WorldWideScience

Sample records for chlorhexidine

  1. Allergy to Chlorhexidine.

    Science.gov (United States)

    Pemberton, Michael N

    2016-04-01

    Chlorhexidine is an effective antiseptic which is widely used in dentistry. Over recent years, it has also been used in other healthcare products as well as in cosmetics. Anaphylaxis to chlorhexidine has been increasingly reported throughout the world, including two incidents in the UK where chlorhexidine-containing mouthwash had been used to wash tooth sockets following recent tooth extraction. Chlorhexidine is under-recognized as a cause of anaphylaxis and dentists should be aware of its potential for serious adverse effects. Dentists need to consider whether the washing out of a tooth socket with chlorhexidine solution should be avoided in the treatment of established dry socket. On current evidence the potential risks of using chlorhexidine as irrigation solution for treating an established dry socket appears to outweigh any known benefit. CPD/Clinical Relevance: Chlorhexidine has the potential to cause anaphylaxis in the dental surgery. PMID:27439274

  2. Chlorhexidine in cosmetic products

    DEFF Research Database (Denmark)

    Opstrup, Morten Schjørring; Johansen, Jeanne Duus; Bossi, Rossana;

    2015-01-01

    and April 2013, we checked for chlorhexidine in cosmetic products in 14 supermarkets, one hairdressing salon and one beauty and retail store in Copenhagen, Denmark by reading the ingredient labels. The chlorhexidine concentration was measured in 10 selected products by high-performance liquid...

  3. Agents containing chlorhexidine in dentistry

    OpenAIRE

    Lebedeva S.N.; Zemlyanichenko М.К.

    2011-01-01

    Aclinical definition of the efficacy of chlorhexidine-containing means for reducing the risk of dental caries and gingivitis with plastic caps. Chlorhexidine is an effective antimicrobial agent for the formation of individual programs for the prevention of dental caries

  4. Chlorhexidine in endodontics.

    OpenAIRE

    Gomes, B. P.; Vianna, M. E.; Zaia, A. A.; Almeida, J. F.; de Souza-Filho, F. J.; Ferraz, C. C.

    2013-01-01

    Chemical auxiliary substances (CAS) are essential for a successful disinfection and cleanness of the root canals, being used during the instrumentation and if necessary, as antimicrobial intracanal medicaments. Different CAS have been proposed and used, among which sodium hypochlorite (NaOCl), chlorhexidine (CHX), 17% EDTA, citric acid, MTAD and 37% phosphoric acid solution. CHX has been used in Endodontics as an irrigating substance or intracanal medicament, as it possesses a wide range of a...

  5. IgE-mediated allergy to chlorhexidine

    DEFF Research Database (Denmark)

    Garvey, Lene Heise; Krøigaard, Mogens; Poulsen, Lars K.;

    2007-01-01

    Investigations at the Danish Anesthesia Allergy Centre have included testing for allergy to chlorhexidine since 1999.......Investigations at the Danish Anesthesia Allergy Centre have included testing for allergy to chlorhexidine since 1999....

  6. Penetration of Chlorhexidine into Human Skin ▿

    OpenAIRE

    Karpanen, T. J.; Worthington, T.; Conway, Barbara R; Hilton, A. C.; Elliott, T. S. J.; Lambert, P A

    2008-01-01

    This study evaluated a model of skin permeation to determine the depth of delivery of chlorhexidine into full-thickness excised human skin following topical application of 2% (wt/vol) aqueous chlorhexidine digluconate. Skin permeation studies were performed on full-thickness human skin using Franz diffusion cells with exposure to chlorhexidine for 2 min, 30 min, and 24 h. The concentration of chlorhexidine extracted from skin sections was determined to a depth of 1,500 µm following serial sec...

  7. Chlorhexidine allergy due to topical application

    Directory of Open Access Journals (Sweden)

    Nandita N Keni

    2012-01-01

    Full Text Available Chlorhexidine is commonly used in dentistry in various forms. Allergic reactions to chlorhexidine of both immediate and delayed type have been reported. Although the incidence is low there may be severe manifestations in some patients. This report presents a case of allergy to chlorhexidine following topical application.

  8. Perioperative chlorhexidine allergy: Is it serious?

    OpenAIRE

    Abdallah, Claude

    2015-01-01

    Chlorhexidine is an antiseptic agent, commonly used, in many different preparations, and for multiple purposes. Despite its superior antimicrobial properties, chlorhexidine is a potentially allergenic substance. The following is a review of the current evidence-based knowledge of allergic reactions to chlorhexidine associated with surgical and interventional procedures.

  9. 21 CFR 524.402 - Chlorhexidine.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Chlorhexidine. 524.402 Section 524.402 Food and..., FEEDS, AND RELATED PRODUCTS OPHTHALMIC AND TOPICAL DOSAGE FORM NEW ANIMAL DRUGS § 524.402 Chlorhexidine. (a) Specifications. Each gram of ointment contains 10 milligrams chlorhexidine acetate. (b)...

  10. 21 CFR 556.120 - Chlorhexidine.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Chlorhexidine. 556.120 Section 556.120 Food and... Residues of New Animal Drugs § 556.120 Chlorhexidine. A tolerance of zero is established for residues of chlorhexidine in the uncooked edible tissues of calves....

  11. Chlorhexidine allergy due to topical application

    OpenAIRE

    Nandita N Keni; Meena A Aras; Vidya Chitre

    2012-01-01

    Chlorhexidine is commonly used in dentistry in various forms. Allergic reactions to chlorhexidine of both immediate and delayed type have been reported. Although the incidence is low there may be severe manifestations in some patients. This report presents a case of allergy to chlorhexidine following topical application.

  12. Chlorhexidine in endodontics.

    Science.gov (United States)

    Gomes, Brenda P F A; Vianna, Morgana E; Zaia, Alexandre A; Almeida, José Flávio A; Souza-Filho, Francisco J; Ferraz, Caio C R

    2013-01-01

    Chemical auxiliary substances (CAS) are essential for a successful disinfection and cleanness of the root canals, being used during the instrumentation and if necessary, as antimicrobial intracanal medicaments. Different CAS have been proposed and used, among which sodium hypochlorite (NaOCl), chlorhexidine (CHX), 17% EDTA, citric acid, MTAD and 37% phosphoric acid solution. CHX has been used in Endodontics as an irrigating substance or intracanal medicament, as it possesses a wide range of antimicrobial activity, substantivity (residual antimicrobial activity), lower cytotoxicity than NaOCl whilst demonstrating efficient clinical performance, lubricating properties, rheological action (present in the gel presentation, keeping the debris in suspension); it inhibits metalloproteinase, is chemically stable, does not stain cloths, it is odorless, water soluble, among other properties. CHX has been recommended as an alternative to NaOCl, especially in cases of open apex, root resorption, foramen enlargement and root perforation, due to its biocompatibility, or in cases of allergy related to bleaching solutions. The aim of this paper is to review CHX's general use in the medical field and in dentistry; its chemical structure, presentation form and storage; mechanism of action; antimicrobial activity including substantivity, effects on biofilms and endotoxins, effects on coronal and apical microbial microleakage; tissue dissolution ability; interaction with endodontic irrigants; effects on dentin bonding, metalloproteinases and collagen fibrils; its use as intracanal medicament and diffusion into the dentinal tubules; its use as disinfectant agent of obturation cones; other uses in the endodontic therapy; and possible adverse effects, cytotoxicity and genotoxicity. PMID:23780357

  13. Isolation of chlorhexidine-resistant Pseudomonas aeruginosa from clinical lesions.

    OpenAIRE

    Nakahara, H; Kozukue, H

    1982-01-01

    The chlorhexidine resistance of 317 strains of Pseudomonas aeruginosa isolated from hospital patients was determined. The distribution pattern of their susceptibility to chlorhexidine clearly revealed two peaks, and the frequency of resistance to chlorhexidine was 84.2%.

  14. Chlorhexidine Preserves Dentin Bond in vitro

    OpenAIRE

    Carrilho, M. R. O.; Carvalho, R. M.; de Goes, M. F.; di Hipólito, V.; Geraldeli, S.; Tay, F.R.; Pashley, D.H.; Tjäderhane, L.

    2007-01-01

    Loss of hybrid layer integrity compromises resin-dentin bond stability. Matrix metalloproteinases (MMPs) may be partially responsible for hybrid layer degradation. Since chlorhexidine inhibits MMPs, we hypothesized that chlorhexidine would decelerate the loss of resin-dentin bonds. Class I preparations in extracted third molars were sectioned into two halves. One half was customarily restored (etch-and-rinse adhesive/resin composite), and the other was treated with 2% chlorhexidine after bein...

  15. Chlorhexidine-containing chewing gum. Clinical documentation

    OpenAIRE

    Imfeld, T

    2006-01-01

    A clinical documentation on chlorhexidine containing chewing gum is presented on the occasion of the launch of CHewX, a chewing gum containing 5 mg of chlorhexidine diacetate in Switzerland. Following an overview on functional chewing gum, the mechanism of action of chlorhexidine (CHX), its toxicity and safety are summarized and a review of clinical studies performed with CHX-containing chewing gum given. Indication, dosage, precautions and benefits of CHX chewing gum are described.

  16. Percutaneous absorption of chlorhexidine in neonatal cord care.

    OpenAIRE

    Aggett, P J; Cooper, L. V.; Ellis, S H; McAinsh, J

    1981-01-01

    The percutaneous absorption of chlorhexidine during its routine use in topical antiseptic preparations used in umbilical cord care was investigated by determining plasma chlorhexidine concentrations at ages 5 and 9 days. These showed that percutaneous absorption of chlorhexidine occurred in preterm neonates treated with a 1% solution of chlorhexidine in ethanol, but not in term infants similarly treated, or in preterm infants treated only with a dusting powder containing 1% chlorhexidine and ...

  17. The role of chlorhexidine in caries prevention.

    Science.gov (United States)

    Autio-Gold, Jaana

    2008-01-01

    The use of chlorhexidine for caries prevention has been a controversial topic among dental educators and clinicians. In several reviews, it has been concluded that the most persistent reduction of mutans streptococci have been achieved by chlorhexidine varnishes, followed by gels and, lastly, mouth rinses. Also, the evidence for using different chlorhexidine modes or a combination of chlorhexidine-fluoride therapy for caries prevention has been "suggestive but incomplete". Variable study designs and lack of data in high-risk children and adults support the need to continue conducting randomized, well-controlled clinical trials and to search for a practical, effective mode of antimicrobial treatment that augments the known effect of fluoride treatments. Currently, the only chlorhexidine-containing products marketed in the United States (US) are mouthrinses containing 0.12 percent chlorhexidine. Based on the available reviews, chlorhexidine rinses have not been highly effective in preventing caries, or at least the clinical data are not convincing. Due to the current lack of long-term clinical evidence for caries prevention and reported side effects, chlorhexidine rinses should not be recommended for caries prevention. Due to the inconclusive literature and sparse clinical data on gels and varnishes, their use for caries prevention should also be studied further to develop evidence-based recommendations for their clinical role in caries prevention. Since dental caries is a disease with a multifactoral etiology, it is currently more appropriate to use other established, evidence-based prevention methods, such as fluoride applications, diet modifications and good oral hygiene practices. Recent findings also indicate that the effect of an antimicrobial agent for reducing the levels of mutans streptococci or plaque reduction may not always correlate with eventual caries reduction. The clinically important outcome is proven reductions in caries. Many advances in the

  18. Chlorhexidine urticaria: A rare occurrence with a common mouthwash

    OpenAIRE

    Sharma Anamika; Chopra Harneet

    2009-01-01

    Chlorhexidine is a widely used antiseptic and disinfectant in medical and nonmedical environments. Compared to its ubiquitous use, allergic contact dermatitis from chlorhexidine has rarely been reported and so its sensitization rate seems to be low. The prevalence of contact urticaria and anaphylaxis due to chlorhexidine remains to be unknown. This case report presents a case of urticaria due to oral use of chlorhexidine. The adverse reaction was confirmed by skin prick test.

  19. 21 CFR 529.400 - Chlorhexidine tablets and suspension.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Chlorhexidine tablets and suspension. 529.400... Chlorhexidine tablets and suspension. (a) Specification. Each tablet and each 28-milliliter syringe of suspension contain 1 gram of chlorhexidine dihydrochloride.1 1 These conditions are NAS/NRC reviewed...

  20. Recurrent Methicillin-Resistant Staphylococcus aureus Cutaneous Abscesses and Selection of Reduced Chlorhexidine Susceptibility during Chlorhexidine Use

    OpenAIRE

    Johnson, Ryan C.; Schlett, Carey D.; Crawford, Katrina; Lanier, Jeffrey B.; Merrell, D. Scott; Ellis, Michael W.

    2015-01-01

    We describe the selection of reduced chlorhexidine susceptibility during chlorhexidine use in a patient with two episodes of cutaneous USA300 methicillin-resistant Staphylococcus aureus abscess. The second clinical isolate harbors a novel plasmid that encodes the QacA efflux pump. Greater use of chlorhexidine for disease prevention warrants surveillance for resistance.

  1. Chlorhexidine release and water sorption characteristics of chlorhexidine-incorporated hydrophobic/hydrophilic resins

    OpenAIRE

    Hiraishi, N.; Yiu, C.K.Y.; King, N. M.; Tay, F.R.; Pashley, D.H.

    2008-01-01

    Objectives: The aim of this study was to evaluate chlorhexidine release from unfilled non-solvated methacrylate-based resins of increasing hydrophilicity and to examine relationships among Hoy's solubility parameters, water sorption, solubility and the rate of chlorhexidine release. Methods: Resin discs were prepared from light-cured, experimental resin blends (R1, R2, R3, R4 and R5) containing 0.0, 0.2, 1.0 and 2.0 wt.% chlorhexidine diacetate (CDA). Discs were immersed in distilled water at...

  2. Oral chlorhexidine and microbial contamination during endoscopy

    DEFF Research Database (Denmark)

    Donatsky, Anders Meller; Holzknecht, Barbara Juliane; Arpi, Magnus;

    2013-01-01

    BACKGROUND: One of the biggest concerns associated with transgastric surgery is contamination and risk of intra-abdominal infection with microbes introduced from the access route. The purpose of this study was to evaluate the effect of oral decontamination with chlorhexidine on microbial contamin......BACKGROUND: One of the biggest concerns associated with transgastric surgery is contamination and risk of intra-abdominal infection with microbes introduced from the access route. The purpose of this study was to evaluate the effect of oral decontamination with chlorhexidine on microbial...... contamination of the endoscope. METHODS: In a prospective, randomized, single-blinded, clinical trial the effect of chlorhexidine mouth rinse was evaluated. As a surrogate for the risk of intra-abdominal contamination during transgastric surgery, microbial contamination of the endoscope during upper endoscopy...... microbial contamination of the endoscope, but micro-organisms with abscess forming capabilities were still present. PPI treatment significantly increased CFU and should be discontinued before transgastric surgery....

  3. IgE-mediated chlorhexidine allergy: a new occupational hazard?

    DEFF Research Database (Denmark)

    Nagendran, Vasantha; Wicking, Jennifer; Ekbote, Anjali;

    2009-01-01

    BACKGROUND: Chlorhexidine is an effective antimicrobial agent commonly used in UK hospitals, primarily for skin decontamination. Recent UK infection control guidelines recommend the use of 2% chlorhexidine solution in specific clinical settings, thus increasing chlorhexidine use by health care...... workers (HCWs). Chlorhexidine has been widely reported to cause IgE-mediated allergic reactions (from urticaria and angioedema to anaphylaxis) among patients undergoing surgery/invasive procedures. Despite its widespread use in health care settings, there are no reports of clinically confirmed...... occupational IgE-mediated chlorhexidine allergy. AIMS: To identify cases of chlorhexidine allergy among health care workers. METHODS: A questionnaire was distributed among HCWs in wards and operating theatres at a UK district general hospital to raise awareness of potential chlorhexidine allergy and to invite...

  4. Chlorhexidine gel associated with papain in pulp tissue dissolution

    OpenAIRE

    Couto De Oliveira, Gabriel; Ferraz, Caio Souza; Andrade Júnior, Carlos Vieira; PITHON, Matheus Melo

    2013-01-01

    Objectives This study aimed to evaluate the capacity of 2% chlorhexidine gel associated with 8% papain gel in comparison with 5.25% sodium hypochlorite in bovine pulp tissue dissolution. Materials and Methods Ninety bovine pulps of standardized sizes were used and fragmented into 5-mm sizes. The fragments were removed from the root middle third region. They were divided into 6 experimental groups (n = 15), 1) 8% papain; 2) 2% chlorhexidine; 3) 2% chlorhexidine associated with 8% papain; 4) 0....

  5. Experimental evaluation of chlorhexidine gluconate for ocular antisepsis.

    OpenAIRE

    Hamill, M B; Osato, M S; Wilhelmus, K R

    1984-01-01

    Chlorhexidine gluconate is a bisguanide germicide currently available with 70% isopropanol (Hibistat, Hibitane) or a detergent (Hibiclens, Hibiscrub) for preoperative skin preparation. As these solvents are toxic to the cornea, we investigated the safety and efficacy of aqueous chlorhexidine solutions for ophthalmic use. Chlorhexidine in Tris-glycine buffer was evaluated for retardation of epithelial regeneration after experimental corneal abrasion in rabbits. Irrigant concentrations of 2.0 a...

  6. Chlorhexidine, A Medicine for all the Oral Diseases

    OpenAIRE

    Radhika Gupta; Vidya Chandavarkar; Sushama R Galgali; Mithilesh Mishra

    2012-01-01

    Chlorhexidine is a bisbiguanide antiseptic. It is active against both Gram-positive and Gram-negative strains as well as fungi. It has bacteriostatic and bactericidal actions. Chlorhexidine has excellent antiplaque activity and unique property of substantivity. So it has got wide applications starting from maintaining oral hygiene pre surgically to post operative and also in physically and mentally handicapped patients. Chlorhexidine is now routinely used by clinicians when they treat patient...

  7. Anaphylactic reactions in anaesthetised patients - four cases of chlorhexidine allergy

    DEFF Research Database (Denmark)

    Garvey, L H; Roed-Petersen, J; Husum, B

    2001-01-01

    Chlorhexidine is widely used all over the world in many different preparations. In Denmark chlorhexidine is the standard skin disinfectant used before surgery or invasive procedures and it is widely used in the general population in mouthwash or for disinfection of minor scratches etc. The...... potential for developing allergy to chlorhexidine is thus great, especially in surgical patients. We have identified four patients with serious allergic reactions in connection with surgery and general anaesthesia, who on subsequent skin testing tested positive for chlorhexidine. Symptoms appeared 20-40 min...

  8. Interaction between chlorhexidine digluconate and sodium monofluorophosphate in vitro

    International Nuclear Information System (INIS)

    The aim of the present study was to investigate the compatibility of chlorhexidine digluconate and sodium monofluorophosphate since these agents are potential ingredients in future products in preventive dentistry. Varying combinations of chlorhexidine digluconate and sodium monofluorophosphate in water, covering the possible ranges of clinically relevant concentrations of both compounds, were made, incubated for 24 h and observed for precipitation of insoluble salts. The mixtures were analyzed for presence of free chlorhexidine and monofluorophosphate after incubation. The results showed that chlorhexidine digluconate and sodium monofluorophosphate are not compatible in clinically relevant concentrations. A chlorhexidinemonofluorophosphate salt of low solubility in water is presumably formed. (author)

  9. Interaction between chlorhexidine digluconate and sodium monofluorophosphate in vitro

    Energy Technology Data Exchange (ETDEWEB)

    Barkvoll, P.; Roella, G.; Bellagamba, S.

    1988-01-01

    The aim of the present study was to investigate the compatibility of chlorhexidine digluconate and sodium monofluorophosphate since these agents are potential ingredients in future products in preventive dentistry. Varying combinations of chlorhexidine digluconate and sodium monofluorophosphate in water, covering the possible ranges of clinically relevant concentrations of both compounds, were made, incubated for 24 h and observed for precipitation of insoluble salts. The mixtures were analyzed for presence of free chlorhexidine and monofluorophosphate after incubation. The results showed that chlorhexidine digluconate and sodium monofluorophosphate are not compatible in clinically relevant concentrations. A chlorhexidinemonofluorophosphate salt of low solubility in water is presumably formed.

  10. Delivery Challenges for Fluoride, Chlorhexidine and Xylitol

    OpenAIRE

    Featherstone, John DB

    2006-01-01

    The progression or reversal of dental caries is determined by the balance between pathological and protective factors. It is well established that a) fluoride inhibits demineralization and enhances remineralization, b) chlorhexidine reduces the cariogenic bacterial challenge, and c) xylitol is non-cariogenic and has antibacterial properties. The challenge that we face is how best to deliver these anti-caries entities at true therapeutic levels, over time, to favorably tip the caries balance. ...

  11. Chlorhexidine alcohol base mouthrinse versus Chlorhexidine formaldehyde base mouthrinse efficacy on plaque control: double blind, randomized clinical trials

    OpenAIRE

    Ennibi, Oumkeltoum; Lakhdar, Leila; Bouziane, Amal; Bensouda, Yahia; Abouqal, Redouane

    2013-01-01

    Background: Chlorhexidine is well known for its antiplaque effect. However, the mouthrinse based chlorhexidine antiplaque efficiency may vary according to the formulation of the final product. The aim of the present study was to compare anti-plaque effectiveness of two commercial mouthrinses: 0.12 % Chlorhexidine alcohol base (CLX-A) versus a diluted 0.1% Chlorhexidine non-alcohol base with 0.1% of Formaldehyde (CLX-F). Material and Methods: the study was a seven day randomized, double-blind,...

  12. FORMULATION OF CHLORHEXIDINE GLUCONATE DENTAL GELS AND ITS ANTIBACTERIAL ACTIVITY

    OpenAIRE

    Shivani Salil Desai; Patel, Vishnu M.

    2015-01-01

    Chlorhexidine has bacteriocidal and bacteriostatic properties also it is used to reduce oral bacteria and dental plaque. Chlorhexidine gluconate present in gel formulations possesses antibacterial activity towards the organisms present in the dental plaque. Hence, it is a new alternative and cheaper formulation for the treatment of Periodontitis.

  13. Controlled Release of Chlorhexidine from UDMA-TEGDMA Resin

    OpenAIRE

    Anusavice, K.J.; Zhang, N.-Z.; Shen, C.

    2006-01-01

    Chlorhexidine salts are available in various formulations for dental applications. This study tested the hypothesis that the release of chlorhexidine from a urethane dimethacrylate and triethylene glycol dimethacrylate resin system can be effectively controlled by the chlorhexidine diacetate content and pH. The filler concentrations were 9.1, 23.1, or 33.3 wt%, and the filled resins were exposed to pH 4 and pH 6 acetate buffers. The results showed that Fickian diffusion was the dominant relea...

  14. Effect of chlorhexidine on bonding durability of two self-etching adhesives with and without antibacterial agent to dentin

    Directory of Open Access Journals (Sweden)

    Fereshteh Shafiei

    2013-01-01

    Conclusion: Chlorhexidine was capable of diminishing the loss of BS of these adhesives over time. However, considering the negative effect of chlorhexidine on the initial BS, the benefits of chlorhexidine associated with these adhesives cannot possibly be used.

  15. Efficacy evaluations on five chlorhexidine teat dip formulations.

    Science.gov (United States)

    Drechsler, P A; O'Neil, J K; Murdough, P A; Lafayette, A R; Wildman, E E; Pankey, J W

    1993-09-01

    Three developmental postmilking teat dip formulations containing chlorhexidine digluconate were evaluated against Staphylococcus aureus and Streptococcus agalactiae in sequential experimental exposure trials. Two additional commercial chlorhexidine digluconate teat dip products were evaluated in natural exposure trials. Under conditions of experimental challenge, the developmental formulations were efficacious against Staph. aureus but did not significantly reduce incidence of new IMI by Strep. agalactiae. None of the three formulations of a conventional germicide used as teat sanitizers effectively reduced incidence of new Strep. agalactiae IMI under experimental challenge conditions. In the natural exposure trials with negative controls, a .35% chlorhexidine teat sanitizer had efficacy of 88.7% against Staph. aureus and 51.4% against Strep. agalactiae. The .5% chlorhexidine product reduced Staph. aureus and Strep. agalactiae IMI by 86 and 56%, respectively. PMID:8227681

  16. Are herbal mouthwash efficacious over chlorhexidine on the dental plaque?

    OpenAIRE

    Devanand Gupta; Swapna Nayan; Tippanawar, Harshad K.; Patil, Gaurav I.; Ankita Jain; Momin, Rizwan K.; Rajendra Kumar Gupta

    2015-01-01

    Aim: To compare the effect of herbal extract mouthwash and chlorhexidine mouthwash on the dental plaque level. Materials and Methods: The subjects (60 healthy medical students aged ranges between 20 and 25 years) were randomly divided into two groups, that is, the herbal group and the chlorhexidine gluconate mouthwash group. The data were collected at the baseline and 3 days. The plaque was disclosed using erythrosine disclosing agent and their scores were recorded using the Quigley and Hein ...

  17. Differential Actions of Chlorhexidine on the Cell Wall of Bacillus subtilis and Escherichia coli

    OpenAIRE

    Cheung, Hon-Yeung; Wong, Matthew Man-Kin; Cheung, Sau-Ha; Liang, Longman Yimin; Lam, Yun-Wah; Chiu, Sung-Kay

    2012-01-01

    Chlorhexidine is a chlorinated phenolic disinfectant used commonly in mouthwash for its action against bacteria. However, a comparative study of the action of chlorhexidine on the cell morphology of Gram-positive and Gram-negative bacteria is lacking. In this study, the actions of chlorhexidine on the cell morphology were identified with the aids of electron microscopy. After exposure to chlorhexidine, numerous spots of indentation on the cell wall were found in both Bacillus subtilis and Esc...

  18. Cloning of a Cation Efflux Pump Gene Associated with Chlorhexidine Resistance in Klebsiella pneumoniae

    OpenAIRE

    Fang, Chi-Tai; Chen, Haur-Chuan; Chuang, Yi-Ping; Chang, Shan-Chwen; Wang, Jin-Town

    2002-01-01

    Expression libraries of a chlorhexidine-resistant Klebsiella pneumoniae strain were constructed and transformed into Escherichia coli XLOLR. Twenty chlorhexidine-resistant transformants were obtained after selection. All clones contained a novel 903-nucleotide locus. Its sequences were compatible with a cation efflux pump, and the locus was thus designated as cepA. Retransformation using cepA-containing plasmids conferred chlorhexidine resistance to both XLOLR and a chlorhexidine-sensitive K....

  19. Chlorhexidine Chip in the Treatment of Chronic Periodontitis – A Clinical Study

    OpenAIRE

    Medaiah, Sangeetha; Srinivas, M; Melath, Anil; Girish, Suragimath; Polepalle, Tejaswin; Dasari, Ankineedu Babu

    2014-01-01

    Aim: The aim of this study was to clinically evaluate the use of biodegradable chlorhexidine chip when used as an adjunct to scaling and root planing (SRP) in the treatment of moderate to severe periodontitis patients. The study also intended to compare the combined therapy (SRP and Chlorhexidine chip) with chlorhexidine chip alone in individuals with periodontitis.

  20. Contact allergy to chlorhexidine in a tertiary dermatology clinic in Denmark

    DEFF Research Database (Denmark)

    Opstrup, Morten S; Johansen, Jeanne D; Zachariae, Claus;

    2016-01-01

    cause the contact allergy, and whether accidental re-exposure occurs in some patients. OBJECTIVES: To estimate the prevalence of chlorhexidine contact allergy in a tertiary dermatology clinic in Denmark; to investigate whether patch testing with both chlorhexidine diacetate and chlorhexidine digluconate...

  1. Comparison of Chlorhexidine and Tincture of Iodine for Skin Antisepsis in Preparation for Blood Sample Collection

    OpenAIRE

    Barenfanger, Joan; Drake, Cheryl; Lawhorn, Jerry; Verhulst, Steven J.

    2004-01-01

    Rates of contamination of blood cultures obtained when skin was prepared with iodine tincture versus chlorhexidine were compared. For iodine tincture, the contamination rate was 2.7%; for chlorhexidine, it was 3.1%. The 0.41% difference is not statistically significant. Chlorhexidine has comparable effectiveness and is safer, cheaper, and preferred by staff, so it is an alternative to iodine tincture.

  2. Prevention of intraoperative wound contamination with chlorhexidine shower and scrub.

    Science.gov (United States)

    Garibaldi, R A

    1988-04-01

    In a prospective, controlled, clinical trial, we found that preoperative showering and scrubbing with 4% chlorhexidine gluconate was more effective than povidone-iodine or triclocarban medicated soap in reducing skin colonization at the site of surgical incision. Mean log colony counts of the incision site were one half to one log lower for patients who showered with chlorhexidine compared to those who showered with the other regimens. No growth was observed on 43% of the post shower skin cultures from patients in the chlorhexidine group compared with 16% of the cultures from patients who had povidone-iodine showers and 5% of those from patients who used medicated soap and water. The frequency of positive intraoperative wound cultures was 4% with chlorhexidine, 9% with povidone-iodine and 14% with medicated soap and water. This study demonstrates that chlorhexidine gluconate is a more effective skin disinfectant than either povidone-iodine or triclocarban soap and water and that its use is associated with lower rates of intraoperative wound contamination. PMID:2898503

  3. [Influence of chlorhexidine on the flora of burns].

    Science.gov (United States)

    de Barbeyrac, B; Perro, G; Quentin, C; Cutillas, M; Bebear, C; Sanchez, R

    1985-06-01

    The effect of chlorhexidine baths on surface and in-depth colonization of burns was studied in 12 severely burned patients. 202 swabs and 202 biopsy specimens were cultured. Each patient was sampled before and after a daily chlorhexidine bath on several days. Subsequent to bathing, 41% of swabs became sterile and a 1.41 log10 reduction in the number of germs in biopsy specimens was observed. However, deep flora was unchanged in almost half of cases (43.3%) and was reduced by only 1 to 2 log10 in one-third of cases (35.3%). Chlorhexidine added to baths inhibited surface bacterial growth but had an inconsistent and limited effect on in-depth colonization. PMID:3937137

  4. Are herbal mouthwash efficacious over chlorhexidine on the dental plaque?

    Science.gov (United States)

    Gupta, Devanand; Nayan, Swapna; Tippanawar, Harshad K.; Patil, Gaurav I.; Jain, Ankita; Momin, Rizwan K.; Gupta, Rajendra Kumar

    2015-01-01

    Aim: To compare the effect of herbal extract mouthwash and chlorhexidine mouthwash on the dental plaque level. Materials and Methods: The subjects (60 healthy medical students aged ranges between 20 and 25 years) were randomly divided into two groups, that is, the herbal group and the chlorhexidine gluconate mouthwash group. The data were collected at the baseline and 3 days. The plaque was disclosed using erythrosine disclosing agent and their scores were recorded using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. Statistical analysis was carried out later to compare the effect of all the two groups. Results: Our result showed that the chlorhexidine group shows a greater decrease in plaque score followed by herbal extract, but the result was statistically insignificant. Conclusion: The results indicate that herbal mouthwash may prove to be an effective agent owing to its ability to reduce plaque level, especially in low socioeconomic strata. PMID:26130940

  5. Are herbal mouthwash efficacious over chlorhexidine on the dental plaque?

    Directory of Open Access Journals (Sweden)

    Devanand Gupta

    2015-01-01

    Full Text Available Aim: To compare the effect of herbal extract mouthwash and chlorhexidine mouthwash on the dental plaque level. Materials and Methods: The subjects (60 healthy medical students aged ranges between 20 and 25 years were randomly divided into two groups, that is, the herbal group and the chlorhexidine gluconate mouthwash group. The data were collected at the baseline and 3 days. The plaque was disclosed using erythrosine disclosing agent and their scores were recorded using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. Statistical analysis was carried out later to compare the effect of all the two groups. Results: Our result showed that the chlorhexidine group shows a greater decrease in plaque score followed by herbal extract, but the result was statistically insignificant. Conclusion: The results indicate that herbal mouthwash may prove to be an effective agent owing to its ability to reduce plaque level, especially in low socioeconomic strata.

  6. Effects of chlorhexidine and fluoride on irradiated enamel and dentin.

    Science.gov (United States)

    Soares, C J; Neiva, N A; Soares, P B F; Dechichi, P; Novais, V R; Naves, L Z; Marques, M R

    2011-05-01

    The effectiveness of mouthwash protocols in preventing gamma irradiation therapy damage to the ultimate tensile strength (UTS) of enamel and dentin is unknown. It was hypothesized that the use of chlorhexidine and fluoride mouthwash would maintain the UTS of dental structures. One hundred and twenty teeth were divided into 2 groups: irradiated (subjected to 60 Gy of gamma irradiation in daily increments of 2 Gy) and non-irradiated. They were then subdivided into 2 mouthwash protocols used 3 times per day: 0.12% chlorhexidine, 0.05% sodium fluoride, and control group (n = 10). The specimens were evaluated by microtensile testing. The results of the Tukey test (p Mouthwash with 0.12% chlorhexidine partially prevented the damage to the mechanical properties of the irradiated crown dentin, whereas the 0.05% sodium-fluoride-irradiated enamel showed UTS similar to that of non-irradiated enamel. PMID:21335538

  7. Comparative Evaluation of the Antimicrobial Properties of Glass Ionomer Cements with and without Chlorhexidine Gluconate

    Science.gov (United States)

    Jampanapalli, Sharada Reddy; Konda, Suhasini; Inguva, Hema Chandrika; Chimata, Vamsi Krishna

    2016-01-01

    ABSTRACT Background: Chlorhexidine gluconate is a widely used antimicrobial agent. Adding chlorhexidine and quaternary ammonium compounds to filling materials, such as composite resins, acrylic resins, and glass ionomer cements increases the antibacterial property of restorative materials. This study includes antibacterial property of glass ionomer restorative cements with chlorhexidine gluconate. Aim: The primary objective of our study was to compare the antimicrobial properties of two commercially available glass ionomer cements with and without chlorhexidine gluconate on strains of mutans streptococci. Materials and methods: Two glass ionomers (Fuji II Conventional and Fuji IX) were used. Chlorhexidine gluconate was mixed with glass ionomer cements, and antimicrobial properties against mutans streptococci were assessed by agar diffusion. The tested bacterial strain was inhibited and the antimicrobial properties decreased with time. Results: The highest amount of antimicrobial activity with mean inhibitory zone was found in Fuji II with chlorhexidine gluconate followed by Fuji IX with chlorhexidine gluconate, Fuji II without chlorhexidine gluconate, and Fuji IX without chlorhexidine gluconate. Conclusion: The results of the study confirmed that the addition of 5% chlorhexidine gluconate to Fuji II and Fuji IX glass ionomer cements resulted in a restorative material that had increased antimicrobial properties over the conventional glass ionomer cements alone for Streptococcus mutans. How to cite this article: Yadiki JV, Jampanapalli SR , Konda S, Inguva HC, Chimata VK. Comparative Evaluation of the Antimicrobial Properties of Glass Ionomer Cements with and without Chlorhexidine Gluconate. Int J Clin Pediatr Dent 2016;9(2):99-103. PMID:27365927

  8. Effect of fluoride and chlorhexidine digluconate mouthrinses on plaque biofilms

    DEFF Research Database (Denmark)

    Rabe, Per; Twetman, Svante; Kinnby, Bertil;

    2015-01-01

    pre-molar region were worn by three subjects for 7 days. Control discs were removed before subjects rinsed with 0.1% chlorhexidine digluconate (CHX) or 0.2% sodium fluoride (NaF) for 1 minute. Biofilms were stained with Baclight Live/Dead and z-stacks of images created using confocal scanning laser...

  9. Control of Streptococcus sanguinis oral biofilm by novel chlorhexidine-chitosan mouthwash: an in vitro study

    Directory of Open Access Journals (Sweden)

    Bangalore V. Karthikeyan

    2013-04-01

    Full Text Available Objective: The most common prevalent infectious oral diseases in humans are caries and periodontal diseases, which are usually associated with dental plaque. The present in vitro study was designed to evaluate and compare the impact of new mouthwash formulation consisting of chlorhexidine (0.1% and bioadhesive chitosan (0.5% on dental plaque bacterial reduction, to that of chlorhexidine or chitosan alone. Methods: In this study, we analyzed the antimicrobial susceptibility of strains of Streptococcus sanguinis from clinical plaque samples to four different antimicrobial agents. Antimicrobial susceptibilities of the isolates to chlorhexidine (0.2%, chitosan (0.5%, chlorhexidine (0.1% plus chitosan (0.5% combination and saline were evaluated by disc diffusion method. Results: The zone of inhibition showed that chlorhexidine, chitosan and chlorhexidine-chitosan combination mouthwash exert an antimicrobial activity. A markedly higher and significant activity was obtained with chlorhexidine-chitosan combination mouthwash. On intergroup comparison there were statistically significant differences between all the tested solutions, except between chlorhexidine and chitosan mouthwash. Conclusion: Within the limitation of the present study, results showed that chlorhexidine-chitosan combination mouthrinse are superior in antimicrobial activity than chlorhexidine or chitosan alone. [J Exp Integr Med 2013; 3(2.000: 165-169

  10. Novel Formulation of Chlorhexidine Spheres and Sustained Release with Multilayered Encapsulation.

    Science.gov (United States)

    Luo, Dong; Shahid, Saroash; Wilson, Rory M; Cattell, Michael J; Sukhorukov, Gleb B

    2016-05-25

    This work demonstrates the synthesis of new chlorhexidine polymorphs with controlled morphology and symmetry, which were used as a template for layer-by-layer (LbL) encapsulation. LbL self-assembly of oppositely charged polyelectrolytes onto the drug surface was used in the current work, as an efficient method to produce a carrier with high drug content, improved drug solubility and sustained release. Coprecipitation of the chlorhexidine polymorphs was performed using chlorhexidine diacetate and calcium chloride solutions. Porous interconnected chlorhexidine spheres were produced by tuning the concentration of calcium chloride. The size of these drug colloids could be further controlled from 5.6 μm to over 20 μm (diameter) by adjusting the coprecipitation temperature. The chlorhexidine content in the spheres was determined to be as high as 90%. These particles were further stabilized by depositing 3.5 bilayers of poly(allylamine hydrochloride) (PAH) and polystyrenesulfonate (PSS) on the surface. In vitro release kinetics of chlorhexidine capsules showed that the multilayer shells could prolong the release, which was further demonstrated by characterizing the remaining chlorhexidine capsules with SEM and confocal microscopy. The new chlorhexidine polymorph and LbL coating has created novel chlorhexidine formulations. Further modification to the chlorhexidine polymorph structure is possible to achieve both sustained and stimuli responsive release, which will enhance its clinical performance in medicine and dentistry. PMID:27176115

  11. Chlorhexidine impregnated central venous catheter inducing an anaphylatic shock in the intensive care unit.

    Science.gov (United States)

    Khoo, A; Oziemski, P

    2011-10-01

    Chlorhexidine, a bisbiguanide, is widely used as an antiseptic agent in medical practice as it has the greatest residual antimicrobial activity. Central venous catheters coated extraluminally with chlorhexidine have been made to reduce extraluminal contamination. By using both the chlorhexidine-alchohol skin preparation and antimicrobial-coated catheters during vascular cannulation, it can reduce catheter related bloodstream significantly [1]. The reduction in infection rate is especially vital in critically ill patients who require long-term vascular access. Adverse reactions to chlorhexidine are rare and uncommon, and have been under-recognised as a cause of anaphylaxis. There are several reports of allergic reactions following exposure to chlorhexidine. We report of a case of anaphylaxis shock requiring cardiopulmonary resuscitation during the placement of a chlorhexidine impregnated central venous catheters. PMID:21036666

  12. Prevention of gingivitis and treatment of periodontitis: Chlorhexidine gels and dental lasers

    OpenAIRE

    Slot, D.E.

    2015-01-01

    It is a universal advice from dental care professionals to brush twice daily with a fluoride dentifrice. It would be ideal to incorporate an effective anti-microbial agent such as chlorhexidine in a dentifrice formulation. A well-known side effect of chlorhexidine is tooth discoloration. Reduced concentrations have been suggested to decrease side effects. The low dosage 0.12% chlorhexidine dentifrice gel, which is available in the Netherlands, was the subject of two research projects as prese...

