Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices
Background: Chlorhexidine (CHX) as a gold standard chemical agent appears to be the most effective antimicrobial agent for reduction of both plaque and gingivitis. The aim of this study was to compare the efficacy of two concentrations of digluconate chlorhexidine (CHX) solutions (0.12% and 0.20%) o...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Dental Research Journal |
| Subjects: | |
| Online Access: | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2012;volume=9;issue=3;spage=305;epage=308;aulast=Najafi |
| _version_ | 1818214332156084224 |
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| author | Mohammad Hassan Najafi Morteza Taheri Majid Reza Mokhtari Ali Forouzanfar Fateme Farazi Mona Mirzaee Zahra Ebrahiminik Reza Mehrara |
| author_facet | Mohammad Hassan Najafi Morteza Taheri Majid Reza Mokhtari Ali Forouzanfar Fateme Farazi Mona Mirzaee Zahra Ebrahiminik Reza Mehrara |
| author_sort | Mohammad Hassan Najafi |
| collection | DOAJ |
| description | Background: Chlorhexidine (CHX) as a gold standard chemical agent appears to be the most effective antimicrobial agent for reduction of both plaque and gingivitis. The aim of this study was to compare the efficacy of two concentrations of digluconate chlorhexidine (CHX) solutions (0.12% and 0.20%) on gingival indices and the level of dental staining during 14 days.
Materials and Methods: in this double-blind controlled clinical trial study 60 patients with moderate to severe gingivitis aged 17-56 years were randomly selected and divided to three groups: Group I (placebo) Group II (0.12% CHX), and Group III (0.2% CHX). Patients rinsed their mouthwashes twice a day after brushing. Before the examination and after 14 days plaque index, gingival index, bleeding index, and stain index were evaluated. The data were analyzed by "Mann-Whitney" test and P value was 0.05.
Results: the results showed that plaque index and gingival index significantly reduced in Groups II and III in comparison with the placebo group (P < 0.0001). However, the two concentrations did not differ significantly from each other (P = 0.552). Same results were observed in term of gingival bleeding index with this different that 0.2% CHX was significantly more efficient than 0.12% CHX (P < 0.0001). CHX mouthrinse, both concentrations, significantly increased the dental staining level (intensity and area) in comparison with the placebo group. Remarkable difference also was seen between 2 CHX concentrations so that the 0.2% CHX caused much more staining on the teeth than 0.12% CHX.
Conclusion: based on the results of this study we can conclude that the lower concentrations of CHX should be prescribed, decreasing side effects, since higher concentrations do not seem to be more effective in controlling dental plaque and gingivitis. |
| first_indexed | 2024-12-12T06:18:30Z |
| format | Article |
| id | doaj.art-48811a05dbad43d5ab3309774f09d3a4 |
| institution | Directory Open Access Journal |
| issn | 1735-3327 2008-0255 |
| language | English |
| last_indexed | 2024-12-12T06:18:30Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Dental Research Journal |
| spelling | doaj.art-48811a05dbad43d5ab3309774f09d3a42022-12-22T00:34:58ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552012-01-019330530810.4103/1735-3327.99824Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indicesMohammad Hassan NajafiMorteza TaheriMajid Reza MokhtariAli ForouzanfarFateme FaraziMona MirzaeeZahra EbrahiminikReza MehraraBackground: Chlorhexidine (CHX) as a gold standard chemical agent appears to be the most effective antimicrobial agent for reduction of both plaque and gingivitis. The aim of this study was to compare the efficacy of two concentrations of digluconate chlorhexidine (CHX) solutions (0.12% and 0.20%) on gingival indices and the level of dental staining during 14 days. Materials and Methods: in this double-blind controlled clinical trial study 60 patients with moderate to severe gingivitis aged 17-56 years were randomly selected and divided to three groups: Group I (placebo) Group II (0.12% CHX), and Group III (0.2% CHX). Patients rinsed their mouthwashes twice a day after brushing. Before the examination and after 14 days plaque index, gingival index, bleeding index, and stain index were evaluated. The data were analyzed by "Mann-Whitney" test and P value was 0.05. Results: the results showed that plaque index and gingival index significantly reduced in Groups II and III in comparison with the placebo group (P < 0.0001). However, the two concentrations did not differ significantly from each other (P = 0.552). Same results were observed in term of gingival bleeding index with this different that 0.2% CHX was significantly more efficient than 0.12% CHX (P < 0.0001). CHX mouthrinse, both concentrations, significantly increased the dental staining level (intensity and area) in comparison with the placebo group. Remarkable difference also was seen between 2 CHX concentrations so that the 0.2% CHX caused much more staining on the teeth than 0.12% CHX. Conclusion: based on the results of this study we can conclude that the lower concentrations of CHX should be prescribed, decreasing side effects, since higher concentrations do not seem to be more effective in controlling dental plaque and gingivitis.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2012;volume=9;issue=3;spage=305;epage=308;aulast=Najafichlorhexidineperiodontal indexstaining |
| spellingShingle | Mohammad Hassan Najafi Morteza Taheri Majid Reza Mokhtari Ali Forouzanfar Fateme Farazi Mona Mirzaee Zahra Ebrahiminik Reza Mehrara Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices Dental Research Journal chlorhexidine periodontal index staining |
| title | Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices |
| title_full | Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices |
| title_fullStr | Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices |
| title_full_unstemmed | Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices |
| title_short | Comparative study of 0.2% and 0.12% digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices |
| title_sort | comparative study of 0 2 and 0 12 digluconate chlorhexidine mouth rinses on the level of dental staining and gingival indices |
| topic | chlorhexidine periodontal index staining |
| url | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2012;volume=9;issue=3;spage=305;epage=308;aulast=Najafi |
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