A review of the literature on use of chlorhexidine in dentistry

Fardai, Oystein; Turnbull, Robert S.

doi:10.14219/jada.archive.1986.0118

Cited by 246 publications

(141 citation statements)

References 83 publications

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“…22,23 Moreover, CHX has been reported to suppresses the growth of S. mutans. 24,25 However, reduced susceptibility of Staphylococci to CHX has also been reported.…”

Section: Antimicrobial Effectivenessmentioning

confidence: 99%

Effects and Effectiveness of Cavity Disinfectants in Operative Dentistry: A Literature Review

Bin-Shuwaish¹

2016

The Journal of Contemporary Dental Practice

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The degree of success in the elimination of bacteria during cavity preparation and prior to the insertion of a restoration may increase the longevity of the restoration and therefore the success of the restorative procedure. The complete eradication of bacteria in a caries-affected tooth, during cavity preparation, is considered a difficult clinical task. In addition to weakening the tooth structure, attempts to excavate extensive carious tissue completely, by only mechanical procedures, may affect the vitality of the pulp. Therefore, disinfection of the cavity preparation after caries excavation can aid in the elimination of bacterial remnants that can be responsible for recurrent caries, postoperative sensitivity, and failure of the restoration. However, the effects of disinfectants on the restorative treatment have been a major concern for dental clinicians and researchers. This review aims to explore existing literature and provide information about different materials and techniques that have been used for disinfecting cavity preparations and their effects and effectiveness in operative dentistry and, therefore, helps dental practitioners with clini cal decision to use cavity disinfectants during restorative procedures. Antimicrobial effectiveness and effects on the pulp and dental restorations, in addition to possible side effects, were all reviewed in this paper.

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“…22,23 Moreover, CHX has been reported to suppresses the growth of S. mutans. 24,25 However, reduced susceptibility of Staphylococci to CHX has also been reported.…”

Section: Antimicrobial Effectivenessmentioning

confidence: 99%

Effects and Effectiveness of Cavity Disinfectants in Operative Dentistry: A Literature Review

Bin-Shuwaish¹

2016

The Journal of Contemporary Dental Practice

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“…Branstromm reported that the smear layer should be removed to eliminate microbes 6) . Chlorhexidine (CHX) has frequently been applied to tooth cavities 7,8) prior to placing a restoration because of its broad spectrum antibacterial activity and substantivity (48 h 9) , 4 weeks 10) , and 12 weeks 11) ). CHXpretreated dentin has higher shear bond strength after removing the smear layer and smear plugs 12) .…”

Section: Introductionmentioning

confidence: 99%

Antibacterial capacity of cavity disinfectants against <i>Streptococcus mutans</i> and their effects on shear bond strength of a self-etch adhesive

Cha

Shin

2016

Dental Materials Journal

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We evaluated the antibacterial properties of three disinfectants [2% chlorhexidine (CHX), 6% sodium hypochlorite (NaOCl), and 0.01% urushiol)] against Streptococcus mutans and their effects on bond strength of Scotchbond TM Universal. The reduction in bacterial growth was evaluated by the colony counting method. Total 105 specimens were assigned to seven groups, according to surface pretreatment: control group (C) without pretreatment; chlorhexidine gluconate with rinse (CR) or without rinse (CD); NaOCl with rinse (NR) or without rinse (ND); and urushiol with rinse (UR) or without rinse (UD). The shear bond test was performed at a cross-head speed of 0.5 mm/min. None of the disinfected specimens had viable microbes after a 30 min incubation. The control group exhibited the strongest bond; however, no significant difference was detected with the disinfectant-treated groups, except weak bonding with ND group. These findings suggest that all disinfectants tested had strong antibacterial capacity and may better be rinsed away.

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“…However, because of its displeasing taste and proclivity to stain the teeth brown, its use is limited. 14 As the taste should not be a hindrance for its use with maximal inhibition of bacteria and plaque, 2% of neem was used in this study. For reducing periodontal that registers as chlorhexidine, neem mouthwash was very effective.…”

Section: Graph 1: Age Distributionmentioning

confidence: 99%

Comparative Evaluation of Neem Mouthwash on Plaque and Gingivitis: A Double-blind Crossover Study

Jalaluddin

Rajasekaran

Paul

et al. 2017

The Journal of Contemporary Dental Practice

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Aim: The present study aimed at evaluating the impact of neemcontaining mouthwash on plaque and gingivitis. Materials and methods:This randomized, double-blinded, crossover clinical trial included 40 participants aged 18 to 35 years with washout period of 1 week between the crossover phases. A total of 20 participants, each randomly allocated into groups I and II, wherein in the first phase, group I was provided with 0.2% chlorhexidine gluconate and group II with 2% neem mouthwash. After the scores were recorded, 1-week time period was given to the participants to carry over the effects of the mouthwashes and then the second phase of the test was performed. The participants were instructed to use the other mouthwash through the second test phase. Results:There was a slight reduction of plaque level in the first phase as well as in the second phase. When comparison was made between the groups, no statistically significant difference was seen. Both the groups showed reduction in the gingival index (GI) scores in the first phase, and there was a statistically significant difference in both groups at baseline and after intervention (0.005 and 0.01 respectively). In the second phase, GI scores were reduced in both groups, but there was Conclusion:In the present study, it has been concluded that neem mouthwash can be used as an alternative to chlorhexidine mouthwash based on the reduced scores in both the groups.Clinical significance: Using neem mouthwash in maintaining oral hygiene might have a better impact in prevention as well as pervasiveness of oral diseases as it is cost-effective and easily available.

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A review of the literature on use of chlorhexidine in dentistry

Cited by 246 publications

References 83 publications

Effects and Effectiveness of Cavity Disinfectants in Operative Dentistry: A Literature Review

Effects and Effectiveness of Cavity Disinfectants in Operative Dentistry: A Literature Review

Antibacterial capacity of cavity disinfectants against <i>Streptococcus mutans</i> and their effects on shear bond strength of a self-etch adhesive

Comparative Evaluation of Neem Mouthwash on Plaque and Gingivitis: A Double-blind Crossover Study

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