  13. Induced Sporicidal Activity of Chlorhexidine against Clostridium difficile Spores under Altered Physical and Chemical Conditions

    OpenAIRE

    Nerandzic, Michelle M.; Donskey, Curtis J.

    2015-01-01

    Background Chlorhexidine is a broad-spectrum antimicrobial commonly used to disinfect the skin of patients to reduce the risk of healthcare-associated infections. Because chlorhexidine is not sporicidal, it is not anticipated that it would have an impact on skin contamination with Clostridium difficile, the most important cause of healthcare-associated diarrhea. However, although chlorhexidine is not sporicidal as it is used in healthcare settings, it has been reported to kill spores of Bacil...

  14. Transcriptomic and biochemical analyses identify a family of chlorhexidine efflux proteins

    OpenAIRE

    Hassan, Karl A.; Jackson, Scott M; Penesyan, Anahit; Patching, Simon G.; Tetu, Sasha G.; Eijkelkamp, Bart A.; Brown, Melissa H.; Henderson, Peter J. F.; Paulsen, Ian T.

    2013-01-01

    Drug resistance is an increasing problem in clinical settings with some bacterial pathogens now resistant to virtually all available drugs. Chlorhexidine is a commonly used antiseptic and disinfectant in hospital environments, and there is increasing resistance to chlorhexidine seen in some pathogenic bacteria, such as Acinetobacter baumannii. This paper examines the global gene expression of A. baumannii in response to chlorhexidine exposure and identifies a gene that we demonstrate to media...

  15. Chlorhexidine Vs. Sterile Vaginal Wash During Labor to Prevent Neonatal Infection

    OpenAIRE

    Nancy L. Eriksen; Keri M. Sweeten; Jorge D. Blanco

    1997-01-01

    Objective: The purpose of this study was to determine if a dilute solution of chlorhexidine used as a one-time vaginal wash intrapartum can reduce the use of postnatal antibiotics and neonatal infection. Methods: Term pregnant women in labor were prospectively randomized to receive either 20 cc of 0.4% chlorhexidine (n = 481) or 20 cc of sterile water (n = 466) placebo. Exclusion criteria included fetal distress, clinical infection, cervical dilatation >6 cm, and known allergy to chlorhexidin...

  16. Antimicrobial activity of calcium hydroxide and chlorhexidine on intratubular Candida albicans

    OpenAIRE

    Jacques Rezende Delgado, Ronan; Helena Gasparoto, Thaís; Renata Sipert, Carla; Ramos Pinheiro, Claudia; Gomes de Moraes, Ivaldo; Brandão Garcia, Roberto; Antônio Hungaro Duarte, Marco; Monteiro Bramante, Clóvis; Aparecido Torres, Sérgio; Pompermaier Garlet, Gustavo; Paula Campanelli, Ana; Bernardineli, Norberti

    2013-01-01

    This study investigated the efficacy of calcium hydroxide and chlorhexidine gel for the elimination of intratubular Candida albicans (C. albicans). Human single-rooted teeth contaminated with C. albicans were treated with calcium hydroxide, 2% chlorhexidine gel, calcium hydroxide plus 2% chlorhexidine gel, or saline (0.9% sodium chloride) as a positive control. The samples obtained at depths of 0–100 and 100–200 µm from the root canal system were analyzed for C. albicans load by counting the ...

  17. Chlorhexidine gluconate: to bathe or not to bathe?

    Science.gov (United States)

    Rubin, Caroline; Louthan, Rufina Bavin; Wessels, Erica; McGowan, Mary-Bridgid; Downer, Shantee; Maiden, Jeanne

    2013-01-01

    Despite infection-prevention initiatives, hospital-acquired infections (HAIs) are still a common occurrence. Chlorhexidine gluconate (CHG) is an important antibacterial agent. Research indicates that the intervention of bathing with CHG can reduce the number of HAIs. Chlorhexidine gluconate is known to reduce the bioload of several bacteria, including multiple strains of methicillin-resistant Staphylococcus aureus. Research regarding the intervention of bathing with CHG was assessed and found to reduce central line-related blood stream infections, ventilator-associated pneumonia, and vancomycin-resistant enterococci. The reduction in HAIs was found to be greater as compared to bathing with soap and water. The reduction of these HAIs will allow for a saving of resources, finances and staff time, which may ultimately be passed on to the patient. While further research is indicated, a strong conclusion is drawn that bathing with CHG reduces the number of HAIs. PMID:23470709

  18. Nanoparticle-Encapsulated Chlorhexidine against Oral Bacterial Biofilms

    OpenAIRE

    Seneviratne, Chaminda Jayampath; Leung, Ken Cham-Fai; Wong, Chi-Hin; Lee, Siu-Fung; Li, Xuan; Leung, Ping Chung; LAU, CLARA BIK SAN; Wat, Elaine; Jin, Lijian

    2014-01-01

    Background Chlorhexidine (CHX) is a widely used antimicrobial agent in dentistry. Herein, we report the synthesis of a novel mesoporous silica nanoparticle-encapsulated pure CHX (Nano-CHX), and its mechanical profile and antimicrobial properties against oral biofilms. Methodology/Principal Findings The release of CHX from the Nano-CHX was characterized by UV/visible absorption spectroscopy. The antimicrobial properties of Nano-CHX were evaluated in both planktonic and biofilm modes of represe...

  19. Chlorhexidine decontamination of sputum for culturing Mycobacterium tuberculosis

    OpenAIRE

    Asmar, Shady; Drancourt, Michel

    2015-01-01

    Background: Culture of Mycobacterium tuberculosis is the gold standard method for the laboratory diagnosis of pulmonary tuberculosis, after effective decontamination. Results: We evaluated squalamine and chlorhexidine to decontaminate sputum specimens for the culture of mycobacteria. Eight sputum specimens were artificially infected with 105 colony-forming units (cfu)/mL Mycobacterium tuberculosis and Staphylococcus aureus, Pseudomonas aeruginosa and Candida albicans as contaminants. In the s...

  20. Synergistic Antimicrobial Action of Chlorhexidine and Ozone in Endodontic Treatment

    OpenAIRE

    Rita Noites; Cidália Pina-Vaz; Rita Rocha; Manuel Fontes Carvalho; Acácio Gonçalves; Irene Pina-vaz

    2014-01-01

    Objectives. The aim of this study was to determine whether irrigation with sodium hypochlorite, chlorhexidine, and ozone gas, alone or in combination, were effective against Enterococcus faecalis and Candida albicans; these are microorganisms frequently isolated from teeth with periapical lesions resistant to endodontic treatment. Material and Methods. 220 single root teeth, recently extracted, were inoculated with Candida albicans and Enterococcus faecalis. The formulations tested were sodiu...

  1. Preparation of novel organovermiculites with antibacterial activity using chlorhexidine diacetate

    Czech Academy of Sciences Publication Activity Database

    Holešová, S.; Valášková, M.; Plevová, Eva; Pazdziora, E.; Matějová, K.

    2010-01-01

    Roč. 342, č. 2 (2010), s. 593-597. ISSN 0021-9797 Grant ostatní: GA ČR(CZ) GA205/08/0869 Institutional research plan: CEZ:AV0Z30860518 Keywords : organovermiculite * chlorhexidine diacetate * antibacterial material Subject RIV: CB - Analytical Chemistry, Separation Impact factor: 3.068, year: 2010 http:// apps .isiknowledge.com/full_record.do?product

  2. Effect of Fluoride, Chlorhexidine and Fluoride-chlorhexidine Mouthwashes on Salivary Streptococcus mutans Count and the Prevalence of Oral Side Effects.

    Science.gov (United States)

    Sadat Sajadi, Fatemeh; Moradi, Mohammad; Pardakhty, Abbas; Yazdizadeh, Razieh; Madani, Faezeh

    2015-01-01

    Background and aims. Streptococcus mutans is the main pathogenic agent involved in dental caries, and may be eliminated using mouthwashes. The objective of this study was to compare the effects of fluoride, chlorhexidine, and fluoride-chlorhexidine mouthwashes on salivary S. mutans count after two weeks of use and determine the prevalence of their side effects on the oral mucosa. Materials and methods. In this clinical trial, 120 12-14 year-old students were selected and divided into three groups. Each group was given one of fluoride, chlorhexidine, or fluoride-chlorhexidine mouthwashes. They were asked to use it twice a day for two weeks. Salivary samples were collected at baseline and after two weeks. Data were analyzed by Wilcoxon and Kruskal-Wallis tests. Results. In all the study groups, there were statistically significant reductions in salivary S. mutans counts two weeks after using the mouthwashes (P mouthwash had a significant effect on the reduction of S. mutans count in comparison with fluoride alone. The prevalence of oral side effects in fluoride-chlorhexidine mouth-wash was more than 90%. Conclusion. Adding fluoride to chlorhexidine mouthwash can significantly decrease salivary S. mutans count after two weeks. Fluoride-chlorhexidine has the highest rate of oral side effects between the evaluated mouthwash compounds. PMID:25973155

  3. Comparative evaluation of honey, chlorhexidine gluconate (0.2%) and combination of xylitol and chlorhexidine mouthwash (0.2%) on the clinical level of dental plaque: A 30 days randomized control trial

    OpenAIRE

    Ankita Jain; Dara John Bhaskar; Devanand Gupta; Chandan Agali; Vipul Gupta; Rajendra Kumar Gupta; Priyanka Yadav; Akash B Lavate; Mudita Chaturvedi

    2015-01-01

    Aim: To compare the effect of honey, chlorhexidine mouthwash and combination of xylitol chewing gum and chlorhexidine mouthwash on the dental plaque level. Materials and Methods: Ninety healthy dental students, both male and female, aged between 21 to 25 years participated in the study. The subjects were randomly divided into three groups, i.e. the honey group, the chlorhexidine gluconate mouthwash group and the combination of xylitol chewing gum and chlorhexidine (CHX) mouthwash group. The d...

  4. Mupirocin and Chlorhexidine Resistance in Staphylococcus aureus in Patients with Community-Onset Skin and Soft Tissue Infections

    OpenAIRE

    Fritz, Stephanie A.; Hogan, Patrick G.; Camins, Bernard C.; Ainsworth, Ali J.; Patrick, Carol; Martin, Madeline S.; Krauss, Melissa J.; Rodriguez, Marcela; Carey-Ann D. Burnham

    2013-01-01

    Decolonization measures, including mupirocin and chlorhexidine, are often prescribed to prevent Staphylococcus aureus skin and soft tissue infections (SSTI). The objective of this study was to determine the prevalence of high-level mupirocin and chlorhexidine resistance in S. aureus strains recovered from patients with SSTI before and after mupirocin and chlorhexidine administration and to determine whether carriage of a mupirocin- or chlorhexidine-resistant strain at baseline precluded S. au...

  5. Chlorhexidine-calcium phosphate nanoparticles - Polymer mixer based wound healing cream and their applications.

    Science.gov (United States)

    Viswanathan, Kaliyaperumal; Monisha, P; Srinivasan, M; Swathi, D; Raman, M; Dhinakar Raj, G

    2016-10-01

    In this work, we developed a wound healing cream composed of two different polymers, namely chitosan and gelatin with chlorhexidine along with calcium phosphate nanoparticles. The physicochemical properties of the prepared cream were investigated based on SEM, EDX, Raman, FTIR and the results indicated that the cream contained gelatin, chitosan, calcium phosphate nanoparticles and chlorhexidine. The maximum swelling ratio studies indicated that the ratio was around of 52±2.2 at pH7.4 and the value was increased in acidic and alkaline pH. The antimicrobial activity was tested against bacteria and the results indicated that, both chlorhexidine and the hybrid cream devoid of chlorhexidine exhibited antimicrobial activity but the chlorhexidine impregnated cream showed three fold higher antimicrobial activity than without chlorhexidine. In vivo wound healing promoting activities of hybrid cream containing 0.4mg/L chlorhexidine were evaluated on surgically induced dermal wounds in mice. The results indicated that the cream with incorporated chlorhexidine significantly enhanced healing compared with the control samples. For the field validations, the veterinary clinical animals were treated with the cream and showed enhanced healing capacity. In conclusion, a simple and efficient method for design of a novel wound healing cream has been developed for veterinary applications. PMID:27287150

  6. The danger of chlorhexidine in lignocaine gel: A case report of anaphylaxis during urinary catheterisation

    OpenAIRE

    Stewart, Michael; Lenaghan, Daniel

    2015-01-01

    This article describes a case of anaphylaxis secondary to chlorhexidine during urethral catheterisation. Despite little evidence for the use of antiseptic lubricants in preventing catheter-associated urinary tract infections, the distribution and use of such products continues to be widespread. Chlorhexidine-free lubricating gel is widely available and should be used for urological procedures wherever possible.

  7. Antimicrobial activity of calcium hydroxide and chlorhexidine on intratubular Candida albicans

    Institute of Scientific and Technical Information of China (English)

    Ronan Jacques Rezende Delgado; Thaís Helena Gasparoto; Carla Renata Sipert; Claudia Ramos Pinheiro; Ivaldo Gomes de Moraes; Roberto Brandāo Garcia; Marco Antonio Hungaro Duarte; Clóvis Monteiro Bramante; Sérgio Aparecido Torres; Gustavo Pompermaier Garlet; Ana Paula Campanelli; Norberti Bernardineli

    2013-01-01

    This study investigated the efficacy of calcium hydroxide and chlorhexidine gel for the elimination of intratubular Candida albicans (C. albicans). Human single-rooted teeth contaminated with C. albicans were treated with calcium hydroxide, 2% chlorhexidine gel, calcium hydroxide plus 2% chlorhexidine gel, or saline (0.9% sodium chloride) as a positive control. The samples obtained at depths of 0-100 and 100-200 μm from the root canal system were analyzed for C. albicans load by counting the number of colony forming units and for the percentage of viable C. albicans using fluorescence microscopy. First, the antimicrobial activity of calcium hydroxide and the 2% chlorhexidine gel was evaluated by counting the number of colony forming units. After 14 days of intracanal medication, there was a significant decrease in the number of C. albicanscolony forming units at a depth of 0-100 lzm with chlorhexidine treatment either with or without calcium hydroxide compared with the calcium hydroxide only treatment. However, there were no differences in the number of colony forming units at the 100-200 μm depth for any of the medications investigated. C. albicans viability was also evaluated by vital staining techniques and fluorescence microscopy analysis. Antifungal activity against C. albicans significantly increased at both depths in the chlorhexidine groups with and without calcium hydroxide compared with the groups treated with calcium hydroxide only. Treatments with only chlorhexidine or chlorhexidine in combination with calcium hydroxide were effective for elimination of C. albicans.

  8. Pectin gelation with chlorhexidine: Physico-chemical studies in dilute solutions.

    Science.gov (United States)

    Lascol, Manon; Bourgeois, Sandrine; Guillière, Florence; Hangouët, Marie; Raffin, Guy; Marote, Pedro; Lantéri, Pierre; Bordes, Claire

    2016-10-01

    Low methoxyl pectin is known to gel with divalent cations (e.g. Ca(2+), Zn(2+)). In this study, a new way of pectin gelation in the presence of an active pharmaceutical ingredient, chlorhexidine (CX), was highlighted. Thus chlorhexidine interactions with pectin were investigated and compared with the well-known pectin/Ca(2+) binding model. Gelation mechanisms were studied by several physico-chemical methods such as zeta potential, viscosity, size measurements and binding isotherm was determined by Proton Nuclear Magnetic Resonance Spectroscopy ((1)H NMR). The binding process exhibited similar first two steps for both divalent ions: a stoichiometric monocomplexation of the polymer followed by a dimerization step. However, stronger interactions were observed between pectin and chlorhexidine. Moreover, the dimerization step occurred under stoichiometric conditions with chlorhexidine whereas non-stoichiometric conditions were involved with calcium ions. In the case of chlorhexidine, an additional intermolecular binding occurred in a third step. PMID:27312625

  9. Is there a risk of sensitization and allergy to chlorhexidine in health care workers?

    DEFF Research Database (Denmark)

    Garvey, L H; Roed-Petersen, J; Husum, B

    2003-01-01

    BACKGROUND: In Denmark, chlorhexidine is the standard disinfectant in most hospitals and health care workers are repeatedly exposed to it. The aim of this study was to establish whether there is a risk of sensitization and allergy to chlorhexidine from this type of exposure. METHODS: Two hundred...... and forty-eight doctors, nurses and auxiliary staff were invited to participate in the study. One hundred and four individuals took part in the full study including skin tests and a questionnaire and a further 74 individuals filled in the questionnaire giving a total of 178 questionnaires (72%). Patch tests...... to examine the risk of type I and type IV allergy to chlorhexidine in health care workers with daily exposure to chlorhexidine, we did not identify allergies to chlorhexidine in any of the 104 individuals tested or in the additional 74 individuals who completed the questionnaire. We conclude that an allergy...

  10. Effect of Fluoride, Chlorhexidine and Fluoride-chlorhexidine Mouthwashes on Salivary Streptococcus mutans Count and the Prevalence of Oral Side Effects

    OpenAIRE

    2015-01-01

    Background and aims. Streptococcus mutans is the main pathogenic agent involved in dental caries, and may be eliminated using mouthwashes. The objective of this study was to compare the effects of fluoride, chlorhexidine, and fluoride-chlorhexidine mouthwashes on salivary S. mutans count after two weeks of use and determine the prevalence of their side effects on the oral mucosa. Materials and methods. In this clinical trial, 120 12-14 year-old students were selected and divided into three gr...

  11. High Rate of qacA- and qacB-Positive Methicillin-Resistant Staphylococcus aureus Isolates from Chlorhexidine-Impregnated Catheter-Related Bloodstream Infections

    OpenAIRE

    Ho, Cheng-Mao; Li, Chi-Yuan; Ho, Mao-Wang; Lin, Chien-Yu; Liu, Shu-Hui; Lu, Jang-Jih

    2012-01-01

    Chlorhexidine has been widely used for infection control. Although the use of chlorhexidine-impregnated catheters has reduced catheter-related infections, chlorhexidine-resistant Staphylococcus aureus has emerged. The correlation between the existence of the chlorhexidine-resistant genes qacA and qacB (qacA/B) in methicillin-resistant Staphylococcus aureus (MRSA) isolates and the effectiveness of chlorhexidine-impregnated catheters in the prevention of MRSA infections is unknown. Sixty methic...

  12. Penetration of chlorhexidine coating into tooth enamel: A surface analytical study.

    Science.gov (United States)

    Sodhi, Rana N S; Symington, John

    2016-01-01

    Chlorhexidine has proved an efficient antibacterial agent and has been used successfully to prevent new carious lesions in the teeth of adults and children. The substantivity of chlorhexidine has not been identified with any precision, but is certainly not of short duration. In this work, surface analytical techniques have been applied to study the chemical composition, distribution, and penetration of an applied liquid coating containing chlorhexidine onto tooth enamel in order to ascertain mechanisms by which chlorhexidine keeps its long term substantivity. Several hypotheses have been put forward with regard to its substantivity, including concepts of chlorhexidine remaining as a reservoir upon application either in the epithelial surfaces, the tooth surface, or the biofilm. Alternatively, it has been proposed the teeth themselves act as the reservoir. To study this, a chlorhexidine containing liquid coating was applied to the surface of teeth. These were subsequently transversely cross-sectioned. X-ray photoelectron spectroscopy and time-of-flight secondary ion mass spectrometry (ToF-SIMS) were performed on both surfaces to ascertain chemical composition and distribution of the applied coating. It was found that it formed a coating layer of about 25 μm thick. High spatial ToF-SIMS images showed little evidence of substantial diffusion of chlorhexidine into the enamel, either from the surface or via the enamel lamellae. PMID:27094389

  13. Chlorhexidine-induced elastic and adhesive changes of Escherichia coli cells within a biofilm.

    Science.gov (United States)

    Rodgers, Nicole; Murdaugh, Anne

    2016-01-01

    Chlorhexidine is a widely used, commercially available cationic antiseptic. Although its mechanism of action on planktonic bacteria has been well explored, far fewer studies have examined its interaction with an established biofilm. The physical effects of chlorhexidine on a biofilm are particularly unknown. Here, the authors report the first observations of chlorhexidine-induced elastic and adhesive changes to single cells within a biofilm. The elastic changes are consistent with the proposed mechanism of action of chlorhexidine. Atomic force microscopy and force spectroscopy techniques were used to determine spring constants and adhesion energy of the individual bacteria within an Escherichia coli biofilm. Medically relevant concentrations of chlorhexidine were tested, and cells exposed to 1% (w/v) and 0.1% more than doubled in stiffness, while those exposed to 0.01% showed no change in elasticity. Adhesion to the biofilm also increased with exposure to 1% chlorhexidine, but not for the lower concentrations tested. Given the prevalence of chlorhexidine in clinical and commercial applications, these results have important ramifications on biofilm removal techniques. PMID:27604079

  14. Small molecule interactions with lipid bilayers: a molecular dynamics study of chlorhexidine

    Science.gov (United States)

    van Oosten, Brad; Marquardt, Drew; Sternin, Edward; Harroun, Thad

    2013-03-01

    Chlorhexidine presents an interesting modelling challenge with a hydrophobic hexane connecting two biguanides (arginine analogues) and two aromatic rings. We conducted molecular dynamic simulations using the GROMACS simulation software to reproduce the experimental environment of chlorhexidine in a 1,2-Dimyristoyl-sn-Glycero-3-Phosphocholine (DMPC) bilayer to produce atomic-level information. We constructed an all-atom force field of chlorhexidine from the CHARMM36 force field using well established parameters of certain amino acids. Partial charges were treated differently, which were calculated using GAUSSIAN software. We will compare and contrast the results of our model to that of our neutron scattering experiments previously done in our lab.

  15. Evaluation of the substantivity of chlorhexidine in association with sodium fluoride in vitro

    OpenAIRE

    Freitas Carolina Saliba de; Diniz Henrique França Oliveira; Gomes Jânderson Breder; Sinisterra Rubén Dário; Cortés María Esperanza

    2003-01-01

    The efficacy of the fluoride-chlorhexidine association in the prevention of gingivitis and caries has been advocated for a number of years5,7,14. The objective of the association of these therapeutic agents is a synergistic action. The aim of the present study was to determine the substantivity of chlorhexidine associated or not to sodium fluoride at different intervals of time, in vitro. Bovine enamel surfaces were treated with 0.12% chlorhexidine gluconate (Periogard® - Colgate®) or 0.05% s...

  16. Efficacy of a chlorhexidine and a chlorhexidine-fluoride varnish mixture to decrease interdental levels of mutans streptococci.

    Science.gov (United States)

    Twetman, S; Petersson, L G

    1997-01-01

    The aim of the present study was to evaluate and compare the efficacy of a chlorhexidine/thymol-containing (CHX) and a chlorhexidine/thymol/fluoride-containing (CHX + F) varnish to decrease interdental levels of mutans streptococci (MS). Eighty-two healthy schoolchildren (11-13 years) with high scores of salivary MS were selected by a screening procedure and randomised into two groups. MS were enumerated at all mesial interdental sites of the first permanent molars with the aid of a modified chair-side technique. The interdental molar and premolar sites were treated with either a 1% CHX varnish (Cervitec) or a 1:1 mixture of the CHX varnish and a fluoride varnish containing 0.1% w/w difluorsilane (Fluor Protector; CHX + F) on two occasions within a 2-week period. The varnishes were applied with a small brush after cleaning with dental floss and drying with air. Follow-up samples from the interdental areas were collected after 1 and 3 months. Both groups exhibited a similar statistically significant (p efficacy in diminishing the cariogenic microbial challenge. Thus, the mixed varnish concept should be further developed and warrants an implementation of clinical studies. PMID:9286519

  17. The caries-preventive effect of chlorhexidine varnish in children and adolescents: a systematic review.

    LENUS (Irish Health Repository)

    James, Patrice

    2010-01-01

    Our purpose was to systematically review the literature on the effectiveness of chlorhexidine varnish for preventing dental caries in children and adolescents and to determine its effectiveness compared to fluoride varnish.

  18. Comparison of the antibacterial effects of persica mouthwash with chlorhexidine on streptococcus mutans in orthodontic patients

    OpenAIRE

    Salehi P.; Momeni Danaie Sh.

    2006-01-01

    Chlorhexidine mouthwash has shown the highest antimicrobial effects in orthodontic patients, however, some complications have limited its widespread use. The goal of this study was to compare the antimicrobial effects of persica mouthwash with chlorhexidine in fixed orthodontics patients. Sixty patients (13-18 years old) on fixed orthodontic treatment, with desirable oral health were randomly divided into three equal groups of control, clorhexidine and persica. Patients were educated to prope...

  19. Effect of dentin etching and chlorhexidine application on metalloproteinase-mediated collagen degradation

    OpenAIRE

    Raquel, Osorio; Mónica, Yamauti; Estrella, Osorio; Estrella, Ruiz-Requena María; David, Pashley; Franklin, Tay; Manuel, Toledano

    2011-01-01

    Dentin matrix metalloproteinases (MMPs) are involved in collagen degradation of resin-dentin interfaces. This study evaluated if collagen degradation can be prevented by chlorhexidine after different dentin demineralization procedures. Human dentin demineralization was performed with phosphoric acid (PA), EDTA, or acidic monomers (ClearfilSEBond and XENOV). Specimens were stored (24 h, 1 wk or 3 wk) in the presence or absence of chlorhexidine. In half of the groups, active MMP-2 was incorpora...

  20. Antibacterial performance of Chlorhexidine acetate treated plain cotton and β-cyclodextrin treated cotton

    OpenAIRE

    Bhaskara, U.R.; Nabers, M.G.D.; Agrawal, P.B.; Warmoeskerken, M.M.C.G.

    2014-01-01

    Cotton was treated with β-cyclodextrin via a crosslinker 1, 2, 3, 4, butane tetracarboxylic acid. β-cyclodextrin attached cotton and plain cotton was treated with the antimicrobial agent Chlorhexidine acetate. The difference in amount of Chlorhexidine acetate loaded onto the two types of fabrics for same application concentrations was noted. These two types of fabrics were then tested for antibacterial performance. The antibacterial activity was tested according to the JIS L 1902 standard usi...

  1. New form of administering chlorhexidine for treatment of denture-induced stomatitis

    OpenAIRE

    Ryalat, Soukaina T

    2011-01-01

    Soukaina Ryalat, Rula Darwish, Wala AminDepartment of Oral Surgery, Jordan University, Amman, JordanBackground: The purpose of this study was to evaluate the release of chlorhexidine as an antifungal drug from doped self-cured poly (methyl methacrylate) (PMMA) acrylic resin and the effect of the drug released on the growth of Candida albicans.Methods: Release of chlorhexidine was evaluated using liquid chromatography, and the effect of the drug on the growth of C. albicans was investigated mi...

  2. Chlorhexidine Salt-Loaded Polyurethane Orthodontic Chains: In Vitro Release and Antibacterial Activity Studies

    OpenAIRE

    Padois, Karine; Bertholle, Valérie; Pirot, Fabrice; Hyunh, Truc Thanh Ngoc; De Rossi, Alessandra; Colombo, Paolo; Falson, Françoise; Sonvico, Fabio

    2012-01-01

    The widespread use of indwelling medical devices has enormously increased the interest in materials incorporating antibiotics and antimicrobial agents as a means to prevent dangerous device-related infections. Recently, chlorhexidine-loaded polyurethane has been proposed as a material suitable for the production of devices which are able to resist microbial contamination. The aim of the present study was to characterize the in vitro release of chlorhexidine from new polymeric orthodontic chai...

  3. Effect of ozonated oil and chlorhexidine gel on plaque induced gingivitis: A randomized control clinical trial

    OpenAIRE

    Maya Sanjeev Indurkar; Renu Verma

    2016-01-01

    Background: Several chemotherapeutic agents have been developed to prevent gingivitis and its progression into periodontitis. In this present study, the efficacy of ozonated oil and chlorhexidine gel was assessed and compared on plaque induced gingivitis. Aim: To evaluate the effect of ozonated oil on plaque induced gingivitis and to compare its efficacy with chlorhexidine gel. Materials and Methods: A total of 20 subjects, aged from 18 to 65 years, with plaque-induced gingivitis were selecte...

  4. Comparison of hexachlorophane and chlorhexidine powders in prevention of neonatal infection.

    OpenAIRE

    Alder, V. G.; Burman, D; Simpson, R. A.; Fysh, J; Gillespie, W. A.

    1980-01-01

    The protective effect of treating the skin of newborn infants with powders containing 1% chlorhexidine or 0.33% hexachlorophane was compared. Each was equally effective in preventing colonisation and infection by Staphylococcus aureus. In contrast, the skin became profusely colonised by coagulase-negative staphylococci, irrespective of the powder used. Venous blood concentrations of chlorhexidine were low or undetectable in the few infants whose blood was analysed.

  5. In vitro susceptibility of Streptococcus mutans to chlorhexidine and six other antimicrobial agents.

    OpenAIRE

    Järvinen, H; Tenovuo, J; Huovinen, P

    1993-01-01

    The susceptibility of Streptococcus mutans to chlorhexidine and to six commonly used, systemic antibacterial agents (amoxicillin, cefuroxime, penicillin, sulfamethoxazole-trimethoprim, tetracycline, and erythromycin) was studied for 424 clinical isolates from 116 children and students. The MIC of chlorhexidine for all isolates was < or = 1 micrograms/ml. No resistance to the other antimicrobial agents was detected. Although widely exposed to various antimicrobial agents, S. mutans has remaine...

  6. Prevalence of Chlorhexidine-Resistant Methicillin-Resistant Staphylococcus aureus following Prolonged Exposure

    OpenAIRE

    Schlett, Carey D.; Millar, Eugene V.; Crawford, Katrina B.; Cui, Tianyuan; Lanier, Jeffrey B.; Tribble, David R.; Ellis, Michael W.

    2014-01-01

    Chlorhexidine has been increasingly utilized in outpatient settings to control methicillin-resistant Staphylococcus aureus (MRSA) outbreaks and as a component of programs for MRSA decolonization and prevention of skin and soft-tissue infections (SSTIs). The objective of this study was to determine the prevalence of chlorhexidine resistance in clinical and colonizing MRSA isolates obtained in the context of a community-based cluster-randomized controlled trial for SSTI prevention, during which...

  7. Efficacy of chlorhexidine bathing for reducing healthcare associated bloodstream infections: a meta-analysis

    OpenAIRE

    Choi, Eun Young; Park, Dong-Ah; Kim, Hyun Jung; Park, Jinkyeong

    2015-01-01

    Background We performed a meta-analysis of randomized controlled trials (RCTs) to determine if daily bathing with chlorhexidine decreased hospital-acquired BSIs in critically ill patients. Methods We searched the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases to identify randomized controlled trials that compared daily bathing with chlorhexidine and a control in critically ill patients. Results This meta-analysis included five RCTs. The overall incidence of meas...

  8. Chlorhexidine solutions, gels and varnishes in caries prevention.

    Science.gov (United States)

    Luoma, H

    1992-01-01

    To combat dental caries, a chemical has been sought that possesses stronger antimicrobial properties than fluoride in support of its physicochemical tooth-protecting properties. These searches have led to several agents, of which chlorhexidine (CH) appears most effective. To reduce local side effects of the well-known 0.2% CH mouthwash, a 0.05% CH gluconate + 0.04% NaF solution, pH 5.9, has been developed. Use of this combination over a 2-year period resulted in a 53% reduction in caries increment and a 75% reduction in gingival bleeding, i.e. a clear duality of prevention of oral disease (Luoma et al. 1978). Staining of teeth was minimal and easily removable in about one third of the subjects. To lessen the contribution of patients, chlorhexidine gels, without but more especially with fluoride have been professionally administered. Reductions in salivary mutans streptococci after short periods of gel applications have been found to persist longer than reductions after brief periods of mouthwashing. Reductions of approximal caries increment by about 50% in children, and root surface caries in adults have been obtained through use of CH gels. The effect on root surface caries in adults was equal to that obtained through use of local fluoride applications. Dental CH varnish seems promising, especially because a very short contact time with a tooth may be sufficient to reduce mutans streptococci. No simultaneous effects against caries and gingivitis of CH gels or varnishes has been reported. Comparisons of CH solutions, gels and varnishes, with or without fluoride, in relation to their potentials for preventing oral disease in subjects at risk remain to be accomplished. PMID:1298965

  9. Comparative assessment of Cranberry and Chlorhexidine mouthwash on streptococcal colonization among dental students: A randomized parallel clinical trial

    OpenAIRE

    Khairnar, Mahesh R.; G. N. Karibasappa; Arun S Dodamani; Prashanthkumar Vishwakarma; Naik, Rahul G.; Manjiri A. Deshmukh

    2015-01-01

    Background: Chlorhexidine gluconate mouthwash has earned an eponym of the gold standard against oral infections, but with certain limitations. There is no effective alternative to Chlorhexidine. Cranberry is known to inhibit bacterial adhesion in various systemic infections and acts as a strong antioxidant. However, it is less explored for its dental use. Hence, there is a need to evaluate its effect against oral infections. Aim: The aim was to compare the efficacy of 0.2% Chlorhexidine mouth...

  10. Chlorhexidine resistance in methicillin-resistant Staphylococcus aureus or just an elevated MIC? An in vitro and in vivo assessment.

    OpenAIRE

    Cookson, B D; Bolton, M C; Platt, J H

    1991-01-01

    Chlorhexidine (Hibiscrub; ICI) is generally accepted to be effective as an antiseptic hand wash for methicillin-susceptible Staphylococcus aureus (MSSA), but there is dispute whether the chlorhexidine MIC for methicillin-resistant S. aureus (MRSA) strains is higher than that for MSSA strains and, indeed, whether it is relevant. In addition, the link between resistance to chlorhexidine, gentamicin, and "nucleic acid-binding" compounds (NAB; which code, in particular, for propamidine isethionat...

  11. Effect of chlorhexidine bathing in preventing infections and reducing skin burden and environmental contamination: A review of the literature.

    Science.gov (United States)

    Donskey, Curtis J; Deshpande, Abhishek

    2016-05-01

    Chlorhexidine bathing is effective in reducing levels of pathogens on skin. In this review, we examine the evidence that chlorhexidine bathing can prevent colonization and infection with health care-associated pathogens and reduce dissemination to the environment and the hands of personnel. The importance of education and monitoring of compliance with bathing procedures is emphasized in order to optimize chlorhexidine bathing in clinical practice. PMID:27131130

  12. The Comparison of the Effects of Chlorhexidine Mouthwash Alone and Chlorhexidine Mouthwash Followed By Oral Suctioning on Oral Hygiene of Critically Ill Patients

    OpenAIRE

    Hossein Rafiei; Hakimeh Hosseinrezaei; Sedigheh Iranmanesh; Maryam Tajadiny; Masoud Amiri

    2012-01-01

    Aim: Oral hygiene is one of the main issues in nursing care, being especially important among patients admitted to intensive care units (ICU). The aim of the study was to assess the effect of Chlorhexidine mouthwash alone and 0.2% Chlorhexidine mouthwash followed by oral suctioning on oral hygiene in ICU patients.Material and Methods: In a semi-experimental research design, 90 patients who were admitted to the ICUs were selected. Patients were randomly divided into two groups. In group I, 0....

  13. Residual activity of cetrimide and chlorhexidine on Enterococcus faecalis-infected root canals

    Institute of Scientific and Technical Information of China (English)

    Carmen Mara Ferrer-Luque; Mara Teresa Arias-Moliz; Matilde Ruz-Linares; Mara Elena Martnez Garca; Pilar Baca

    2014-01-01

    Effective final irrigation regimen is an important step in order to achieve better disinfection and ensure residual antimicrobial effects after root canal preparation. The aim of this study was to compare the residual antimicrobial activity of 0.2%cetrimide, and 0.2%and 2%chlorhexidine in root canals infected with Enterococcus faecalis. Biofilms of E. faecalis were grown on uniradicular roots for 4 weeks. After root canal preparation, root canals were irrigated with 17%ethylenediaminetetraacetic acid (EDTA) to remove the smear layer. The roots were randomly divided into three experimental groups (n526) according to the final irrigating solution:Group I, 5 mL 0.2%cetrimide;Group II, 5 mL 0.2%chlorhexidine;and Group III, 5 mL 2%chlorhexidine. Samples were collected for 50 days to denote the presence of bacterial growth. The proportion of ungrown specimens over 50 days was evaluated using the nonparametric Kaplan-Meier survival analysis. Differences among groups were tested using the log-rank test and the level of statistical significance was set at P,0.05. The highest survival value was found with 2%chlorhexidine, showing statistically significant differences from the other two groups. At 50 days, E. faecalis growth was detected in 69.23%specimens in Groups I and II, and in 34.61%specimens of Group III. There were no significant differences between 0.2%cetrimide and 0.2%chlorhexidine. Final irrigation with 2%chlorhexidine showed greater residual activity than 0.2%chlorhexidine and 0.2%cetrimide in root canals infected with E. faecalis.

  14. Community-Level Assessment of the Effects of the Broad-Spectrum Antimicrobial Chlorhexidine on the Outcome of River Microbial Biofilm Development▿

    OpenAIRE

    Lawrence, J R; Zhu, B.; Swerhone, G. D. W.; Topp, E.; Roy, J; L. I. Wassenaar; Rema, T.; Korber, D R

    2008-01-01

    Chlorhexidine is a common-use antibacterial agent found in a range of personal-care products. We used rotating annular reactors to cultivate river biofilms under the influence of chlorhexidine or its molar equivalent in nutrients. Studies of the degradation of [14C]chlorhexidine demonstrated that no mineralization of the compound occurred. During studies with 100 μg liter−1 chlorhexidine, significant changes were observed in the protozoan and micrometazoan populations, the algal and cyanobact...

  15. The Forgotten Role of Alcohol: A Systematic Review and Meta-Analysis of the Clinical Efficacy and Perceived Role of Chlorhexidine in Skin Antisepsis

    OpenAIRE

    Maiwald, Matthias; Chan, Edwin S. Y.

    2012-01-01

    Background Skin antisepsis is a simple and effective measure to prevent infections. The efficacy of chlorhexidine is actively discussed in the literature on skin antisepsis. However, study outcomes due to chlorhexidine-alcohol combinations are often attributed to chlorhexidine alone. Thus, we sought to review the efficacy of chlorhexidine for skin antisepsis and the extent of a possible misinterpretation of evidence. Methods We performed a systematic literature review of clinical trials and s...

  16. Comparative evaluation of honey, chlorhexidine gluconate (0.2% and combination of xylitol and chlorhexidine mouthwash (0.2% on the clinical level of dental plaque: A 30 days randomized control trial

    Directory of Open Access Journals (Sweden)

    Ankita Jain

    2015-01-01

    Full Text Available Aim: To compare the effect of honey, chlorhexidine mouthwash and combination of xylitol chewing gum and chlorhexidine mouthwash on the dental plaque level. Materials and Methods: Ninety healthy dental students, both male and female, aged between 21 to 25 years participated in the study. The subjects were randomly divided into three groups, i.e. the honey group, the chlorhexidine gluconate mouthwash group and the combination of xylitol chewing gum and chlorhexidine (CHX mouthwash group. The data was collected at the baseline, 15 th day and 30 th day; the plaque was disclosed using disclosing solution and their scores were recorded at six sites per tooth using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. Statistical analysis was carried out later to compare the effect of all the three groups. P ≤ 0.05 was considered as statistically significant. Results: Our result showed that all the three groups were effective in reducing the plaque but post-hoc LSD (Least Significant Difference showed that honey group and chlorhexidine + xylitol group were more effective than chlorhexidine group alone. The results demonstrated a significant reduction of plaque indices in honey group and chlorhexidine + xylitol group over a period of 15 and 30 days as compared to chlorhexidine.

  17. Gamma radiation-sterilized, triple-lumen catheters coated with a low concentration of chlorhexidine were not efficacious at preventing catheter infections in intensive care unit patients.

    OpenAIRE

    Sherertz, R J; Heard, S O; Raad, I I; Gentry, L; Bowton, D; Scuderi, P; Hu, J.; Carruth, W; Satishchandra, B; J. Pepe; Mosenthal, A; Burke, T.; Dupuis, J.

    1996-01-01

    In a randomized, double-blind trial, gamma radiation-sterilized, chlorhexidine-coated triple-lumen catheters were compared with uncoated control catheters for their ability to prevent catheter infection in 254 intensive care unit patients. The chlorhexidine coating was not efficacious, and a rabbit model demonstrated that reduction of chlorhexidine activity by gamma radiation sterilization was the likely explanation for the failure.

