In 82 of 90 children, a significant decrease was recorded