Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study

Background: There is a need for exploration of the role of chemotherapeutic agents and its role in the prevention of early childhood caries (ECC) and its recurrence. Aim: The aim of this study was two-fold: (1) To compare the antimicrobial efficacy of three commonly used chemotherapeutic agents in t...

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Main Authors: Ajay Narayan, Savitha Satyaprasad, S Anandraj, S R Ananda, P Ananth Kamath, S Nandan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Indian Society of Pedodontics and Preventive Dentistry
Subjects:
Online Access:http://www.jisppd.com/article.asp?issn=0970-4388;year=2017;volume=35;issue=2;spage=174;epage=180;aulast=Narayan
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author Ajay Narayan
Savitha Satyaprasad
S Anandraj
S R Ananda
P Ananth Kamath
S Nandan
author_facet Ajay Narayan
Savitha Satyaprasad
S Anandraj
S R Ananda
P Ananth Kamath
S Nandan
author_sort Ajay Narayan
collection DOAJ
description Background: There is a need for exploration of the role of chemotherapeutic agents and its role in the prevention of early childhood caries (ECC) and its recurrence. Aim: The aim of this study was two-fold: (1) To compare the antimicrobial efficacy of three commonly used chemotherapeutic agents in the prevention of ECC in comparison with a control and (2) To ascertain the role of chemotherapeutic agents in the prevention of ECC. Materials and Methods: Sixty children with ECC in the age group 3–6 years were randomly allocated into four groups. To each group of children after full oral rehabilitation either 10% povidone-iodine (PI), or chlorhexidine (CHX) varnish (Cervitec Plus), or fluoride varnish (Fluor Protector) were applied twice at an interval of 1 week, Group 4 served as control. Streptococcus mutans count in saliva and plaque were collected at baseline, 30, 60, and 90 days and the presence of S. mutans was evaluated using the Dentocult SM strip mutans kit. The efficacy of 10% PI, CHX varnish (Cervitec Plus), and fluoride varnish (Fluor Protector) was compared with the control group at 30, 60, and 90 days. An intergroup comparison was also done during the same time intervals. Results: The reduction of S. mutans count in the plaque and saliva was greatest in the fluoride varnish treated groups at all time intervals (30, 60, and 90 days). Fluoride varnish, CHX varnish, and 10% PI showed significant improved efficacy when compared to the control group (P < 0.001). Fluoride varnish showed significantly lower counts of S. mutans compared to CHX varnish at all time intervals (30, 60, and 90 days) and also significantly lower counts compared to 10% PI at 60 and 90 days interval (P < 0.001).
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spelling doaj.art-cb8bc0d3a04746628147a6f4e24b825d2022-12-21T17:58:04ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Pedodontics and Preventive Dentistry0970-43881998-39052017-01-0135217418010.4103/JISPPD.JISPPD_319_16Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind studyAjay NarayanSavitha SatyaprasadS AnandrajS R AnandaP Ananth KamathS NandanBackground: There is a need for exploration of the role of chemotherapeutic agents and its role in the prevention of early childhood caries (ECC) and its recurrence. Aim: The aim of this study was two-fold: (1) To compare the antimicrobial efficacy of three commonly used chemotherapeutic agents in the prevention of ECC in comparison with a control and (2) To ascertain the role of chemotherapeutic agents in the prevention of ECC. Materials and Methods: Sixty children with ECC in the age group 3–6 years were randomly allocated into four groups. To each group of children after full oral rehabilitation either 10% povidone-iodine (PI), or chlorhexidine (CHX) varnish (Cervitec Plus), or fluoride varnish (Fluor Protector) were applied twice at an interval of 1 week, Group 4 served as control. Streptococcus mutans count in saliva and plaque were collected at baseline, 30, 60, and 90 days and the presence of S. mutans was evaluated using the Dentocult SM strip mutans kit. The efficacy of 10% PI, CHX varnish (Cervitec Plus), and fluoride varnish (Fluor Protector) was compared with the control group at 30, 60, and 90 days. An intergroup comparison was also done during the same time intervals. Results: The reduction of S. mutans count in the plaque and saliva was greatest in the fluoride varnish treated groups at all time intervals (30, 60, and 90 days). Fluoride varnish, CHX varnish, and 10% PI showed significant improved efficacy when compared to the control group (P < 0.001). Fluoride varnish showed significantly lower counts of S. mutans compared to CHX varnish at all time intervals (30, 60, and 90 days) and also significantly lower counts compared to 10% PI at 60 and 90 days interval (P < 0.001).http://www.jisppd.com/article.asp?issn=0970-4388;year=2017;volume=35;issue=2;spage=174;epage=180;aulast=NarayanCervitecDentocult SM stripsFluor Protectorpovidone iodineStreptococcus mutans
spellingShingle Ajay Narayan
Savitha Satyaprasad
S Anandraj
S R Ananda
P Ananth Kamath
S Nandan
Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study
Journal of Indian Society of Pedodontics and Preventive Dentistry
Cervitec
Dentocult SM strips
Fluor Protector
povidone iodine
Streptococcus mutans
title Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study
title_full Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study
title_fullStr Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study
title_full_unstemmed Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study
title_short Comparison of efficacy of three chemotherapeutic agents on Streptococcus mutans count in plaque and saliva: A randomized controlled triple blind study
title_sort comparison of efficacy of three chemotherapeutic agents on streptococcus mutans count in plaque and saliva a randomized controlled triple blind study
topic Cervitec
Dentocult SM strips
Fluor Protector
povidone iodine
Streptococcus mutans
url http://www.jisppd.com/article.asp?issn=0970-4388;year=2017;volume=35;issue=2;spage=174;epage=180;aulast=Narayan
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