  18. Comparison of the antibacterial effects of persica mouthwash with chlorhexidine on streptococcus mutans in orthodontic patients

    Directory of Open Access Journals (Sweden)

    Salehi P.

    2006-07-01

    Full Text Available Chlorhexidine mouthwash has shown the highest antimicrobial effects in orthodontic patients, however, some complications have limited its widespread use. The goal of this study was to compare the antimicrobial effects of persica mouthwash with chlorhexidine in fixed orthodontics patients. Sixty patients (13-18 years old on fixed orthodontic treatment, with desirable oral health were randomly divided into three equal groups of control, clorhexidine and persica. Patients were educated to properly use these mouthwashes. The control group was asked to wash their mouth with water twice a day. The numbers of streptococcus mutans colonies available in the elastic rings around the two bracket bases were determined in culture mediums before and immediately after a single application of water or mouthwashes and also following their daily uses for three weeks. The number of bacterial colonies then were compared at these three graps. The use of persica resulted in a significant (p<0.001 reduction in the number of streptococcus mutans colonies, albeit it was not as potent as chlorhexidine. Thirteen and fourty percent of patients using persica mouthwash experienced tooth discoloration and changes in taste respectively. The corresponding figures for chlorhexidine were 86% and 73% respectively. Significant reduction of streptococcus mutans colonies by persica as well as its lower tooth discoloration effects and unpleasant taste relative to chlorhexidine might give credence to the use of complementary herbal compounds in orthodontics patients.

  19. Aspartate Aminotransferase Activity after Gargling with Green Tea and Chlorhexidine Gluconate

    Directory of Open Access Journals (Sweden)

    Christian E. Suryanto

    2013-07-01

    Full Text Available Patients undergoing fixed orthodontic treatment are susceptible to dental plaque accumulation. Plaque can cause inflammation in gingiva. It could be assessed by aspartat aminotransferase (AST in gingival crevicular fluid (GCF. Mouth rinse could be useful to reduce dental plaque accumulation during orthodontic treatment. Chlorhexidine gluconate is often used as mouth rinse in dental practice. On the other hand, green tea is one of natural ingredient that can be used for mouth rinse which is assumed could reduce plaque accumulation. Objectives: To compare the effect between green tea and chlorhexidine gluconate on AST activity in GCF in patient undergoing orthodontic treatment with molar band. Methods: An experimental study was conducted included forty adult subjects. They were randomized into two groups: green tea (n=20 and chlorhexidine gluconate (n=20. AST activity was measured before band insertion, 7 and 30 days after band insertion. One way and two-ways ANOVA were used to analyze the data. Results: The results showed significant difference of AST levels between before, 7 and 30 days after band insertion in the green tea groups (p<0.05. In contrast, there was no significant differences of AST levels between before band insertion, 7 and 30 days after band insertion in the chlorhexidine gluconate groups (p=0.049. There were no difference between each groups with two way ANOVA (p<0.05. Conclusions: Gargle effect of green tea was as effective as chlorhexidine gluconate in reducing AST levels related to banded first molars in adolescents undergoing orthodontic treatment.

  20. Efficacy of a probiotic and chlorhexidine mouth rinses: A short-term clinical study

    Directory of Open Access Journals (Sweden)

    Harini P

    2010-09-01

    Full Text Available Introduction: Probiotic technology represents a breakthrough approach to maintaining oral health by utilizing natural beneficial bacteria commonly found in healthy mouths to provide a natural defense against those bacteria thought to be harmful to teeth and gums. However, data are still sparse on the probiotic action in the oral cavity. The review article on probiotics in children published by Twetman and Stecksen- Blicks in 2008 showed only one study of dental interest on probiotics in children. Aim and Objectives: The present study evaluated clinically the efficacy of a probiotic and chlorhexidine mouth rinses on plaque and gingival accumulation in children. The trial design is a double-blind parallel group, 14 days comparative study between a probiotic mouth rinse and a chlorhexidine mouth rinse, which included 45 healthy children in the age group of 6-8 years. Results: The Probiotic and Chlorhexidine groups had less plaque accumulations compared with the Control group at the end of 14 years (P < 0.001 and P < 0.001, respectively. But, unlike the plaque score, there was a significant difference in the Gingival Index between the Probiotic and the Chlorhexidine groups (P = 0.009, Probiotic group being better than the Chlorhexidine group (mean = 0.2300 and 0.6805, respectively. Conclusion: The Probiotic mouth rinse was found effective in reducing plaque accumulation and gingival inflammation. Therefore, probiotic mouth rinse obviously has a potential therapeutic value and further long-term study is recommended to determine its efficacy.

  1. The effect of chlorhexidine in reducing oral colonisation in geriatric patients: a randomised controlled trial

    Science.gov (United States)

    Sharif-Abdullah, Sharifah Shafinaz Binti; Chong, Mei Chan; Surindar-Kaur, Surat Singh; Kamaruzzaman, Shahrul Bahyah; Ng, Kwan Hoong

    2016-01-01

    INTRODUCTION Inadequate oral care has been implicated in the development of aspiration pneumonia in frail geriatric patients and is a major cause of mortality, due to the colonisation of microbes in vulnerable patients. This type of pneumonia has been associated with an increase in respiratory pathogens in the oral cavity. The aim of this study was to evaluate the effects of chlorhexidine compared to routine oral care in edentulous geriatric inpatients. METHODS A double-blind, parallel-group randomised controlled trial was carried out. The intervention group received oral care with chlorhexidine 0.2%, while the control group received routine oral care with thymol. Nurses provided oral care with assigned solutions of 20 mL once daily over seven days. Oral cavity assessment using the Brief Oral Health Status Examination form was performed before each oral care procedure. Data on medication received and the subsequent development of aspiration pneumonia was recorded. An oral swab was performed on Day 7 to obtain specimens to test for colonisation. RESULTS The final sample consisted of 35 (control) and 43 (intervention) patients. Chlorhexidine was effective in reducing oral colonisation compared to routine oral care with thymol (p < 0.001). The risk of oral bacterial colonisation was nearly three times higher in the thymol group compared to the chlorhexidine group. CONCLUSION The use of chlorhexidine 0.2% significantly reduced oral colonisation and is recommended as an easier and more cost-effective alternative for oral hygiene. PMID:27211885

  2. New form of administering chlorhexidine for treatment of denture-induced stomatitis

    Directory of Open Access Journals (Sweden)

    Ryalat S

    2011-06-01

    Full Text Available Soukaina Ryalat, Rula Darwish, Wala AminDepartment of Oral Surgery, Jordan University, Amman, JordanBackground: The purpose of this study was to evaluate the release of chlorhexidine as an antifungal drug from doped self-cured poly (methyl methacrylate (PMMA acrylic resin and the effect of the drug released on the growth of Candida albicans.Methods: Release of chlorhexidine was evaluated using liquid chromatography, and the effect of the drug on the growth of C. albicans was investigated microbiologically using a “well” technique on Saboraud culture medium inoculated with a resistant strain of C. albicans.Results: Chlorhexidine leached steadily out of the acrylic resin into distilled water at mouth temperature, and the sustained drug release continued throughout the 28-day test period. The drug released also demonstrated antifungal activity against the resistant strain of C. albicans.Conclusion: The findings of this study support the use of chlorhexidine-impregnated self-cured PMMA chair-side resin as a new dosage form for the treatment of denture-induced stomatitis.Keywords: chlorhexidine, poly (methyl methacrylate, eluates, antifungal drug, denture stomatitis, Candida albicans

  3. Implant decontamination with 2% chlorhexidine during surgical peri-implantitis treatment : a randomized, double-blind, controlled trial

    NARCIS (Netherlands)

    de Waal, Y. C. M.; Raghoebar, G. M.; Meijer, H. J. A.; Winkel, E. G.; van Winkelhoff, A. J.

    2015-01-01

    ObjectiveThe objective of this randomized, double-blind, controlled trial was to evaluate the clinical, radiographic, and microbiological effects of implant surface decontamination with a 2% chlorhexidine (CHX) solution in comparison with a 0.12% chlorhexidine+0.05% cetylpyridinium chloride (CPC) so

  4. Chlorhexidine Digluconate Effects on Planktonic Growth and Biofilm Formation in Some Field Isolates of Animal Bacterial Pathogens

    OpenAIRE

    Ebrahimi, Azizollah; Hemati, Majid; Habibian Dehkordi, Saeed; Bahadoran, Shahab; Khoshnood, Sheida; Khubani, Shahin; Dokht Faraj, Mahdi; Hakimi Alni, Reza

    2014-01-01

    Background: To study chlorhexidine digluconate disinfectant effects on planktonic growth and biofilm formation in some bacterial field isolates from animals. Objectives: The current study investigated chlorhexidine digluconate effects on planktonic growth and biofilm formation in some field isolates of veterinary bacterial pathogens. Materials and Methods: Forty clinical isolates of Escherichia coli, Salmonella serotypes, Staphylococcus. aureus and Streptococcus agalactiae (10 isolates for ea...

  5. Effect of Hydrogen Peroxide on the Antibacterial Substantivity of Chlorhexidine

    Directory of Open Access Journals (Sweden)

    Shahriar Shahriari

    2010-01-01

    Full Text Available The purpose of this in vitro study was to assess the effect of hydrogen peroxide on the antibacterial substantivity of chlorhexidine (CHX. Seventy-five dentine tubes prepared from human maxillary central and lateral incisor teeth were used. After contamination with Enterococcus faecalis for 14 days, the specimens were divided into five groups as follows: CHX, H2O2, CHX + H2O2, infected dentine tubes (positive control, and sterile dentine tubes (negative control. Dentine chips were collected with round burs into tryptic soy broth, and after culturing, the number of colony-forming units (CFU was counted. The number of CFU was minimum in the first cultures in all experimental groups, and the results obtained were significantly different from each other at any time period (<.05. At the first culture, the number of CFU in the CHX + H2O2 group was lower than other two groups. At the other experimental periods, the CHX group showed the most effective antibacterial action (<.05. Hydrogen peroxide group showed the worst result at all periods. In each group, the number of CFU increased significantly by time lapse (<.05. In conclusion, H2O2 had no additive effect on the residual antibacterial activity of CHX.

  6. Effect of Chlorhexidine on Microleakage of Composite Restorations

    Directory of Open Access Journals (Sweden)

    F. Darabi

    2009-03-01

    Full Text Available Objective: The aim of this study was to evaluate the effect of concepsis (a chlorhexidine gluconate based cavity disinfectant application on composite restorations micro leakage,using two adhesive systems: Excite and Adhese.Materials and Methods: In this interventional experimental study, class V cavities were prepared on buccal surfaces of seventy-two extracted bovine incisors. The specimens were randomly divided into 6 groups (n=12: A1: Acid Eching (AE, Excite; A2: AE, Concepsis,blot drying, Excite; A3: AE, Concepsis, water rinsing, Excite; B1: AE (only enamel margin, Adhese; B2: AE (only enamel margin, Concepsis, blot drying, Adhese; B3: AE (only enamel margin, Concepsis, water ringsing, Adhese. Afterwards, the cavities wererestored with tetric Ceram composite, thermo-cycled (5 to 50°C, dwell time: 30s, 1000 cycles,, immersed in 0.5% methylen blue for 24 hours and the dye penetration was evaluated and scored on a scale on 0 to 4 under stereomicroscope (×30. The data were analyzedusing Kruskal-Wallis and Multiple Comparison tests.Results: The only statistically significant difference was found between groups B1 and B2 at both occlusal and gingival margins. (P<0.05Conclusion: Rinsing off the cavity disinfectant (Concepsis before the bonding procedure does not affect the seal at the resin-tooth interface when using either of the adhesive systems;however, the sealing ability of Adhese seems to be inhibited by the remnants of the disinfecting agent.

  7. Antibacterial kaolinite/urea/chlorhexidine nanocomposites: Experiment and molecular modelling

    International Nuclear Information System (INIS)

    Clay minerals are commonly used materials in pharmaceutical production both as inorganic carriers or active agents. The purpose of this study is the preparation and characterization of clay/antibacterial drug hybrids which can be further included in drug delivery systems for treatment oral infections. Novel nanocomposites with antibacterial properties were successfully prepared by ion exchange reaction from two types of kaolinite/urea intercalates and chlorhexidine diacetate. Intercalation compounds of kaolinite were prepared by reaction with solid urea in the absence of solvents (dry method) as well as with urea aqueous solution (wet method). The antibacterial activity of two prepared samples against Enterococcus faecalis, Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa was evaluated by finding the minimum inhibitory concentration (MIC). Antibacterial studies of both samples showed the lowest MIC values (0.01%, w/v) after 1 day against E. faecalis, E. coli and S. aureus. A slightly worse antibacterial activity was observed against P. aeruginosa (MIC 0.12%, w/v) after 1 day. Since samples showed very good antibacterial activity, especially after 1 day of action, this means that these samples can be used as long-acting antibacterial materials. Prepared samples were characterized by X-ray diffraction (XRD) and Fourier transform infrared spectroscopy (FTIR). The experimental data are supported by results of molecular modelling.

  8. Antibacterial kaolinite/urea/chlorhexidine nanocomposites: Experiment and molecular modelling

    Energy Technology Data Exchange (ETDEWEB)

    Holešová, Sylva, E-mail: sylva.holesova@vsb.cz [Nanotechnology Centre, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); Valášková, Marta; Hlaváč, Dominik [Nanotechnology Centre, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); Madejová, Jana [Institute of Inorganic Chemistry, SAS, Dúbravská cesta 9, SK-845 36 Bratislava (Slovakia); Samlíková, Magda; Tokarský, Jonáš [Nanotechnology Centre, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); Pazdziora, Erich [Institute of Public Health Ostrava, Centre of Clinical Laboratories, Partyzánské náměstí 7, CZ-702 00 Ostrava (Czech Republic)

    2014-06-01

    Clay minerals are commonly used materials in pharmaceutical production both as inorganic carriers or active agents. The purpose of this study is the preparation and characterization of clay/antibacterial drug hybrids which can be further included in drug delivery systems for treatment oral infections. Novel nanocomposites with antibacterial properties were successfully prepared by ion exchange reaction from two types of kaolinite/urea intercalates and chlorhexidine diacetate. Intercalation compounds of kaolinite were prepared by reaction with solid urea in the absence of solvents (dry method) as well as with urea aqueous solution (wet method). The antibacterial activity of two prepared samples against Enterococcus faecalis, Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa was evaluated by finding the minimum inhibitory concentration (MIC). Antibacterial studies of both samples showed the lowest MIC values (0.01%, w/v) after 1 day against E. faecalis, E. coli and S. aureus. A slightly worse antibacterial activity was observed against P. aeruginosa (MIC 0.12%, w/v) after 1 day. Since samples showed very good antibacterial activity, especially after 1 day of action, this means that these samples can be used as long-acting antibacterial materials. Prepared samples were characterized by X-ray diffraction (XRD) and Fourier transform infrared spectroscopy (FTIR). The experimental data are supported by results of molecular modelling.

  9. Effect of chlorhexidine and benzydamine mouthwashes on mucositis induced by therapeutic irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Samaranayake, L.P.; MacFarlane, T.W.; Hunter, I.P.; Robertson, A.G.; MacFarlane, G.; Soutar, D.S.; Ferguson, M.M.

    1988-05-01

    The efficacy of Benzydamine as a mouthwash was compared with chlorhexidine in two groups of patients receiving radiotherapy for oral carcinoma. Mucositis and pain were recorded over a 6 week period and oral carriage of Candida species, coliforms and Staphylococcus aureus was assessed using an oral rinse technique. There was no significant difference in the mucositis scores, overall pain scores or the yeast and bacterial species isolated between the two treatment groups. However, 58% (7 out of 12) and 92% (12 out of 13) patients reported oral discomfort when rinsing the mouth with chlorhexidine and benzydamine, respectively. In both groups, the most common coliform isolated was Klebsiella pneumoniae and the carriage of yeasts was significantly greater than that of coliforms. These results indicate that, although the individual patient acceptance of chlorhexidine is better than benzydamine, there is little difference between the two mouthwashes both in controlling pain and mucositis or in the oral carriage of the micro-organisms studied.

  10. The effect of chlorhexidine and benzydamine mouthwashes on mucositis induced by therapeutic irradiation

    International Nuclear Information System (INIS)

    The efficacy of Benzydamine as a mouthwash was compared with chlorhexidine in two groups of patients receiving radiotherapy for oral carcinoma. Mucositis and pain were recorded over a 6 week period and oral carriage of Candida species, coliforms and Staphylococcus aureus was assessed using an oral rinse technique. There was no significant difference in the mucositis scores, overall pain scores or the yeast and bacterial species isolated between the two treatment groups. However, 58% (7 out of 12) and 92% (12 out of 13) patients reported oral discomfort when rinsing the mouth with chlorhexidine and benzydamine, respectively. In both groups, the most common coliform isolated was Klebsiella pneumoniae and the carriage of yeasts was significantly greater than that of coliforms. These results indicate that, although the individual patient acceptance of chlorhexidine is better than benzydamine, there is little difference between the two mouthwashes both in controlling pain and mucositis or in the oral carriage of the micro-organisms studied. (author)

  11. Standardized testing with chlorhexidine in perioperative allergy – a large single-centre evaluation

    DEFF Research Database (Denmark)

    Schjørring Opstrup, Morten; Malling, Hans-Jørgen; Krøigaard, Mogens;

    2014-01-01

    BACKGROUND: Perioperative allergic reactions to chlorhexidine are often severe and easily overlooked. Although rare, the prevalence remains unknown. Correct diagnosis is crucial, but no validated provocation model exists, and other diagnostic tests have never been evaluated. The aims were...... to estimate 1) the prevalence of chlorhexidine allergy and 2) the specificity and sensitivity for diagnostic tests for chlorhexidine allergy. METHODS: We included all patients investigated for suspected perioperative allergic reactions in the Danish Anaesthesia Allergy Centre during 2004-2012. The following...... tests were performed: specific IgE (Immunocap(®) , Phadia AB, Sweden), histamine release test (HR) (RefLab ApS, Denmark), skin prick test (SPT) and intradermal test (IDT). Positivity criteria: specific IgE > 0.35 kUA/l; HR class 1-12; SPT mean wheal diameter ≥ 3 mm; IDT mean wheal diameter ≥ twice...

  12. Antibacterial effects of electrospun chitosan/poly(ethylene oxide) nanofibrous membranes loaded with chlorhexidine and silver.

    Science.gov (United States)

    Song, Jiankang; Remmers, Stefan J A; Shao, Jinlong; Kolwijck, Eva; Walboomers, X Frank; Jansen, John A; Leeuwenburgh, Sander C G; Yang, Fang

    2016-07-01

    To prevent percutaneous device associated infections (PDAIs), we prepared electrospun chitosan/poly(ethylene oxide) (PEO) nanofibrous membrane containing silver nanoparticles as an implantable delivery vehicle for the dual release of chlorhexidine and silver ions. We observed that the silver nanoparticles were distributed homogeneously throughout the fibers, and a fast release of chlorhexidine in 2days and a sustained release of silver ions for up to 28days. The antibacterial efficacy of the membranes against Staphylococcus aureus showed that the membranes exhibited an obvious inhibition zone upon loading with either chlorhexidine (20μg or more per membrane) or AgNO3 (1 and 5wt% to polymer). Furthermore, long-term antibacterial effect up to 4days was verified using membranes containing 5wt% AgNO3. The results suggest that the membranes have strong potential to act as an active antibacterial dressing for local delivery of antibacterial agents to prevent PDAIs. PMID:26970025

  13. Effect of chlorhexidine on oral airway biofilm formation of Staphylococcus epidermidis

    Directory of Open Access Journals (Sweden)

    Ünase Büyükkoçak

    2015-12-01

    Full Text Available Objective: Biofilm formation of microorganisms on the surface of airways may lead to supraglottic colonization that may cause lower respiratuar tract infections. Studies searching the efficiency of local disinfectants on biofilm formation are limited. The aim of this study was to investigate the effects of chlorhexidine coated airways on biofilm formation of Staphylococcus epidermidis. Methods: Culture and electron microscopy methods were used for biofilm assessment. Airways were divided into two groups to investigate the effects of chlorhexidine on number of bacteria attached to the airway and biofilm formation. Group 1(control: naive material, S. epidermidis, Group 2: chlorhexidine coated material, S. epidermidis. No process was applied in Group 1. Chlorhexidine gluconate (0.2% was sprayed on the surface of naive material for four seconds and then left to dry in air, in Group to. Number of bacteria attached to the airway were counted by microbiological methods and biofilm formation was shown by Scanning Electron Microscope (SEM. Mann-Whitney u test was performed for statistical analyses. Results: In Group 2, bacteria numbers were 1x102-8x102 cfu/ml, whereas they were 3x103-1x104 cfu/ml in Group 1. Chlorhexidine decreased number of microorganisms attached to the airways with statistical significance (p=0.04. The results of the electron microscopic evaluation were in accordance with the acteriological findings. Conclusion: This study has shown that chlorhexidine coating can successfully reduce the number of adhered bacteria and biofilm formation on airways. J Microbiol Infect Dis 2015;5(4: 162-166

  14. Comparison of Antibacterial Effect of Fluoride and Chlorhexidine on Two Cariogenic Bacteria: An in Vitro Study

    Directory of Open Access Journals (Sweden)

    Poureslami HR

    2014-09-01

    Full Text Available Statement of problem: Dental plaque is the main source for dental caries and there is no proper vaccine that can affect dental plaques. Objectives: Daily use of an efficient anti-plaque product can be very beneficial in plaque control and, thus, prevention of caries. This study aims to evaluate the antibacterial effects of four products of Chlorhexidine and Fluoride on two types of cariogenic bacteria. Materials and Methods: In this in vitro study, the antibacterial effect of Chlorhexidine and Fluoride (gel and solution against Streptococci Sanguis and Sobrinus was evaluated. Chlorhexidine gluconate 1% gel (Corosodyl, France, Chlorhexidine gluconate 2% solution (Consepsis, Ultradent, US, Sodium fluoride 0.2% solution (Oral-B, US and Acidulated Phosphate Fluoride 1.23% gel ( Denti-Care, Canada were used. The disc diffusion method was used for testing bacterial sensitivity. The data were analyzed using paired t-test and Chi-square test. Results: In comparison with the negative control, each of the four gels and solutions showed antibacterial effects but the effects were not statistically significant for fluoride solution (P=0.217. For S. Sobrinus, the mean diameter of inhibition zone around the discs coated with fluoride gel (F g, fluoride solution (F s, Chlorhexidine gel (CHX g and Chlorhexidine solution (CHX s were 19, 9, 21.5 and 27.5mm, respectively. For S. Sanguis, the mean diameter of inhibition zone around the discs coated with F g, F s, CHX g and CHX s were 17, 11, 17 and 25mm, respectively. CHX s had the most effect on both bacteria and F s had the least. CHX g and F g were less effective than CHX s, respectively. Conclusion: The results demonstrated that 2% CHX s and 1.23% F g can be effective on inhibition of the growth of some of cariogenic bacteria. Therefore, these agents can be used in the prevention of Early Childhood Caries.

  15. Toxicity of chlorhexidine on odontoblast-like cells

    Directory of Open Access Journals (Sweden)

    Fernanda Campos Rosetti Lessa

    2010-02-01

    Full Text Available Chlorhexidine gluconate (CHX is recommended for a number of clinical procedures and it has been pointed out as a potential cavity cleanser to be applied before adhesive restoration of dental cavities. OBJECTIVE: As CHX may diffuse through the dentinal tubules to reach a monolayer of odontoblasts that underlies the dentin substrate, this study evaluated the cytotoxic effects of different concentrations of CHX on cultured odontoblast-like cells (MDPC-23. MATERIAL AND METHODS: Cells were cultured and exposed to CHX solutions at concentrations of 0.06%, 0.12%, 0.2%, 1% and 2%. Pure culture medium (α-MEM and 3% hydrogen peroxide were used as negative and positive control, respectively. After exposing the cultured cells to the controls and CHX solutions for 60 s, 2 h or 60 s with a 24-h recovery period, cell metabolism (MTT assay and total protein concentration were evaluated. Cell morphology was assessed under scanning electron microscopy. CHX had a dose-dependent toxic effect on the MDPC-23 cells. RESULTS: Statistically significant difference was observed when the cells were exposed to CHX in all periods (p<0.05. Significant difference was also determined for all CHX concentrations (p<0.05. The 60-s exposure time was the least cytotoxic (p<0.05, while exposure to CHX for 60 s with a 24-h recovery period was the most toxic to the cells (p<0.05. CONCLUSION: Regardless of the exposure time, all CHX concentrations had a high direct cytotoxic effect to cultured MDPC-23 cells.

  16. In vitro effect of chlorhexidine mouth rinses on polyspecies biofilms.

    Science.gov (United States)

    Guggenheim, Bernhard; Meier, Andräé

    2011-01-01

    The aim of this study was to use the Zurich polyspecies biofilm model to compare the antimicrobial effects of chlorhexidine mouth rinses available on the Swiss market. As positive and negative controls, aqueous 0.15% CHX solution and water were used, respectively. In addition, Listerine® without CHX was tested. Biofilms in batch culture were grown in 24- well polystyrene tissue culture plates on hydroxyapatite discs in 70% mixed (1:1 diluted) unstimulated saliva and 30% complex culture medium. During the 64.5-hour culturing period, the biofilms were exposed to the test solutions for 1 minute twice a day on two subsequent days. Thereafter, the biofilms were dip-washed 3 times in physiological NaCl. Following the last exposure, the incubation of biofilms was continued for another 16 h. They were then harvested at 64.5 h. The dispersed biofilms were plated on 2 agar media. After incubation, colonies (CFU) were counted. All solutions containing CHX as well as Listerine ® significantly reduced the number of microorganisms in biofilms. According to their efficacy, the mouth rinses were classified into 2 groups. The two Curasept ADS solutions, Parodentosan, and the Listerine® mouth rinse reduced the number of total CFU by 3 log10 steps. This seems sufficient for a long-lasting prophylactic application. The two PlakOut® mouth rinses and the CHX control fell into the other group, where the number of CFU was reduced by 7 log10 steps. These mouth rinses are predestined for short-term therapeutic use. However, reversible side effects must be taken into account. It has thus far not been possible to formulate CHX products with effective ADS (Anti Discoloration System) additives without reducing antimicrobial activity. PMID:21656386

  17. Is a chlorhexidine reaction test better than dipsticks to detect asymptomatic bacteriuria in pregnancy?

    Science.gov (United States)

    Okusanya, B O; Aigere, E O S; Eigbefoh, J O; Okome, G B O; Gigi, C E

    2014-01-01

    Detection of asymptomatic bacteriuria (ASB) in pregnancy is important to avert the attendant morbidities. Therefore, we assessed the use of chlorhexidine reaction to detect ASB in pregnancy. This was a prospective study, which compared chlorhexidine reaction with dipstick tests and urine culture in 150 asymptomatic pregnant women. Urine cultures detected bacteriuria in seven women (4.7%). Chlorhexidine detected ASB in 72 women (48%) and had sensitivity, specificity and accuracy of 100%, 54% and 56%, respectively. Leucocyte esterase (LE) and nitrite detected bacteriuria in 31 (20.7%) women and 12 (8.0%) women, respectively. Singly, LE had a sensitivity and specificity of 14.3% and 79%, respectively, while nitrite's sensitivity and specificity was 42.9% and 93.7%, respectively. Combined, LE and nitrite had better sensitivity (97.9%) and accuracy (94%). Since the accuracy of chlorhexidine is low, other than urine culture, combined dipstick urinalysis of leucocyte esterase and nitrite tests is good to detect asymptomatic bacteriuria in pregnancy. PMID:24359043

  18. Investigations on the uptake of 14C-labelled chlorhexidine diglutonate through dental enamel

    International Nuclear Information System (INIS)

    In this dissertation it was shown using radioactively labelled 14C tracer molecules that chlorhexidine is adsorbed on the dental surface of extracted teeth. Evidence for this was provided by the three following methods: a) back diffusion and release in rinses; b) thin layer chromatography of the adsorbed substance, and c) autoradiography. (orig./MG)

  19. Composition and Susceptibility to Chlorhexidine of Multispecies Biofilms of Oral Bacteria

    OpenAIRE

    Pratten, J.; Barnett, P.; Wilson, M

    1998-01-01

    Using a constant-depth film fermentor, we have grown a six-membered biofilm community with a bacterial composition similar to that found in supragingival dental plaque. Cryosectioning revealed the distribution of bacteria throughout the biofilm. Exposure to 0.2% chlorhexidine for up to 5 min had little effect on biofilm viability.

  20. Evaluation of Antibacterial Efficacy of MTA with and without Additives Like Silver Zeolite and Chlorhexidine

    Science.gov (United States)

    Patil, Anand; Giriyappa, Ramesh Halebathi; Singh, Thakur Veerandar; Jyotsna, Sistla Venkata; Rairam, Surabhi

    2016-01-01

    Introduction Microorganisms, predominantly Enterococcus faecalis are found responsible in the progression of pulpal, periradicular diseases and in endodontic failures. Unsuccessful conventional treatment might necessitate the need for a surgical approach; where in retrograde restorative materials are used to seal the apex. Among the root end filling materials, Mineral Trioxide Aggregate (MTA) is considered biocompatible and is most commonly used in clinical applications but it has limited antibacterial activity. Metallic silver and chlorhexidine have been added into various dental materials to enhance the antibacterial activity. Aim This study aimed to compare the antibacterial effect of MTA, MTA mixed with silver zeolite and MTA mixed with chlorhexidine against Enterococcus faecalis. Materials and Methods Test materials used in the study were divided into three groups namely Group 1- MTA, Group 2-MTA + Silver Zeolite, Group 3-MTA + Chlorhexidine. Direct contact test was done by placing a standardized suspension of Enterococcus faecalis on the test materials in a 96 well microtiter plate. The bacterial growth was measured spectrophotometrically using ELISA reader at intervals of one, three and seven days. Statistical Analysis Data was collected by recording the optical density and analyzed using two-way ANOVA and Tukey’s multiple post hoc test followed by paired-t test. Results and Conclusion All test groups showed antibacterial activity against Enterococcus faecalis at day one, three and seven. MTA with silver zeolite showed the maximum antibacterial activity followed by MTA with 2% chlorhexidine. The least antibacterial effect was shown by MTA mixed with sterile water.

  1. The bactericidal activity of a teat dip containing chlorhexidine and cetrimide.

    Science.gov (United States)

    King, J S; Morant, S V; Bramley, A J

    1977-11-19

    Using an in vivo test on teat skin the disinfectant activity of a teat dip containing chlorhexidine and cetrimide was compared with two iodophor solutions, one containing the recommended concentration of 0.5 per cent available iodine and the other a 10-fold dilution of this (0.05 per cent iodine). The test organisms used were Staphylococcus aureus and Escherichia coli and for both species the 0.5 per cent iodophor was significantly more bactericidal than either the diluted iodophor or the chlorhexidine/cetrimide teat dip (P less than 0.01). In the test against S aureus, chlorhexidine/cetrimide and the 0.05 per cent iodophor showed similar bactericidal activity, but the iodophor was significantly more bactericidal against E coli (P less than 0.01). It is argued that due to its low bactericidal activity this formulation of chlorhexidine/cetrimide is likely to be inferior to 0.5 per cent iodophor solution as a disinfectant teat dip. PMID:339477

  2. Superiority of chlorhexidine 2%/alcohol 70% wipes in decontaminating ultrasound equipment.

    Science.gov (United States)

    Shukla, Bhavin; Howell, Victoria; Griffiths, Alicia; Thoppil, Anita; Liu, Monica; Carter, Joseph; Young, Peter

    2014-08-01

    Ultrasound equipment is known to act as a reservoir for potentially pathogenic organisms. The aims of these studies were to establish current cleaning practices, to review the extent of bacterial contamination of ultrasound equipment in our hospital, to establish an effective cleaning regimen and to ensure that cleaning does not cause damage. A questionnaire was sent to all acute NHS hospitals in England to establish current cleaning practices. A review of our current practice was performed to establish the extent of bacterial contamination of ultrasound equipment currently in use. Laboratory studies compared cleaning the probes with soap and water with decontaminating with a chlorhexidine 2% and alcohol 70% wipe, including quantifying the residual effect. Accelerated aging was performed on the probe and staff surveyed to establish potential problems with using the wipes on the probe. The survey revealed that a variety of cleaning methods were used to decontaminate ultrasound probes; 57% of our ultrasound machines were contaminated with bacteria. The laboratory studies showed superiority of the chlorhexidine and alcohol wipes over soap and water due to a residual effect, both immediately after cleaning and after 24 hours. The staff survey demonstrated no apparent change in function of the probe after cleaning with the chlorhexidine wipes. Cleaning ultrasound probes with chlorhexidine and alcohol wipes is effective and provides additional protection against bacterial contamination due to its residual effect, and appears in the short term to have no detrimental effect on the probe. PMID:27433210

  3. EFFECT OF A COMBINED CHLORHEXIDINE AND NAF MOUTHRINSE - AN IN-VIVO HUMAN CARIES MODEL STUDY

    NARCIS (Netherlands)

    ULLSFOSS, BN; OGAARD, B; ARENDS, J; RUBEN, J; ROLLA, G; AFSETH, J

    1994-01-01

    Chlorhexidine (CHX) is probably the most widely used and the most potent chemical plaque inhibitory agent, whereas fluoride (F-) is the only truly accepted anticaries agent available at present. As they have discrete mechanisms of action, a combination effect of these agents on human dental caries m

  4. Effect of addition of 2% chlorhexidine or 10% doxycycline on antimicrobial activity of biodentine

    Directory of Open Access Journals (Sweden)

    Vineeta Nikhil

    2014-01-01

    Full Text Available Aim: The purpose of this in vitro study was to determine whether the addition of 2% chlorhexidine gluconate or 10% doxycycline would enhance the antimicrobial activity of Biodentine against Staphylococcus aureus (ATCC-25923, Enterococcus faecalis (ATCC-29212, Candida albicans (ATCC-90028, and Streptococcus mutans (MTCC-497. Materials and Methods: Three wells of 4 mm diameter and 4 mm depth on each plate were prepared on the agar medium with standardized suspensions of each microorganism. Biodentine powder mixed with 2% chlorhexidine (0.06 g or 10% doxycycline (0.30 g in its liquid or liquid alone was placed to fill each well. Plates were incubated at 37°C as required for microbial growth. A blinded, independent observer measured zones of inhibition. The data were analyzed using independent "t" test to compare the differences among the three cement preparations for different micro-organisms. Results: All Biodentine samples inhibited microbial growth. The highest mean diameters of zone of inhibition for all the micro-organisms were found around Biodentine/chlorhexidine (13.417 followed by Biodentine alone (12.236 and Biodentine/doxycycline (11.25. Conclusion: In conclusion, adding 2% chlorhexidine gluconate in liquid of Biodentine enhanced the antimicrobial activity of Biodentine against all the tested micro-organisms except Candida albicans, while addition of 10% doxycycline decreased the antimicrobial activity of Biodentine. The differences were significant statistically (P < 0.05.

  5. The Mouthwash War - Chlorhexidine vs. Herbal Mouth Rinses: A Meta-Analysis

    Science.gov (United States)

    Hussain, Sajjid; Wadgave, Umesh; Duraiswamy, Prabu; Ravi, K.

    2016-01-01

    Introduction Mouthwashes are often prescribed in dentistry for prevention and treatment of several oral conditions. In the recent times the use of naturally occurring products what is otherwise known as grandmothers remedy are used on a large scale. This has now called for a newer age of mouth washes but is the new age mouth washes at par with the gold standard or even better than them this study investigates. Aim The aim of the present study was to compare the effect of two broad categories of mouth washes namely chlorhexidine and herbal mouth washes. Materials and Methods Eleven randomized control studies were pooled in for the meta-analysis. The search was done from the Pub Med Central listed studies with the use keywords with Boolean operators (chlorhexidine, herbal, mouth wash, randomized control trials). The fixed effects model was used for analysis. Results This meta-analysis brings to light, the fact that a wide range of newer herbal products are now available. As with a plethora of herbal mouthwashes available it is the need of the hour to validate their potential use and recommendation. This study found that only two studies favor the use of herbal products and four studies favor the use of chlorhexidine, of the 11 studies that were analyzed. Conclusion More studies are required under well controlled circumstances to prove that herbal products can equate or replace the ‘gold standard’ chlorhexidine. Herbal products are heterogeneous in nature, their use should be advised only with more scientific proof. PMID:27437366

  6. An in vitro study of antibacterial effect of calcium hydroxide and chlorhexidine on Enterococcus faecalis

    Directory of Open Access Journals (Sweden)

    Jhamb Swaty

    2010-01-01

    Full Text Available Aim: To evaluate and compare the antibacterial effects of chlorhexidine and calcium hydroxide on Enterococcus faecalis. Materials and Methods: Root canal treatment involves a number of steps. In spite of all the steps done thoroughly, root canal treatment might fail due to the remnant microbes. Of all such bacteria, E. faecalis is found in failed root canals. The study tests the antibacterial activity of various intracanal medicaments. Agar diffusion test was used to evaluate the antibacterial effects of the following antibacterial agents: i. hexidine:0.2% chlorhexidine gluconate; ii. periogard:0.12% chlorhexidine gluconate; iii. calcium hydroxide powder plus sterile water; iv. metapaste plus sterile water; v. calcium hydroxide plus hexidine; vi. calcium hydroxide plus periogard; vii. metapaste plus hexidine; viii. metapaste plus periogard. The size of zones of inhibition was measured. Results: The average size of zones of inhibition after 72 hours were hexidine: 5 mm; periogard: 4.25 mm; calcium hydroxide plus sterile water: 0.5 mm; metapaste plus sterile water: 0.5 mm; calcium hydroxide plus hexidine: 4.7 mm; calcium hydroxide plus periogard: 4 mm; metapaste plus hexidine: 4.65 mm; metapaste plus periogard: 4 mm. Results were subjected to statistical analysis using one way analysis of variance and Tukey tests. Conclusion: Chlorhexidine and its preparations are more potent antibacterial agents againstE. faecalis in comparison to calcium hydroxide.

  7. Delmopinol-induced matrix removal facilitates photodynamic therapy and chlorhexidine methods for disinfecting mixed oral biofilms

    Science.gov (United States)

    Rogers, Stephen Christopher

    It is often observed that the slimy matrixes of various bacterial-formed biofilms can limit their disinfection. This investigation demonstrated that disinfection effectiveness by either photodynamic therapy (PDT) or chlorhexidine irrigation is significantly improved by collapse of that matrix using the non-bactericidal reagent delmopinol as part of the treatment sequence. Cyclic shear-producing conditions were used to grow 4-day, whole salivary and growth media biofilms on glow-discharge-treated polystyrene (N=46) and mini-germanium internal reflection prisms to serve in a periodontal crypt model of disinfection by either methylene-blue-mediated PDT or by chlorhexidine irrigation. Assays for bacterial viability, with and without treatments, were performed by alamarBlueRTM fluorescent methods, statistically applied (ANOVA, Tukey's HSD). Multiple Attenuated Internal Reflection Infrared (MAIR-IR) assays confirmed selective removal of the predominantly polysaccharide matrix materials by the delmopinol treatment, but not by equivalent water or chlorhexidine methods. Confocal-IR microscopy showed that the delmopinol reagent, alone, caused about one-third of each wet biofilm to be removed, while bacterial re-growth was confirmed by alamarBlueRTM assay. Chlorhexidine and PDT suppression of bacterial activity without regrowth was significantly improved with the added delmopinol treatment, and is likely to provide similarly beneficial results in the effective disinfection of diverse biofilms in many settings.

