Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study
Introduction: Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mutans is considered to be the chief pathogen in its development. Different varnishes are available which can be used for the prevention of the carious process. Aim: To compare the effec...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-08-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10409/26541_CE[Ra]_F(Sh)_PF1_(NE_VT_PY)_PFA(NE_SS).pdf |
| _version_ | 1818964613231804416 |
|---|---|
| author | Punit Manish Patel Shivayogi M Hugar Seema Halikerimath Chandrashekhar M Badakar Niraj S Gokhale Prachi J Thakkar Divyata Kohli Shreyas Shah |
| author_facet | Punit Manish Patel Shivayogi M Hugar Seema Halikerimath Chandrashekhar M Badakar Niraj S Gokhale Prachi J Thakkar Divyata Kohli Shreyas Shah |
| author_sort | Punit Manish Patel |
| collection | DOAJ |
| description | Introduction: Dental caries is the most widespread disease
which has a multi factorial origin. Streptococcus mutans is
considered to be the chief pathogen in its development. Different
varnishes are available which can be used for the prevention of
the carious process.
Aim: To compare the effect of fluoride varnish, chlorhexidine
varnish and fluoride varnish containing Casein Phosphopeptide
– Amorphous Calcium Phosphate (CPP-ACP) on salivary
Streptococcus mutans count in children with mixed dentition
over a period of six months.
Materials and Methods: Seventy two children of age 6-12
years with mixed dentition were selected fulfilling inclusion
and exclusion criteria and divided into three groups: Group
I– Fluoride varnish group; Group II– Chlorhexidine varnish
group; Group III– MI varnish (fluoride varnish containing CPPACP) group. After thorough oral prophylaxis and restorative
treatment the varnishes were applied to the teeth once a week
for four consecutive weeks in the respective groups. Salivary
Streptococcus mutans count (CFU/ml of saliva) was estimated
at baseline, 1 month, 3 months and 6 months after varnish
application. Bonferroni post-hoc test and paired t-test for inter
group and intra group comparison was used in the study.
Results: A statistically significant reduction in salivary S. mutans
colony count was seen with all three groups at all the different
time intervals. Maximum reduction was noted in chlorhexidine
varnish group at all the intervals after varnish application.
Conclusion: Prevention of dental caries plays a vital role in
paediatric dental practice. The use of dental varnish has proved
to be effective in reducing the dental caries. Chlorhexidine
varnish was found to show maximum reduction in salivary S.
mutans count for six month period, when compared to MI varnish
and fluoride varnish. Thus, chlorhexidine varnish can be used as
potent caries inhibiting agent and promote good oral health. |
| first_indexed | 2024-12-20T13:03:54Z |
| format | Article |
| id | doaj.art-9c28440c0bd54f799bde20facef1effa |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-20T13:03:54Z |
| publishDate | 2017-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-9c28440c0bd54f799bde20facef1effa2022-12-21T19:39:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-08-01118ZC53ZC5910.7860/JCDR/2017/26541.10409Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical StudyPunit Manish Patel0Shivayogi M Hugar1Seema Halikerimath2Chandrashekhar M Badakar3Niraj S Gokhale4Prachi J Thakkar5Divyata Kohli6Shreyas Shah7Postgraduate Student, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Professor and Head, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Professor and Head, Department of Oral Pathology and Microbiology, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Reader, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Reader, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Postgraduate Student, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Postgraduate Student, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Postgraduate Student, Department of Paedodontics and Preventive Dentistry, KLE University’s KLE VKIDS, Belagavi, Karnataka, India.Introduction: Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mutans is considered to be the chief pathogen in its development. Different varnishes are available which can be used for the prevention of the carious process. Aim: To compare the effect of fluoride varnish, chlorhexidine varnish and fluoride varnish containing Casein Phosphopeptide – Amorphous Calcium Phosphate (CPP-ACP) on salivary Streptococcus mutans count in children with mixed dentition over a period of six months. Materials and Methods: Seventy two children of age 6-12 years with mixed dentition were selected fulfilling inclusion and exclusion criteria and divided into three groups: Group I– Fluoride varnish group; Group II– Chlorhexidine varnish group; Group III– MI varnish (fluoride varnish containing CPPACP) group. After thorough oral prophylaxis and restorative treatment the varnishes were applied to the teeth once a week for four consecutive weeks in the respective groups. Salivary Streptococcus mutans count (CFU/ml of saliva) was estimated at baseline, 1 month, 3 months and 6 months after varnish application. Bonferroni post-hoc test and paired t-test for inter group and intra group comparison was used in the study. Results: A statistically significant reduction in salivary S. mutans colony count was seen with all three groups at all the different time intervals. Maximum reduction was noted in chlorhexidine varnish group at all the intervals after varnish application. Conclusion: Prevention of dental caries plays a vital role in paediatric dental practice. The use of dental varnish has proved to be effective in reducing the dental caries. Chlorhexidine varnish was found to show maximum reduction in salivary S. mutans count for six month period, when compared to MI varnish and fluoride varnish. Thus, chlorhexidine varnish can be used as potent caries inhibiting agent and promote good oral health.https://jcdr.net/articles/PDF/10409/26541_CE[Ra]_F(Sh)_PF1_(NE_VT_PY)_PFA(NE_SS).pdfchildrendemineralizationdental cariespreventionremineralizationsaliva |
| spellingShingle | Punit Manish Patel Shivayogi M Hugar Seema Halikerimath Chandrashekhar M Badakar Niraj S Gokhale Prachi J Thakkar Divyata Kohli Shreyas Shah Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study Journal of Clinical and Diagnostic Research children demineralization dental caries prevention remineralization saliva |
| title | Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study |
| title_full | Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study |
| title_fullStr | Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study |
| title_full_unstemmed | Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study |
| title_short | Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study |
| title_sort | comparison of the effect of fluoride varnish chlorhexidine varnish and casein phosphopeptide amorphous calcium phosphate cpp acp varnish on salivary streptococcus mutans level a six month clinical study |
| topic | children demineralization dental caries prevention remineralization saliva |
| url | https://jcdr.net/articles/PDF/10409/26541_CE[Ra]_F(Sh)_PF1_(NE_VT_PY)_PFA(NE_SS).pdf |
| work_keys_str_mv | AT punitmanishpatel comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT shivayogimhugar comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT seemahalikerimath comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT chandrashekharmbadakar comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT nirajsgokhale comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT prachijthakkar comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT divyatakohli comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy AT shreyasshah comparisonoftheeffectoffluoridevarnishchlorhexidinevarnishandcaseinphosphopeptideamorphouscalciumphosphatecppacpvarnishonsalivarystreptococcusmutanslevelasixmonthclinicalstudy |