triclosan is the same chemical used in "antibacterial" soaps. It is much more stable than chlorhexidine and it has similar substantiativity. I believe clinical studies have shown that use of triclosan to have a reducing effect on gingivitis over regular Fl- dentrifices due to its antimicrobial substantiativity. You can call your local Colgate Representative for information on that. As far as ACT is concerned. ACT is one of the few non-alcohol based rinses and one of the very few Fl- containing rinses, however, the concentration of Fl- (I believe about0.025%) is extremely low. It has an effect on root caries, and possibly smooth surface caries, but I doubt you are gonna get a pit and fissure reduction from 0.025%. I used to recommend ACT, but I now just Rx Prevident 5000+. As with anything you recommend or Rx patient compliance is always a BIG BIG issue. You end up learning that you can recommend or Rx stuff allll day long, but if the patient doesn't use it or uses it for a little while then stops, or uses it here and there, it doesn't work and the patient isn't gonna blame themselves for not doing what they were supposed to....They look at you for giving them some bogus treatment. This should hinder you from providing the standard of care though.....Just realize that many patients won't take their medicine that the Dr. prescribes.