  8. Functionalization of ethylene vinyl acetate with antimicrobial chlorhexidine hexametaphosphate nanoparticles

    Directory of Open Access Journals (Sweden)

    Wood NJ

    2014-08-01

    Full Text Available Natalie J Wood,1–3 Sarah E Maddocks,4 Helena J Grady,1,2 Andrew M Collins,2 Michele E Barbour11Oral Nanoscience, School of Oral and Dental Sciences, 2Bristol Centre for Functional Nanomaterials, 3Centre for Organised Matter Chemistry, School of Chemistry, University of Bristol, UK; 4School of Health Sciences, Cardiff Metropolitan University, UKAbstract: Ethylene vinyl acetate (EVA is in widespread use as a polymeric biomaterial with diverse applications such as intravitreal devices, catheters, artificial organs, and mouthguards. Many biomaterials are inherently prone to bacterial colonization, as the human body is host to a vast array of microbes. This can lead to infection at the biomaterial’s site of implantation or application. In this study, EVA was coated with chlorhexidine (CHX hexametaphosphate (HMP nanoparticles (NPs precipitated using two different reagent concentrations: CHX-HMP-5 (5 mM CHX and HMP and CHX-HMP-0.5 (0.5 mM CHX and HMP. Data gathered using dynamic light scattering, transmission electron microscopy, and atomic force microscopy indicated that the NPs were polydisperse, ~40–80 nm in diameter, and aggregated in solution to form clusters of ~140–200 nm and some much larger aggregates of 4–5 µM. CHX-HMP-5 formed large deposits on the polymer surface discernible using scanning electron microscopy, whereas CHX-HMP-0.5 did not. Soluble CHX was released by CHX-HMP-5 NP-coated surfaces over the experimental period of 56 days. CHX-HMP-5 NPs prevented growth of methicillin-resistant Staphylococcus aureus when applied to the polymer surfaces, and also inhibited or prevented growth of Pseudomonas aeruginosa with greater efficacy when the NP suspension was not rinsed from the polymer surface, providing a greater NP coverage. This approach may provide a useful means to treat medical devices fabricated from EVA to render them resistant to colonization by pathogenic microorganisms.Keywords: EVA, biomaterial, polymer

  9. Chlorhexidine varnishes effectively inhibit Porphyromonas gingivalis and Streptococcus mutans - An in vivo study

    Directory of Open Access Journals (Sweden)

    George Ashwin

    2010-01-01

    Full Text Available Background: Chlorhexidine varnish (Cervitec- Ivoclar Vivadent- Liechtenstein is a sustained-release delivery system that can provide protection against white spots and gingivitis, which are common iatrogenic side effects of orthodontic treatment. Chlorhexidine in varnish form does not depend on patient compliance, does not stain teeth or alter taste sensation like the mouth rinse. Materials and Methods : A split-mouth technique was followed in the treatment of 30 patients selected by stringent selection criteria, evaluating a single application of the test varnish on two randomly allotted quadrants along with a placebo on the other two quadrants. Streptococcus mutans counts responsible for white spots and P. gingivalis count [using PCR test] responsible for gingivitis were done at the start of the study, and then 1 and 3 months later. Results: The chlorhexidine varnish reduced the Streptococci mutans count at the end of 1 month, and this reduction was statistically significant. At the end of 3 months, there was no difference in the S. mutans counts between the two groups. There was a statistically significant reduction in the P. gingivalis count at the end of both 1 and 3 months in comparison to the placebo group. Conclusion: Chlorhexidine varnishes are capable of reducing S. mutans and P. gingivalis and gingivitis, thus improving the overall oral health of the patient. The side effects of chlorhexidine mouth rinses are not seen with this varnish. An application schedule of at least once a month is recommended as the effectiveness is reduced comparatively at the end of 3 months.

  10. Effect of Manuka honey, chlorhexidine gluconate and xylitol on the clinical levels of dental plaque

    Directory of Open Access Journals (Sweden)

    Prathibha A Nayak

    2010-01-01

    Full Text Available Aims: To compare the effect of Manuka honey, chlorhexidine gluconate (0.2% mouthwash and xylitol chewing gum on the dental plaque levels. Materials and Methods: Sixty healthy male dental students aged between 21 and 25 years (mean age 23.4 years participated in the study. All the subjects received a professional prophylaxis at the start of the study, with the purpose of making the dentition 100% free of plaque and calculus. The subjects were then randomly divided into three groups, i.e. the Manuka honey group, the chlorhexidine gluconate mouthwash group and the xylitol chewing gum group. Rinsing with water or any other fluid after the procedure was not allowed as also any form of mechanical oral hygiene for all the subjects during the experimental period of 72 h. After the experimental period, the plaque was disclosed using disclosing solution and their scores were recorded at six sites per tooth using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. Results: The mean plaque scores for Groups I, II and III were 1.37, 1.35 and 1.57, respectively. The ANOVA revealed that between-group comparison was significant, with an F-value of 5.99 and a probability value of 0.004. The T-test was carried out to evaluate the inter-group significance, which revealed that the plaque inhibition by Manuka honey was similar to that of chlorhexidine mouthwash. Both Manuka honey and chlorhexidine mouthwash reduced plaque formation significantly, better than the xylitol chewing gum. Conclusion: Manuka honey and chlorhexidine mouthwash reduced plaque formation significantly better than xylitol chewing gum.

  11. Comparative analysis of Salmonella susceptibility and tolerance to the biocide chlorhexidine identifies a complex cellular defence network

    Directory of Open Access Journals (Sweden)

    SeamusFanning

    2014-08-01

    These data show that sub-lethal concentrations of chlorhexidine induce distinct changes in exposed Salmonella, and our findings provide insights into the mechanisms of action and tolerance to this biocidal agent.

  12. Effectiveness of probiotic, chlorhexidine and fluoride mouthwash against Streptococcus mutans – Randomized, single-blind, in vivo study

    OpenAIRE

    Jothika, Mohan; Vanajassun, P Pranav; Someshwar, Battu

    2015-01-01

    Aim: To determine the short-term efficiency of probiotic, chlorhexidine, and fluoride mouthwashes on plaque Streptococcus mutans level at four periodic intervals. Materials and Methods: This was a single-blind, randomized control study in which each subject was tested with only one mouthwash regimen. Fifty-two healthy qualified adult patients were selected randomly for the study and were divided into the following groups: group 1- 10 ml of distilled water, group 2- 10 ml of 0.2% chlorhexidine...

  13. Cytotoxicity of chlorhexidine digluconate to murine macrophages and its effect on hydrogen peroxide and nitric oxide induction

    OpenAIRE

    Bonacorsi C.; Raddi M.S.G.; Carlos I.Z.

    2004-01-01

    Chlorhexidine, even at low concentrations, is toxic for a variety of eukaryotic cells; however, its effects on host immune cells are not well known. We evaluated in vitro chlorhexidine-induced cytotoxicity and its effects on reactive oxygen/nitrogen intermediate induction by murine peritoneal macrophages. Thioglycollate-induced cells were obtained from Swiss mice by peritoneal lavage with 5 ml of 10 mM phosphate-buffered saline, washed twice and resuspended (10(6) cells/ml) in appropriate med...

  14. Comparative assessment of Cranberry and Chlorhexidine mouthwash on streptococcal colonization among dental students: A randomized parallel clinical trial

    Directory of Open Access Journals (Sweden)

    Mahesh R Khairnar

    2015-01-01

    Full Text Available Background: Chlorhexidine gluconate mouthwash has earned an eponym of the gold standard against oral infections, but with certain limitations. There is no effective alternative to Chlorhexidine. Cranberry is known to inhibit bacterial adhesion in various systemic infections and acts as a strong antioxidant. However, it is less explored for its dental use. Hence, there is a need to evaluate its effect against oral infections. Aim: The aim was to compare the efficacy of 0.2% Chlorhexidine mouthwash with 0.6% Cranberry mouthwash on Streptococcus mutans. Materials and Methods: This was a double-blind, randomized parallel group clinical trial. Total sample of 50 subjects, aged 18-20 years, were randomly divided into two groups, Group A (25 and Group B (25 were given 10 mL of Chlorhexidine mouthwash and Cranberry mouthwash twice daily, respectively, for 14 days each. The plaque samples, which were taken from the subjects on 1 st day and 14 th day, were inoculated on blood agar plates and incubated at 37΀C for 24-48 h. Number of streptococcal colony forming units were calculated using digital colony counter. The data were subjected to paired t-test and unpaired t-test at a 5% significance level. Results: (1 Chlorhexidine mouthwash showed 69% reduction whereas Cranberry mouthwash showed 68% reduction in S. mutans count. (2 No significant difference was seen between Chlorhexidine and Cranberry mouthwash on streptococci. Conclusion: Cranberry mouthwash is equally effective as Chlorhexidine mouthwash with beneficial local and systemic effect. Hence, it can be used effectively as an alternative to Chlorhexidine mouthwash.

  15. Impact of chlorhexidine mouthwash prophylaxis on probable ventilator-associated pneumonia in a surgical intensive care unit

    OpenAIRE

    Enwere, Emmanuel N; Elofson, Kathryn A; Forbes, Rachel C.; Gerlach, Anthony T

    2016-01-01

    Background: Prevention of ventilator-associated pneumonia is a healthcare goal. Although data is inconsistent, some studies suggest that oral chlorhexidine may decrease rates of pneumonia in mechanically-ventilated patients. We sought to assess the rate of pneumonia in the Surgical Intensive Care Unit (SICU) pre and post implementation of routine chlorhexidine mouthwash prophylaxis. Materials and Methods: A retrospective cohort study was conducted, including patients between 1/1/2009 and 12/3...

  16. Comparative analysis of Salmonella susceptibility and tolerance to the biocide chlorhexidine identifies a complex cellular defence network

    OpenAIRE

    SeamusFanning; OrlaCondell; KristianHandler; AineSheridan; KjellSergeant; JUANWANG; JarlathNally

    2014-01-01

    Chlorhexidine is one of the most widely used biocides in health and agricultural settings as well as in the modern food industry. It is a cationic biocide of the biguanide class. Details of its mechanism of action are largely unknown. The frequent use of chlorhexidine has been questioned recently, amidst concerns that an overuse of this compound may select for bacteria displaying an altered susceptibility to antimicrobials, including clinically important anti-bacterial agents. We generat...

  17. An investigation into the role of dendrimers as potential enhancers of the dermal delivery of topically applied chlorhexidine

    OpenAIRE

    Judd, Amy Maryanne

    2013-01-01

    The reduction of bacteria on the skin results in prophylactic and therapeutic benefits by reducing the occurrence of skin infections. Currently, chlorhexidine digluconate, a conventional topical antiseptic, permeates the skin poorly leaving viable opportunistic pathogens below the superficial layers of the stratum corneum. The aim of this study was to use polyamidoamine (PAMAM) dendrimers to enhance the topical delivery of chlorhexidine digluconate to improve its antimicrobial efficacy.

  18. [Dissertations 25 years after date 21. Enhancing resistance to bacteria with chlorhexidine varnish and probiotics].

    Science.gov (United States)

    Schaeken, M J M

    2010-02-01

    The aim of the research described in 'Chemotherapy against Streptococcus mutans' was to increase colonization resistance against mutans streptococci by inoculating Actinomyces naeslundii on the dentition. Actinomyces naeslundii established better after chlorhexidine application than after dental cleansing only but did not exceed the 1% level of the total actinomyces population. This was insufficient to increase the colonization resistance against mutans streptococci. A 33% chlorhexidine varnish was developed. After a single short-term application of the varnish all plaque bacteria were erased. After several hours Streptococcus sanguinis, Streptococcus oralis, Streptococcus mitis and Streptococcus gordonii re-established on the surface. Actinomyces naeslundii recovered later, but often with higher numbers. Mutans streptococci remained suppressed for months. This led to less acid production in dental plaque and caries reduction. The combination of mechanical cleansing and varnish application resulted in additional pocket reduction. Recently, attention is also established for research on the application ofprobiotics in periodotology. PMID:20225702

  19. Preoperative skin preparation with 2% chlorhexidine as a factor in the prevention of surgical site infection

    OpenAIRE

    Evelyn Solano Castro

    2014-01-01

    The results of secondary research that refers to preoperative skin preparation with antiseptic chlorhexidine 2% are presented. Surgical Site Infections are one of the most common complications in surgical procedures are associated with significant morbidity and mortality in the user and are the third -associated infection more frequent in the health care . Steps of clinical practice based on evidence were applied, considering in the first instance a question in PICO format, then a search for ...

  20. The effect of Triphala and Chlorhexidine mouthwash on dental plaque, gingival inflammation, and microbial growth

    OpenAIRE

    Bajaj, Neeti; Tandon, Shobha

    2011-01-01

    The objective of this study was to ascertain the effects of a mouthwash prepared with Triphala on dental plaque, gingival inflammation, and microbial growth and compare it with commercially available Chlorhexidine mouthwash. This study was conducted after ethics committee approval and written consent from guardians (and assent from the children) were obtained. A total of 1431 students in the age group 8–12 years, belonging to classes fourth to seventh, were the subjects for this study. The Kn...

  1. The effect of Triphala and Chlorhexidine mouthwash on dental plaque, gingival inflammation, and microbial growth.

    Science.gov (United States)

    Bajaj, Neeti; Tandon, Shobha

    2011-01-01

    The objective of this study was to ascertain the effects of a mouthwash prepared with Triphala on dental plaque, gingival inflammation, and microbial growth and compare it with commercially available Chlorhexidine mouthwash. This study was conducted after ethics committee approval and written consent from guardians (and assent from the children) were obtained. A total of 1431 students in the age group 8-12 years, belonging to classes fourth to seventh, were the subjects for this study. The Knowledge, Attitude and Practice (KAP) of the subjects was determined using a questionnaire. The students were divided into three groups namely, Group I (n = 457) using Triphala mouthwash (0.6%), Group II (n = 440) using Chlorhexidine mouthwash (0.1%) (positive control), and Group III (n = 412) using distilled water (negative control). The assessment was carried out on the basis of plaque scores, gingival scores, and the microbiological analysis (Streptococcus and lactobacilli counts). Statistical analysis for plaque and gingival scores was conducted using the paired sample t-test (for intragroup) and the Tukey's test (for intergroup conducted along with analysis of variance test). For the Streptococcus mutans and Lactobacillus counts, Wilcoxon and Mann-Whitney test were applied for intragroup and intergroup comparison, respectively. All the tests were carried out using the SPSS software. Both the Group I and Group II showed progressive decrease in plaque scores from baseline to the end of 9 months; however, for Group III increase in plaque scores from the baseline to the end of 9 months was noted. Both Group I and Group II showed similar effect on gingival health. There was inhibitory effect on microbial counts except Lactobacillus where Triphala had shown better results than Chlorhexidine. It was concluded that there was no significant difference between the Triphala and the Chlorhexidine mouthwash. PMID:21897640

  2. A randomized trial of chlorhexidine gluconate on oral bacterial pathogens in mechanically ventilated patients

    OpenAIRE

    Scannapieco, Frank A.; Yu, Jihnhee; Raghavendran, Krishnan; Vacanti, Angela; Owens, Susan I; Wood, Kenneth; Mylotte, Joseph M.

    2009-01-01

    Introduction Dental plaque biofilms are colonized by respiratory pathogens in mechanically-ventilated intensive care unit patients. Thus, improvements in oral hygiene in these patients may prevent ventilator-associated pneumonia. The goal of this study was to determine the minimum frequency (once or twice a day) for 0.12% chlorhexidine gluconate application necessary to reduce oral colonization by pathogens in 175 intubated patients in a trauma intensive care unit. Methods A randomized, doubl...

  3. Anaphylactic reaction to intraurethral chlorhexidine: sensitisation following previous repeated uneventful administration

    OpenAIRE

    Dyer, JE; Nafie, S; MELLON, JK; Khan, MA

    2013-01-01

    Instillagel® (CliniMed, High Wycombe, UK) is commonly used in urethral catheterisation and to facilitate the passage of instruments into the bladder in urological practice. Its active ingredients include 0.25% chlorhexidine, 2% lidocaine, 0.06% methyl hydroxybenzoate and 0.025% propyl hydroxybenzoate. We discuss the case of an 84-year-old man who received intraurethral Instillagel® prior to laser ablation of a recurrent transitional cell carcinoma of the bladder, resulting in anaphylaxis. Sub...

  4. Chlorhexidine rinse for prevention of urethritis in men linked to oral sex

    OpenAIRE

    Kolahi, Jafar; Abrishami, Mohamadreza; Fazilati, Mohamad; Soolari, Ahmad

    2010-01-01

    Background Oral sex among teenagers is on the rise. Similarity between the oral flora and organisms recovered from nongonococcal urethritis and prostatitis, points to retrograde entry of bacteria from oral cavity into the urethra following insertive oral intercourse. Presentation of the hypothesis Chlorhexidine has a wide spectrum of anti-bactericidal activity encompassing gram positive and negative bacteria. It is also effective against HIV and HBV. It produced large and prolonged reductions...

  5. Chlorhexidine as a root canal irrigant: Antimicrobial and scanning electron microscopic evaluation

    OpenAIRE

    Živković Slavoljub; Pavlović Violeta

    2010-01-01

    Introduction. Selection of irrigant is very important for longterm success of root canal therapy. Objective. This study was undertaken to evaluate the antimicrobial effects of 2% chlorhexidine digluconate solution (CHX) against five selected microorganisms and to evaluate its efficacy in root canal cleaning. Methods. In this study, by agar diffusion test, were evaluated antimicrobial effects of three root canal irrigants: 5.25% NaOCl, 2.5% NaOCl and 2% CHX. The microorganisms tested in ...

  6. Agonistic and Antagonistic Interactions between Chlorhexidine and Other Endodontic Agents: A Critical Review

    OpenAIRE

    Mohammadi, Zahed; Giardino, Luciano; Palazzi, Flavio; Asgary, Saeed

    2014-01-01

    Root canal irrigants play a significant role in elimination of the microorganisms, tissue remnants, and removal of the debris and smear layer. No single solution is able to fulfill all these actions completely; therefore, a combination of irrigants may be required. The aim of this investigation was to review the agonistic and antagonistic interactions between chlorhexidine (CHX) and other irrigants and medicaments. An English-limited Medline search was performed for articles published from 20...

  7. Effect of Resin Coating and Chlorhexidine on Microleakage of Two Resin Cements after Storage

    Directory of Open Access Journals (Sweden)

    F. Shafie

    2010-03-01

    Full Text Available Objective: Evaluating the effect of resin coating and chlorhexidine on microleakage of two resin cements after water storage.Materials and Methods: Standardized class V cavities were prepared on facial and lingual surfaces of one hundred twenty intact human molars with gingival margins placed 1mm below the cemento-enamel junction. Indirect composite inlays were fabricated and thespecimens were randomly assigned into 6 groups. In Groups 1 to 4, inlays were cemented with Panavia F2.0 cement. G1: according to the manufacturer’s instruction. G2: with light cured resin on the ED primer. G3: chlorhexidine application before priming. G4: withchlorhexidine application before priming and light cured resin on primer. G5: inlays were cemented with Nexus 2 resin cement. G6: chlorhexidine application after etching. Each group was divided into two subgroups based on the 24-hour and 6-month water storagetime. After preparation for microleakage test, the teeth were sectioned and evaluated at both margins under a 20×stereomicroscope. Dye penetration was scored using 0-3 criteria.The data was analyzed using Kruskal-Wallis and complementary Dunn tests.Results: There was significantly less leakage in G2 and G4 than the Panavia F2.0 control group at gingival margins after 6 months (P<0.05. There was no significant differences in leakage between G1 and G3 at both margins after 24 hours and 6 months storage. After 6months, G6 revealed significantly less leakage than G5 at gingival margins (P=0.033. In general, gingival margins showed more leakage than occlusal margins.Conclusion: Additionally, resin coating in self-etch (Panavia F2.0 and chlorhexidine application in etch-rinse (Nexus resin cement reduced microleakage at gingival margins after storage.

  8. Efficacy of chlorhexidine gluconate ointment (Oronine H®) for experimentally-induced comedones

    OpenAIRE

    Yamakoshi, Takako; Makino, Teruhiko; Matsunaga, Kenji; Yoshihisa, Yoko; Rehman, Mati Ur; Seki, Taisuke; Hayashi, Yoshito; Shimizu, Tadamichi

    2012-01-01

    Background Oronine H® ointment, which contains chlorhexidine gluconate as its active component, is a well known disinfectant, and has been widely used for treatment of acne in Japan. In this study, we investigated the inhibitory effect of this ointment on the formation of comedones induced by application of 50% oleic acid on the orifices of the external auditory canals of rabbits. Methods The application sites were observed with a dermatoscope, and the area of the hair pores was measured usin...

  9. Efficacy of chlorhexidine gluconate ointment (Oronine H®) for experimentally-induced comedones

    OpenAIRE

    Yamakoshi T; Makino T; Matsunaga K; Yoshihisa Y; Ur Rehman M; Seki T; Hayashi Y.; Shimizu T.

    2012-01-01

    Takako Yamakoshi,1 Teruhiko Makino,1 Kenji Matsunaga,1 Yoko Yoshihisa,1 Mati Ur Rehman,1 Taisuke Seki,2 Yoshito Hayashi,3 Tadamichi Shimizu11Department of Dermatology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama-shi, Toyama; 2Seki Dermatological Clinic, Toyama-shi, Toyama; 3Otsuka Pharmaceutical Factory Inc, Naruto-shi, Tokushima, JapanBackground: Oronine H® ointment, which contains chlorhexidine gluconate as its active component, is a well kn...

  10. Adaptation and growth of Serratia marcescens in contact lens disinfectant solutions containing chlorhexidine gluconate.

    OpenAIRE

    Gandhi, P A; Sawant, A D; Wilson, L.A.; Ahearn, D G

    1993-01-01

    Serratia marcescens (11 of 12 strains) demonstrated an ability to grow in certain chlorhexidine-based disinfecting solutions recommended for rigid gas-permeable contact lenses. For a representative strain, cells that were grown in nutrient-rich medium, washed, and inoculated into disinfecting solution went into a nonrecoverable phase within 24 h. However, after 4 days, cells that had the ability to grow in the disinfectant (doubling time, g = 5.7 h) emerged. Solutions supporting growth of S. ...

  11. Comparison of Antibacterial Effect of Fluoride and Chlorhexidine on Two Cariogenic Bacteria: An in Vitro Study

    OpenAIRE

    Poureslami HR; Barkam F; Poureslami P; Salari Z; Salari S

    2014-01-01

    Statement of problem: Dental plaque is the main source for dental caries and there is no proper vaccine that can affect dental plaques. Objectives: Daily use of an efficient anti-plaque product can be very beneficial in plaque control and, thus, prevention of caries. This study aims to evaluate the antibacterial effects of four products of Chlorhexidine and Fluoride on two types of cariogenic bacteria. Materials and Methods: In this in vitro study, the antibacterial effect of Chlorhe...

  12. Effect of digluconate chlorhexidine on bond strength between dental adhesive systems and dentin: A systematic review

    OpenAIRE

    Dimitrios Dionysopoulos

    2016-01-01

    Aim: This study aimed to systematically review the literature for the effect of digluconate chlorhexidine (CHX) on bond strength between dental adhesive systems and dentin of composite restorations. Materials and Methods: The electronic databases that were searched to identify manuscripts for inclusion were Medline via PubMed and Google search engine. The search strategies were computer search of the database and review of reference lists of the related articles. Search words/terms were a...

  13. In vitro antimicrobial activity of a commercial ear antiseptic containing chlorhexidine and Tris-EDTA.

    Science.gov (United States)

    Guardabassi, Luca; Ghibaudo, Giovanni; Damborg, Peter

    2010-06-01

    Minimum bactericidal concentrations (MBCs) of a commercial ear antiseptic containing chlorhexidine 0.15% and Tris-EDTA (Otodine) were determined by broth microdilution for 150 isolates representing the most common pathogens associated with canine otitis. The microorganisms were classified into three groups according to their levels of susceptibility. The most susceptible group included Staphylococcus pseudintermedius, Malassezia pachydermatis, Streptococcus canis and Corynebacterium auriscanis, which were generally killed by 1 : 64 dilution of the antiseptic product (MBC = 23/0.8 microg/mL of chlorhexidine/Tris-EDTA). The most resistant organism was Proteus mirabilis, which survived up to 1 : 8 dilution of the product (MBC = 375/12 microg/mL). Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus displayed intermediate MBCs ranging between 188/6 and 47/1.5 microg/mL. Interestingly, S. pseudintermedius was more susceptible than S. aureus, and no significant difference was observed between meticillin-resistant and meticillin-susceptible isolates within each species, indicating that antiseptic use is unlikely to co-select for meticillin resistance. Although the concentrations required for killing (MBCs) varied considerably with microorganism type, the combination of chlorhexidine 0.15% and Tris-EDTA was active against all the pathogens most commonly involved in canine otitis. PMID:20030799

  14. Efficacy of chlorhexidine as a postmilking teat disinfectant for the prevention of bovine mastitis during lactation.

    Science.gov (United States)

    Oliver, S P; King, S H; Lewis, M J; Torre, P M; Matthews, K R; Dowlen, H H

    1990-08-01

    A natural exposure trial was conducted for 12 mo in a herd of 150 lactating Jersey cows to determine efficacy of a .35% chlorhexidine teat dip containing a glycerine emollient for the prevention of bovine intramammary infections. Right teats of cows were dipped in the experimental teat dip after milking machine removal and left teats were not dipped. The herd was free of Streptococcus agalactiae and had a low prevalence of Staphylococcus aureus. Most new major pathogen intramammary infections resulted from Streptococcus species, primarily Streptococcus uberis and Streptococcus dysgalactiae. New infections by Streptococcus species were significantly lower in teats dipped in chlorhexidine than in undipped teats. Overall efficacy of the chlorhexidine teat dip against major mastitis pathogens was 50%. The experimental teat dip also reduced coagulase-negative Staphylococcus species infections 49.0% and Corynebacterium bovis infections 65.2%. Overall efficacy against minor mastitis pathogens was 54.0%. No irritation or chapping of teats dipped in the experimental teat dip was observed. PMID:2229606

  15. Comparing the antibacterial activity of gaseous ozone and chlorhexidine solution on a tooth cavity model

    Science.gov (United States)

    Öztaş, Nurhan; Sümer, Zeynep

    2013-01-01

    Objective: To evaluate the antibacterial activity of gaseous ozone and chlorhexidine solution on a tooth cavity model. Study Design: Twenty-one human molars were divided into 3 groups. Cavities were then cut into the teeth (4 per tooth, 28 cavities per group). After sterilization, the teeth were left in broth cultures of 106 colony-forming units (CFU) ml-1 of Streptococcus mutans (S. mutans) at 36°C for 48 h. The appropriate treatment followed (group A, control; group B, 2% chlorhexidine solution; and group C, 80s of treatment with ozone, and the cavities were then filled with composite resin. After 72h, the restorations were removed, dentin chips were collected with an excavator, and the total number of microorganisms was determined. Results: Both of the treatments significantly reduced the number of S. mutans present compared with the control group and there was a significant difference between the all groups in terms of the amount of the microorganisms grown (p ozone group (p ozone application could be an anlternative cavity disinfection method because of ozone’s cavity disinfection activity. Key words:Antibacterial activity, chlorhexidine, ozone, streptococcus mutans, tooth cavity. PMID:24455068

  16. Synthesis and Characterization of New Chlorhexidine-Containing Nanoparticles for Root Canal Disinfection

    Directory of Open Access Journals (Sweden)

    Ridwan Haseeb

    2016-06-01

    Full Text Available Root canal system disinfection is limited due to anatomical complexities. Better delivery systems of antimicrobial agents are needed to ensure efficient bacteria eradication. The purpose of this study was to design chlorhexidine-containing nanoparticles that could steadily release the drug. The drug chlorhexidine was encapsulated in poly(ethylene glycol–block–poly(l-lactide (PEG–b–PLA to synthesize bilayer nanoparticles. The encapsulation efficiency was determined through thermogravimetric analysis (TGA, and particle characterization was performed through microscopy studies of particle morphology and size. Their antimicrobial effect was assessed over the endodontic pathogen Enterococcus faecalis. The nanoparticles ranged in size from 300–500 nm, which is considered small enough for penetration inside small dentin tubules. The nanoparticles were dispersed in a hydrogel matrix carrier system composed of 1% hydroxyethyl cellulose, and this hydrogel system was observed to have enhanced bacterial inhibition over longer periods of time. Chlorhexidine-containing nanoparticles demonstrate potential as a drug carrier for root canal procedures. Their size and rate of release may allow for sustained inhibition of bacteria in the root canal system.

  17. Influence of chlorhexidine application on longitudinal adhesive bond strength in deciduous teeth

    Directory of Open Access Journals (Sweden)

    Vicente Castelo Branco Leitune

    2011-10-01

    Full Text Available The aim of this study was to evaluate the influence of applying 2% chlorhexidine for 30 seconds after phosphoric acid conditioning of dentin on the immediate and long-term bond strengths in deciduous teeth. The occlusal enamel was removed from 40 human sound deciduous molars, which were exfoliated by natural means, and the dentin was conditioned with 37% phosphoric acid for 15 seconds and washed with running water. The specimens were divided into two groups of 20 teeth. The test group received an application of 2% chlorhexidine for 30 seconds prior to a three-step etch-and-rinse adhesive system, whereas the control group received only the adhesive system. Three cylindrical restorations were made with a composite resin for each tooth. Ten teeth in each group were submitted to a microshear bond strength test after 24 hours, while the remaining teeth were stored in distilled water at 37 °C for 6 months before testing the microshear bond strength. The test group had a higher bond strength than did the control group after 6 months of storage. No statistical differences were found when groups with the same dentin treatment were compared at different times. Short applications of chlorhexidine at low concentrations prevent hybrid layer degradation and positively affect bond strength over time.

  18. [Evaluation of semiannual combined-treatment with fluoride-chlorhexidine varnish and toothbrushing with chlorhexidine toothpaste for 15 days every 3 months in hypercariogenic children].

    Science.gov (United States)

    Rodríguez Miró, M J; Vega Valdés, D

    1988-01-01

    An investigation was carried out in hypercaries-producing children, who had have previously curative treatment. Twenty three children were treated with semestral applications of fluorine-chlorhexidine varnish and daily brushing for 15 days every three months, with dental creme with chlorhexidine, while 21 children were selected as control group. Four analysis of Str. mutants in saliva (Matsukubo technique) were performed to each child in both groups, during a year. It was found that children treated reduced, remarkably, the degree of infection by Str. mutans, while degree of infection did not suffer modification in those children of the control group. The final examination performed after one year showed that 15 children of the control group resulted affected by caries (71.4%) with an incidence of 27 caries (1.29 index), while in the group under treatment only a child resulted affected with a caries. Reduction found in the incidence of caries was 96.9%. Problematic of hypercaries-producing child is analyzed and it is concluded that it is necessary to control and record him, and that investment in a strict treatment, such as that successfully assayed by us, should be rentable, since it should reduce amount of extractions of teeth and to contribute in that way to a real promotion of oral health with the infantile population. PMID:3272435

  19. Analysis of misoprostol and chlorhexidine policy gains in Pakistan: the advocacy experience of Mercy Corps Pakistan.

    Science.gov (United States)

    Sarwar, Zahida; Cutherell, Andrea; Noor, Arif; Naureen, Farah; Norman, Jennifer

    2015-01-01

    While Pakistan has made progress toward achieving Millennium Development Goal 5 for maternal health, it is unlikely to achieve the target; further, it is also not on track for Millennium Development Goal 4 regarding child health. Two low-cost, temperature stable and life-saving drugs, misoprostol and chlorhexidine, can respectively avert maternal and newborn deaths, and are particularly pertinent for poor and marginalized areas which bear the brunt of maternal and newborn deaths in Pakistan. In response, Mercy Corps led focused advocacy efforts to promote changes in policies, protocols, and regulatory environments for misoprostol (2012-2014) and for chlorhexidine (2014). These short-duration advocacy projects facilitated significant policy gains, such as inclusion of misoprostol and chlorhexidine into province-specific essential drug lists, development and endorsement of clinical protocols for the two drugs by provincial health departments, inclusion of misoprostol into pre-service training curriculum for several health cadres, and application for registration of chlorhexidine (at the concentration required for newborn care) by two pharmaceutical companies. These results were achieved by a consultative and evidence-based process which generated feedback from community members, program implementers, and policymakers, and ultimately put the government in the driver's seat to facilitate change. Community Action Dialogue forums were linked with provincial-level Technical Working Groups and Provincial Steering Committees, who passed on endorsed recommendations to the Health Secretary. The key factors which facilitated change were the identification of champions within the provincial health departments, prioritization of relationship building and follow-up, focus on concrete advocacy aims rather than broad objectives, and the use of multi-stakeholder forums to secure an enabling environment for the policy changes to take root. While these advocacy initiatives resulted in

  20. Effect of Terminalia chebula extract and chlorhexidine on salivary pH and periodontal health: 2 weeks randomized control trial.

    Science.gov (United States)

    Gupta, Devanand; Bhaskar, D J; Gupta, Rajendra Kumar; Karim, Bushra; Gupta, Vipul; Punia, Himanshu; Batra, Manu; Jain, Ankita; Agarwal, Amit; Singh, Pradeep

    2014-07-01

    A double blind, randomized, controlled study with three parallel treatment groups was done to evaluate the efficacy of a Terminalia chebula 10% mouth rinse compared with chlorhexidine 0.12% mouth rinse, applied two times daily for 2 weeks, in the treatment of dental plaque and gingivitis. Seventy-eight patients were included in the study. The efficacy variables were periodontal indices on days 0, 7 and 14 after commencement of therapy. Twenty six patients received chlorhexidine mouth rinse, twenty six Terminalia chebula mouth rinse and twenty six received saline solution. The clinical parameters were significantly reduced by both chlorhexidine and Terminalia chebula mouth rinse although no significant difference was seen between the two groups (P > 0.05). This study demonstrated that Terminalia chebula mouth rinse is effective in reducing microbial plaque, gingival inflammation and neutralizing salivary pH. PMID:24123617

  1. Comparing the incidence of trismus following mandibular third molar extraction after administration of chlorhexidine and normal saline

    Directory of Open Access Journals (Sweden)

    M. Jafari

    1998-04-01

    Full Text Available   In this double blind clinical survey, 40 healthy candidates of mandibular thir molar surgery were selected and randomly allocated into two groups of 20. First group was asked to administer Chlorhexidine 0.2% mouth wash prior to the operation while the other group used normal saline for 60 seconds before the surgery. Mouth opening was measured before surgery and in 1st, 3rd, 7th days following the operation. Statistical analysis revealed significantly more mouth opening (lower level of trismus in patients utilizing chlorhexidine before surgery.

  2. Synthesis and purification of carbon-14 labelled 1, 1-hexamethylene-bis [5-(4-chlorophenyl)biguanide] (chlorhexidine, 'Hibitane')

    International Nuclear Information System (INIS)

    Two syntheses of [14C] chlorhexidine ('Hibitane') with the label specifically incorporated in two separate molecular positions are described. Ring labelled chlorhexidine prepared from p-chloro[U-14C]aniline was obtained with a molar specific activity of 27.9 mCi/mmol. Chain labelled material, where the 14C label was incorporated in the 1 and 6 positions of the hexamethylene bridge, was prepared from [1, 6 14C]-adiponitrile, with a molar specific activity of 11.5 mCi/mmol. Several methods of purification are described. (author)

  3. Mise au point et évaluation d'une solution hydro-alcoolique colorée de chlorhexidine

    OpenAIRE

    Malriq, Alexia; Monset, A.; Baudoin, Amandine; Renaud, Julie; Salmon, D.; Pirot, Fabrice; Pivot, Christine

    2013-01-01

    Les solutions hydro alcooliques (70%) de chlorhexidine (0,5%) sont couramment utilisées pour l'antisepsie avant intervention chirurgicale. Cependant, il a été rapporté une instabilité du colorant (azorubine, E122) lors du stockage prolongé à de faibles températures. Dans ce travail, nous avons développé une nouvelle formulation d'une solution hydro alcoolique colorée de chlorhexidine plus stable à faible température. Par ailleurs, une étude préliminaire de biodisponibilité cutanée du colorant...

  4. Chlorhexidine-based antiseptic solutions effectively reduce catheter-related bacteremia.

    Science.gov (United States)

    Onder, Ali Mirza; Chandar, Jayanthi; Billings, Anthony; Diaz, Rosa; Francoeur, Denise; Abitbol, Carolyn; Zilleruelo, Gaston

    2009-09-01

    The aim of this retrospective study was to investigate if the application of chlorhexidine-based solutions (ChloraPrep) to the exit site and the hub of long-term hemodialysis catheters could prevent catheter-related bacteremia (CRB) and prolong catheter survival when compared with povidone-iodine solutions. There were 20,784 catheter days observed. Povidone-iodine solutions (Betadine) were used in the first half of the study and ChloraPrep was used in the second half for all the patients. Both groups received chlorhexidine-impregnated dressings at the exit sites. The use of ChloraPrep significantly decreased the incidence of CRB (1.0 vs 2.2/1,000 catheter days, respectively, P = 0.0415), and hospitalization due to CRB (1.8 days vs 4.1 days/1,000 catheter days, respectively, P = 0.0416). The incidence of exit site infection was similar for the two groups. Both the period of overall catheter survival (207.6 days vs 161.1 days, P = 0.0535) and that of infection-free catheter survival (122.0 days vs 106.9 days, P = 0.1100) tended to be longer for the catheters cleansed with ChloraPrep, with no statistical significance. In conclusion, chlorhexidine-based solutions are more effective for the prevention of CRB than povidone-iodine solutions. This positive impact cannot be explained by decreased number of exit site infections. This study supports the notion that the catheter hub is the entry site for CRB. PMID:19296135

  5. Efficacy of different techniques for removal of calcium hydroxide-chlorhexidine paste from root canals.

    Science.gov (United States)

    Camargo, Carlos Henrique Ribeiro; Leal, Flávia Martins; Silva, Gleyce Oliveira; de Oliveira, Tatiana Rocha; Madureira, Paloma Grasso; Camargo, Samira Esteves Afonso

    2016-01-01

    The purpose of this study was to evaluate the efficacy of different techniques for removal of combined calcium hydroxide [Ca(OH)2] and chlorhexidine paste from root canals. Fifty single-rooted human teeth were prepared by oscillatory and rotary systems and filled with a paste of Ca(OH)2 and 2% chlorhexidine gel. After incubation for 14 days, the specimens were divided into 5 groups (n = 10), and the medication was removed by 1 of 5 different procedures. In group 1 (control), removal procedures involved a master apical file, foraminal debridement, and 5 mL of saline solution applied with the NaviTip irrigation needle. Group 2 was treated the same as group 1, but in addition 0.5 mL of 17% ethylenediaminetetraacetic acid was used for 3 minutes. In group 3, ultrasonic agitation was performed for 1 minute. Group 4 was treated as group 2, but the NaviTip FX needle was used for irrigation. In group 5, a master apical file, foraminal debridement, and 3-minute application of 5 mL of citric acid were used. After the root-cleaning procedures, the crowns were removed at the cementoenamel junction, and the roots were split longitudinally into halves. The success of intracanal medicament removal was observed under stereoscopic microscope and scanning electron microscope. Remnants of Ca(OH)2 were found in all experimental groups, regardless of the removal technique used. There was no statistically significant difference in cleanliness in the apical third of the root canal among groups 1, 2, and 3. Group 4 showed the best and group 5 the worst results with statistically significant differences. Overall, the NaviTip FX irrigation needle technique was more efficient in removing a Ca(OH)2-chlorhexidine paste from the root canal. PMID:26943099

  6. Biofilm inhibitory effect of chlorhexidine conjugated gold nanoparticles against Klebsiella pneumoniae.

    Science.gov (United States)

    Ahmed, Ayaz; Khan, Anum Khalid; Anwar, Ayaz; Ali, Syed Abid; Shah, Muhammad Raza

    2016-09-01

    Klebsiella pneumoniae (K. pneumoniae) is one of the major pathogen associated with nosocomial infections, especially catheter associated urinary tract infections which involved biofilm formation. This study was designed to evaluate the antibiofilm efficacy of gold nanoparticle conjugated with chlorhexidine (Au-CHX) against K. pneumoniae isolates. Au-CHX was synthesized and analyzed for stability by using UV-Visible spectrophotometry, atomic force microscopy (AFM), fourier transform infrared spectroscopy (FT-IR) and electrospray ionization mass spectroscopy (ESI-MS). Biofilm inhibition and eradication was performed by crystal violet, 3-(4,5-dimethylthiazole-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays and further confirmed by florescence and AFM microscopy. Au-CHX showed the maxima surface plasmon resonance (SPR) band at 535 nm, spherical morphology and polydispersity with size in the range of 20-100 nm. The micro molar concentrations (i.e. 25 and 100 μM) of Au-CHX completely inhibited the biofilm formation and metabolic activity within biofilms of K. pneumoniae reference and three tested clinical isolates, respectively. Time dependant biofilm inhibition assay showed that Au-CHX inhibited the early stage of biofilm formation. While at 75 and 100 μM concentrations, it also eradicated the established biofilms of K. pneumoniae isolates as compared to 2 mM chlorhexidine. Reduced florescence signals and surface roughness during microscopic analysis further confirms the antibiofilm activity of Au-CHX against K. pneumoniae ATCC13882 and clinical isolates. Thus it is concluded that chlorhexidine coated gold nanoparticle not only inhibits the biofilm formation of K. pneumoniae ATCC and clinical isolates but also eradicated the preformed biofilm. PMID:27321770

  7. Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study

    Science.gov (United States)

    Ambooken, Majo; Mathew, Jayan Jacob; Issac, Annie Valayil; Kunju, Ajithkumar Parachalil; Parameshwaran, Renjith Athirkandathil

    2016-01-01

    Introduction The use of adjuncts like chlorhexidine local delivery and diode laser decontamination have been found to improve the clinical outcomes of scaling and root planing in non-surgical periodontal therapy in patients with chronic periodontitis. Aim To evaluate the effects of diode laser and chlorhexidine chip as adjuncts to scaling and root planing in the management of chronic periodontitis. The objective is to evaluate the outcome of chlorhexidine chip and diode laser as adjuncts to scaling and root planing on clinical parameters like Plaque Index, Gingival Index, probing pocket depth and clinical attachment level. Study and Design Department of Periodontics. Randomized clinical trial with split mouth design. Materials and Methods Fifteen chronic periodontitis patients having a probing pocket depth of 5mm-7mm on at least one interproximal site in each quadrant of the mouth were included in the study. After initial treatment, four sites in each patient were randomly subjected to scaling and root planing (control), chlorhexidine chip application (CHX chip group), diode laser (810 nm) decontamination (Diode laser group) or combination of both (Diode laser and chip group). Plaque Index (PI), Gingival Index (GI), probing pocket depth (PPD) and clinical attachment level (CAL) were assessed at baseline, one month and three months. Statistical analysis Results were statistically analysed using paired T test, one-way ANOVA, Tukey’s HSD test and repeated measure ANOVA. Results Post-treatment, the test and control sites showed a statistically significant reduction in PI, GI, PPD, and CAL. After three months, a mean PPD reduction of 1.47±0.52 mm in control group, 1.40±0.83 mm in diode laser group, 2.67±0.62 mm in CHX group, and 2.80± 0.77 mm in combination group was seen. The mean gain in CAL were 1.47±0.52 mm in the control group, 1.40±0.83 mm in diode laser group, 2.67± 0.49 mm in CHX group and 2.67± 0.82 mm in combination group respectively. The

  8. Comparative analysis of the effect of two chlorhexidine mouthrinses on plaque accumulation and gingival bleeding

    OpenAIRE

    Carlos Alfredo Franco Neto; Clarissa Cavalcanti Fatturi Parolo; Cassiano Kuchenbecker Rösing; Marisa Maltz

    2008-01-01

    The aim of the present study was to evaluate the effect of two chlorhexidine rinsing solutions (0.12% and 0.2%) on plaque and gingival bleeding. Ten dental students participated in this double-blind, cross-over study, rinsing twice a day, for one minute, with each one of the tested solutions for fourteen days. A wash-out period of one week between treatments was observed. In order to assess gingival bleeding, the van der Weijden et al.¹ (1994) index was used. The plaque indexes used were thos...

