Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial
Introduction: The benefit of mouth rinsing with an antiseptic prior to aerosol generating dental procedures has been reported and widely accepted. Chlorhexidine (CHX), the widely employed antiseptic mouthrinse is not without side effects. Diluted home bleach (sodium hypochlorite) has been in use...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/18122/62226_CE[Ra1]_F(IS)_PF1(JY_KM_OM)_PFA(JY_KM)_PN(KM).pdf |
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| author | Jom T Kizhakkel Rm Baiju N Raseena Beevi |
| author_facet | Jom T Kizhakkel Rm Baiju N Raseena Beevi |
| author_sort | Jom T Kizhakkel |
| collection | DOAJ |
| description | Introduction: The benefit of mouth rinsing with an antiseptic
prior to aerosol generating dental procedures has been reported
and widely accepted. Chlorhexidine (CHX), the widely employed
antiseptic mouthrinse is not without side effects. Diluted home
bleach (sodium hypochlorite) has been in use as an antiseptic
mouthrinse and its role in plaque control is well documented. It
is safe, less expensive and readily available.
Aim: To compare the aerosol microbial load after ultrasonic
scaling between three preprocedural rinses namely 0.1%
sodium hypochlorite (diluted home bleach), 0.2% CHX and
distilled water.
Materials and Methods: A non randomised clinical trial
was conducted in the Postgraduate Clinic, Department of
Periodontics, Government Dental College, Kottayam and
Department of Microbiology, Government Medical College,
Kottayam, Kerala, India, from April 2021 to September 2021.
Study included sixty systemically healthy adults {Full-mouth
Plaque Score (FMPS) and Full-mouth Bleeding Score (FMBS)
>25%, with atleast one periodontal pocket >4 mm in each
quadrant} who were divided into three groups of 20 receiving
diluted home bleach, CHX or distilled water, respectively as
preprocedural rinse. Subjects rinsed 15 mL of solution for 30
seconds, 10 minutes prior to ultrasonic scaling. Blood agar
plates kept at patient’s chest and doctor’s chest locations to
collect aerosols were incubated for 48 hours and microbial
Colony Forming Units (CFUs) counted. Analysis of Variance
(ANOVA) was used to compare the amount of CFUs at the two
sites between three groups. Independent t-tests were used to
compare the intragroup CFU counts between two sites.
Results: The mean age of group A, group B and group C
was 45.15±7.01 years, 41.9±9.96 years and 43.2±7.93 years,
respectively. There were 13 males and 7 females, 7 males
and 13 females and, 11 males and 9 females in group A,
group B and group C, respectively. There were more CFUs
in patient’s chest location sample compared to doctor’s
chest location in all three mouthrinse groups. For Sodium
hypochlorite (NaOCl), mean difference was 43.850 (95% CI
15.2-72.4), for CHX 45.800 (95% CI 25.9-65.6), for distilled
water 56.650 (95 % CI 20.2-93.0), respectively which were
statistically significant (p-value<0.05). The home bleach and
CHX groups showed significantly fewer CFUs than distilled
water on both locations. On comparison with CHX, diluted
home bleach demonstrated fewer CFUs, but this difference
was not statistically significant.
