Efficacy of Preprocedural Mouth Rinsing in Reducing Aerosol Contamination Produced by Ultrasonic Scaler: A Pilot Study

Gupta, Gunjan; Mitra, Dipika; Ashok, Karishma; Gupta, Arun; Soni, Sweta; Ahmed, Sameer; Arya, Ashtha

doi:10.1902/jop.2013.120616

Cited by 58 publications

(65 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…33 The previous studies that have evaluated the effects of different antiseptics in reducing aerosol contamination, have recommended CHX as the gold standard. 3,4,13,34,35,36 CHX as a pre-procedural rinse has been compared with other antiseptics, such as essential oils, 13 povidone iodine and ozone, 36 tea tree oil, 35 a solution containing different types of herb extracts 4 and CPC. 3 CHX was shown to be more effective than most of these other antimicrobial agents.…”

Section: Discussionmentioning

confidence: 99%

“…32,33 One limitation of the present study is that it presents results for a single dental procedure, prophylaxis with an ultrasonic scaler that has been shown to have a great potential for aerosol generation in the dental office. 1,2,3,4,5,39 However, other dental procedures can also generate a large amount of aerosol with infectious components launched into the dental environment, such as the air turbine handpiece, 6,7 air-water from a three-way syringe 8 and sodium bicarbonate jet. 39 Therefore, one could assume that rinsing with CPC would yield similar benefits if used before the majority of dental procedures.…”

Section: Discussionmentioning

confidence: 99%

“…9 Different procedures, materials and antimicrobial agents have been proposed to minimize microbial cross-contamination in the dental office, such as immunization of dental staff, decontamination of surfaces, sterilization of instruments, use of personal protective barriers and pre-procedural mouthwashes. 9,10,11,12 Chlorhexidine (CHX) is considered the gold standard substance in controlling oral biofilm growth in the oral cavity or microbial spread by oral aerosols 3,4,9,13,14,15 due to its broad antibacterial spectrum 14,16 and substantivity of 8 to 12 hours. 14 However, other antiseptics have also been used as pre-procedural mouthwashes, such as essential oils 17 and cetylpyridinium chloride (CPC).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of a pre-procedural mouthwash in reducing bacteria in dental aerosols: randomized clinical trial

et al. 2017

View full text Add to dashboard Cite

The aim of this randomized, single blinded clinical trial was to evaluate the effect of a pre-procedural mouthwash containing cetylpyridinium chloride (CPC), zinc lactate (Zn) and sodium fluoride (F) in the reduction of viable bacteria in oral aerosol after a dental prophylaxis with ultrasonic scaler. Sixty systemically healthy volunteers receiving dental prophylaxis were randomly assigned to one of the following experimental groups (15 per group): (i) rinsing with 0.075% CPC, 0.28% Zn and 0.05% F (CPC+Zn+F), (ii) water or (iii) 0.12% chlorhexidine digluconate (CHX), and (iv) no rinsing. Viable bacteria were collected from different locations in the dental office on enriched TSA plates and anaerobically incubated for 72 hours. The colonies were counted and species were then identified by Checkerboard DNA-DNA Hybridization. The total number of colony-forming units (CFUs) detected in the aerosols from volunteers who rinsed with CPC+Zn+F or CHX was statistically significantly (p<0.05) lower than of those subjects who did not rinse or who rinsed with water. When all locations were considered together, the aerosols from the CPC+Zn+F and CHX groups showed, respectively, 70% and 77% fewer CFUs than those from the No Rinsing group and 61% and 70% than those from the Water group. The mean proportions of bacterial species from the orange complex were statistically significantly (p<0.05) lower in aerosols from the CPC+Zn+F and CHX groups compared with the others two groups. In conclusion, the mouthwash containing CPC+Zn+F, is effective in reducing viable bacteria in oral aerosol after a dental prophylaxis with ultrasonic scaler.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of a pre-procedural mouthwash in reducing bacteria in dental aerosols: randomized clinical trial