  9. Effect of Manuka honey, chlorhexidine gluconate and xylitol on the clinical levels of dental plaque

    OpenAIRE

    Nayak, Prathibha A.; Ullal A Nayak; R. Mythili

    2010-01-01

    Aims: To compare the effect of Manuka honey, chlorhexidine gluconate (0.2%) mouthwash and xylitol chewing gum on the dental plaque levels. Materials and Methods: Sixty healthy male dental students aged between 21 and 25 years (mean age 23.4 years) participated in the study. All the subjects received a professional prophylaxis at the start of the study, with the purpose of making the dentition 100% free of plaque and calculus. The subjects were then randomly divided into three groups, i.e. the...

  10. Effect of a chlorhexidine-containing brush-on gel on peri-implant mucositis

    DEFF Research Database (Denmark)

    Hallström, H; Lindgren, S; Twetman, S

    2016-01-01

    OBJECTIVE: The aim was to evaluate the effect of a chlorhexidine-containing brush-on gel when used as supplement to oral hygiene instructions and mechanical debridement, on peri-implant mucositis in adults. MATERIALS AND METHODS: The study group consisted of 38 adults (48-87 years.) with peri......-implant mucositis that were consecutively enrolled in three private clinics after informed consent. The study employed a double-blind controlled design with two parallel arms. After baseline registrations, oral hygiene reinforcement and mechanical debridement, the patients were randomly allocated to either a test...

  11. Effect of 2% Chlorhexidine Digluconate on the Bond Strength to Normal versus Caries-Affected Dentin

    OpenAIRE

    Komori, Paula C. P.; Pashley, David H.; Tjäderhane, Leo; Breschi, Lorenzo; Mazzoni, Annalisa; de Goes, Mario Fernando; Linda WANG; Carrilho, Marcela R.

    2009-01-01

    This study evaluated the effect of 2% chlorhexidine digluconate (CHX) used as a therapeutic primer on the long-term bond strengths of two etch-and-rinse adhesives to normal (ND) and caries-affected (CAD) dentin. Forty extracted human molars with coronal carious lesions, surrounded by normal dentin, were selected for this study. Flat surfaces of two types of dentin (i.e. ND and CAD) were prepared with a water-cooled high speed diamond disc, and then acid-etched, rinsed and air-dried. In contro...

  12. Chlorhexidine and green tea extract reduce dentin erosion and abrasion in situ

    OpenAIRE

    Magalhães, A C; Wiegand, A.; Rios, D.; Hannas, A; Attin, T.; Buzalaf, M.A.R.

    2009-01-01

    OBJECTIVES: This in situ/ex vivo study aimed to analyse the impact of possible MMP-inhibitors (chlorhexidine and green tea extract) on dentin wear induced by erosion or erosion plus abrasion. METHODS: Twelve volunteers took part in this cross-over and double-blind study performed in 4 phases of each 5 days. Bovine dentin samples were worn in palatal appliances and subjected to extraoral erosion (4 times/day, Coca-Cola, 5 min) or erosion plus abrasion (2 times/day, fluoride-free toothpaste and...

  13. Daya antibakteri obat kumur chlorhexidine, povidone iodine, fluoride suplementasi zinc terhadap, Streptococcus mutans dan Porphyromonas gingivalis (Antibacterial effect of mouth washes containing chlorhexidine, povidone iodine, fluoride plus zinc on Strep

    Directory of Open Access Journals (Sweden)

    Betadion Rizki Sinaredi

    2014-12-01

    Full Text Available Background: Dental Caries and periodontal disease prevalence in Indonesian children are still high. Some efforts can be done to overcome the problem; one of them is the use of mouthwash to decrease pathogen microorganisms. The mouthwashes that commercially available in market are chlorhexidine, povidone Iodine and Fluoride with Zinc supplementation. Purpose: The purpose of this study was to examine the anti bacterial effect of the mouthwashes chlorhexidine, povidone iodine and fluoride with zinc supplementation against mix bacteria that found in the plaque, Streptococcus mutans and Porphyromonas gingivalis. Methods: The antibacterial effect was measured using disk diffusion test. The bacteria samples (plaque polybacteria, S.mutans and P. gingivalis were inoculated and spread in the petridish containing MHA. Paper discs containing the mouthwashes were placed in the petridish and incubated for 24 hours at 37oC (anaerobe for P. gingivalis, aerobe for S. mutans and polybacteria. The diameter of inhibition zone surrounding the paper discs were measured and compared between each active ingredient contained in mouthwash. Results: Chlorhexidine had the strongest antibacterial effect than povidone iodine and fluoride. Chlorhexidine was more effective to inhibited the growth of S. mutans than to polybacteria or P.Gingivalis, while Povidone iodine and fluoride were more effective to inhibited the growth of polybacteria. Conclusion: The mouthwash chlorhexidine was more effective to inhibit the growth of plaque polybacteria, Streptoccous mutans and Porphyromonas gingivalis compared with povidone iodine and fluoride with zinc supplementation.Latar belakang: Prevalensi karies gigi dan penyakit periodontal masih tinggi pada anak Indonesia. Usaha mengatasi hal tersebut antara lain melalui melalui penggunaan obat kumur untuk mengurangi jumlah kuman pathogen. Kandungan obat kumur yang beredar di pasar diantaranya adalah chlorhexidine, povidone iodine dan fluoride

  14. Preoperative skin preparation with 2% chlorhexidine as a factor in the prevention of surgical site infection

    Directory of Open Access Journals (Sweden)

    Evelyn Solano Castro

    2014-04-01

    Full Text Available The results of secondary research that refers to preoperative skin preparation with antiseptic chlorhexidine 2% are presented. Surgical Site Infections are one of the most common complications in surgical procedures are associated with significant morbidity and mortality in the user and are the third -associated infection more frequent in the health care . Steps of clinical practice based on evidence were applied, considering in the first instance a question in PICO format, then a search for information in databases recommended in the Course of Clinical Nursing Practice Evidence-Based, taught by the program for Collaborative Research in Evidence-Based Nursing of Costa Rica ( CIEBE -CR . The PubMed database and Cochrane LIBRARY was consulted, National Center for Biotechnology Information ( NCBI, Google Scholar, CINAHL (cummulative Index of Nursing and Allied Health Literature. SCIELO (Scientific Electronic Library on line www.Scielo.org . 22 documents were recovered, but only three were selected because had methodological rigor. For the critical analysis Critical Reading Sheets 2.0 ( FLC software was used. Was concluded that 2% chlorhexidine, is the best choice for preoperative skin preparation antiseptic, however, it is necessary to conduct further studies in order to determine which is the correct way in strength, frequency, technical and adverse effects in the pediatric population.

  15. Effect of digluconate chlorhexidine on bond strength between dental adhesive systems and dentin: A systematic review

    Directory of Open Access Journals (Sweden)

    Dimitrios Dionysopoulos

    2016-01-01

    Full Text Available Aim: This study aimed to systematically review the literature for the effect of digluconate chlorhexidine (CHX on bond strength between dental adhesive systems and dentin of composite restorations. Materials and Methods: The electronic databases that were searched to identify manuscripts for inclusion were Medline via PubMed and Google search engine. The search strategies were computer search of the database and review of reference lists of the related articles. Search words/terms were as follows: (digluconate chlorhexidineFNx01 AND (dentinFNx01 OR adhesive systemFNx01 OR bond strengthFNx01. Results: Bond strength reduction after CHX treatments varied among the studies, ranging 0-84.9%. In most of the studies, pretreatment CHX exhibited lower bond strength reduction than the control experimental groups. Researchers who previously investigated the effect of CHX on the bond strength of dental adhesive systems on dentin have reported contrary results, which may be attributed to different experimental methods, different designs of the experiments, and different materials investigated. Conclusions: Further investigations, in particular clinical studies, would be necessary to clarify the effect of CHX on the longevity of dentin bonds.

  16. Contamination of chlorhexidine cream used to prevent ascending urinary tract infections

    Energy Technology Data Exchange (ETDEWEB)

    Salveson, A.; Bergan, T.

    1981-06-01

    Chlorhexidine-containing cream is often used as an antimicrobial barrier to ascending urinary tract infection in patients with indwelling urethral catheters. The cream is dispensed in small tubes for personal use but repeated use of a tube still entails a potential infection hazard. The extent of cream contamination was analysed by emulsifying it in 1% peptone broth with 1% Tween-80 added as a wetting agent, and culturing quantitatively for bacteria and fungi by membrane filtration. Twenty-three per cent of cream samples and 35% of swabs taken from outside the tube beneath the screw cap demonstrated microbial contamination. Isolates included potential pathogens such as enterococci, staphylococci, Proteus mirabilis, Pseudomonas aeruginosa, opportunists like Moraxella spp. and diphtheroids, and contaminants such as Bacillus spp., micrococci, and a mould of the genus Cladosporium. Contamination of cream with a particular bacterial strain was found to precede urinary tract infection with the same microbe. We recommend that chlorhexidine cream for this use be dispensed in single dose units to ensure sterility.

  17. A case report on a systemic toxicity following ingestion of 20% chlorhexidine gluconate solution

    Directory of Open Access Journals (Sweden)

    Koiahi-e-Kazerani J

    2003-07-01

    Full Text Available Chlorhexidine is bonded well to the oral mucosa and dental pellicle and is poorly absorbed from the astrointestinal tract, but in high concentration it is absorbed enough to produce liver necrosis. In this case a dentistry student accidentally ingested a shot of 20% chlorhexidine gluconate solution. Treatments included washing the oral cavity with lots of tooth paste, drinking of 5% alginate syrup and ingestion of 5g small pieces of cork .The following adverse effects were experienced: headache, giddiness, mild mist, euphoria, stomachache, diarrhea and complete loss of taste sensation for 8h, which recurred gradually during the last 48 hours. According to the poor absorption, low toxicity and low concentration of conventional mouthwashes, systemic toxicity following drinking of some shots of this solution is rare. Ultimately if may cause gastritis. Other treatments which are helpful in the same cases are: drinking of hard water, kaolin and tragacant syrup, bicarbonates such as baking soda, carbonates such as beverage , citrates such as lemon-juice and chlorides such as brine and so on.

  18. Agonistic and Antagonistic Interactions between Chlorhexidine and Other Endodontic Agents: A Critical Review.

    Science.gov (United States)

    Mohammadi, Zahed; Giardino, Luciano; Palazzi, Flavio; Asgary, Saeed

    2015-01-01

    Root canal irrigants play a significant role in elimination of the microorganisms, tissue remnants, and removal of the debris and smear layer. No single solution is able to fulfill all these actions completely; therefore, a combination of irrigants may be required. The aim of this investigation was to review the agonistic and antagonistic interactions between chlorhexidine (CHX) and other irrigants and medicaments. An English-limited Medline search was performed for articles published from 2002 to 2014. The searched keywords included: chlorhexidine AND sodium hypochlorite/ethylenediaminetetraacetic acid/calcium hydroxide/mineral trioxide aggregate. Subsequently, a hand search was carried out on the references of result articles to find more matching papers. Findings showed that the combination of CHX and sodium hypochlorite (NaOCl) causes color changes and the formation of a neutral and insoluble precipitate; CHX forms a salt with ethylenediaminetetraacetic acid (EDTA). In addition, it has been demonstrated that the alkalinity of calcium hydroxide (CH) remained unchanged after mixing with CHX. Furthermore, mixing CHX with CH may enhance its antimicrobial activity; also mixing mineral trioxide aggregate (MTA) powder with CHX increases its antimicrobial activity but this may negatively affect its mechanical properties. PMID:25598802

  19. Chlorhexidine and gauze and tape dressings for central venous catheters: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Edivane Pedrolo

    2014-10-01

    Full Text Available OBJECTIVE: to assess the effectiveness of the chlorhexidine antimicrobial dressing in comparison to the gauze and tape dressing in the use of central venous catheters.METHOD: a randomized clinical trial was conducted in the intensive care and adult semi intensive care units of a university hospital in the south of Brazil. The subjects were patients using short-term central venous catheters, randomly assigned to the intervention (chlorhexidine antimicrobial dressing or control (gauze and micro porous tape groups.RESULTS: a total of 85 patients were included: 43 in the intervention group and 42 in the control group. No statistically significant differences were found between dressings in regard to the occurrence of: primary bloodstream infections (p-value = 0.5170; local reactions to the dressing (p-value = 0.3774; and dressing fixation (p-value = 0.2739.CONCLUSION: both technologies are effective in covering central venous catheters in regard to the investigated variables and can be used for this purpose. Registry ECR: RBR-7b5ycz.

  20. Ex vivo microbial leakage after using different final irrigation regimens with chlorhexidine

    Directory of Open Access Journals (Sweden)

    Esther NAVARRO-ESCOBAR

    2013-01-01

    Full Text Available Objective To assess the influence of final irrigation protocols with chlorhexidine in the coronal leakage of Enterococcus faecalis in filled root canals. Material and Methods Seventy single-root canals from extracted teeth were prepared using ProTaper instruments. The irrigation protocol accomplished an alternating irrigation with 5 mL of 2.5% sodium hypochlorite (NaOCI and 17% EDTA between each file. The teeth were randomly divided into four experimental groups (n=15 according to the final irrigation regimen: group 1, without final irrigation; group 2, irrigation with 10 mL 2.0% chlorhexidine (CHX; group 3, with a final application of EC40™; and group 4, irrigation with the combination (1:1 of 0.2% CHX + 0.1% cetrimide (CTR. All the teeth were mounted in a two-chamber apparatus and the coronal access was exposed to E. faecalis. The presence of turbidity in the BHI broth over a period of 180 days was observed. The Friedman test was used for statistical analysis. Results EC40™ varnish showed the least leakage at 180 days, and was statistically similar to 2% CHX. No significant differences were observed between the group without final irrigation and the 2% CHX group or 0.2% CHX + 0.1% CTR. Conclusions In this ex vivo study, EC40™ showed the longest delayed coronal leakage of E. faecalis, although without significant differences from 2% CHX.

  1. Evaluation of effect of addition of 2% chlorhexidine on the sealing ability of Biodentine: An in vitro study

    Directory of Open Access Journals (Sweden)

    Navleen Kaur Suri

    2015-01-01

    Full Text Available Aim: To evaluate the effect of the addition of 2% chlorhexidine on the sealing ability of Biodentine. Materials and Methods: Forty-six extracted human premolar teeth with single canal and apical foramen were selected, cleaned, and decoronated to standardize the length of 17 mm. Canals were prepared using ProTaper rotary files till size F4. The samples were divided into 2 experimental groups of 20 samples each on the basis of absence/presence of 2% chlorhexidine in liquid: Group B M = Biodentine mixed with the provided liquid, Group B C = Biodentine mixed with 2% chlorhexidine in provided liquid. Three samples, each were assigned to control groups: Group B P (positive control = No root end filling was placed, Group B N (negative control = Root ends were filled as in Group B M, and entire external surface was coated with sticky wax. The samples were then evaluated for the apical sealing using fluid filtration method. Results: Results were analyzed using Student′s t-test (P ≤ 0.05. Group B C showed the better sealing ability (3.06 as compared to Group B M (3.85. However, the difference was statistically insignificant (P > 0.05. Conclusion: Addition of 2% chlorhexidine to the liquid enhanced the sealing ability of Biodentine.

  2. Efficacy of chlorhexidine and green tea mouthwashes in the management of dental plaque-induced gingivitis: A comparative clinical study

    Directory of Open Access Journals (Sweden)

    Meena B Priya

    2015-01-01

    Full Text Available Background: The intake of green tea has been increased recently due to its medicinal values. The antibacterial and antioxidant properties of green tea were found to be beneficial in the treatment of gingival and periodontal diseases. The aim of this comparative study was to compare the efficacy of the mouthwash containing green tea and chlorhexidine in the management of dental plaque-induced gingivitis. Materials and Methods: Thirty patients who participated in the study were divided randomly into two groups, each group of 15 patients was prescribed with either chlorhexidine or green tea mouthwash. Turesky modification of Quigley-Hein plaque index, Löe and Silness gingival index, Ainamo and Bay bleeding index, tooth stain, and tongue stain (TS were recorded at baseline, 15 days, and 1 month. The subjects were asked to report any discomfort or alteration in taste. Results: There was a significant decrease in plaque index, gingival index, and bleeding index in both the groups. However, green tea mouthwash resulted in a statistically significant decrease in bleeding index compared to chlorhexidine group. There was no significant difference in tooth stain and TS in both the groups. Conclusion: The green tea-containing mouthwash is equally effective in reducing the gingival inflammation and plaque to chlorhexidine.

  3. Effect of a chlorhexidine/thymol and a fluoride varnish on caries development in erupting permanent molars

    DEFF Research Database (Denmark)

    Flamee, S; Gizani, S; Caroni, C;

    2015-01-01

    AIM: To compare the caries preventive effect of a chlorhexidine/thymol-containing antibacterial varnish with a fluoride varnish when topically applied during the eruption of permanent molars. METHODS: The study group consisted of 189 patients, 5-14 years of age, with one 1st or 2nd permanent molar...

  4. Differences in efficacy of two commercial 0.2% chlorhexidine mouthrinse solutions: a 4-day plaque re-growth study.

    NARCIS (Netherlands)

    Arweiler, N.B.; Boehnke, N.; Sculean, A.; Hellwig, E.; Auschill, T.M.

    2006-01-01

    BACKGROUND: The purpose of this clinical cross-over study was to examine the antibacterial and plaque-inhibiting properties of two chlorhexidine solutions compared with a negative control. MATERIAL AND METHODS: Twenty-one volunteers refrained from all oral hygiene measures, but rinsed instead twice

  5. Influence of application of chlorhexidine gel and curcumin gel as an adjunct to scaling and root planing: A interventional study

    Science.gov (United States)

    Hugar, Shweta S.; Patil, Suvarna; Metgud, Renuka; Nanjwade, Basavraj; Hugar, Shivayogi M.

    2016-01-01

    Background: Currently, the most common therapy for periodontal diseases consists of professional scaling and root planing (SRP). However, it was found to be of limited efficacy especially in areas which are inaccessible to periodontal instrumentation. Therefore, treatment strategies using antimicrobials in conjunction with conventional therapy have evolved. Thus, the study was undertaken with an. Aim: To evaluate the efficacy of application of chlorhexidine gel and curcumin gel as an adjunct to SRP. Materials and Methods: The study was conducted on thirty chronic periodontitis patients who were divided into two groups as control and experimental groups using a split-mouth design. After SRP chlorhexidine gel was applied in control and curcumin gel in experimental groups. The plaque index, gingival index, sulcus bleeding index, probing pocket depth were recorded at baseline and subsequently after 1 month and 45 days. Results: The results revealed that both chlorhexidine gel and curcumin gel have an effect on mild to moderate periodontal pockets in chronic periodontitis patients, but greater reduction was observed in the experimental group than the control group. Conclusion: It can be concluded that both control and experimental gel can be used as an adjunct to SRP, but the curcumin gel was more effective than the chlorhexidine gel in the treatment of mild to moderate periodontal pockets with a significant reduction in the indice scores when compared to the baseline values. PMID:27433065

  6. Effectiveness of probiotic, chlorhexidine and fluoride mouthwash against Streptococcus mutans – Randomized, single-blind, in vivo study

    Science.gov (United States)

    Jothika, Mohan; Vanajassun, P. Pranav; Someshwar, Battu

    2015-01-01

    Aim: To determine the short-term efficiency of probiotic, chlorhexidine, and fluoride mouthwashes on plaque Streptococcus mutans level at four periodic intervals. Materials and Methods: This was a single-blind, randomized control study in which each subject was tested with only one mouthwash regimen. Fifty-two healthy qualified adult patients were selected randomly for the study and were divided into the following groups: group 1- 10 ml of distilled water, group 2- 10 ml of 0.2% chlorhexidine mouthwash, group 3- 10 ml of 500 ppm F/400 ml sodium fluoride mouthwash, and group 4- 10 ml of probiotic mouthwash. Plaque samples were collected from the buccal surface of premolars and molars in the maxillary quadrant. Sampling procedure was carried out by a single examiner after 7 days, 14 days, and 30 days, respectively, after the use of the mouthwash. All the samples were subjected to microbiological analysis and statistically analyzed with one-way analysis of variance (ANOVA) and post-hoc test. Results: One-way ANOVA comparison among groups 2, 3, and 4 showed no statistical significance, whereas group 1 showed statistically significant difference when compared with groups 2, 3, and 4 at 7th, 14th, and 30th day. Conclusion: Chlorhexidine, sodium fluoride, and probiotic mouthwashes reduce plaque S. mutans levels. Probiotic mouthwash is effective and equivalent to chlorhexidine and sodium fluoride mouthwashes. Thus, probiotic mouthwash can also be considered as an effective oral hygiene regimen. PMID:25984467

  7. Evaluation of the Effect of Chlorhexidine in Combination with Sodium Perborate on Gingivitis, Plaque and Tooth Surface Staining

    Directory of Open Access Journals (Sweden)

    P. Torkzaban

    2011-10-01

    Full Text Available Introduction & Objective: The present study evaluated staining as a result of the chlorhexidine use and the role of sodium perborate in removing stains; in addition, the amount of decreases in plaque and gingival inflammation and the role of sodium perborate in chlorhexidine efficacy in removing plaque and decreasing gingival inflammation were evaluated. Materials & Methods: In the present randomized clinical trial 40 patients (20-30 years old referring to the Department of Periodontics, who had mild-to-moderate gingivitis were randomly divided into two groups with a parallel study design and were evaluated in a double-blind scheme. At baseline the patients underwent scaling, root planning and polishing procedures and brushed their teeth daily for two weeks. After two weeks, plaque indexes (PI, gingival indexes (GI and bleeding indexes (BI were determined and recorded. In the control group 0.2% chlorhexidine gluconate mouthwash and in the experimental group 0.2% chlorhexidine gluconate mouthwash containing 0.2% sodium perborate were used for 30 seconds. The subjects refrained from tooth brushing during this period. After 14 days the above-mentioned indexes were again determined and recorded, along with staining indexes.Also staining potential of mouthwash and chlorhexidine mouthwash containing sodium perborate was analysed with spectrophotometric devices. Data was analyzed by t-test. Results: There were no statistically significant differences in PI, BI and GI between the control and experimental groups, although there were more decreases in PI, GI and BI in the experimental group compared to the control group. Regarding the intensity of staining, there was a significant decrease in the intensity and extent of staining on tooth surfaces and gingivitis in the experimental group compared to the control group (P=0.001. Conclusion: The use of chlorhexidine mouthwash containing sodium perborate significantly decreases the amount and extent of stains

  8. Effect of Chlorhexidine with Fluoride Mouthrinse on Plaque Accumulation, Plaque pH - A Double Blind Parallel Randomized Clinical Trial

    Science.gov (United States)

    Saha, Sabyasachi; Singh, Sanjay

    2016-01-01

    Introduction Mouthwashes are important means used in chemical control of dental plaque. There is strong evidence suggestive of better effectiveness, when fluoride is added to chlorhexidine mouthwash. Aim To assess the anti-plaque efficacy of Chlorhexidine combined with Fluoride mouthwash and to measure its impact on plaque accumulation and on plaque pH. Materials and Methods Initially 100 subjects were screened. A double blind, parallel randomized clinical trial was conducted on 30 subjects after applying inclusion and exclusion criteria. Other independent variables were matched before randomly allocating them in three groups: Group A-Chlorhexidine as positive control, Group B-Chlorhexidine + Fluoride as test group and Group C- Distilled water as negative control. Oral prophylaxis of participants was done before onset of the study. Plaque pH was assessed before and immediately after rinsing at 0, 5 and 10 minutes interval and after 7 days with digital pH electrode (pHepR pH meter, Hanna Instruments R10285) and accumulation of plaque was recorded by Turesky et al., modification of Quigley Hein Plaque Index (1970). ANOVA test was used for statistical analysis. Results Although there was a statistically significant reduction in mean plaque scores from baseline to seven days in both Groups A and B, Group B showed better anti-plaque efficacy . Almost equal drop in plaque pH was seen for both the groups at 5 and 10 minutes. Conclusion Better anti-plaque efficacy was observed in Group B (Chlorhexidine and Fluoride combination) with minimum variation of plaque pH.

  9. Long-term and controlled release of chlorhexidine-copper(II) from organically modified montmorillonite (OMMT) nanocomposites

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Yue [Jiangsu Key Laboratory of Biofunctional Materials, College of Chemistry and Materials Science, Nanjing Normal University, Nanjing 210097 (China); Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097 (China); Zhou, Ninglin, E-mail: zhouninglin@njnu.edu.cn [Jiangsu Key Laboratory of Biofunctional Materials, College of Chemistry and Materials Science, Nanjing Normal University, Nanjing 210097 (China); Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097 (China); Jiangsu Technological Research Center for Interfacial Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093 (China); Li, Wenhao; Gu, Hao; Fan, Yunting [Jiangsu Key Laboratory of Biofunctional Materials, College of Chemistry and Materials Science, Nanjing Normal University, Nanjing 210097 (China); Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097 (China); Yuan, Jiang, E-mail: bioalchem@yahoo.com [Jiangsu Key Laboratory of Biofunctional Materials, College of Chemistry and Materials Science, Nanjing Normal University, Nanjing 210097 (China); Jiangsu Engineering Research Center for Biomedical Function Materials, Nanjing Normal University, Nanjing 210097 (China); Jiangsu Technological Research Center for Interfacial Chemistry and Chemical Engineering, Nanjing University, Nanjing 210093 (China)

    2013-03-01

    Drug/metal ion complexes exhibit improved antimicrobial activity and intercalating the above complexes into the interlayer of clay endows a long-term and controlled-release behavior. In this study, chlorhexidine was first complexed with copper (II) ion and then intercalated into the interlayer of MMT to form chlorhexidine-copper (II)/montmorillonite (CHX-Cu/MMT) nanocomposites. The nanocomposites were characterized with Fourier transform infrared (FT-IR), X-ray diffraction (XRD) and thermogravimetric analysis (TGA). A nearly lateral-monolayer arrangement of CHX-Cu was supposed for the intercalation. Release kinetics indicated that the release process satisfied a pseudo-second-order mode. The antibacterial results showed that the CHX-Cu/MMT composites had long-term and controlled-release behavior. - Graphical abstract: The antibacterial agent of chlorhexidine was first complexed with copper(II) chloride and then intercalated into the interlayer of MMT to form nanocomposites. The CHX-Cu/MMT composites exhibited long-term antibacterial activity and controlled release behaviors. Highlights: Black-Right-Pointing-Pointer Chlorhexidine-copper (II)/montmorillonite (CHX-Cu/MMT) complex exhibits improved antimicrobial activity. Black-Right-Pointing-Pointer Intercalating chlorhexidine-copper (II) complex into the interlayer of clay endows a long-term and controlled-release. Black-Right-Pointing-Pointer Release kinetics indicated that the release process satisfied a pseudo-second-order mode. Black-Right-Pointing-Pointer A nearly lateral-monolayer arrangement of CHX-Cu was supposed for the intercalation.

  10. Preadmission Application of 2% Chlorhexidine Gluconate (CHG): Enhancing Patient Compliance While Maximizing Skin Surface Concentrations.

    Science.gov (United States)

    Edmiston, Charles E; Krepel, Candace J; Spencer, Maureen P; Ferraz, Alvaro A; Seabrook, Gary R; Lee, Cheong J; Lewis, Brian D; Brown, Kellie R; Rossi, Peter J; Malinowski, Michael J; Edmiston, Sarah E; Ferraz, Edmundo M; Leaper, David J

    2016-03-01

    OBJECTIVE Surgical site infections (SSIs) are responsible for significant morbidity and mortality. Preadmission skin antisepsis, while controversial, has gained acceptance as a strategy for reducing the risk of SSI. In this study, we analyze the benefit of an electronic alert system for enhancing compliance to preadmission application of 2% chlorhexidine gluconate (CHG). DESIGN, SETTING, AND PARTICIPANTS Following informed consent, 100 healthy volunteers in an academic, tertiary care medical center were randomized to 5 chlorhexidine gluconate (CHG) skin application groups: 1, 2, 3, 4, or 5 consecutive applications. Participants were further randomized into 2 subgroups: with or without electronic alert. Skin surface concentrations of CHG (μg/mL) were analyzed using a colorimetric assay at 5 separate anatomic sites. INTERVENTION Preadmission application of chlorhexidine gluconate, 2% RESULTS Mean composite skin surface CHG concentrations in volunteer participants receiving EA following 1, 2, 3, 4, and 5 applications were 1,040.5, 1,334.4, 1,278.2, 1,643.9, and 1,803.1 µg/mL, respectively, while composite skin surface concentrations in the no-EA group were 913.8, 1,240.0, 1,249.8, 1,194.4, and 1,364.2 µg/mL, respectively (ANOVA, P<.001). Composite ratios (CHG concentration/minimum inhibitory concentration required to inhibit the growth of 90% of organisms [MIC90]) for 1, 2, 3, 4, or 5 applications using the 2% CHG cloth were 208.1, 266.8, 255.6, 328.8, and 360.6, respectively, representing CHG skin concentrations effective against staphylococcal surgical pathogens. The use of an electronic alert system resulted in significant increase in skin concentrations of CHG in the 4- and 5-application groups (P<.04 and P<.007, respectively). CONCLUSION The findings of this study suggest an evidence-based standardized process that includes use of an Internet-based electronic alert system to improve patient compliance while maximizing skin surface concentrations effective

  11. Antifungal activity of benzalkonium chloride, dettol , and chlorhexidine on opportunistic isolated fungi from the environment and operating rooms in private clinics of Tehran in 2011

    Directory of Open Access Journals (Sweden)

    Hossein Nowrozi

    2013-11-01

    Conclusion: Benzalkonium chloride and Dettol had a complete antifungal activity, but chlorhexidine was found to be the least effective agent.. Therefore, the tested concentrations give out their most fungicidal activity as disinfectants, if their durability is taken into account.

  12. The Influence of Dentine on the pH of Calcium Hydroxide, Chlorhexidine Gel, and Experimental Bioactive Glass-Based Root Canal Medicament

    OpenAIRE

    Ceci Nunes Carvalho; Laila Gonzales Freire; Alexandre Pinheiro Lima de Carvalho; Evandro Luiz Siqueira; José Bauer; Giovana Cunha Gritti; Juliana Pereira de Souza; Giulio Gavini

    2015-01-01

    Objectives. To evaluate the influence of dentine on the pH of different medications in standardized simulated canals. Materials and Methods. Forty resin blocks were divided into groups with and without dentine powder, as follows: 2% chlorhexidine gel; 2% chlorhexidine gel associated with calcium hydroxide PA; calcium hydroxide PA delivered in propylene glycol 600; and NPG delivered in distilled water. The dentine powder was obtained from the root dentine of bovine teeth and added to the medic...

  13. Comparative evaluation of natural curcumin and synthetic chlorhexidine in the management of chronic periodontitis as a local drug delivery: A clinical and microbiological study

    OpenAIRE

    V.Anitha; Rajesh, P.; Shanmugam, M.; B Meena Priya; Prabhu, S.; V Shivakumar

    2015-01-01

    Background of the Study: The aim of this study is to evaluate the efficacy of natural curcumin in the management of chronic periodontitis as local drug delivery in comparison to synthetic chlorhexidine, which is the gold standard. Materials and Methods: Thirty chronic periodontitis patients with an age range of 20-50 years with probing pocket depth (PPD) of 4-6 mm were included. Curcumin and chlorhexidine gel was applied in the contralateral disease sites at baseline and day 15. The clinic...

  14. Control of Streptococcus sanguinis oral biofilm by novel chlorhexidine-chitosan mouthwash: an in vitro study

    OpenAIRE

    Bangalore V. Karthikeyan; K. Selvan Arul; Munivenkatappa V. L. Prabhuji; Vilasan Archana

    2013-01-01

    Objective: The most common prevalent infectious oral diseases in humans are caries and periodontal diseases, which are usually associated with dental plaque. The present in vitro study was designed to evaluate and compare the impact of new mouthwash formulation consisting of chlorhexidine (0.1%) and bioadhesive chitosan (0.5%) on dental plaque bacterial reduction, to that of chlorhexidine or chitosan alone. Methods: In this study, we analyzed the antimicrobial susceptibility of strains of Str...

  15. Effect of chlorhexidine-containing prophylactic agent on the surface characterization and frictional resistance between orthodontic brackets and archwires: an in vitro study

    OpenAIRE

    Hosseinzadeh Nik, Tahereh; Hooshmand, Tabassom; Farazdaghi, Habibeh; Mehrabi, Arash; Razavi, Elham S Emadian

    2013-01-01

    Background The purpose of this study was to assess the surface characterization and frictional resistance between stainless steel brackets and two types of orthodontic wires made of stainless steel and nickel-titanium alloys after immersion in a chlorhexidine-containing prophylactic agent. Methods Stainless steel orthodontic brackets with either stainless steel (SS) or heat-activated nickel-titanium (Ni-Ti) wires were immersed in a 0.2% chlorhexidine and an artificial saliva environment for 1...

