Prospective clinical study evaluating the long-time adjunctive use of chlorhexidine after one-stage full-mouth SRP

Int J Dent Hyg. 2010 Feb;8(1):35-40. doi: 10.1111/j.1601-5037.2009.00390.x.

Abstract

Objectives: Scaling and root planing are the causal procedure in the treatment of periodontitis. Many attempts have been made to improve the outcome. The aim of this study was to verify the influence of the extended use of chlorhexidine after one-stage full-mouth (FM) SRP in patients with chronic periodontitis on the clinical outcome after 3 months.

Methods: Eighty-one patients with pockets > or =5 mm were treated by FM. All patients rinsed additionally with 0.2% chlorhexidine (CHX) twice daily over 3 months. Plaque index, bleeding on probing, probing depth (PD) and clinical attachment level (CAL) were recorded at baseline and after 1 and 3 months.

Results: In the test group, all variables were significantly improved after 1 and 3 months. Mean reduction of PD and CAL gain was 2.25 +/- 1.08 and 1.67 +/- 1.08 after 1 and 2.99 +/- 1.11 and 2.33 +/- 1.31 after 3 months respectively.

Conclusions: Over 3 months of extended use of CHX mouth rinse after SRP showed slightly but statistically significant better results.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Anti-Infective Agents, Local / therapeutic use*
  • Chlorhexidine / therapeutic use*
  • Chronic Periodontitis / drug therapy
  • Chronic Periodontitis / therapy*
  • Combined Modality Therapy
  • Dental Plaque Index
  • Dental Prophylaxis
  • Dental Scaling*
  • Female
  • Follow-Up Studies
  • Gingival Hemorrhage / therapy
  • Humans
  • Male
  • Periodontal Attachment Loss / therapy
  • Periodontal Index
  • Periodontal Pocket / drug therapy
  • Periodontal Pocket / therapy
  • Prospective Studies
  • Root Planing*
  • Treatment Outcome
  • Ultrasonic Therapy

Substances

  • Anti-Infective Agents, Local
  • Chlorhexidine