Topical chlorhexidine, povidone-iodine and erythromycin in the repair of traumatic ulcers on the rat tongue: Clinical, histological and microbiological evaluation

Arch Oral Biol. 2018 Mar:87:218-225. doi: 10.1016/j.archoralbio.2018.01.001. Epub 2018 Jan 4.

Abstract

Objective: This study investigated the effect of topical application of 0.12% chlorhexidine, 10% povidone-iodine and 50% erythromycin on the optimization of healing process of traumatic ulcers made on ventral tongue of rats.

Design: Forty-Eight Wistar rats were randomly divided into four groups: control, chlorhexidine (Chx), povidone-iodine (PvI) and erythromycin (Er). An ulcer of 5 mm in diameter was made on the ventral tongue of the animals. After 24 h, a microbiological sample was taken and daily application of the substances started. Six animals each group were euthanized at 4 days and the others at 8 days postoperative, totaling three and seven days of treatment. Prior to euthanasia, a new microbiological collection was performed.

Results: The experimental groups showed less area of residual ulcer. A significant difference was seen between the PvI and Chx in relation to the control after three days of treatment (p < 0.05). Although the experimental groups displayed greater newly formed epithelial area, there was no significant difference compared to the control (p > 0.05). Er exhibed the lowest inflammation scores after seven days of treatment (p < 0.05). PvI showed reduction of microorganisms at both times and under aerobic (p < 0.01 at 3 days and p < 0.001 at 7 days) and microaerophilic (p < 0.05) conditions. Er significantly reduced the count of microorganisms in aerobic condition when compared to control group (p < 0.05 at 3 days and p < 0.01 at 7 days).

Conclusions: All drugs promoted reduction of the microorganisms at the site of the injury, which may have a direct effect on the tissue repair process.

Keywords: Chlorhexidine; Erythromycin; Oral ulcer; Povidone-iodine; Wound healing.

MeSH terms

  • Administration, Topical
  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / pharmacology*
  • Anti-Infective Agents, Local / administration & dosage
  • Anti-Infective Agents, Local / pharmacology*
  • Chlorhexidine / administration & dosage
  • Chlorhexidine / pharmacology*
  • Erythromycin / administration & dosage
  • Erythromycin / pharmacology*
  • Oral Ulcer / drug therapy*
  • Oral Ulcer / microbiology*
  • Povidone-Iodine / administration & dosage
  • Povidone-Iodine / pharmacology*
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Tongue*
  • Wound Healing / drug effects*

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents, Local
  • Erythromycin
  • Povidone-Iodine
  • Chlorhexidine