  16. Cetrimide-chlorhexidine-induced multiorgan failure in surgery of pulmonary hydatid cyst.

    Science.gov (United States)

    Tripathy, Swagata; Sasmal, Prakash; Rao, P Bhaskar; Mishra, Tushar S; Nayak, Sukdev

    2016-01-01

    Savlon (0.5% cetrimide/0.05% chlorhexidine) is used as a scolicidal during surgery of hydatid cysts. It is considered a safe and effective agent. However, there are no recommendations for the appropriate concentration or dosage of these agents. Previously reported to cause severe metabolic acidosis, its effects on the pulmonary system have not been explored. We present a case of acute lung injury and respiratory distress along with acute cardiopulmonary distress, severe metabolic acidosis, and renal failure following its use during surgical removal of pulmonary hydatid cyst. The agent may act as a chemical sclerosant causing pulmonary parenchymal damage through bronchial openings present in the pericyst. Till safe dose limits are known, use of this agent should be limited, especially in large or multiple cyst surgery. PMID:27397471

  17. In vitro and in vivo evaluation of a 0.5% chlorhexidine gluconate teat dip.

    Science.gov (United States)

    Boddie, R L; Watts, J L; Nickerson, S C

    1990-03-15

    The activity of a 0.5% chlorhexidine gluconate postmilking teat germicide in reducing the numbers of Staphylococcus aureus and Streptococcus agalactiae on the skin of excised teats from cows was determined. The product yielded logarithmic reductions of 4.09 and 4.10 against S aureus and Str agalactiae, respectively, compared with 3.80 and 3.81 reductions, using a 1% iodophor dip. Germicide tolerance to an organic load containing Serratia marcescens or Pseudomonas spp was also determined. Organisms were not recovered from the product 8 hours after introduction of a simulated organic load containing either species of bacteria. The germicide was further evaluated against S aureus and Str agalactiae, using experimental challenge-exposure procedures in a research dairy herd. Efficacy was 73.4% (P less than 0.001) against S aureus and 68.1% (P less than 0.005) against Str agalactiae. PMID:2179180

  18. Evaluation of a teat dip of chlorhexidine digluconate (.5%) with glycerin (6%).

    Science.gov (United States)

    Hicks, W G; Kennedy, T J; Keister, D M; Miller, M L

    1981-11-01

    Efficacy of a teat dip containing .5% chlorhexidine digluconate and 6% glycerin was tested on 46 clinically normal cows, each with functional quarters. Twice daily immediately after milking, all teats were exposed to a suspension containing 5 X 10(7) colony forming units of Staphylococcus aureus. After each exposure to the infective broth, the left teats were dipped in teat dip while the right teats remained as untreated controls. The study continued until sufficient number of infections occurred to establish efficacy. Mastitis screening followed standard procedures as established by the National Mastitis Council and identified 24 infected teats in the control group and 6 in the treated group for 75% efficacy. The tested teat dip was effective in reducing the incidence of intramammary infections caused by Staphylococcus aureus under experimental exposure. No chapping or irritation occurred with use of the teat dip. PMID:7334167

  19. Use of mupirocin-chlorhexidine treatment to prevent Staphylococcus aureus surgical-site infections.

    Science.gov (United States)

    Bertrand, X; Slekovec, C; Talon, D

    2010-05-01

    Evaluation of: Bode LGM, Kluytmans JAJW, Wertheim HFL et al.: Preventing surgical-site infections in nasal carriers of Staphylococcus aureus. N. Engl. J. Med. 362, 9-17 (2010). Staphylococcus aureus is the main pathogen responsible for surgical-site infections and nasal carriage is a major risk factor for subsequent infection with this bacteria. Mupirocin is considered to be the topical antibacterial agent of choice for eradication of nasal S. aureus. The paper by Bode et al. provides strong evidence that the combination of a rapid identification of a S. aureus nasal carrier, mupirocin nasal ointment and chlorhexidine gluconate soap, significantly reduces the rate of S. aureus surgical-site infection by nearly 60%. In conclusion, mupirocin nasal ointment use in S. aureus carriers before surgery has numerous advantages with few side effects. PMID:20441543

  20. Targeted chitosan-based bionanocomposites for controlled oral mucosal delivery of chlorhexidine.

    Science.gov (United States)

    Onnainty, Renée; Onida, Barbara; Páez, Paulina; Longhi, Marcela; Barresi, Antonello; Granero, Gladys

    2016-07-25

    The purpose of this study was to develop sustained release systems based on chitosan (CS) and montmorillonite (MMT) for chlorhexidine (CLX). Nanocomposites were prepared by ion-exchange. CLX systems were characterized by X-ray powder diffraction (XRD), thermal analysis (TGA), Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM) and X-ray fluorescence analysis (XRF). The mucoadhesion properties of CLX nanocomposites were evaluated by SEM. The release behavior of these systems was also studied by the dialysis technique. The antibacterial activity was investigated in vitro by the disk diffusion test. Results showed long-term sustained release of CLX from the hybrid carriers without initial burst release. The release profiles of CLX from the carriers suggested the diffusion through a swollen matrix and water filled pores as the controlled drug release mechanism. The CLX hybrid nanosystem containing the positively-charged chitosan exhibited good mucoadhesion properties maintaining the CLX antimicrobial properties. PMID:27282538

  1. In Vivo and In Vitro Effects of Chlorhexidine Pretreatment on Immediate and Aged Dentin Bond Strengths.

    Science.gov (United States)

    Gunaydin, Z; Yazici, A R; Cehreli, Z C

    2016-01-01

    This study evaluated the effect of 2% chlorhexidine (CHX) pretreatment of dentin on the immediate and aged microtensile bond strength (μTBS) of different adhesives to dentin in vivo and in vitro. Class I cavities were prepared in 80 caries-free human third molars of 40 patients in a split-mouth fashion. In each tooth pair, one tooth received 2% CHX pretreatment after which both teeth were randomly assigned to one of the following groups with respect to the type of adhesive system applied: Adper Single Bond 2 (etch-and-rinse), Clearfil SE Bond (two-step self-etch), Clearfil S(3) Bond (one-step self-etch), and Adper Prompt-L-Pop (all-in-one self-etch). The teeth were restored with resin composite and extracted for μTBS testing either immediately or after six months in function. In vitro specimen pairs were prepared as with the clinical protocol in intact, freshly extracted human molars, and thereafter, subjected to testing immediately or after 5000× thermocycling. Data were analyzed with four-way analysis of variance (ANOVA). Bonferroni test was utilized for pair-wise comparisons. The immediate bond strength values were significantly higher than "aged" ones for all tested adhesives (p=0.00). The in vitro immediate bond strength values were statistically higher than in vivo bond strength values (p0.05). In the absence of CHX pretreatment, all adhesives showed significantly higher immediate bond strength values than CHX-treated groups, while all "aged", non-pretreated adhesives exhibited significantly lower bond strength values (both pchlorhexidine pretreatment resulted in significantly higher aged bond strengths, regardless of the adhesive system and testing condition. Aging-associated decline in dentin bond strength of etch-and rinse and self-etch adhesives can be counteracted by chlorhexidine application. PMID:26919083

  2. Chlorhexidine as a root canal irrigant: Antimicrobial and scanning electron microscopic evaluation

    Directory of Open Access Journals (Sweden)

    Živković Slavoljub

    2010-01-01

    Full Text Available Introduction. Selection of irrigant is very important for longterm success of root canal therapy. Objective. This study was undertaken to evaluate the antimicrobial effects of 2% chlorhexidine digluconate solution (CHX against five selected microorganisms and to evaluate its efficacy in root canal cleaning. Methods. In this study, by agar diffusion test, were evaluated antimicrobial effects of three root canal irrigants: 5.25% NaOCl, 2.5% NaOCl and 2% CHX. The microorganisms tested in this study were Staphylococcus aureus, Streptococcus mutans, Enterococcus faecalis, Escherichia coli and Candida albicans. A scanning electron microscope was used to evaluate root canal cleaning ability of 5.25% NaOCl, 2.5% NaOCl, 2% CHX and 15% EDTA. Twelve extracted single-root human teeth were divided into four groups depending on the irrigant used during instrumentation. Mechanical preparation was performed with Step back technique and K files. Data were analyzed statistically by Student’s t-test. Results 5.25% NaOCl was the most effective against all tested microorganisms. 2.5% NaOCl and 2% CHX showed antimicrobial effects against all tested microorganisms but zones of inhibition were smaller. The best results in root canal walls cleaning were obtained in the group where the irrigant was 15% EDTA (score 2.33. In 5.25% NaOCl, 2.5% NaOCl and 2% CHX groups, there was more smear layer (score 4 and 5. Conclusion. 2% chlorhexidine digluconate showed strong antimicrobial effect on the tested microorganisms, but was not effective in cleaning root canal walls.

  3. Antimicrobial effect of zataria multiflora extract in comparison with chlorhexidine mouthwash on experimentally contaminated orthodontic elastomeric ligatures.

    OpenAIRE

    Hossein Aghili; Abbas Ali Jafari Nadoushan; Vahid Herandi

    2015-01-01

    Objectives: Long-term use of orthodontic appliances and fixation ligatures creates a favorable environment for the accumulation of oral normal microflora and increases the risk of enamel demineralization and periodontal disease. The aim of this study was to compare the antimicrobial effects of Zataria Multiflora extract and 0.2% chlorhexidine (CHX) mouthwash on experimentally contaminated orthodontic elastomeric ligatures. Materials and Methods: In this lab trial study, Iranian and foreign-ma...

  4. Comparison of the Antibacterial Properties of Three Mouthwashes Containing Chlorhexidine Against Oral Microbial Plaques: An in vitro Study

    OpenAIRE

    Yousefimanesh, Hojatollah; Amin, Mansour; Robati, Maryam; Goodarzi, Hamed; Otoufi, Masumeh

    2015-01-01

    Background: The mouth provides an environment that allows the colonization and growth of a wide variety of microorganisms, especially bacteria. One of the most effective ways to reduce oral microorganisms is using mouthwashes. Objectives: The aim of this study was to investigate the antibacterial effects of chlorhexidine mouthwashes (manufacture by Livar, Behsa, Boht) on common oral microorganisms. Materials and Methods: In this in vitro study, isolated colonies of four bacteria, including St...

  5. The Effects of Chlorhexidine and Persica Mouthwashes on Colonization of Streptococcus mutans on Fixed Orthodontics O-rings

    OpenAIRE

    Fereshteh Saffari; Mohammad Danesh Ardakani; Hengameh Zandi; Hamed Heidarzadeh; Mohammad Hassan Moshafi

    2015-01-01

    Statement of the Problem: Fixed orthodontic appliances predispose patients to dental caries. Use of mouthrinses has been introduced as the effective way for reducing dental plaque accumulation. Purpose: The aim of this study was to compare the effects of Persica mouthwash and Chlorhexidine (CHX) on colonization of Streptococcus mutans (S. mutans) on fixed orthodontic O-rings. Materials and Method: Thirty patients with fixed orthodontic appliances and proper oral hygiene were randomly p...

  6. Effect of insertion of xanthan-based chlorhexidine gel in the maintenance phase following the treatment of chronic periodontitis

    OpenAIRE

    Verma, Ashish; Sanghi, Swati; Grover, Dimple; Aggarwal, Shweta; Gupta, Rajan; Pandit, Nymphea

    2012-01-01

    Objectives: The aim of this study was to evaluate the efficacy of subgingivally administered xanthan-based chlorhexidine gel when used in the maintenance phase following scaling and root planing (SRP) in the treatment of chronic periodontitis. Materials and Methods: A randomized, controlled, single-center study was conducted involving 92 sites in 46 systemically healthy patients suffering from moderate to advanced chronic periodontitis with isolated pockets. The selected sites were randomized...

  7. Cytotoxicity of chlorhexidine digluconate to murine macrophages and its effect on hydrogen peroxide and nitric oxide induction

    Directory of Open Access Journals (Sweden)

    Bonacorsi C.

    2004-01-01

    Full Text Available Chlorhexidine, even at low concentrations, is toxic for a variety of eukaryotic cells; however, its effects on host immune cells are not well known. We evaluated in vitro chlorhexidine-induced cytotoxicity and its effects on reactive oxygen/nitrogen intermediate induction by murine peritoneal macrophages. Thioglycollate-induced cells were obtained from Swiss mice by peritoneal lavage with 5 ml of 10 mM phosphate-buffered saline, washed twice and resuspended (10(6 cells/ml in appropriate medium for each test. Cell preparations contained more than 95% macrophages. The cytotoxicity was determined by the 3-(4,5-dimethylthiazol-2-yl-2,5-diphenyl-tetrazolium bromide assay and the presence of hydrogen peroxide (H2O2 and nitric oxide (NO by the horseradish peroxidase-dependent oxidation of phenol red and Griess reaction, respectively. The midpoint cytotoxicity values for 1- and 24-h exposures were 61.12 ± 2.46 and 21.22 ± 2.44 µg/ml, respectively. Chlorhexidine did not induce synthesis or liberation of reactive oxygen/nitrogen intermediates. When macrophages were treated with various sub-toxic doses for 1 h (1, 5, 10, and 20 µg/ml and 24 h (0.5, 1, and 5 µg/ml and stimulated with 200 nM phorbol myristate acetate (PMA solution, the H2O2 production was not altered; however, the NO production induced by 10 µg/ml lipopolysaccharide (LPS solution varied from 14.47 ± 1.46 to 22.35 ± 1.94 µmol/l and 13.50 ± 1.42 to 20.44 ± 1.40 µmol/l (N = 5. The results showed that chlorhexidine has no immunostimulating activity and sub-toxic concentrations did not affect the response of macrophages to the soluble stimulus PMA but can interfere with the receptor-dependent stimulus LPS.

  8. Control of White Spot Lesion Adjacent to Orthodontic Bracket with Use of Fluoride Varnish or Chlorhexidine Gel

    OpenAIRE

    Manuel Restrepo; Bussaneli, Diego G.; Fabiano Jeremias; Cordeiro, Rita C. L.; Magalhães, Ana C.; Palomari Spolidorio, Denise M.; Lourdes Santos-Pinto

    2015-01-01

    The aims of this study were to compare the effectiveness of fluoride varnish and chlorhexidine gel in controlling white spot lesions (WSLs) adjacent to orthodontic brackets and to compare the ability of Quantitative Light-Induced Fluorescence (QLF) to measure mineral uptake with that of transverse microradiography (TMR). Thirty premolars with artificially induced WSLs were randomly assigned to three groups: (1) two applications of 5% NaF-varnish (F), with one-week interval, (2) two applicatio...

  9. Efficacy of chlorhexidine and green tea mouthwashes in the management of dental plaque-induced gingivitis: A comparative clinical study

    OpenAIRE

    Priya, B. Meena; Anitha, V.; Shanmugam, M.; B Ashwath; Sylva, Suganthi D.; Vigneshwari, S. K.

    2015-01-01

    Background: The intake of green tea has been increased recently due to its medicinal values. The antibacterial and antioxidant properties of green tea were found to be beneficial in the treatment of gingival and periodontal diseases. The aim of this comparative study was to compare the efficacy of the mouthwash containing green tea and chlorhexidine in the management of dental plaque-induced gingivitis. Materials and Methods: Thirty patients who participated in the study were divided randomly...

  10. A randomized controlled clinical trial of Ocimum sanctum and chlorhexidine mouthwash on dental plaque and gingival inflammation

    Directory of Open Access Journals (Sweden)

    Devanand Gupta

    2014-01-01

    Full Text Available Background: Periodontal diseases are ubiquitous, affecting all dentate animals. Regular methods for controlling it have been found to be ineffective, which have paved the way for the use of herbal products as an adjunctive to mechanical therapy as they are free to untoward effects and hence can be used for a long period of time. Ocimum sanctum is a plant which has the greater medicinal value and enormous properties for curing and preventing disease. Objective: In the present study we assessed the effectiveness of Ocimum sanctum on dental plaque, gingival inflammation and comparison with gold standard chlorhexidine and normal saline (placebo. Materials and Methods: A triple blind randomized control trial was conducted among volunteered medical students. They were randomly allocated into three study groups: (1 Ocimum sanctum mouthwash (n = 36; (2 Chlorhexidine (active control (n = 36; (3 normal saline (negative control (n = 36. Assessment was carried out according to plaque score and gingival score. Statistical analysis was carried out later to compare the effect of both mouthwash. ANOVA (Analysis of variance and post-hoc LSD tests were performed using software package used for statistical analysis (SPSS version 17. P ≤0.05 was considered as statistically significant. Results: Our result showed that Ocimum sanctum mouthrinse is equally effective in reducing plaque and gingivitis as Chlorhexidine. The results demonstrated a significant reduction in gingival bleeding and plaque indices in both groups over a period of 15 and 30 days as compared to control group. Conclusion: The results of the present study indicate that Ocimum sanctum mouthrinse may prove to be an effective mouthwash owing to its ability in decreasing periodontal indices by reducing plaque accumulation, gingival inflammation and bleeding. It has no side effect as compared to chlorhexidine.

  11. Comparison of 2% chlorhexidine and 5.25% sodium hypochlorite irrigating solutions on postoperative pain: A randomized clinical trial

    OpenAIRE

    Bashetty Kusum; Hegde Jayshree

    2010-01-01

    Aim: To compare the levels of postoperative pain after cleaning and shaping of root canals using two different root canal irrigants for debridement. Materials and Methods: Forty patients with irreversible pulpitis, pulp necrosis and non-vital teeth exhibiting acute apical periodontitis requiring root canal treatment were included. At random, canals were cleaned and shaped with the following protocols. 2% chlorhexidine solution in group I and 5.25% sodium hypochlorite solution i...

  12. Antibacterial and residual antimicrobial activities against Enterococcus faecalis biofilm: A comparison between EDTA, chlorhexidine, cetrimide, MTAD and QMix

    OpenAIRE

    Zhang, Rui; Chen, Min; Lu, Yan; Guo, Xiangjun; Qiao, Feng; Wu, Ligeng

    2015-01-01

    We compared the antibacterial and residual antimicrobial activities of five root canal irrigants (17% EDTA,2% chlorhexidine,0.2% cetrimide, MTAD, and QMix) in a model of Enterococcus faecalis biofilm formation. Sixty dentin blocks with 3-week E. faecalis biofilm were divided into six equal groups and flushed with irrigant for 2 min or left untreated. A blank control group was also established. Antibacterial activities of the irrigants were evaluated by counting colony forming units. To test r...

  13. Control of White Spot Lesion Adjacent to Orthodontic Bracket with Use of Fluoride Varnish or Chlorhexidine Gel

    Directory of Open Access Journals (Sweden)

    Manuel Restrepo

    2015-01-01

    Full Text Available The aims of this study were to compare the effectiveness of fluoride varnish and chlorhexidine gel in controlling white spot lesions (WSLs adjacent to orthodontic brackets and to compare the ability of Quantitative Light-Induced Fluorescence (QLF to measure mineral uptake with that of transverse microradiography (TMR. Thirty premolars with artificially induced WSLs were randomly assigned to three groups: (1 two applications of 5% NaF-varnish (F, with one-week interval, (2 two applications of 2% chlorhexidine gel (CHX, with one-week interval, and (3 control (CO, no treatment. QLF was used to measure changes in fluorescence before and after caries induction, 1 week after each application and 1, 2, and 3 months after the last application of F or CHX. TMR was performed to quantify lesion depth and mineral content after caries induction to evaluate the effects of F, CHX, and CO 3 months after the last application of agents. The data were analyzed by repeated measures ANOVA and Tukey’s test. All treatments increased the mineral content during the experimental period; however, F induced faster remineralization than CHX. The correlation between QLF and TMR was significantly moderate. Two applications of fluoride varnish or 2% chlorhexidine gel at one-week intervals were effective in controlling WSLs.

  14. Selecting an appropriate strategy to make quality 7.1 % chlorhexidine digluconate accessible for umbilical cord care.

    Science.gov (United States)

    Metzler, Mutsumi; Coffey, Patricia S

    2016-01-01

    Achieving increased access to medicines in low- and middle-income countries is a complex issue that requires a holistic approach. Choosing an appropriate manufacturing strategy that can ensure a sustainable supply of these medicines is an essential component of that approach. The Chlorhexidine Working Group, a consortium of more than 25 international organizations, donors, and manufacturers led by PATH, has been working to increase access to 7.1 % chlorhexidine digluconate for umbilical cord care in low- and middle-income countries to reduce neonatal mortality due to infection. The working group initially considered two strategies for manufacture of this commodity: (1) production and global distribution by a multinational company; and (2) production and regional distribution by locally owned companies or subsidiaries of multinational companies based in low- and middle-income countries. Local production may be beneficial to public health and economic development in these countries, yet capability and capacity of pharmaceutical manufacturers, regulatory and legal provisions, and market factors must be carefully assessed and addressed to ensure that local production is the correct strategy and that it contributes to improved access to the medicine. To date, this effort to implement a local production strategy has resulted in successful registration of 7.1 % chlorhexidine digluconate for umbilical cord care by manufacturers in Bangladesh, Kenya, Nepal, and Nigeria. Additionally, the product is now available in domestic and export markets. PMID:27066258

  15. Comparison of antimicrobial efficacy of chlorhexidine and combination mouth rinse in reducing the Mutans streptococcus count in plaque

    Directory of Open Access Journals (Sweden)

    Laxmi S Lakade

    2014-01-01

    Full Text Available Background: The removal of plaque is utmost important to control dental caries. But in children, factors like lack of dexterity, individual motivation and monitoring limit the effectiveness of tooth brushing. This necessitates the use of chemotherapeutic agents for control of plaque. Aims: To compare the antimicrobial efficacy of 0.2% chlorhexidine mouth rinse and mouth rinse containing 0.03% triclosan, 0.05% sodium fluoride, and 5% xylitol in reducing the Mutans streptococcus count in plaque. Materials and Methods: Thirty healthy children aged 8-10 years with dmft (decay component of three or four were selected. They were divided randomly into two groups: The control or chlorhexidine group and the study group or combination mouth rinse. Both the groups practiced rinsing with respective mouth wash for 1 min for 15 d twice a day. The plaque samples were collected and after incubation Mutans streptococcus count was estimated on the strips from the Dentocult SM kit and evaluated using manufacture′s chart. Statistical Analysis Used: Wilcoxon matched pairs signed ranks test and Mann-Whitney U test were used to analyze the findings. Results: Statistically significant reduction in the Mutans streptococci count in the plaque was seen in the control and study group from baseline level. But when both the groups were compared, the antimicrobial effect of chlorhexidine was more.

  16. The efficacy of chlorhexidine gel in reduction of Streptococcus mutans and Lactobacillus species in patients treated with radiation therapy

    Energy Technology Data Exchange (ETDEWEB)

    Epstein, J.B.; McBride, B.C.; Stevenson-Moore, P.; Merilees, H.; Spinelli, J. (Cancer Control Agency of British Columbia, Vancouver (Canada))

    1991-02-01

    Xerostomia may develop in patients with cancer who receive radiotherapy that includes the salivary glands in the field. These patients are at high risk of rampant dental caries. Streptococcus mutans and Lactobacillus species have been associated with dental caries. Quantitative counts of these organisms demonstrated high caries risk due to streptococci in 66% and due to lactobacilli in 100% of patients studied. Use of chlorhexidine rinse was shown to reduce S. mutans counts 1.1 logs and lactobacilli 1.1 logs. The use of chlorhexidine gel resulted in a reduction of S. mutans 1.2 logs and lactobacilli 2.2 logs. In the subjects using the rinse, caries risk due to streptococci was reduced to low levels in 44% and due to lactobacilli in only one subject, with reduction to moderate risk in one third and no change in risk in the remaining patients. The use of chlorhexidine gel was found to reduce the caries risk associated with streptococci to low levels in all patients, and the risk associated with lactobacilli to low and moderate risk in two thirds of patients.

  17. The efficacy of chlorhexidine gel in reduction of Streptococcus mutans and Lactobacillus species in patients treated with radiation therapy

    International Nuclear Information System (INIS)

    Xerostomia may develop in patients with cancer who receive radiotherapy that includes the salivary glands in the field. These patients are at high risk of rampant dental caries. Streptococcus mutans and Lactobacillus species have been associated with dental caries. Quantitative counts of these organisms demonstrated high caries risk due to streptococci in 66% and due to lactobacilli in 100% of patients studied. Use of chlorhexidine rinse was shown to reduce S. mutans counts 1.1 logs and lactobacilli 1.1 logs. The use of chlorhexidine gel resulted in a reduction of S. mutans 1.2 logs and lactobacilli 2.2 logs. In the subjects using the rinse, caries risk due to streptococci was reduced to low levels in 44% and due to lactobacilli in only one subject, with reduction to moderate risk in one third and no change in risk in the remaining patients. The use of chlorhexidine gel was found to reduce the caries risk associated with streptococci to low levels in all patients, and the risk associated with lactobacilli to low and moderate risk in two thirds of patients

  18. Perbandingan Antiseptik Chlorhexidine Alkohol dengan Povidone Iodine terhadap Penurunan Pertumbuhan Koloni Bakteri pada Kateter Epidural yang Dipasang di Kamar Operasi Rumah Sakit Dr. Hasan Sadikin Bandung

    Directory of Open Access Journals (Sweden)

    Andie Muhari Barzah

    2016-04-01

    Full Text Available Chlorhexidine-alcohol and povidone iodine are commonly used as antiseptic solutions in epidural anesthesia. Aseptic and antiseptic procedures must be performed before any epidural procedure to lower infection complications after the procedure. The objective of this study was to investigate the lowest bacterial growth on epidural catheter after chlorhexidine-alcohol or povidone iodine application as the antiseptic solution in Dr. Hasan Sadikin General Hospital Bandung. This was a single blind randomized controlled trial on 78 patients underwent epidural anesthesia in the period of November 2014–February 2015. The subjects were divided in to 2 groups, each consisted of 38 patients. Aseptic and antiseptic procedures were performed using chlorhexidine-alcohol or povidone iodine with skin swab culture collected before and after the procedure. Epidural catheter culture was performed in the 3rd days after the installment. Data were analyzed using t-test, chi-square test, and Mann Whitney test. The result of this study showed positive bacterial cultures prior to aseptic and antiseptics, 33 from 38 in chlorhexidine-alcohol and 35 from 38 in povidone iodine. Positive bacterial cultures became 4 from 38, both in chlorhexidine-alcohol and povidone iodine. Positive bacterial culture on the 3rd days after epidural catheter placement was 7 from 38 after chlorhexidine-alcohol and 5 from 38 after povidone iodine (p< 0.05. It is concluded that the ability of chlorhexidine-alcohol to reduce bacterial growth on epidural catheter is lower than povidone-iodine with regards to reducing infection after catheter epidural installment.

  19. Comparative evaluation of Green Tea- Aloe Vera mouthwash and chlorhexidine 0.2% on gingival indices (A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Naser Sargolzaie

    2015-12-01

    Full Text Available Introduction: Nowadays in the field of dentistry, there is a trend to encourage the use of herbal and natural products. The high level of clinical research in terms of considering green tea and aloe vera, with various functionality for individual use is a typical example. The purpose of this randomized, controlled, and double-blind study was to evaluate comparative evaluation of green tea-aloe vera mouthwash and chlorhexidine 0.2% on gingival indices. Methods: A total of 60 patients (26 women and 34 men with periodontal disease were randomly allocated into one of the three double blind groups, 20 in each, to receive the following treatments :(1 0.2% chlorhexidine, (2 green tea-aloe vera and  (3 distilled water. Plaque and gingival indices were evaluated on the day of the beginning of the experiment and 14 days postoperative. Subjects were asked to rinse their mouth with the mouth rinse, twice a day, during a 14-day period. Paired t-test was used to test the mean difference on 0 and 14 days, respectively. One way analysis of variance (ANOVA was used to compare the mean difference between the groups while Tukey test was used for multiple comparisons. Results: Chlorhexidine 0.2%, green tea - aloe vera and placebo reduced the plaque index by 0.17±0.14, 0.10±0/08 and 0.02±0.18, respectively, with a statistical significance of p=0.008. This difference was related to Chlorhexidine 0.2% and green tea - aloe vera with Placebo. There exist a significant difference of p=0.001 in the bleeding index  between the three groups, and this difference was related to Chlorhexidine 0.2% and green tea - aloe vera with placebo. Conclusion: Green tea –aloe vera   mouthwash improves periodontal health status. Therefore, it can be used to improve oral and dental health status.

  20. Comparative evaluation of the efficacy of different concentrations of chlorhexidine mouth rinses in reducing the mutants streptococci in saliva: An in vivo study

    Directory of Open Access Journals (Sweden)

    Jayaprakash R

    2010-09-01

    Full Text Available Background: Is low-concentration chlorhexidine effective against reducing the mutans streptococci (MS in saliva? Aim: To compare the efficacy of different concentrations of chlorhexidine mouth rinses, i.e. 0.02%, 0.06% and 0.12%, in reducing the mutants streptococci count in saliva. Design: Forty subjects in the age group of 12-14 years were selected from the schools of Chennai and were equally divided into four groups. The first three were study groups and the fourth group was the control group. The subjects were instructed to rinse with a measured amount of mouth rinse for 1 min, twice-daily, for 1 week. Salivary samples were collected at baseline and 1 week after mouth rinsing with various concentrations and were cultured on MSB agar. The number of MS colonies was counted on agar medium under anaerobic conditions. Results: The results of the study confirmed that children using chlorhexidine of concentration 0.12% showed the maximum reduction in MS when compared with subjects using 0.02% and 0.06% concentrations. But, children using chlorhexidine of concentration 0.06% also showed significant reduction in MS when compared with the control group. Conclusion: From the above study, we conclude that chlorhexidine used in different concentrations (0.02%, 0.06%, 0.12% efficiently reduced the mutans count.

  1. Spectroscopic analysis of the precipitate formed in the mixture of 5.25% sodium hypochlorite and 2% chlorhexidine: study in vitro: part II

    International Nuclear Information System (INIS)

    The content of precipitate formed is determined as a product of the interaction between 5.25% sodium hypochlorite and 2% chlorhexidine. Three groups of samples have analyzed. Group A: Pure lyophilized chlorhexidine gluconate. Group B: mixture of 2 ml of 2% chlorhexidine with 2 ml of 5.25% sodium hypochlorite. Group C: a mixture of 6 ml with 2 ml of 2% chlorhexidine with 2 ml of 2.25% sodium hypochlorite and 2 ml of 100% acetic acid. The analysis obtained by thin layer chromatography were generated over a chemical substance with similar characteristics. The method has allowed to isolate the compound part needed to be analyzed by nuclear magnetic resonance spectroscopy. The nuclear magnetic resonance 13C at 100 MHz has determined that the signal appears at lower field (δ: 146.5 ppm) and indicated the presence or absence of Para-chlorophenylurea in samples from the precipitate formed by 5.25% sodium hypochlorite, 2% chlorhexidine gluconate. The measurements have resulted in the lack of Para-chlorophenylurea, either the signal has occurred when acetic acid is included. (author)

  2. Calcium hydroxide mixed with camphoric p-monochlorophenol or chlorhexidine in delayed tooth replantation.

    Science.gov (United States)

    Trevisan, Carolina Lunardelli; Panzarini, Sônia Regina; Brandini, Daniela Atili; Poi, Wilson Roberto; Luvizuto, Eloá Rodrigues; Dos Santos, Cláudia Letícia Vendrame; Saito, Célia Tomiko Hamada Matida

    2011-11-01

    This study evaluated the repair process after delayed replantation of rat teeth, using calcium hydroxide (Ca(OH)2) mixed with camphorated p-monochlorophenol (CMCP), chlorhexidine 2% (CHX), or saline as temporary root canal dressing to prevent and/or control inflammatory radicular resorption. Thirty Wistar rats (Rattus norvegicus albinos) had their right upper incisor extracted, which was bench-dried for 60 minutes. The dental papilla, the enamel organ, the dental pulp, and the periodontal ligament were removed. The teeth were immersed in 2% acidulated-phosphate sodium fluoride solution for 10 minutes. The root canals were dried with absorbent paper cones and divided into 3 groups of 10 animals according to root canal dressing used: group 1: Ca(OH)2 + saline, group 2: Ca(OH)2 + CMCP, and group 3: Ca(OH)2 + CHX 2%. Before replanting, the teeth sockets were irrigated with saline. Histological analysis revealed the presence of inflammatory resorption, replacement resorption, and ankylosis in all 3 groups. Statistical analysis showed a significant difference between group 3 and the other groups. The use of Ca(OH)2 mixed with CMCP or CHX did not show an advantage over the use of Ca(OH)2 mixed with saline in preventing and/or controlling inflammatory resorption in delayed replantation of rat teeth. PMID:22067873

  3. Effect of pre-treatment with chlorhexidine on the retention of restorations: a randomized controlled trial.

    Science.gov (United States)

    Montagner, Anelise Fernandes; Perroni, Ana Paula; Corrêa, Marcos Britto; Masotti, Alexandre Severo; Pereira-Cenci, Tatiana; Cenci, Maximiliano Sérgio

    2015-01-01

    This study aimed to evaluate the effect of chlorhexidine (CHX) application on etched dentin on the 6-month retention of restorations placed on non-carious cervical lesions (NCCLs). A randomized controlled split-mouth and triple blind trial was carried out. Patients (n=42) with at least two non-carious cervical lesions were included. NCCLs were randomly assigned to two groups: control (placebo solution) or test group (2% CHX solution for 60 s after acid etching and before the adhesive application). Class V restorations (n=169) were performed with an etch-and-rinse adhesive system and composite resin by 10 trained operators. A calibrated examiner evaluated the restorations at 1 week (baseline) and at 6 months using the FDI criteria. The primary outcome was retention of the restorations. The analysis of factors associated to failure of restorations was carried out by Fisher's exact test (α=0.05). After 6 months of follow-up, 3.4% (CI 95% 1.3-7.3) of the restorations failed. There was no statistically significant difference between control and CHX (p=0.920). Regarding the cavity variables, deeper (p=0.04), wider (p=0.004) and wedge-shaped (p=0.033) cavities failed more. Both treatments provided acceptable clinical performance of the restorations. The use of CHX as a adjuvant in dentin adhesion did not influence the retention of Class V restorations after 6 months of follow-up. PMID:26200146

  4. Experimental and Theoretical Investigation of Multispecies Oral Biofilm Resistance to Chlorhexidine Treatment

    Science.gov (United States)

    Shen, Ya; Zhao, Jia; de La Fuente-Núñez, César; Wang, Zhejun; Hancock, Robert E. W.; Roberts, Clive R.; Ma, Jingzhi; Li, Jun; Haapasalo, Markus; Wang, Qi

    2016-06-01

    We investigate recovery of multispecies oral biofilms following chlorhexidine gluconate (CHX) and CHX with surface modifiers (CHX-Plus) treatment. Specifically, we examine the percentage of viable bacteria in the biofilms following their exposure to CHX and CHX-Plus for 1, 3, and 10 minutes, respectively. Before antimicrobial treatment, the biofilms are allowed to grow for three weeks. We find that (a). CHX-Plus kills bacteria in biofilms more effectively than the regular 2% CHX does, (b). cell continues to be killed for up to one week after exposure to the CHX solutions, (c). the biofilms start to recover after two weeks, the percentage of the viable bacteria recovers in the 1 and 3 minutes treatment groups but not in the 10 minutes treatment group after five weeks, and the biofilms fully return to the pretreatment levels after eight weeks. To understand the mechanism, a mathematical model for multiple bacterial phenotypes is developed, adopting the notion that bacterial persisters exist in the biofilms together with regulatory quorum sensing molecules and growth factor proteins. The model reveals the crucial role played by the persisters, quorum sensing molecules, and growth factors in biofilm recovery, accurately predicting the viable bacterial population after CHX treatment.

  5. Clinical efficacy of chlorhexidine chips and tetracycline fibers as an adjunct to non surgical periodontal therapy

    Directory of Open Access Journals (Sweden)

    Munishwar Singh

    2014-01-01

    Full Text Available Context: Local drug delivery agents. Aims: To clinically evaluate the efficacy of Chlorhexidine chip (PerioCol™ CG with Tetracycline fibers (Periodontal Plus AB™. Settings and Design: Randomized controlled, split mouth study design with an observation period of six months. Materials and Methods: Patients were allocated in 3 experimental treatment groups, Group A: SRP + CHX Chip, Group B: SRP + Tetracycline fibers, and Group C: SRP alone (control group. 420 bleeding sites in 35 patients (18 females and 17 males with chronic periodontitis (5-8mm probing depth, were evaluated clinically for pocket probing depth (PD, Clinical Attachment level (CAL, and Bleeding on Probing (BoP. Statistical Analysis: T-test and  CV. Results: All the treatment groups were found to be efficacious as demonstrated by improvement in PD, CAL, and BoP. In the short term, CHX group showed increased gain of CAL but on long term observation the Tetracycline fiber group showed better consistent clinical results in comparison to the other two groups. Conclusions: Group B (SRP + Tetracycline fibers resulted in better optimum clinical results in comparison to the other two treatment groups.

  6. Effects of chlorhexidine (gel) application on bacterial levels and orthodontic brackets during orthodontic treatment.

    Science.gov (United States)

    Al-Bazi, Samar M; Abbassy, Mona A; Bakry, Ahmed S; Merdad, Leena A; Hassan, Ali H

    2016-01-01

    The objectives of this study were to evaluate the effects of applying 0.50% chlorhexidine (CHX) gel using the dental drug delivery system (3DS) on salivary Streptococcus mutans (S. mutans) and on the surface topography of metal and ceramic orthodontic brackets. The study involved 20 orthodontic patients with high levels of salivary S. mutans. The patients were treated with professional mechanical tooth cleaning followed by application of 0.50% CHX using individual trays (3DS). Salivary S. mutans levels were repeatedly measured 1, 2, 4, and 8 weeks post-treatment. In vitro study utilized forty ceramic and metallic brackets that were immersed in 0.50% CHX gel for 10 min, whereas another untreated forty brackets served as controls. The frictional resistances of stainless steel wires to the brackets before and after CHX treatment were recorded using a universal testing machine. Scanning electron microscopy was used to compare changes in the surface topography of brackets. Statistical analyses were used to determine the effect of CHX on bacterial count and to evaluate the effect of CHX on frictional resistance. According to the results of this study, S. mutans levels were reduced significantly (P < 0.05). There were no significant changes in the frictional resistance and surface topography of brackets before or after application of CHX. (J Oral Sci 58, 35-42, 2016). PMID:27021538

  7. Efficacy of a barrier teat dip containing .55% chlorhexidine for prevention of bovine mastitis.

    Science.gov (United States)

    Hogan, J S; Smith, K L; Todhunter, D A; Schoenberger, P S

    1995-11-01

    A natural exposure trial was conducted for 12 mo in a commercial herd of 125 lactating cows to compare the efficacy of an experimental barrier teat dip containing .55% chlorhexidine gluconate with the efficacy of a 1% iodophor for preventing new IMI and clinical mastitis. Teats of half of the cows were dipped in the experimental barrier product, and teats of the remaining half of the herd were dipped in the 1% iodophor product. Quarters dipped with the experimental barrier product had fewer new IMI caused by Escherichia coli, coagulase-negative staphylococci, or Gram-positive bacilli than did quarters dipped in the 1% iodophor. Incidence of new IMI caused by Serratia spp. and Pseudomonas spp. was greater for quarters dipped in the experimental barrier product than for quarters dipped in the 1% iodophor. Efficacy of the two teat dips against new IMI caused by Staphylococcus aureus, environmental streptococci, and Klebsiella spp. did not differ. Incidence of bacteriologically negative clinical cases of mastitis was greater in quarters dipped in the 1% iodophor than in quarters dipped in the experimental barrier product. Incidence of clinical mastitis cases caused by Staph. aureus, environmental streptococci, E. coli, Klebsiella spp., Serratia spp., and Pseudomonas spp. did not differ between treatment groups. PMID:8747340

  8. Comparison between the efficacy of self-prepared chlorhexidine varnishes and of EC 40®

    Directory of Open Access Journals (Sweden)

    Rawee Teanpaisan

    2009-08-01

    Full Text Available It was reported that clinical application of chlorhexidine (CHX varnish could reduce dental caries occurrence effectively.However, this form of CHX is not commercially available in Thailand. Our previous study showed that the released CHX from 20% and 40% self-prepared CHX varnishes were sufficient to inhibit the growth of Streptococcus mutans. This study aimed to compare the efficacy of the 20% and 40% self-prepared CHX varnishes to commercial CHX varnish EC 40®. The study included CHX release, antibacterial activity against S. mutans ATCC 25175, and the cytotoxic effect of CHX on fibroblasts. The results showed that the greatest amount of CHX was released by EC 40® followed by 40% and 20% selfpreparedCHX, which were 4,111.29 g, 2,408.7 g, and 1,136.4 g, respectively. EC 40® gave the strongest antibacterial activity; however, there was no statistical significant difference. The 20% self-prepared CHX gave the highest viability of fibroblasts. This study indicates that the self-prepared CHX should be considered to be used as antimicrobial agents for the prevention of dental caries.

  9. Does chlorhexidine and povidone-iodine preoperative antisepsis reduce surgical site infection in cranial neurosurgery?

