Effect of sustained-release chlorhexidine varnish on Streptococcus mutans and Actinomyces viscosus in orthodontic patients

Beyth, Nurit; Redlich, Meir; Harari, Doron; Friedman, Michael; Steinberg, Doron

doi:10.1067/mod.2003.19

Cited by 66 publications

(72 citation statements)

References 12 publications

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“…Significant reduction in S mutans levels was similar to the results of studies in which CHX varnish 10,[29][30][31][32] and mouth rinse [20][21][22][23] were used, but the increase in S mutans count on the third day opens the lasting antibacterial effect of CHX to debate.…”

Section: Discussionsupporting

confidence: 68%

“…[9][10][11] The effective control of dental plaque and thereby of dental diseases of microbial etiology by mechanical means is dependent on patient compliance and appears to be limited to the failure of the patient to reach certain plaqueinfected sites that are hindered by the brackets and wires. Hence, a great need arises for the development of antibacterial and antiadhesive chemotherapeutic agents to assist in the control of infections associated with dental plaque.…”

Section: Introductionmentioning

confidence: 99%

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Microbiological Evaluation of Octenidine Dihydrochloride Mouth Rinse after 5 Days' Use in Orthodontic Patients

Doğan

Çetin

Hüssein

et al. 2009

The Angle Orthodontist

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Objective: To determine the absolute and relative antibacterial activity of octenidine dihydrochloride (OCT) against total and cariogenic bacteria in saliva samples of patients with fixed orthodontic appliances during 5 days of usage. Materials and Methods: The study group consisted of 5 male and 13 female subjects who were selected from patients in the Clinic of Orthodontics. Each patient was given physiologic saline (PS), chlorhexidine gluconate (CHX), polyvinylpyrrolidone-iodine complex (PVP-I), and OCT every morning for 5 days, each separated by a 2-week interval. Total and cariogenic bacteria in saliva samples of orthodontically treated patients with fixed appliances were collected during 5 days of usage. Unstimulated saliva was collected as a baseline sample. Saliva samples were collected at 15 minutes, and on the second, third, and fifth day after rinsing the mouth with any of the solutions for 30 seconds, and bacterial counts were detected. Results: OCT showed an ultimate reduction of total viable oral bacteria, Lactobacillus species, and Streptococcus mutans in vivo. OCT also had a significantly greater inhibitory effect than 0.2% CHX and 7.5% PVP-I, from the beginning of the study until the fifth day after the orthodontic appliances were bonded (P Ͻ .1). Conclusions: OCT compared favorably with respect to CHX and PVP-I complex in orthodontically treated patients with fixed appliances (P Յ .1). (Angle Orthod. 2009;79:766-772.)

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Microbiological Evaluation of Octenidine Dihydrochloride Mouth Rinse after 5 Days' Use in Orthodontic Patients

Doğan

Çetin

Hüssein

et al. 2009

The Angle Orthodontist

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“…Therefore, GICs may not avoid the plaque proliferation and development of caries and periodontal disease in some patients. 4,[17][18][19] Chlorhexidine digluconate (CHD) has been successfully used in dentistry as a component of mouthwashes and varnishes to chemically control plaque formation. 1,[17][18][19][20][21] Moreover, recent studies have shown that the addition of chlorhexidine digluconate, chlorhexidine dihydrochloride, or chlorhexidine diacetate to resin composites and glass ionomer cements for restoration and cementation can significantly improve the antibacterial effect.…”

Section: Introductionmentioning

confidence: 99%

“…4,[17][18][19] Chlorhexidine digluconate (CHD) has been successfully used in dentistry as a component of mouthwashes and varnishes to chemically control plaque formation. 1,[17][18][19][20][21] Moreover, recent studies have shown that the addition of chlorhexidine digluconate, chlorhexidine dihydrochloride, or chlorhexidine diacetate to resin composites and glass ionomer cements for restoration and cementation can significantly improve the antibacterial effect. 5,6,17,19,22 Based on the possibility of obtaining a high antibacterial control around orthodontic bands, the aim of the present study was to assess the incorporation of CHD in two commercial brands of conventional GICs through their mechanical properties and antibacterial effects.…”

Section: Introductionmentioning

confidence: 99%

Can we add chlorhexidine into glass ionomer cements for band cementation?