Conclusion: Diluted home bleach and CHX preprocedural
rinses were comparable in terms of CFU counts in dental
aerosols generated during ultrasonic scaling. Diluted home
bleach mouthrinse is safe, economical and readily available in
every house hold. |
| first_indexed | 2024-03-13T00:52:55Z |
| format | Article |
| id | doaj.art-1f3b89779c8e437e9cd6d323dcb81e2d |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-13T00:52:55Z |
| publishDate | 2023-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-1f3b89779c8e437e9cd6d323dcb81e2d2023-07-07T09:18:15ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-06-01176565910.7860/JCDR/2023/62226.18122Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical TrialJom T Kizhakkel0Rm Baiju1 N Raseena Beevi2. Senior Resident, Department of Periodontics, Government Dental College, Kottayam, Kerala, India. Professor, Department of Periodontics, Government Dental College, Kottayam, Kerala, India.Professor and Head, Department of Periodontics, Government Dental College, Kottayam, Kerala, India.Introduction: The benefit of mouth rinsing with an antiseptic prior to aerosol generating dental procedures has been reported and widely accepted. Chlorhexidine (CHX), the widely employed antiseptic mouthrinse is not without side effects. Diluted home bleach (sodium hypochlorite) has been in use as an antiseptic mouthrinse and its role in plaque control is well documented. It is safe, less expensive and readily available. Aim: To compare the aerosol microbial load after ultrasonic scaling between three preprocedural rinses namely 0.1% sodium hypochlorite (diluted home bleach), 0.2% CHX and distilled water. Materials and Methods: A non randomised clinical trial was conducted in the Postgraduate Clinic, Department of Periodontics, Government Dental College, Kottayam and Department of Microbiology, Government Medical College, Kottayam, Kerala, India, from April 2021 to September 2021. Study included sixty systemically healthy adults {Full-mouth Plaque Score (FMPS) and Full-mouth Bleeding Score (FMBS) >25%, with atleast one periodontal pocket >4 mm in each quadrant} who were divided into three groups of 20 receiving diluted home bleach, CHX or distilled water, respectively as preprocedural rinse. Subjects rinsed 15 mL of solution for 30 seconds, 10 minutes prior to ultrasonic scaling. Blood agar plates kept at patient’s chest and doctor’s chest locations to collect aerosols were incubated for 48 hours and microbial Colony Forming Units (CFUs) counted. Analysis of Variance (ANOVA) was used to compare the amount of CFUs at the two sites between three groups. Independent t-tests were used to compare the intragroup CFU counts between two sites. Results: The mean age of group A, group B and group C was 45.15±7.01 years, 41.9±9.96 years and 43.2±7.93 years, respectively. There were 13 males and 7 females, 7 males and 13 females and, 11 males and 9 females in group A, group B and group C, respectively. There were more CFUs in patient’s chest location sample compared to doctor’s chest location in all three mouthrinse groups. For Sodium hypochlorite (NaOCl), mean difference was 43.850 (95% CI 15.2-72.4), for CHX 45.800 (95% CI 25.9-65.6), for distilled water 56.650 (95 % CI 20.2-93.0), respectively which were statistically significant (p-value<0.05). The home bleach and CHX groups showed significantly fewer CFUs than distilled water on both locations. On comparison with CHX, diluted home bleach demonstrated fewer CFUs, but this difference was not statistically significant. Conclusion: Diluted home bleach and CHX preprocedural rinses were comparable in terms of CFU counts in dental aerosols generated during ultrasonic scaling. Diluted home bleach mouthrinse is safe, economical and readily available in every house hold.https://jcdr.net/articles/PDF/18122/62226_CE[Ra1]_F(IS)_PF1(JY_KM_OM)_PFA(JY_KM)_PN(KM).pdfbio aerosolhouse hold bleachperiodontal treatmentsodium hypochlorite |
| spellingShingle | Jom T Kizhakkel Rm Baiju N Raseena Beevi Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial Journal of Clinical and Diagnostic Research bio aerosol house hold bleach periodontal treatment sodium hypochlorite |
| title | Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial |
| title_full | Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial |
| title_fullStr | Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial |
| title_full_unstemmed | Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial |
| title_short | Diluted Home Bleach as a Preprocedural Mouthrinse Prior to Ultrasonic Scaling: A Non Randomised Clinical Trial |
| title_sort | diluted home bleach as a preprocedural mouthrinse prior to ultrasonic scaling a non randomised clinical trial |
| topic | bio aerosol house hold bleach periodontal treatment sodium hypochlorite |
| url | https://jcdr.net/articles/PDF/18122/62226_CE[Ra1]_F(IS)_PF1(JY_KM_OM)_PFA(JY_KM)_PN(KM).pdf |
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