    Science.gov (United States)

    Davies, B M; Patel, H C

    2016-07-01

    Introduction Surgical site infection (SSI) is a significant cause of postoperative morbidity and mortality. Effective preoperative antisepsis is a recognised prophylactic, with commonly used agents including chlorhexidine (CHG) and povidone-iodine (PVI). However, there is emerging evidence to suggest an additional benefit when they are used in combination. Methods We analysed data from our prospective SSI database on patients undergoing clean cranial neurosurgery between October 2011 and April 2014. We compared the case-mix adjusted odds of developing a SSI in patients undergoing skin preparation with CGH or PVI alone or in combination. Results SSIs were detected in 2.6% of 1146 cases. Antisepsis with PVI alone was performed in 654 (57%) procedures, while 276 (24%) had CHG alone and 216 (19%) CHG and PVI together. SSIs were associated with longer operating time (pSSI (adjusted odds ratio [AOR] 0.12, 95% confidence interval [CI] 0.02-0.63) than either agent alone. There was no difference in SSI rates between CHG and PVI alone (AOR 0.60, 95% CI 0.24-1.5). Conclusions Combination skin preparation with CHG and PVI significantly reduced SSI rates compared to CHG or PVI alone. A prospective, randomized study validating these findings is now warranted. PMID:27055411

  10. Effects of chlorhexidine on the structure and permeability of hamster cheek pouch mucosa

    International Nuclear Information System (INIS)

    This study examined the effects of chlorhexidine (CHD) on the clinical appearance, morphology, and in vitro permeability of hamster cheek pouch mucosa. The cheek pouches were treated daily for 3 weeks with topical applications of saline, 0.2% CHD, or 2.0% CHD. Treatment with 2.0% CHD resulted in the formation of discrete white lesions in every animal in the group, whereas no changes were identified in any animal treated with 0.2% CHD or saline. Upon microscopic examination it was determined that treatment with 2.0% CHD resulted in a statistically significant increase in epithelial thickness, when compared to the other groups, and the lesions were found to consist of hyperplastic areas of epithelium with associated inflammatory cell accumulations. Daily treatments with 2.0% CHD, 0.2% CHD or saline had no effect on the very low permeability of cheek pouch mucosa to 14C-CHD. However, treatment with 2.0% CHD resulted in decreased permeability to 3H2O when compared to the other groups. Treatment with 2.0% CHD also resulted in a thickened permeability barrier, as determined using a tracer, horseradish peroxidase. It is concluded that topical applications of 0.2% T CHD have no detectable effect on cheek-pouch mucosa while applications of 2.0% CHD result in hyperplasia and a decrease in mucosal permeability. Results suggest that CHD should be used with caution clinically and at a concentration of 0.2% or less

  11. Chlorhexidine-induced apoptosis or necrosis in L929 fibroblasts: A role for endoplasmic reticulum stress

    International Nuclear Information System (INIS)

    Chlorhexidine (CHX), widely used as antiseptic and therapeutic agent in medicine and dentistry, has a toxic effect both in vivo and in vitro. The intrinsic mechanism underlying CHX-induced cytotoxicity in eukaryotic cells is, however, still unknown. A recent study from our laboratory has suggested that CHX may induce death in cultured L929 fibroblasts via endoplasmic reticulum (ER) stress. This hypothesis was further tested by means of light and electron microscopy, quantification of apoptosis and necrosis by flow cytometry, fluorescence visualization of the cytoskeleton and endoplasmic reticulum, and evaluation of the expression of 78-kDa glucose-regulated protein 78 (Grp78), a marker of activation of the unfolded protein response (UPR) in cultured L929 fibroblasts. Our finding showing increased Grp 78 expression in CHX-treated cells and the results of flow cytometry, cytoskeleton and endoplasmic reticulum fluorescence visualization, and scanning and transmission electron microscopy allowed us to suggest that CHX elicits accumulation of proteins in the endoplasmic reticulum, which causes ER overload, resulting in ER stress and cell death either by necrosis or apoptosis. It must be pointed out, however, that this does not necessarily mean that ER stress is the only way that CHX kills L929 fibroblasts, but rather that ER stress is an important target or indicator of cell death induced by this drug

  12. Experimental and Theoretical Investigation of Multispecies Oral Biofilm Resistance to Chlorhexidine Treatment.

    Science.gov (United States)

    Shen, Ya; Zhao, Jia; de la Fuente-Núñez, César; Wang, Zhejun; Hancock, Robert E W; Roberts, Clive R; Ma, Jingzhi; Li, Jun; Haapasalo, Markus; Wang, Qi

    2016-01-01

    We investigate recovery of multispecies oral biofilms following chlorhexidine gluconate (CHX) and CHX with surface modifiers (CHX-Plus) treatment. Specifically, we examine the percentage of viable bacteria in the biofilms following their exposure to CHX and CHX-Plus for 1, 3, and 10 minutes, respectively. Before antimicrobial treatment, the biofilms are allowed to grow for three weeks. We find that (a). CHX-Plus kills bacteria in biofilms more effectively than the regular 2% CHX does, (b). cell continues to be killed for up to one week after exposure to the CHX solutions, (c). the biofilms start to recover after two weeks, the percentage of the viable bacteria recovers in the 1 and 3 minutes treatment groups but not in the 10 minutes treatment group after five weeks, and the biofilms fully return to the pretreatment levels after eight weeks. To understand the mechanism, a mathematical model for multiple bacterial phenotypes is developed, adopting the notion that bacterial persisters exist in the biofilms together with regulatory quorum sensing molecules and growth factor proteins. The model reveals the crucial role played by the persisters, quorum sensing molecules, and growth factors in biofilm recovery, accurately predicting the viable bacterial population after CHX treatment. PMID:27325010

  13. Mucoadhesive Gels Designed for the Controlled Release of Chlorhexidine in the Oral Cavity

    Directory of Open Access Journals (Sweden)

    Adamo Fini

    2011-09-01

    Full Text Available This study describes the in vitro/ex vivo buccal release of chlorhexidine (CHX from nine mucoadhesive aqueous gels, as well as their physicochemical and mucoadhesive properties: CHX was present at a constant 1% w/v concentration in the chemical form of digluconate salt. The mucoadhesive/gel forming materials were carboxymethyl- (CMC, hydroxypropylmethyl- (HPMC and hydroxypropyl- (HPC cellulose, alone (3% w/w or in binary mixtures (5% w/w; gels were tested for their mucoadhesion using the mucin method at 1, 2 and 3% w/w concentrations. CHX release from different formulations was assessed using a USP method and newly developed apparatus, combining release/permeation process in which porcine mucosa was placed in a Franz cell. The combination of HPMC or HPC with CMC showed slower drug release when compared to each of the individual polymers. All the systems proved suitable for CHX buccal delivery, being able to guarantee both prolonged release and reduced transmucosal permeation. Gels were compared for the release of previously studied tablets that contained Carbopol and HPMC, alone or in mixture. An accurate selection and combination of the materials allow the design of different pharmaceutical forms suitable for different purposes, by simply modifying the formulation compositions.

  14. Mass Spectrometry Imaging of Chlorhexidine and Bacteria in a Model Wound

    Directory of Open Access Journals (Sweden)

    Timothy Hamerly

    2015-08-01

    Full Text Available The ability to generate two-dimensional images of a wound that contains information about the distribution of bacteria overlaid with the distribution of drugs and metabolites could enhance our understanding of wound healing processes. Advances in technology are leading to a rapid expansion in mass spectrometry-based imaging. When combined with the ability of matrix assisted laser desorption ionization to ionize a wide range of molecules, imaging mass spectrometry is a powerful biomedical research tool. However, this technique has yet to be used to investigate bacterial colonization of wounds or the distribution of antimicrobial agents on tissue. To address this, distribution and persistence of the antimicrobial agent chlorhexidine on a model human tissue was investigated. The ability to detect and localize Staphylococcus aureus on the same tissue model was also addressed. Sub-millimeter resolution ion images from these experiments show the promise of using mass spectrometry imaging to investigate the growth and treatment of bacteria on skin. This methodology will be of value in the development of wound dressings with improved antimicrobial properties and a more careful analysis of the concentration of antimicrobial agents required to prevent biofilm formation and persistence.

  15. Reduced occurrence of ventilator-associated pneumonia after cardiac surgery using preoperative 0.2% chlorhexidine oral rinse: results from a single-centre single-blinded randomized trial.

    Science.gov (United States)

    Lin, Y J; Xu, L; Huang, X Z; Jiang, F; Li, S L; Lin, F; Ye, Q Y; Chen, M L; Lin, J L

    2015-12-01

    Since mechanical ventilation after cardiac surgery increases the risk of ventilator-associated pneumonia (VAP), we conducted a prospective randomized controlled trial to investigate the effect of preoperative 0.2% chlorhexidine on postoperative VAP. Ninety-four patients scheduled for heart surgery were randomized to a chlorhexidine group (N = 47) or control (saline) group (N = 47). On the day before surgery, patients gargled three times with 0.2% chlorhexidine or saline 30 min after each meal and 5 min after teeth brushing at bedtime. VAP occurred in 8.5% of the chlorhexidine group and in 23.4% of the controls. Preoperative chlorhexidine mouthwash reduced the incidence of postoperative VAP significantly. PMID:26443484

  16. Effect of fluoridated casein phospopeptide-amorphous-calcium phosphate complex, chlorhexidine fluoride mouthwash on shear bond strength of orthodontic brackets: A comparative in vitro study

    Directory of Open Access Journals (Sweden)

    C A Abdul Shahariyar

    2016-01-01

    Full Text Available Objective: The aim of the current study was to determine the effects of casein phosphopeptide amorphous calcium-phosphate (CPP-ACP complex, chlorhexidine fluoride mouthwash on shear bond strengths (SBSs of orthodontic brackets. Materials and Methods: About sixty extracted healthy human premolar teeth with intact buccal enamel were divided into two equal groups to which brackets were bonded using self-etching primers (SEPs and conventional means respectively. These were further equally divided into three subgroups - (1 control (2 CPP-ACP (3 chlorhexidine fluoride mouthwash. The SBSs were then measured using a universal testing machine. Results: SBS of the conventional group was significantly higher than the self-etching group. The intragroup differences were statistically insignificant. Conclusion: CPP-ACP, chlorhexidine fluoride mouthwash did not adversely affect SBS of orthodontic brackets irrespective of the method of conditioning. Brackets bonded with conventional technique showed greater bond strengths as compared to those bonded with SEP.

  17. Antiplaque effect of essential oils and 0.2% chlorhexidine on an in situ model of oral biofilm growth: a randomised clinical trial.

    Directory of Open Access Journals (Sweden)

    Víctor Quintas

    Full Text Available To evaluate the in situ antiplaque effect after 4 days of using of 2 commercial antimicrobial agents in short term on undisturbed plaque-like biofilm.An observer-masked, crossover randomised clinical trial on 15 oral and systemically healthy volunteers between 20-30 years who were randomly and sequentially allocated in the same group which performed 3 interventions in different randomised sequences.The participants wore an appliance in 3 different rinsing periods doing mouthwashes twice a day (1/0/1 with essential oils, 0.2% chlorhexidine or sterile water (negative control. At the end of each 4-day mouthwash period, samples were removed from the appliance. Posteriorly, after bacterial vital staining, samples were analysed using a Confocal Laser Scanning Microscope.Bacterial vitality, thickness and covering grade by the biofilm after 4 days of applying each of the mouthwashes.The essential oils and the 0.2% chlorhexidine were significantly more effective than the sterile water at reducing bacterial vitality, thickness and covering grade by the biofilm. No significant differences were found between the 0.2% chlorhexidine and the essential oils at reducing the bacterial vitality (13.2% vs. 14.7%. However, the 0.2% chlorhexidine showed more reduction than the essential oils in thickness (6.5 μm vs. 10.0 μm; p<0.05 and covering grade by the biofilm (20.0% vs. 54.3%; p<0.001.The essential oils and 0.2% chlorhexidine showed a high antiplaque effect. Although the 0.2% chlorhexidine showed better results with regard to reducing the thickness and covering grade by the biofilm, both antiseptics showed a high and similar antibacterial activity.Daily essential oils or 0.2% chlorhexidine mouthwashes are effective when reducing dental plaque formation in the short term. Although 0.2% chlorhexidine continues to be the "gold standard" in terms of antiplaque effect, essential oils could be considered a reliable alternative.ClinicalTrials.gov NCT02124655.

  18. Synthesis and purification of carbon-14 labelled 1, 1-hexamethylene-bis (5-(4-chlorophenyl)biguanide) (chlorhexidine, 'Hibitane')

    Energy Technology Data Exchange (ETDEWEB)

    Burns, J. (Imperial Chemical Industries Ltd., Macclesfield (UK). Pharmaceuticals Div.)

    1982-10-01

    Two syntheses of (/sup 14/C) chlorhexidine ('Hibitane') with the label specifically incorporated in two separate molecular positions are described. Ring labelled chlorhexidine prepared from p-chloro(U-/sup 14/C)aniline was obtained with a molar specific activity of 27.9 mCi/mmol. Chain labelled material, where the /sup 14/C label was incorporated in the 1 and 6 positions of the hexamethylene bridge, was prepared from (1, 6 /sup 14/C)-adiponitrile, with a molar specific activity of 11.5 mCi/mmol. Several methods of purification are described.

  19. Cytogenetic analysis of oral mucosa cells, induced by chlorhexidine, essential oils in ethanolic solution and triclosan mouthwashes

    Energy Technology Data Exchange (ETDEWEB)

    Ros-Llor, Irene; Lopez-Jornet, Pia, E-mail: majornet@um.es

    2014-07-15

    Objectives: The aim of this study was to evaluate DNA damage and cytokinetic defects, proliferative potential and cell death caused by the frequent use of mouthrinses containing chlorhexidine, triclosan and essential oils in ethanolic solution, compared to a placebo mouthwash. Study design: This double-blind, prospective, randomized clinical trial included 80 Caucasian patients. Subjects were divided into four groups: Group I used a mouthrinse, Triclosan; Group II used physiological saline; Group III used chlorhexidine; Group IV a mouthrinse with essential oils in ethanolic solution. All subjects used the mouthrinses for two weeks (15 ml, twice a day, rinsing for 30 s). Two cell samples per subject were collected, before and after mouthrinse use (on day 0 and day 15). Samples were processed as follows: cell collection from cheeks with a cytobrush; cell centrifuge; slide preparation, fixation and staining; and fluorescent microscope analysis. 2000 exfoliated cells were screened for nuclear abnormalities, particularly the presence of micronuclei by means of cytome assay. Results: No significant differences between study times (before and after use of mouthwash) were identified for any of the variables studied (p>0.05). Differences between mouthrinse groups were also compared but no significant differences were found (p>0.05). Conclusions: This study did not observe any genotoxic effect resulting from mouthrinse use. - Highlights: • Mouthrinses are used widely, mainly for their capacity to control dental plaque. • No genotoxic effects from the mouthrinses triclosan, chlorhexidine essential oils solution. • The buccal cytome assay is a sensitive, non-invasive, and low cost technique.

  20. Effect of Calcium Hydroxide, Chlorhexidine Digluconate and Camphorated Monochlorophenol on the Sealing Ability of Biodentine Apical Plug

    Science.gov (United States)

    Srivastava, Harshit; Prasad, Ashwini B; Raisingani, Deepak; Soni, Dileep

    2016-01-01

    Introduction Teeth with immature apex are managed by establishing an apical plug using various materials and techniques. However, the use of previously placed intracanal medicament may affect the sealing ability of permanent filling material used as an apical plug. Aim To evaluate the effect of removal of previously placed Calcium Hydroxide, Chlorhexidine Digluconate and Camphorated Monochlorophenol as an intracanal medicament on the sealing ability of the Biodentine as an apical plug. Materials and Methods A total of 72 recently extracted human permanent teeth with single root were selected and stored in saline at room temperature. The crown portion of each tooth was removed at the level of cemento enamel junction; 14mm root length was taken as standard length. All the roots were submerged in 20% sulphuric acid up to 3 mm from the apex, for four days for root resorption. One sample was cut longitudinally to look for root resorption under stereo microscope. The canal preparation was done; the roots were kept in moist gauze after instrumentation. A total of 71 roots were randomly divided into three groups. GROUP 1:Calcium hydroxide paste, GROUP 2: Chlorhexidine digluconate, GROUP 3: Camphorated Monochlorophenol (CMCP). The medicaments were removed with stainless steel hand files and 0.5% sodium hypochlorite irrigation. After removal of medicament Biodentine was placed in apical third of resorbed roots and the remaining portion of the canals was filled with gutta-percha. All the 71 roots were analysed with fluid filtration method for evaluating microleakage. Results Comparing all the three groups statistically there was no significant difference. The mean values were found more for group 1 followed by group 2 & 3. Conclusion All the groups showed microleakage. Calcium hydroxide showed the maximum microleakage followed by Chlorhexidine digluconate and least with CMCP. PMID:27504409

  1. Cytogenetic analysis of oral mucosa cells, induced by chlorhexidine, essential oils in ethanolic solution and triclosan mouthwashes

    International Nuclear Information System (INIS)

    Objectives: The aim of this study was to evaluate DNA damage and cytokinetic defects, proliferative potential and cell death caused by the frequent use of mouthrinses containing chlorhexidine, triclosan and essential oils in ethanolic solution, compared to a placebo mouthwash. Study design: This double-blind, prospective, randomized clinical trial included 80 Caucasian patients. Subjects were divided into four groups: Group I used a mouthrinse, Triclosan; Group II used physiological saline; Group III used chlorhexidine; Group IV a mouthrinse with essential oils in ethanolic solution. All subjects used the mouthrinses for two weeks (15 ml, twice a day, rinsing for 30 s). Two cell samples per subject were collected, before and after mouthrinse use (on day 0 and day 15). Samples were processed as follows: cell collection from cheeks with a cytobrush; cell centrifuge; slide preparation, fixation and staining; and fluorescent microscope analysis. 2000 exfoliated cells were screened for nuclear abnormalities, particularly the presence of micronuclei by means of cytome assay. Results: No significant differences between study times (before and after use of mouthwash) were identified for any of the variables studied (p>0.05). Differences between mouthrinse groups were also compared but no significant differences were found (p>0.05). Conclusions: This study did not observe any genotoxic effect resulting from mouthrinse use. - Highlights: • Mouthrinses are used widely, mainly for their capacity to control dental plaque. • No genotoxic effects from the mouthrinses triclosan, chlorhexidine essential oils solution. • The buccal cytome assay is a sensitive, non-invasive, and low cost technique

  2. Acidogenicity and acidurance of dental plaque and saliva sediment from adults in relation to caries activity and chlorhexidine exposure

    Directory of Open Access Journals (Sweden)

    Andreadis Georgios

    2015-03-01

    Full Text Available Background: The ecological plaque hypothesis for the etiopathogenesis of caries implies a microbial shift towards a more aciduric dental plaque microbiota, due to a frequent carbohydrate intake. Acid tolerance has been suggested as an important property of the caries-associated bacteria and several in vitro studies with mixed cultures indicated that a low pH rather than the carbohydrate availability is responsible for microbiota shifts associated with the development of dental caries. Objective: To examine 1 the acidogenic potential (amount lactate produced per mg plaque and minute, at pH 7.0 or pH 5.5 and the aciduric potential (acidogenic potential at pH 5.5/acidogenic potential at pH 7.0 of dental plaque and salivary sediment taken from caries-active or caries-free adults, and 2 the effect of a short-term chlorhexidine treatment on these potentials. Design: Dental plaque and saliva sediment samples were taken from caries-free and caries-active subjects and suspended in Ringer's solution containing 1% sucrose and buffered with 0.5 M 3-[N-morpholino]propanesulfonic acid (MOPS, pH 7.0, or 3-[N-morpholino]ethanesulfonic acid (MES, pH 5.5. After incubation at 37°C for 10–20 min, the concentration of lactic acid in the suspension was determined by an enzymatic assay. The acid production of dental plaque was also determined after a period of mouth rinsing with 0.2% chlorhexidine. Results: Both dental plaque and salivary sediment from caries-free subjects exhibited significantly lower acidogenic potentials at both pHs compared to caries-active volunteers. The opposite was observed with the aciduric potential. Chlorhexidine treatment significantly reduced all three potentials but had no effect on the relative proportion of bacteria grown on acidic agar. Conclusions: Caries-active adults have an oral microbiota characterised by an increased catabolic velocity for sugar. The increase is more pronounced at neutral than acidic pH. Exposure to

  3. Influence of chlorhexidine concentration on microtensile bond strength of contemporary adhesive systems

    Directory of Open Access Journals (Sweden)

    Edson Alves de Campos

    2009-09-01

    Full Text Available The purpose of this study was to investigate the influence of chlorhexidine (CHX concentration on the microtensile bond strength (μTBS of contemporary adhesive systems. Eighty bovine central incisors were used in this study. The facial enamel surface of the crowns was abraded with 600-grit silicon carbide paper to expose flat, mid-coronal dentin surfaces. The tested materials were Scotchbond Multipurpose (SMP, Single-Bond (SB, Clearfil SE Bond (CSEB and Clearfil Tri S Bond (CTSB. All the materials were applied according to manufacturer's instructions and followed by composite application (Z250. The teeth were randomly divided into 16 groups: for the etch-and-rinse adhesives (SMP and SB, 0.12% or 2% CHX was applied prior to or after the acid etching procedure. For the self-etch adhesives (CSEB and CTSB 0.12% or 2% CHX was applied prior to the primer. Control groups for each one of the adhesive systems were also set up. The specimens were immediately submitted to μTBS testing and the data were analyzed using Analysis of Variance and the Tukey post hoc test (alpha = .01. The failure patterns of the specimens were observed using scanning electron microscopy. The effects of 2% CHX were statistically significant (p < 0.01 for the self-etch adhesives but were not significant for the etch-and-rinse adhesive systems. Analysis of the data demonstrated no statistical difference between the etch-and-rinse adhesive systems. CHX-based cavity disinfectants in concentrations higher than 0.12% should be avoided prior to the self-etch adhesive systems evaluated in this study to diminish the possibilities of reduction in bond strength.

  4. Antimicrobial and Cytotoxic Activity of Cuminum Cyminum as an Intracanal Medicament Compared to Chlorhexidine Gel

    Science.gov (United States)

    Abbaszadegan, Abbas; Gholami, Ahmad; Ghahramani, Yasamin; Ghareghan, Razieh; Ghareghan, Marzieh; Kazemi, Aboozar; Iraji, Aida; Ghasemi, Younes

    2016-01-01

    Introduction: The aims of this study were i) to define the chemical constituents of Cuminum cyminum (cumin) essential oil, ii) to compare the antimicrobial activity of this oil to that of chlorhexidine (CHX) and co-trimoxazole on planktonic and biofilm forms of bacteria isolated from the teeth with persistent endodontic infection and iii) to compare the cytotoxicity of these medicaments on L929 fibroblasts. Methods and Materials: Three groups of microorganisms [aerobic bacterial mixture, anaerobic bacterial mixture and Enterococcus faecalis (E .faecalis)] were isolated from the teeth with persistent apical periodontitis. Zone of inhibition (ZOI), minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), minimum biofilm inhibitory concentration (MBIC) and time-kill tests were performed to assess the antimicrobial efficacy of the medicaments. Further, a cytocompatibility analysis of the medicaments was performed on L929 fibroblasts. The results obtained from disc diffusion test and mean cell viability values of the experimental medicaments were analyzed using two-way and one-way analysis of variance (ANOVA). Results: Seventeen constituents were recognized in cumin oil (predominantly cumin aldehyde and γ-terpinene). Co-trimoxazole showed the greatest ZOI followed by cumin and CHX. The smallest MIC and MBC belonged to co-trimoxazole followed by cumin and CHX for all groups of bacteria except for E. faecalis for which the MBC of cumin was smaller than co-trimoxazole. The results of time-kill assay revealed that all medicaments totally inhibited the bacterial growth in all groups after 24 h. CHX was the most cytotoxic solution while there were no significant differences between the cytocompatibility of different concentrations of cumin essential oil and co-trimoxazole. Conclusion: Cumin exhibited a strong antimicrobial efficiency against the microbial flora of the teeth with failed endodontic treatments and it was biocompatible for L929 mouse

  5. Immobilization of antibacterial chlorhexidine on stainless steel using crosslinking polydopamine film: Towards infection resistant medical devices.

    Science.gov (United States)

    Mohd Daud, Nurizzati; Saeful Bahri, Ihda Fithriyana; Nik Malek, Nik Ahmad Nizam; Hermawan, Hendra; Saidin, Syafiqah

    2016-09-01

    Chlorhexidine (CHX) is known for its high antibacterial substantivity and is suitable for use to bio-inert medical devices due to its long-term antibacterial efficacy. However, CHX molecules require a crosslinking film to be stably immobilized on bio-inert metal surfaces. Therefore, polydopamine (PDA) was utilized in this study to immobilize CHX on the surface of 316L type stainless steel (SS316L). The SS316L disks were pre-treated, modified with PDA film and immobilized with different concentrations of CHX (10mM-50mM). The disks were then subjected to various surface characterization analyses (ATR-FTIR, XPS, ToF-SIMS, SEM and contact angle measurement) and tested for their cytocompatibility with human skin fibroblast (HSF) cells and antibacterial activity against Escherichia coli and Staphylococcus aureus. The results demonstrated the formation of a thin PDA film on the SS316L surface, which acted as a crosslinking medium between the metal and CHX. CHX was immobilized via a reduction process that covalently linked the CHX molecules with the functional group of PDA. The immobilization of CHX increased the hydrophobicity of the disk surfaces. Despite this property, a low concentration of CHX optimized the viability of HSF cells without disrupting the morphology of adherent cells. The immobilized disks also demonstrated high antibacterial efficacy against both bacteria, even at a low concentration of CHX. This study demonstrates a strong beneficial effect of the crosslinked PDA film in immobilizing CHX on bio-inert metal, and these materials are applicable in medical devices. Specifically, the coating will restrain bacterial proliferation without suffocating nearby tissues. PMID:27153117

  6. Synergistic Antibacterial Effects of Nanoparticles Encapsulated with Scutellaria baicalensis and Pure Chlorhexidine on Oral Bacterial Biofilms

    Directory of Open Access Journals (Sweden)

    Ken Cham-Fai Leung

    2016-04-01

    Full Text Available Scutellaria baicalensis (SB is a traditional Chinese medicine for treating infectious and inflammatory diseases. Our recent study shows potent antibacterial effects of nanoparticle-encapsulated chlorhexidine (Nano-CHX. Herein, we explored the synergistic effects of the nanoparticle-encapsulated SB (Nano-SB and Nano-CHX on oral bacterial biofilms. Loading efficiency of Nano-SB was determined by thermogravimetric analysis, and its releasing profile was assessed by high-performance liquid chromatographyusing baicalin (a flavonoid compound of SB as the marker. The mucosal diffusion assay on Nano-SB was undertaken in a porcine model. The antibacterial effects of the mixed nanoparticles (Nano-MIX of Nano-SB and Nano-CHX at 9:1 (w/w ratio were analyzed in both planktonic and biofilm modes of representative oral bacteria. The Nano-MIX was effective on the mono-species biofilms of Streptococcus (S. mutans, S. sobrinus, Fusobacterium (F. nucleatum, and Aggregatibacter (A. actinomycetemcomitans (MIC 50 μg/mL at 24 h, and exhibited an enhanced effect against the multi-species biofilms such as S. mutans, F. nucleatum, A. actinomycetemcomitans, and Porphyromonas (P. gingivalis (MIC 12.5 μg/mL at 24 h that was supported by the findings of both scanning electron microscopy (SEM and confocal scanning laser microscopy (CLSM. This study shows enhanced synergistic antibacterial effects of the Nano-MIX on common oral bacterial biofilms, which could be potentially developed as a novel antimicrobial agent for clinical oral/periodontal care.

  7. Controlled release of chlorhexidine digluconate using β-cyclodextrin and microfibrillated cellulose.

    Science.gov (United States)

    Lavoine, Nathalie; Tabary, Nicolas; Desloges, Isabelle; Martel, Bernard; Bras, Julien

    2014-09-01

    This study aims to develop a high-performance delivery system using microfibrillated cellulose (MFC)-coated papers as a controlled release system combined with the well-known drug delivery agent, β-cyclodextrin (βCD). Chlorhexidine digluconate (CHX), an antibacterial molecule, was mixed with a suspension of MFC or a βCD solution or mixed with both the substances, before coating onto a cellulosic substrate. The intermittent diffusion of CHX (i.e., diffusion interrupted by the renewal of the release medium periodically) was conducted in an aqueous medium, and the release mechanism of CHX was elucidated by field emission gun-scanning electron microscopy, SEM, NMR, and Fourier transform infrared analyses. According to the literature, both βCD and MFC are efficient controlled delivery systems. This study indicated that βCD releases CHX more gradually and over a longer period of time compared to MFC, which is mainly due to the ability of βCD to form an inclusion complex with CHX. Furthermore from the release study, a complementary action when the two compounds were combined was deduced. MFC mainly affected the burst effect, while βCD primarily controlled the amount of CHX released over time. In this paper, two different types of controlled release systems are proposed and compared. Depending on the final application, the use of βCD alone would release low amounts of active molecules over time (slow delivery), whereas the combination of β-cyclodextrin and MFC would be more suitable for the release of higher amounts of active molecules over time (rapid delivery). PMID:24984267

  8. New trends in dentistry: plant extracts against Enterococcus faecalis. The efficacy compared to chlorhexidine

    Directory of Open Access Journals (Sweden)

    Adriana Lígia de Castilho

    2013-04-01

    Full Text Available Enterococcus faecalis is an important pathogen associated with endodontic diseases, and its elimination and control are of paramount importance, as it represents one of the major causes of failure in the treatment of endodontic disease. Twenty-five plant extracts obtained from Brazilian forests were found to be effective against planktonic E. faecalis and were subjected to two traditional antibacterial assays, the microdilution broth assay (MDBA and the disk diffusion assay (DDA, using chlorhexidine (CHX as a control. Seven out of 25 extracts showed significant antibacterial activity and were tested in a biofilm assay, and three of these extracts were subjected to chemical fractionation. Residues were tested for their antibacterial activity, and the first chemical findings were described based on thin layer chromatography (TLC. Extracts obtained from Ipomoea alba, Symphonia globulifera and Moronobea coccinea showed significant bactericidal activity in the MDBA. The same I. alba and S. globulifera extracts, as well as the extract obtained from Connarus ruber var. ruber, showed significant activity in the DDA. RH2O obtained from Psidium densicomum and Stryphnodendron pulcherrimum showed better antibacterial activity compared to the respective crude extracts and CHX. TLC analysis showed that phenolic compounds and triterpenes represent the first findings of chemical groups that may occur in all species. The results of the present study include the discovery of six active extracts against planktonic E. faecalis and support further testing via assays involving biofilm formation, as well as the determination of the compounds' chemical profiles, as their activity was significantly better than that observed for CHX.

  9. Effectiveness of octenidine and chlorhexidine in the artificially contaminated 3-D-culture of human keratinocytes

    Directory of Open Access Journals (Sweden)

    Kramer, Axel

    2009-12-01

    Full Text Available Epidermis-Equivalents (EpiDerm derived from human keratinocytes were obtained after 14 d air-lift-culture. These In-vitro-models were used for the demonstration of a possible postantiseptic effect against the test microorganisms Pseudomonas aeruginosa and Staphylococcus aureus after 5 min pre-incubation of the surface of the epidermis with equimolar concentrations of the antiseptic agents chlorhexidine digluconate (CHX and octenidine dihydrochloride (OCT of 1.6 mmol/l. Both antiseptics adhere to the surface of EpiDerm. Each active agent cannot be removed by washing with phosphate-buffered saline (PBS and remains microbiocidal active. EpiDerm-OCT was more effective after 30 min at room temperature against 106 cfu/ml Staphylococcus aureus resulting 3.2–4 log10 reduction, but not for EpiDerm-CHX producing only 2–2.4 log10 reduction. A maximum of 0.6–1.2 log10 reduction was found against Pseudomonas aeruginosa after 30 min exposure in EpiDerm-OCT, but there was no or a neglectable microbiocidal activity of 0–0.2 log10 reduction using EpiDerm-CHX. The postantiseptic effect of OCT is superior to EpiDerm-bound CHX comparing equimolar concentrations of active agent used for pre-incubation of EpiDerm. Treatment of EpiDerm with OCT alone or in combination with test organisms resulted in no cytotoxic effect in viable keratinocytes. In contrast to that the test organism Staphylococcus aureus, the active agent CHX alone or in combination with both test organisms demonstrated a cytotoxic activity reducing the viability of basal keratinocytes more than 10%. Therefore, OCT is more tolerated than CHX by basal keratinocytes of the presented In-vitro-model EpiDerm.

  10. New trends in dentistry: plant extracts against Enterococcus faecalis. The efficacy compared to chlorhexidine.

    Science.gov (United States)

    Castilho, Adriana Lígia de; Saraceni, Cintia Helena Coury; Díaz, Ingrit Elida Collantes; Paciencia, Mateus Luís Barradas; Suffredini, Ivana Barbosa

    2013-01-01

    Enterococcus faecalis is an important pathogen associated with endodontic diseases, and its elimination and control are of paramount importance, as it represents one of the major causes of failure in the treatment of endodontic disease. Twenty-five plant extracts obtained from Brazilian forests were found to be effective against planktonic E. faecalis and were subjected to two traditional antibacterial assays, the microdilution broth assay (MDBA) and the disk diffusion assay (DDA), using chlorhexidine (CHX) as a control. Seven out of 25 extracts showed significant antibacterial activity and were tested in a biofilm assay, and three of these extracts were subjected to chemical fractionation. Residues were tested for their antibacterial activity, and the first chemical findings were described based on thin layer chromatography (TLC). Extracts obtained from Ipomoea alba, Symphonia globulifera and Moronobea coccinea showed significant bactericidal activity in the MDBA. The same I. alba and S. globulifera extracts, as well as the extract obtained from Connarus ruber var. ruber, showed significant activity in the DDA. RH2O obtained from Psidium densicomum and Stryphnodendron pulcherrimum showed better antibacterial activity compared to the respective crude extracts and CHX. TLC analysis showed that phenolic compounds and triterpenes represent the first findings of chemical groups that may occur in all species. The results of the present study include the discovery of six active extracts against planktonic E. faecalis and support further testing via assays involving biofilm formation, as well as the determination of the compounds' chemical profiles, as their activity was significantly better than that observed for CHX. PMID:23538423

  11. Effects of chlorhexidine on the structure and permeability of hamster cheek pouch mucosa

    Energy Technology Data Exchange (ETDEWEB)

    Harvey, B.V.; Squier, C.A.; Hall, B.K.

    1984-10-01

    This study examined the effects of chlorhexidine (CHD) on the clinical appearance, morphology, and in vitro permeability of hamster cheek pouch mucosa. The cheek pouches were treated daily for 3 weeks with topical applications of saline, 0.2% CHD, or 2.0% CHD. Treatment with 2.0% CHD resulted in the formation of discrete white lesions in every animal in the group, whereas no changes were identified in any animal treated with 0.2% CHD or saline. Upon microscopic examination it was determined that treatment with 2.0% CHD resulted in a statistically significant increase in epithelial thickness, when compared to the other groups, and the lesions were found to consist of hyperplastic areas of epithelium with associated inflammatory cell accumulations. Daily treatments with 2.0% CHD, 0.2% CHD or saline had no effect on the very low permeability of cheek pouch mucosa to /sup 14/C-CHD. However, treatment with 2.0% CHD resulted in decreased permeability to /sup 3/H/sub 2/O when compared to the other groups. Treatment with 2.0% CHD also resulted in a thickened permeability barrier, as determined using a tracer, horseradish peroxidase. It is concluded that topical applications of 0.2% T CHD have no detectable effect on cheek-pouch mucosa while applications of 2.0% CHD result in hyperplasia and a decrease in mucosal permeability. Results suggest that CHD should be used with caution clinically and at a concentration of 0.2% or less.

  12. Comparison of 2% chlorhexidine and 5.25% sodium hypochlorite irrigating solutions on postoperative pain: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Bashetty Kusum

    2010-01-01

    Full Text Available Aim: To compare the levels of postoperative pain after cleaning and shaping of root canals using two different root canal irrigants for debridement. Materials and Methods: Forty patients with irreversible pulpitis, pulp necrosis and non-vital teeth exhibiting acute apical periodontitis requiring root canal treatment were included. At random, canals were cleaned and shaped with the following protocols. 2% chlorhexidine solution in group I and 5.25% sodium hypochlorite solution in group II were used as an irrigants. Access cavities were closed with a sterile cotton pellet and cavit. The patients recorded degree of pain at various time intervals after cleaning and shaping on a visual analogue scale for 1 week. Results: The mean pain score for group I was between 0.65 and 3.35 and for group II was between 0.95 and 4.50. There was significant difference in the pain level between the two groups only at 6 th hour postoperatively (P<0.05 and the pain was more in sodium hypochlorite group. Conclusions: More pain was present in teeth irrigated using 5.25% sodium hypochlorite when compared to that in teeth irrigated using 2% chlorhexidine solution. Significant difference in pain level was present only at 6th hour postoperatively, and at all other periods (24 th hour, 4 th and 7 th days there was no significant difference in pain level between the two groups.

  13. Bioadhesive chlorhexidine gel for reduction of alveolar osteitis incidence: Systematic review and meta-analysis of randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Mahmood Reza Kalantar Motamedi

    2014-01-01

    Full Text Available Introduction: Alveolar osteitis (AO creates severe and self-limiting pain, which needs to be treated with several postoperative visits, leading to increases in patient′s morbidity and costs. Hence, the most basic and best treatment could be prevention. The aim of this study was to investigate the efficacy of bioadhesive chlorhexidine (CHX gel in reducing AO occurrence with published studies. Materials and Methods: Medline/PubMed, Scopus, EBSCO, Ovid and Cochrane central registry for control trial were searched up to 28 February 2014 using "alveolar osteitis" and "chlorhexidine" as key words for systematic review and meta-analysis. Inclusion criteria were prospective and randomized controlled trials (RCTs published on this topic. From the chosen studies, the eligible articles were reviewed. Data were analyzed using Review Manager 5.2 software. Results: Out of 43 studies, seven eligible trials with 593 participants were selected. Bioadhesive 0.2% CHX gel prevented approximately 72% of AO (Odd ratio (OR = 0.28, 95% confidence Interval (CI: 0.18-0.44; P < 0.001. Conclusion: Bioadhesive 0.2% CHX gel may be effective as a post-medication to reduce incidence of AO.

  14. Effectiveness of the chlorhexidine containing dentifrice on reduction of plaque and gingival inflammation - A controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Dinesh Bhopale

    2014-01-01

    Full Text Available AIM:The aim of the study was to determine the plaque and gingivitis reducing effect of a dentifrice containing chlorhexidine and compare with control toothpaste during the course of 3 months. MATERIALS AND METHODS: This randomized, double-blind study looked prospectively at participants over a 3 month period. Plaque score and gingivitis score was assessed in 40 participants, who were divided into two parallel groups. The participants used either chlorhexidine containing toothpaste (test group or commercially available fluoridated triclosan containing toothpaste (control group. Parameters were assessed at baseline and again after 1and 3 months. RESULTS:After 3 months of product use, both groups had less gingivitis compared with the baseline evaluation (p=0.001. At this time point, the test group showed a statistically significant lower gingival index values compared with the baseline (p=0.001. No statistically significant difference between either of the groups at various time points was detected with regard to plaque index score. CONCLUSION:Although there was a statistically significant difference at 3 months between test and control groups in reduction of gingival index values, this difference was too small to be considered clinically meaningful.

  15. The efficacy of mupirocin ointment and chlorhexidine body scrubs in the eradication of nasal carriage of Staphylococcus aureus among patients undergoing long-term hemodialysis

    NARCIS (Netherlands)

    C. Watanakunakorn; J. Brandt; P. Durkin; S. Santore; B. Bota; C. J. Stahl

    1992-01-01

    textabstractPatients undergoing long-term hemodialysis have a high prevalence of Staphylococcus aureus nasal carriage, which may lead to serious infections. Mupirocin ointment has been used intranasally to eradicate S. aureus carriage in health human volunteers and health care workers. Chlorhexidine

  16. The plaque and gingivitis reducing effect of a chlorhexidine and aluminium lactate containing dentifrice (Lacalut aktiv) over a period of 6 months.

    NARCIS (Netherlands)

    Rathe, F.; Auschill, T.M.; Sculean, A.; Gaudszuhn, C.; Arweiler, N.B.

    2007-01-01

    AIM: The aim of the study was to determine the plaque and gingivitis reducing effect of a dentifrice containing chlorhexidine and aluminium lactate compared with a control toothpaste during the course of 6 months. MATERIAL AND METHODS: This randomized, double-blind study looked prospectively at part

  17. Efecto inhibitorio en placa microbiana y propiedades antibacterianas de enjuagatorios de clorhexidina The effects of a chlorhexidine rinses on the development of plaque and antibacterial

    Directory of Open Access Journals (Sweden)

    Ismael Yevenes L

    2003-04-01

    Full Text Available El propósito de este estudio fue determinar en 20 voluntarios el efecto sobre el crecimiento de placa en 24 horas de enjuagatorios de clorhexidina, medir in vitro su actividad microbicida y determinar la concentración de clorhexidina. Tres enjuagatorio s comerciales fueron usados, denominados A, B y C, los dos primeros con 0,12% y el tercero con 0,1% de clorhexidina. El efecto sobre el crecimiento de placa en 24 horas se determino midiendo área de placa e índice de placa en tres estudios cruzados doble ciego. Las propiedades microbicidas fueron determinadas por un ensayo de inhibición del desarrollo del Streptococcus mutans, Actinomyces viscosus y Candida albicans. La determinación de clorhexidina fue realizada por cromatografía HPLC. No se encontraron diferencias significativas en la placa formada a las 24 horas después del uso de los enjuagatorios pero menos placa se desarrollo con clorhexidina al compararla con el control. Las concentraciones de clorhexidina fueron 0,1174%, 0,1168% Y0,091% para A, B y C respectivamente, valores estables después de 16 meses de elaboración. Las concentraciones en clorhexidina para A y B son valores normales mientras que el valor de C esta bajo el valor declarado. Los enjuagatorios presentan actividad microbicida contra los microorganismos usados con un tiempo de inactivación del crecimiento menor o igual a 30 segundos. Las metodologías usadas permiten confirmar la efectividad de los enjuagatorios con diferentes concentración de clorhexidina, donde los resultados claramente sugieren que 0,1% en clorhexidina es capaz de tener actividad antiplaca y antimicrobiana cuando es usada en colutorios, no siendo necesarias concentraciones mas elevadas.The purpose of this study was to measure plaque regrowth over 24 h.(in vivo and microbicidal activity (in vitro, and to determine the concentration of chlorhexidine in mouthwashes. Three commercial mouthwashes were used, A ,B, whit 0.12 % and C whit 0.10 % of

  18. Chlorhexidine Nanocapsule Drug Delivery Approach to the Resin-Dentin Interface.

    Science.gov (United States)

    Priyadarshini, B M; Selvan, S T; Lu, T B; Xie, H; Neo, J; Fawzy, A S

    2016-08-01

    In this study, we are introducing a new drug-delivery approach to demineralized dentin substrates through microsized dentinal tubules in the form of drug-loaded nanocapsules. Chlorhexidine (CHX) is widely used in adhesive dentistry due to its nonspecific matrix metalloproteinase inhibitory effect and antibacterial activities. Poly(ε-caprolactone) nanocapsules (nano-PCL) loaded with CHX were fabricated by interfacial polymer deposition at PCL/CHX ratios of 125:10, 125:25, and 125:50. Unloaded nanocapsules (blank) were fabricated as control. The fabricated nanocapsules were characterized in vitro in terms of particle size, surface charges, particle recovery, encapsulation efficiency, and drug loading. Nanocapsule morphology, drug inclusion, structural properties, and crystallinity were investigated by scanning and transmission electron microscopes (SEM/TEM), energy-dispersive x-ray analysis, Fourier transform infrared spectroscopy, and x-ray diffraction. Initial screening of the antibacterial activities and the cytotoxicity of the nanocapsules were also conducted. Nanocapsules, as carried on ethanol/water solution, were delivered to demineralized dentin specimens connected to an ex vivo model setup simulating the pulpal pressure to study their infiltration, penetration depth, and retention inside the dentinal tubules by SEM/TEM. Nanocapsules were Ag labeled and delivered to demineralized dentin, followed by the application of a 2-step etch-and-rinse dentin adhesive. CHX-release profiles were characterized in vitro and ex vivo up to 25 d. Spherical nanocapsules were fabricated with a CHX core coated with a thin PCL shell. The blank nanocapsules exhibited the largest z-average diameter with negatively charged ζ-potential. With CHX incorporation, the nanocapsule size was decreased with a positive shift in ζ-potential. Nano-PCL/CHX at 125:50 showed the highest drug loading, antibacterial effect, and CHX release both in vitro and ex vivo. SEM and TEM revealed the deep

  19. Comparative Evaluation of Arimedadi Oil with 0.2% Chlorhexidine Gluconate in Prevention of Plaque and Gingivitis: A Randomized Clinical Trial

    Science.gov (United States)

    Dodamani, Arun Suresh; Karibasappa, Gundabaktha Nagappa; Vishwakarma, Prashanthkumar; Jain, Vardhaman Mulchand

    2016-01-01

    Introduction Chemical plaque control measures are advocated to maintain proper oral hygiene. Ayurvedic medicines are alternatives considered with minimal side effects to treat systemic diseases and dental diseases. So the present study was conducted to assess the anti-plaque efficacy of Arimedadi (herbal) oil against 0.2% Chlorhexidine gluconate mouthwash. Aim To assess the anti-plaque efficacy of Arimedadi (herbal) oil against 0.2% Chlorhexidine gluconate mouthwash. Materials and Methods A total of 45 patients aged 18 to 21 years, with mild to moderate gingivitis were recruited and were divided randomly into three groups with 15 subjects in each group. After baseline data, scaling and polishing was performed. Group A, as Control, Group B, Chlorhexidine gluconate mouthwash and Group C used experimental Arimedadi oil mouthwash. Instructions were given to use 10 ml mouthwash twice daily after 30 min of tooth brushing for 1 min till 21 days. Plaque Index (PI) and Gingival Index (GI) were taken to assess Plaque and Gingival health on 7th day, 14th day and at 21st day. The statistical analysis was done using Paired t-test and analysis of variance (ANOVA) followed by Post Hoc test. Results There was similar improvement in gingival health among both groups compared to control group up to 21 days (p0.05). Conclusion Arimedadi oil is equally effective to Chlorhexidine gluconate as an adjunct to mechanical plaque control in prevention of plaque accumulation and gingivitis. Arimedadi oil could be an effective and safe alternative to 2% Chlorhexidine gluconate mouthwash due to its prophylactic and therapeutic benefits.