Farret¹,

Lima²,

Mota³

et al. 2011

The Angle Orthodontist

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Objective: To test if the addition of chlorhexidine digluconate (CHD) might influence the mechanical properties and antibacterial properties of two different conventional glass ionomer cements (GICs) used for band cementation. Materials and Methods: Two commercial brands of conventional GICs were used: Ketac Cem Easymix (3M/ESPE, St Paul, Minn) and Meron (Voco, Cuxhaven, Germany). The cements were manipulated in their original composition and also with 10% and 18% CHD in the liquid to create a total of six groups. Diametral tensile strength, compressive strength, microhardness, shear bond strength, and antibacterial effects in 5, 45, and 65 days against Streptococcus mutans were tested in all groups, and the data were submitted to statistical analyses. Results: There were no significant differences between the groups of the same material in diametral tensile, compressive strength, and shear bond strength (P . .05). There was significant improvement in the microhardness to the Ketac Cem Easymix (P , .001). GICs with the addition of CHD showed significant inhibition of S. mutans growth in comparison with the control groups at the three time points evaluated (P , .001). The addition of 18% CHD resulted in higher bacterial inhibition (P , .001).Conclusions: The addition of chlorhexidine digluconate to conventional GICs does not negatively modify the mechanical properties and may increase the antibacterial effects around the GICs even for relatively long periods of time. (Angle Orthod. 2011;81:496-502.)

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“…Previous studies [1,2] have shown that orthodontic care can lead to increased demineralization, or white spot lesions, on the buccal surfaces of teeth bonded with fixed appliances as compared to untreated control teeth. Excessive plaque retention adjacent to brackets and attachments is the cause of this white spot lesion [3]. In fact, inadequate pretreatment oral hygiene and poor oral hygiene during orthodontic treatment is associated with greater incidence and severity of white spots lesions [4].…”

Section: Introductionmentioning

confidence: 99%

Oral Hygiene Behavior during Fixed Orthodontic Treatment

Anuwongnukroh¹,

Dechkunakorn²,

R³

2017

Dentistry

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Objective: To assess oral hygiene behavior among patients undergoing orthodontic treatment with fixed appliances. Material and Method:One hundred and five orthodontic patients (33 males and 72 females) treated with fixed appliances at the Orthodontic Clinic, Department of Orthodontics, Faculty of Dentistry, Mahidol University, Thailand were studied. Patients were requested to fill out a structured questionnaire regarding the reason for seeking orthodontic treatment, the necessity of orthodontic treatment in daily life, oral hygiene behavior after placement of fixed orthodontic appliances. The data was analyzed to determine the frequency distribution and percentage ratio for each of the variables.Results: Approximately 83% of the patient sought orthodontic treatment for esthetic tooth alignment and 85.7% reported orthodontic treatment was necessary in their daily lives. During orthodontic treatment, 61% of the patients used orthodontic toothbrush, 81.9% used fluoride toothpaste. Percentage of regular and occasional uses of dental floss were 19% and 60% Similarly the use of regular and occasional use of mouth wash was 23.8% and 55.2%, toothpick 21% and 51.4%, and interdental brush 36.2% and 51.4%. Approximately 45% of the patients brushed their teeth in the morning and before bed, 28.6% brushed after meals, and 25.7% brushed every time after meals or snacks. About 83% reported that their orthodontists or dental assistants instructed them how to brush their teeth. Only 52.4% of the patients received instructions about oral hygiene care supplements. Conclusion:Most patients sought orthodontic treatment for esthetic tooth alignment and reported the necessity of orthodontic treatment in daily life. Although most of the patients used fluoride toothpaste, orthodontists and dental assistants should increase their awareness for instructing their patients in oral hygiene care to prevent caries and periodontal disease during fixed orthodontic treatment. Oral hygiene instruction is essential in all cases of orthodontic treatment and the use of adjuncts must be reinforced.

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Effect of sustained-release chlorhexidine varnish on Streptococcus mutans and Actinomyces viscosus in orthodontic patients

Cited by 66 publications

References 12 publications

Microbiological Evaluation of Octenidine Dihydrochloride Mouth Rinse after 5 Days' Use in Orthodontic Patients

Microbiological Evaluation of Octenidine Dihydrochloride Mouth Rinse after 5 Days' Use in Orthodontic Patients

Can we add chlorhexidine into glass ionomer cements for band cementation?

Oral Hygiene Behavior during Fixed Orthodontic Treatment

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