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6] The association of these aerosols with the respiratory infections, ophthalmic and skin infections, tuberculosis, and Hepatitis B have been reported. 7 Current literature suggests that the use of an antimicrobial rinse by the patients before treatment may decrease microbial aerosols. [3][4][5] Chlorhexidine is considered as the "Gold standard" among antimicrobial rinse because of broad-spectrum antibacterial activity and high substantivity.…”

Section: Introductionmentioning

confidence: 99%

Evaluation and Comparison of Two Commercially Available Mouthrinses in Reducing Aerolised Bacteria During Ultrasonic Scaling When Used as a Preprocedural Rinse.

Ammu

Varma

Suragimath

et al. 2019

Cumhuriyet Dental Journal

View full text Add to dashboard Cite

Objective: To compare and evaluate the effect of 0.2% chlorhexidine gluconate and commercially available herbal mouthrinse in reducing aerosolized bacteria when used as a preprocedural mouth rinse. Materials and methods: A total of 45 patients were selected and randomly divided into three equal groups. As the preprocedural rinse, patients belonging to group I, group II and group III rinsed with distilled water, 0.2% chlorhexidine mouthwash (Clohex®) and herbal mouthwash (Hiora®), respectively, for 60 seconds. Aerosols produced during the oral prophylaxis procedure were collected on blood agar plates by exposing the plates to the patient's and dentist's chest area, and the plates were incubated at 37°C under aerobic conditions for 48 h. The number of colony forming units (CFU) in the aerosol were counted and statistically analyzed. Results: At both the locations the mean CFU were highest in Group I followed by Group III and Group II. The 0.2% chlorhexidine gluconate mouthwash was superior in significantly reducing the aerosolized bacteria during scaling, followed by herbal mouthrinse and distilled water (p≤0.0001). Conclusions: The results of the present study clearly indicate that preprocedural rinsing with 0.2% chlorhexidine gluconate was significantly more effective than herbal mouthrinse in reducing the aerosolized bacteria during ultrasonic scaling. Therefore a preprocedural rinse can significantly reduce the risk for crosscontamination.

show abstract

“…Preprocedural rinses with water [7] and 0.12 to 2% chlorhexine gluconate or essential oil containing mouthwashes for duration of 60 seconds can cause substantial reduction in bacterial counts [24]. A study by Gupta DG et al demonstrated the efficacy of preprocedural rinsing in chlorhexidine in reducing the aerosol contamination produced by ultrasonic scaling [38]. .1.2.…”

mentioning

confidence: 99%

“Aerosol”-A Prospective Contaminant of Dental Environment!

Swaminathan¹

2013

IOSR-JDMS

View full text Add to dashboard Cite

Abstract:Dental aerosols are produced in a wide range during the dental procedure. Air-water aerosol produced during dental treatment emerges from patient's mouth and mixes with the air in the surrounding, causing a change in its composition. This can result in contaminated environment which can be hazardous to the dentist as well as to the patient. Many methods can be undertaken to avoid the potential ill effects caused by the dental aerosol.

show abstract

Efficacy of Preprocedural Mouth Rinsing in Reducing Aerosol Contamination Produced by Ultrasonic Scaler: A Pilot Study

Abstract: This study suggests that a routine preprocedural mouthrinse could eliminate the majority of bacterial aerosols generated by the use of an ultrasonic unit, and that 0.2% chlorhexidine gluconate is more effective than herbal mouthwash.

Cited by 58 publications

References 15 publications

Effectiveness of a pre-procedural mouthwash in reducing bacteria in dental aerosols: randomized clinical trial

Effectiveness of a pre-procedural mouthwash in reducing bacteria in dental aerosols: randomized clinical trial

Evaluation and Comparison of Two Commercially Available Mouthrinses in Reducing Aerolised Bacteria During Ultrasonic Scaling When Used as a Preprocedural Rinse.

“Aerosol”-A Prospective Contaminant of Dental Environment!

Contact Info

Product

Resources

About