  20. A study on the design, formulation and effectiveness of chewing gums containing Chlorhexidine Gluconate in the prevention of dental plaque

    Directory of Open Access Journals (Sweden)

    Kolahi Kazerani G

    2003-08-01

    Full Text Available Statement of Problem: The role of the microbial plaque in caries etiology and periodontal diseases has been"nproved and the mechanical methods for plaque control have special limitations, consequently, chemical"nmethods have been suggested. One of the most effective materials is Chlorhexidine Gluconate that is"ncommonly used as mouth rinses. However, the medicated formulations of chewing gums, due to several"nproperties, have been paid attention. It should be noted that a new formulation to satisfy the consumers' taste"nseems necessary."nPurpose: The aim of this study was to present a new formulation for chewing gums containing chlorhexidine"nto achieve a pleasant taste coupled with their effectiveness and anti-plaque properties maintenance."nMaterials and Methods: In this double blind, crossover, prospective clinical trial, 18 volunteers were"ninvestigated. Chlorhexidine Gluconate was used and added to the gum-base by Manitole. In order to cover the"nbitter taste of the drug Aspartam, mint essence and Mentole were used. After gums production, the profile of"ndrug dissolution was evaluated by jaw movement simulating system. It took 5 days to study each type of"nchewing gums without any mechanical plaque control method. Medicated and placebo chewing gums were"nidentical in shape, size, color and formulation. The washout period was 2 days. Chewing gums were used"nevery 12 hours for 20 minutes. To determine plaque score, Turesky- Gilmore- Glickman modification index"nwas used. Other variables including: subjective evaluation of taste, cleansing effect and taste disturbance were"nassessed through filling a checklist. The data were analyzed by Paired t test and Wilcoxon test."nResults: During 20 mins, 80% of the drug was released from the gum-base. The mean difference of plaque"nscore between the initial and final stages at the first trial was -0.1589 and at the second trial was 2.994 which"nwas statistically significant (P<0.001. Subjective

  1. Prospective evaluation of 2% (w/v alcoholic chlorhexidine gluconate as an antiseptic agent for blood donor arm preparation

    Directory of Open Access Journals (Sweden)

    Sweta Shah

    2014-01-01

    Full Text Available Aim: A prospective study was undertaken to evaluate the use of 2% (w/v alcoholic chlorhexidine gluconate (2% AlcCHG in donor arm preparation, to monitor the contamination rate of blood products after the collection and to find incidence of transfusion associated bacteremia. Settings and Design: Optimal skin antisepsis of the phlebotomy site is essential to minimize the risk of contamination. Food and Drug Administration (FDA in India has recommended antisepsis with three-step regimen of spirit-10% povidone iodine-spirit for donor arm antisepsis, but not with chlorhexidine, which is recommended by many other authors. Material and Methods: A total of 795 donors were studied from July 2011 to January 2012. Spirit-10% povidone iodine-spirit was used for 398 donors and 2% AlcCHG was used for 397 donors with the two-step method for arm antisepsis. Swabs were collected before and after use of antiseptic agents for all the donors. All the blood products collected from donors with growth in post-antisepsis swabs were cultured. A total of 123 various blood products were cultured irrespective of the method and result of antisepsis was observed. A total of seven patients had mild transfusion reaction. The transfused blood products, blood and urine specimen of the patients who had transfusion reaction were also cultured. Results: Seven donors out of 398 donors had growth in post-antisepsis swab with spirit-10% povidone iodine-spirit protocol and three donors out of 397 donors had growth in post-antisepsis swab with 2% AlcCHG protocol. All blood products collected from donors who had growth in post-antisepsis swabs when cultured had no growth. There was no contamination of blood products. Conclusions: Two percent (w/v alcoholic chlorhexidine gluconate with two-step protocol can be used as an antiseptic agent for donor arm preparation without considerable cost difference. It is at par with spirit 10% povidone iodine spirit protocol as suggested by FDA in India

  2. Perubahan warna lempeng resin akrilik yang direndam dalam larutan desinfektan sodium hipoklorit dan klorhexidin (The color changes of acrylic resins denture base material which are immersed in Sodium hypochlorite and chlorhexidine)

    OpenAIRE

    David David; Elly Munadziroh

    2006-01-01

    One of the acrylic resins properties is the water absorption including color fluids and chemically fluids that affect on the color changes of the acrylic resins. This laboratory experiments studied sodium hypochlorite and chlorhexidine effect on the color changes of acrylic denture base resins material. The study was conducted by immersing heat cured acrylic plate samples of 26 mm of diameter and 0.4 mm of thickness in sodium hypochlorite for 10; 70 and 140 minutes and chlorhexidine for 15; 1...

  3. The Effects of Chlorhexidine and Persica Mouthwashes on Colonization of Streptococcus mutans on Fixed Orthodontics O-rings

    Directory of Open Access Journals (Sweden)

    Fereshteh Saffari

    2015-03-01

    Full Text Available Statement of the Problem: Fixed orthodontic appliances predispose patients to dental caries. Use of mouthrinses has been introduced as the effective way for reducing dental plaque accumulation. Purpose: The aim of this study was to compare the effects of Persica mouthwash and Chlorhexidine (CHX on colonization of Streptococcus mutans (S. mutans on fixed orthodontic O-rings. Materials and Method: Thirty patients with fixed orthodontic appliances and proper oral hygiene were randomly provided by CHX and Persica and trained to use these mouthwashes according to the manufacturer’s instruction. Sampling was carried out right before and 4 weeks after mouthrinsing treatment. The mean amounts of S. mutans colonies in these groups were compared. Results: Comparison of S. mutans colonization within each group revealed both mouthrinses to be efficient. However, this difference was found to be significant only in CHX group. Conclusion: Persica cannot be a good alternative mouthwash and patients on orthodontic treatment are still recommended to use CHX.

  4. In vitro anti-Acanthamoeba synergistic effect of chlorhexidine and cationic carbosilane dendrimers against both trophozoite and cyst forms.

    Science.gov (United States)

    Heredero-Bermejo, I; Sánchez-Nieves, J; Soliveri, J; Gómez, R; de la Mata, F J; Copa-Patiño, J L; Pérez-Serrano, J

    2016-07-25

    Acanthamoeba sp. are the causative agents of severe illnesses in humans such as Acanthamoeba keratitis (AK) and granulomatous amoebic encephalitis (GAE). Medical therapy is not yet well established. Treatments of AK last for several months and generate toxicity, resistances appear due to the cysts stage and recurrences can occur. In this study has been demonstrated that the combination of chlorhexidine digluconate (CLX) and carbosilane dendrimers containing ammonium or guanidine moieties has in vitro synergistic effect against Acanthamoeba polyphaga. This synergy provokes an important reduction in the minimal trophozoite amoebicidal concentration (MTAC) of CLX, which means a reduction of their toxic effects on human cells. Moreover, some CLX/dendrimer combinations show important activity against the cyst resistance stage. PMID:27173821

  5. Antimicrobial effect of zataria multiflora extract in comparison with chlorhexidine mouthwash on experimentally contaminated orthodontic elastomeric ligatures.

    Directory of Open Access Journals (Sweden)

    Hossein Aghili

    2015-02-01

    Full Text Available Long-term use of orthodontic appliances and fixation ligatures creates a favorable environment for the accumulation of oral normal microflora and increases the risk of enamel demineralization and periodontal disease. The aim of this study was to compare the antimicrobial effects of Zataria Multiflora extract and 0.2% chlorhexidine (CHX mouthwash on experimentally contaminated orthodontic elastomeric ligatures.In this lab trial study, Iranian and foreign-made elastomeric ligatures were experimentally contaminated in Streptococcus mutans, Enterococcus faecalis and Candida albicans suspensions. Ligatures were then decontaminated using 0.2% CHX as the control, 0.5 mg/ml Zataria multiflora extract mouthwashes as the test and phosphate buffered saline (PBS as the negative control for one hour. Antimicrobial properties of both solutions were evaluated by comparing the mean viable bacterial cell count on both rings after decontamination, using SPSS version 15 software.The mean viable bacterial cell count on Iranian ligatures was greater than that on foreign-made ligatures before disinfection (P=0.001, however this difference for C. albicans was not statistically significant (P=0.061. Chlorhexidine mouthwash completely eliminated all tested microorganisms attached to both elastomeric rings, but Zataria extract was only capable of completely eliminating C. albicans from both ligatures. Statistically significant differences were found in viable bacterial counts on both ligatures before and after disinfection with Zataria extract (P=0.0001.Zataria multiflora extract has antimicrobial properties and can be used for disinfection of elastomeric ligatures. In vivo studies are required to evaluate the efficacy of the incorporation of this herbal extract in mouthwashes for orthodontic patients.

  6. A Multicenter Pragmatic Interrupted Time Series Analysis of Chlorhexidine Gluconate Bathing in Community Hospital Intensive Care Units.

    Science.gov (United States)

    Dicks, Kristen V; Lofgren, Eric; Lewis, Sarah S; Moehring, Rebekah W; Sexton, Daniel J; Anderson, Deverick J

    2016-07-01

    OBJECTIVE To determine whether daily chlorhexidine gluconate (CHG) bathing of intensive care unit (ICU) patients leads to a decrease in hospital-acquired infections (HAIs), particularly infections caused by methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). DESIGN Interrupted time series analysis. SETTING The study included 33 community hospitals participating in the Duke Infection Control Outreach Network from January 2008 through December 2013. PARTICIPANTS All ICU patients at study hospitals during the study period. METHODS Of the 33 hospitals, 17 hospitals implemented CHG bathing during the study period, and 16 hospitals that did not perform CHG bathing served as controls. Primary pre-specified outcomes included ICU central-line-associated bloodstream infections (CLABSIs), primary bloodstream infections (BSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infections (CAUTIs). MRSA and VRE HAIs were also evaluated. RESULTS Chlorhexidine gluconate (CHG) bathing was associated with a significant downward trend in incidence rates of ICU CLABSI (incidence rate ratio [IRR], 0.96; 95% confidence interval [CI], 0.93-0.99), ICU primary BSI (IRR, 0.96; 95% CI, 0.94-0.99), VRE CLABSIs (IRR, 0.97; 95% CI, 0.97-0.98), and all combined VRE infections (IRR, 0.96; 95% CI, 0.93-1.00). No significant trend in MRSA infection incidence rates was identified prior to or following the implementation of CHG bathing. CONCLUSIONS In this multicenter, real-world analysis of the impact of CHG bathing, hospitals that implemented CHG bathing attained a decrease in ICU CLABSIs, ICU primary BSIs, and VRE CLABSIs. CHG bathing did not affect rates of specific or overall infections due to MRSA. Our findings support daily CHG bathing of ICU patients. Infect Control Hosp Epidemiol 2016;37:791-797. PMID:26861417

  7. Antibacterial efficiency of vermiculite/chlorhexidine nanocomposites and results of the in vivo test of harmlessness of vermiculite

    International Nuclear Information System (INIS)

    Clay minerals have been proposed as very useful materials for modulating drug delivery. These are the commonly used materials in pharmaceutical production both as inorganic carriers or active agents. We focused on the development of suitable long-acting material for local treatment of oral infection where clay minerals act as inorganic drug carriers. Organovermiculites with antibacterial activity were prepared by ion exchange reactions using different concentrations of chlorhexidine diacetate. The samples were characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and thermal analysis (TGA). The antibacterial activity was evaluated by finding the minimum inhibitory concentration (MIC). All studied organoclays possessed good antibacterial activity after 24 h exposure against Escherichia coli, Enterococcus faecalis and particularly against Staphylococcus aureus. Pseudomonas aeruginosa however proved very resistant as only the sample with the highest concentration of CA that successfully inhibited bacterial growth. Furthermore, clay mineral vermiculite was subjected to in vivo toxicological analysis and its influence on gastrointestinal tract during its oral application was investigated. Tissue samples from buccal mucosa, tongue, esophagus, stomach, terminal duodenum, small intestine, caecum, distal colon and liver were subjected to histological examination, both macroscopically and microscopically. Neither systemic nor local reactions were observed. Therefore the toxicity of vermiculite to a mammal model organism can be excluded. - Highlights: • Antibacterial chlorhexidine diacetate/vermiculite nanocomposites were prepared. • Samples were characterized by XRD, FTIR and TGA. • Efficiency against S. aureus, E. faecalis, E. coli and P. aeruginosa was evaluated. • Influence of Ver on gastrointestinal tract during oral application was investigated. • In vivo toxicological analysis excluded neither systemic nor local reactions

  8. Antibacterial efficiency of vermiculite/chlorhexidine nanocomposites and results of the in vivo test of harmlessness of vermiculite

    Energy Technology Data Exchange (ETDEWEB)

    Holešová, Sylva, E-mail: sylva.holesova@vsb.cz [Nanotechnology Centre, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 00 Ostrava, Poruba (Czech Republic); Štembírek, Jan [Department of Maxillofacial Surgery, University Hospital Ostrava, 17. listopadu 1790/5, CZ-708 00 Ostrava, Poruba (Czech Republic); Bartošová, Ladislava [Department of Human Pharmacology and Toxicology, University of Veterinary and Pharmaceutical Sciences Brno, Palackého 1/3, CZ-612 42 Brno (Czech Republic); Pražanová, Gabriela [Department of Pathology, Masaryk Memorial Cancer Institute, Žlutý kopec 7, CZ-65653 Brno (Czech Republic); Valášková, Marta; Samlíková, Magda [Nanotechnology Centre, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 00 Ostrava, Poruba (Czech Republic); Pazdziora, Erich [Institute of Public Health Ostrava, Centre of Clinical Laboratories, Partyzánské náměstí 7, CZ-702 00 Ostrava (Czech Republic)

    2014-09-01

    Clay minerals have been proposed as very useful materials for modulating drug delivery. These are the commonly used materials in pharmaceutical production both as inorganic carriers or active agents. We focused on the development of suitable long-acting material for local treatment of oral infection where clay minerals act as inorganic drug carriers. Organovermiculites with antibacterial activity were prepared by ion exchange reactions using different concentrations of chlorhexidine diacetate. The samples were characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and thermal analysis (TGA). The antibacterial activity was evaluated by finding the minimum inhibitory concentration (MIC). All studied organoclays possessed good antibacterial activity after 24 h exposure against Escherichia coli, Enterococcus faecalis and particularly against Staphylococcus aureus. Pseudomonas aeruginosa however proved very resistant as only the sample with the highest concentration of CA that successfully inhibited bacterial growth. Furthermore, clay mineral vermiculite was subjected to in vivo toxicological analysis and its influence on gastrointestinal tract during its oral application was investigated. Tissue samples from buccal mucosa, tongue, esophagus, stomach, terminal duodenum, small intestine, caecum, distal colon and liver were subjected to histological examination, both macroscopically and microscopically. Neither systemic nor local reactions were observed. Therefore the toxicity of vermiculite to a mammal model organism can be excluded. - Highlights: • Antibacterial chlorhexidine diacetate/vermiculite nanocomposites were prepared. • Samples were characterized by XRD, FTIR and TGA. • Efficiency against S. aureus, E. faecalis, E. coli and P. aeruginosa was evaluated. • Influence of Ver on gastrointestinal tract during oral application was investigated. • In vivo toxicological analysis excluded neither systemic nor local reactions.

  9. The efficacy of mupirocin ointment and chlorhexidine body scrubs in the eradication of nasal carriage of Staphylococcus aureus among patients undergoing long-term hemodialysis

    OpenAIRE

    Watanakunakorn, C; Brandt, J.; Durkin, P; Santore, S.; Bota, B.; Stahl, C.

    1992-01-01

    textabstractPatients undergoing long-term hemodialysis have a high prevalence of Staphylococcus aureus nasal carriage, which may lead to serious infections. Mupirocin ointment has been used intranasally to eradicate S. aureus carriage in health human volunteers and health care workers. Chlorhexidine, an antiseptic with excellent antistaphylococcal activity, is widely used for handwashing and skin cleansing. METHODS: Anterior nares cultures were obtained from patients older than 18 years who w...

  10. Comparative evaluation of single application of 2% whole turmeric gel versus 1% chlorhexidine gel in chronic periodontitis patients: A pilot study

    OpenAIRE

    Ruchika Jaswal; Shivani Dhawan; Vishakha Grover; Ranjan Malhotra

    2014-01-01

    Aim: To evaluate and compare the clinical effects of topical subgingival application of 2% whole turmeric gel and 1% chlorhexidine gel as an adjunct to scaling and root planing (SRP) in patients suffering from chronic periodontitis. Materials and Methods: Fifteen patients with localized or generalized chronic periodontitis with a pocket depth of 5-7 mm were selected. In each patient, on completion of SRP, three non-adjacent sites in three different quadrants were randomly divided into three d...

  11. Antimicrobial activity of Calendula officinalis, Camellia sinensis and chlorhexidine against the adherence of microorganisms to sutures after extraction of unerupted third molars

    OpenAIRE

    FARIA, Raquel Lourdes; CARDOSO, Lincoln Marcelo Lourenço; Akisue, Gokithi; PEREIRA, Cristiane Aparecida; Junqueira, Juliana Campos; Jorge, Antonio Olavo Cardoso; SANTOS JÚNIOR, Paulo Villela

    2011-01-01

    Objective The objective of this study was to compare the antimicrobial effect of mouthwashes containing Calendula officinalis L., Camellia sinensis (L.) Kuntze and 0.12% chlorhexidine digluconate on the adherence of microorganisms to suture materials after extraction of unerupted third molars. Material and Methods Eighteen patients with unerupted maxillary third molars indicated for extraction were selected (n=6 per mouthwash). First, the patients were subjected to extraction of the left toot...

  12. Antimicrobial activity of Calendula officinalis, Camellia sinensis and chlorhexidine against the adherence of microorganisms to sutures after extraction of unerupted third molars

    Directory of Open Access Journals (Sweden)

    Raquel Lourdes Faria

    2011-10-01

    Full Text Available OBJECTIVE: The objective of this study was to compare the antimicrobial effect of mouthwashes containing Calendula officinalis L., Camellia sinensis (L. Kuntze and 0.12% chlorhexidine digluconate on the adherence of microorganisms to suture materials after extraction of unerupted third molars. MATERIAL AND METHODS: Eighteen patients with unerupted maxillary third molars indicated for extraction were selected (n=6 per mouthwash. First, the patients were subjected to extraction of the left tooth and instructed not to use any type of antiseptic solution at the site of surgery (control group. After 15 days, the right tooth was extracted and the patients were instructed to use the Calendula officinalis, Camellia sinensis or chlorhexidine mouthwash during 1 week (experimental group. For each surgery, the sutures were removed on postoperative day 7 and placed in sterile phosphate-buffered saline. Next, serial dilutions were prepared and seeded onto different culture media for the growth of the following microorganisms: blood agar for total microorganism growth; Mitis Salivarius bacitracin sucrose agar for mutans group streptococci; mannitol agar for Staphylococcus spp.; MacConkey agar for enterobacteria and Pseudomonas spp., and Sabouraud dextrose agar containing chloramphenicol for Candida spp. The plates were incubated during 24-48 h at 37ºC for microorganism count (CFU/mL. RESULTS: The three mouthwashes tested reduced the number of microorganisms adhered to the sutures compared to the control group. However, significant differences between the control and experimental groups were only observed for the mouthwash containing 0.12% chlorhexidine digluconate. CONCLUSIONS: Calendula officinalis L. and Camellia sinensis (L. Kuntze presented antimicrobial activity against the adherence of microorganisms to sutures but were not as efficient as chlorhexidine digluconate.

  13. Comparative evaluation of the efficacy of two controlled release devices: Chlorhexidine chips and indigenous curcumin based collagen as local drug delivery systems

    OpenAIRE

    Gottumukkala, Sruthima N. V. S.; Sabitha Sudarshan; Satyanarayana Raju Mantena

    2014-01-01

    Aim: To comparatively evaluate the therapeutic efficacy of chlorhexidine (CHX) chips (Periocol-CG) and indigenous curcumin (CU) based collagen as adjuncts to scaling and root planning in the nonsurgical management of chronic periodontitis. Materials and Methods: A total of 120 sites from 60 patients presenting with chronic periodontitis (age group 25-55 years) of both sexes, with pocket depth of ≥5 mm with radiographic evidence of bilateral bone loss were earmarked for the study. A split mout...

  14. The Effect of Chlorhexidine Mouth Rinse on the Colour Stability of Porcelain with Three Different Surface Treatments: An in Vitro Study

    Directory of Open Access Journals (Sweden)

    Khaledi AAR

    2014-09-01

    Full Text Available Statement of problem: The effect of mouth washes on discolouration of dental ceramics with different surface preparations is not well documented. Objectives: This in-vitro study has been conducted to evaluate the effect of chlorhexidine (CHX mouth rinse on colour stability of overglazed (OP, autoglazed, (AP or polished porcelain (POP specimens. Materials and Methods: The restorative material investigated in this study was overglazed, autoglazed, or polished feldspathic porcelain. A total of 48 cylandrical specimens were prepared, (n=16 per each group. After baseline colour measurements, for a period of14 days 8 specimens of each group were immersed in 15 ml of 0.2% chlorhexidine mouth rinse twice daily for 2 min. After each immersion, the specimens were washed and stored in artificial saliva. Half of the specimens from each group were selected randomly as controls and stored in artificial saliva that was changed daily. The colour change (ΔE of the specimens was measured by a spectrophotometer device. Data were statistically analyzed using 2-Way ANOVA followed by Tukey test Results: All the specimens displayed colour changes after immersion in chlorhexidine mouth rinse. POP specimens exhibited more colour change compared to AP and OP specimens (P=0.001. AP and OP specimens showed relatively the same colour change which was not significant compared to the control groups (P=0.9. Conclusion: Auto-glazed and over-glazed porcelain can tolerate chlorhexidine mouth rinse better than polished porcelain. However the colour changes of the ceramic with three different surface preparations were not perceivable clinically.

  15. Efficacy of benzydamine hydrochloride, chlorhexidine, and povidone iodine in the treatment of oral mucositis among patients undergoing radiotherapy in head and neck malignancies: A drug trail

    OpenAIRE

    G Roopashri; Jayanthi, K.; R. Guruprasad

    2011-01-01

    Background and Objectives: Oral mucositis is a common and debilitating complication of radiotherapy, which is associated with significant morbidity. It is therefore extremely important that mucositis be prevented, or at least treated to reduce its severity and sequelae. The objective of the study was to manage oral mucositis induced by radiotherapy and to reduce pain by using Benzydamine hydrochloride (0.15%), Chlorhexidine (0.2%), and Povidone iodine (5%). Results: Benzydamine hydrochloride ...

  16. Effect of aqueous and alcoholic Stevia (Stevia rebaudiana) extracts against Streptococcus mutans and Lactobacillus acidophilus in comparison to chlorhexidine: An in vitro study

    OpenAIRE

    Ajagannanavar, Sunil Lingaraj; Shamarao, Supreetha; Battur, Hemant; Tikare, Shreyas; Al-Kheraif, Abdulaziz Abdullah; Al Sayed, Mohammed Sayed Al Esawy

    2014-01-01

    Introduction: Stevia (S. rebaudiana) a herb which has medicinal value and was used in ancient times as a remedy for a great diversity of ailments and sweetener. Leaves of Stevia contain a high concentration of Stevioside and Rebaudioside which are supposed to be sweetening agents. Aim: To compare the efficacy of aqueous and alcoholic S. rebaudiana extract against Streptococcus mutans and Lactobacillus acidophilus in comparison to chlorhexidine. Materials and Methods: In the first part of the ...

  17. The use of ozonated water and 0.2% chlorhexidine in the treatment of periodontitis patients: A clinical and microbiologic study

    Directory of Open Access Journals (Sweden)

    Kshitish Durga

    2010-01-01

    Full Text Available Background: The development of periodontal disease has been thought to be associated with several restricted members of the oral anaerobic species, such as black-pigmented Porphyromonas species and Actinobacillus actinomycetemcomitans (Aa, in the subgingival environment. Apart from bacteria, certain viruses and fungi that are associated with periodontal disease are also present in the subgingival plaque . Materials and Methods: A randomized, double-blind, crossover split-mouth design was performed. A total of 16 patients suffering from generalized chronic periodontitis were selected for the study. The study period of 18 days was divided into two time-intervals, i.e. baseline (0 days to 7 th day, with a washout period of 4 days followed by a second time interval of 7 days. The use of ozone and chlorhexidine gluconate (CHX irrigation was randomized. Both the patient and the clinician evaluating the clinical parameters were blinded regarding the type of irrigation used. Results: The interpretation of clinical and microbial data is from baseline to 7 th day. A higher percentage of plaque index (12%, gingival index (29% and bleeding index (26% reduction was observed using ozone irrigation as compared to chlorhexidine. The percentile reduction of Aa (25% using ozone was appreciable as compared to no change in Aa occurrence using chlorhexidine. By using O 3 and chlorhexidine, there was no antibacterial effect on Porphyromonas gingivalis (Pg and Tannerella forsythensis. The antifungal effect of ozone from baseline (37% to 7 th day (12.5% was pronounced during the study period, unlike CHX, which did not demonstrate any antifungal effect. Conclusion: Ozone may be considered as an alternative management strategy due to its powerful ability to inactivate microorganisms. Also, there is growing evidence that ozone can be employed as a useful therapeutic agent in both dentistry and medicine.

  18. Comparison of the effectiveness of 0.5% tea, 2% neem and 0.2% chlorhexidine mouthwashes on oral health: A randomized control trial

    Directory of Open Access Journals (Sweden)

    Aswini Y Balappanavar

    2013-01-01

    Full Text Available Background: The aim of this study was to evaluate and compare the effectiveness of 0.5% tea, 2% neem, and 0.2% chlorhexidine mouthwashes on oral health. Materials and Methods: A randomized blinded controlled trial with 30 healthy human volunteers of age group 18-25 years was carried out. The subjects were randomly assigned to 3 groups i.e., group A - 0.2% chlorhexidine gluconate (bench mark control, Group B - 2% neem, and group C - 0.5% tea of 10 subjects per group. Plaque accumulation and gingival condition were recorded using plaque index and gingival index. Oral hygiene was assessed by simplified oral hygiene index (OHIS. Salivary pH was assessed by indikrom pH strips. Plaque, gingival, and simplified OHI scores as well as salivary pH were recorded at baseline, immediately after 1 st rinse, after 1 week, 2 nd week, and 3 rd week. The 3 rd week was skipped for group A. Results: Mean plaque and gingival scores were reduced over the 3 week trial period for experimental and control groups. Anti-plaque effectiveness was observed in all groups and the highest being in group C (P < 0.05. Neem and tea showed comparative effectiveness on gingiva better than chlorhexidine (P < 0.05. The salivary pH rise was sustained and significant in Group B and C compared to Group A. Oral hygiene improvement was better appreciated in Group B and Group C. Conclusion: The effectiveness of 0.5% tea was more compared to 2% neem and 0.2% chlorhexidine mouth rinse.

  19. Effect of fluoridated casein phospopeptide-amorphous-calcium phosphate complex, chlorhexidine fluoride mouthwash on shear bond strength of orthodontic brackets: A comparative in vitro study

    OpenAIRE

    C A Abdul Shahariyar; Anurag D Mahale; Kishore Kumar; Rohan Rai

    2016-01-01

    Objective: The aim of the current study was to determine the effects of casein phosphopeptide amorphous calcium-phosphate (CPP-ACP) complex, chlorhexidine fluoride mouthwash on shear bond strengths (SBSs) of orthodontic brackets. Materials and Methods: About sixty extracted healthy human premolar teeth with intact buccal enamel were divided into two equal groups to which brackets were bonded using self-etching primers (SEPs) and conventional means respectively. These were further equally divi...

  20. Selective digestive or oropharyngeal decontamination and topical oropharyngeal chlorhexidine for prevention of death in general intensive care: systematic review and network meta-analysis

    OpenAIRE

    Price, Richard; MacLennan, Graeme; Glen, John

    2014-01-01

    Objectives To determine the effect on mortality of selective digestive decontamination, selective oropharyngeal decontamination, and topical oropharyngeal chlorhexidine in adult patients in general intensive care units and to compare these interventions with each other in a network meta-analysis. Design Systematic review, conventional meta-analysis, and network meta-analysis. Medline, Embase, and CENTRAL were searched to December 2012. Previous meta-analyses, conference abstracts, and key jou...

  1. An in-vivo comparative evaluation of two herbal extracts Emblica officinalis and Terminalia Chebula with chlorhexidine as an anticaries agent: A preliminary study

    Directory of Open Access Journals (Sweden)

    Arumugam Velmurugan

    2013-01-01

    Full Text Available Aim: To compare the effect of 20% aqueous extract of Terminalia chebula and Emblica officinallis with chlorhexidine as an anticaries mouthwash - an in vivo study. Methodology: 20% aqueous extract of Terminalia chebula and Emblica officinalis were prepared. Forty five high caries risk patients were divided into group 1,2,3 [ n=15]and asked to rinse with 20% aqueous extract of Terminalia chebula and Emblica officinalis, 0.2% Chlorhexidine for 40 seconds respectively. Salivary samples were collected for pH, buffering capacity before and after rinsing at repeated intervals of 10, 30,60 and 90 minutes and except for microbial analysis for which it was collected before and 90 minutes after rinsing. The pH and the buffering capacity analysis was done using chairside kit and percentage of reduction of Streptococcus mutans and Lactobacillus were tabulated and statistically analyzed. Results: For salivary pH, Group 2 showed the highest peak value followed by group 1. For salivary buffering capacity,there was no significant difference between any of the groups. For microbial count, highest percentage of reduction was seen in group 2 followed by group 1 and 3. However group 3 was more efficient at 90 minutes followed by group 1 and group 2. Conclusion: The aqueous extract of Embilica officinalis extract and Terminalia chebula was more effective anticaries mouthwash but with less time of action than chlorhexidine.

  2. A comparative evaluation of the efficacy of probiotic and chlorhexidine mouthrinses on clinical inflammatory parameters of gingivitis: A randomized controlled clinical study

    Directory of Open Access Journals (Sweden)

    Purnima Vidyesh Nadkerny

    2015-01-01

    Full Text Available Background: The aim of our clinical trial was to assess and compare the antiplaque and anti-inflammatory potential of a probiotic mouthwash with 0.2% chlorhexidine and saline. Materials and Methods: A randomized parallel group study was designed for a period of 4 weeks on 45 systemically healthy subjects between 20 and 30 years having chronic gingivitis. The study population was divided into three groups. Group A - 15 subjects were advised experimental (probiotic mouthwash. Group B - 15 subjects were advised positive control (chlorhexidine mouthwash and Group C - 15 subjects into a negative control group (normal saline. Oral prophylaxis was done for all groups at baseline. After the proper oral hygiene instructions, all the three groups were instructed to rinse their mouth with 10 ml of their respective mouthrinse, undiluted for 1 min twice daily, 30 min after brushing. Clinical parameters such as plaque index (PI, gingival index (GI, and oral hygiene index simplified (OHI-S were assessed at baseline, 2 weeks and 4 weeks, respectively. Results: At day 28, the PI, GI, and OHI-S were significantly reduced by all treatment modalities ranking probiotic and chlorhexidine is greater than saline. Conclusion: The probiotic mouthrinses tested was effectively used as an adjunct to mechanical plaque control in the prevention of plaque and gingivitis. Thus, the probiotic mouthrinse has a great therapeutic potential.

  3. A randomized clinical study for comparative evaluation of Aloe Vera and 0.2% chlorhexidine gluconate mouthwash efficacy on de-novo plaque formation

    Science.gov (United States)

    Chhina, Shivjot; Singh, Avnish; Menon, Ipseeta; Singh, Rickypal; Sharma, Anubhav; Aggarwal, Vartika

    2016-01-01

    Objective: To comparatively assess the antiplaque efficacy of Aloe vera mouthwash and 0.2% chlorhexidine gluconate mouthwash on de novo plaque formation. Materials and Methods: This was a randomized, single blind, parallel, controlled clinical study with 90 healthy participants, with mean age of 27.19 ± 12.08 years. After thorough oral prophylaxis, participants were instructed to discontinue mechanical plaque control. Participants were divided randomly into three groups; pure Aloe vera mouthwash was dispensed to the test group; control group received 0.2% chlorhexidine gluconate mouthwash; in Placebo group, flavored distilled water was used as oral rinse twice daily. Effect on 4-day de novo plaque formation was assessed by comparing pre-rinsing Quigley Hein Modified Plaque Scores were analyzed statistically using analysis of variance and Student's t-test. Results: Post-rinsing control group showed the least plaque score which was comparable to the test group. Both the control group and test group showed significant difference with the placebo group. Conclusions: Herbal mouthwash containing Aloe vera mouthwash has comparable antiplaque efficacy as the gold standard 0.2% chlorhexidine gluconate with fewer side effects and can be considered as an alternative. PMID:27382543

  4. Antibacterial effect of triantibiotic mixture, chlorhexidine gel, and two natural materials Propolis and Aloe vera against Enterococcus faecalis: An ex vivo study

    Directory of Open Access Journals (Sweden)

    Leila Bazvand

    2014-01-01

    Full Text Available Background: The aim of this ex vivo study was to compare the antimicrobial effect of triantibiotic paste, 0.2% chlorhexidine gel, Propolis and Aloe vera on Enterococcus faecalis in deep dentin. Materials and Methods: Ninety fresh extracted single-rooted teeth were used in a dentin block model. Seventy-five teeth were infected with E. faecalis and divided into four experimental groups (n = 15. Experimental groups were treated with triantibiotic mixture with distilled water, 0.2% chlorhexidine gel, 70% ethanol + Propolis and Aloe vera. Fifteen teeth treated with distilled water as the positive control and 15 samples, free of bacterial contamination, were considered as the negative control. Gates-Glidden drill #4 was used for removal of surface dentin and Gates-Glidden drill #5 was used to collect samples of deep dentin. The samples were prepared and colony-forming units were counted. Data were analyzed by one-way ANOVA and post hoc Tukey tests. Statistical significance was defined at P 0.05. Aloe vera had antibacterial effects on E. faecalis, but in comparison with other medicaments, it was less effective (P < 0.05. Conclusion: This experimental study showed that triantibiotic mixture, 0.2% chlorhexidine gel, Propolis and Aleo vera were relatively effective against E. faecalis. All the intracanal medicements had similar effects on E. faecalis in deep dentin except for Aloe vera.

  5. Comparative effects of chlorhexidine and essential oils containing mouth rinse on stem cells cultured on a titanium surface.

    Science.gov (United States)

    Park, Jun-Beom; Lee, Gil; Yun, Byeong Gon; Kim, Chang-Hyen; Ko, Youngkyung

    2014-04-01

    Chlorhexidine (CHX) and Listerine (LIS), an essential oil compound, are the two commonly used adjunctive agents for mechanical debridement, for reducing the bacterial load in the treatment of peri-implant inflammation. However, antimicrobial agents have been reported to be cytotoxic to the alveolar bone cells and gingival epithelial cells. The present study was performed to examine the effects of antiseptics CHX and LIS, on the morphology and proliferation of stem cells. Stem cells derived from the buccal fat pad were grown on machined titanium discs. Each disc was immersed in CHX or LIS for 30 sec, 1.5 min or 4.5 min. Cell morphology was evaluated with a confocal laser microscope and the viability of the cells was quantitatively analyzed with the cell counting kit-8 (CCK-8). The untreated cells attached to the titanium discs demonstrated well-organized actin cytoskeletons. No marked alterations in the cytoskeletal organization were observed in any of the treated groups. The treatment with CHX and LIS of the titanium discs decreased the viability of the cells grown on the treated discs (P<0.05). The stem cells derived from the buccal fat pad were sensitive to CHX and LIS, and a reduction in cellular viability was observed when these agents were applied to the discs for 30 sec. Further studies are required to determine the optimal application time and concentration of this antimicrobial agent for maximizing the reduction of the bacterial load and minimizing the cytotoxicity to the surrounding cells. PMID:24567172

  6. Effectiveness of green tea mouthwash in comparison to chlorhexidine mouthwash in patients with acute pericoronitis: a randomized clinical trial.

    Science.gov (United States)

    Shahakbari, R; Eshghpour, M; Rajaei, A; Rezaei, N M; Golfakhrabadi, P; Nejat, A

    2014-11-01

    The objective of this study was to evaluate the effectiveness of green tea mouthwash in controlling the pain and trismus associated with acute pericoronitis in comparison to chlorhexidine (CHX) mouthwash. Ninety-seven patients with acute pericoronitis underwent debridement and received 5% green tea mouthwash (study group) or 0.12% CHX mouth rinse (control group). Pain (visual analogue scale; VAS), number of analgesics, maximum mouth opening (MMO), and number of patients with trismus were determined. There were no significant differences in demographic variables (P>0.05), or baseline VAS (P>0.006), MMO (P>0.017) or number of patients with trismus (P>0.017) between the two groups. The mean VAS score of the study group was statistically lower than that of the control group between post-treatment days 3 and 5 (P0.017). Fewer of the patients rinsing with green tea had trismus on days 3 and 7, but the difference was non-significant (P>0.017). Hence, green tea mouth rinse could be an appropriate and effective choice for the control of pain and trismus in acute pericoronitis. PMID:24954134

  7. A comparison between zinc sulfate and chlorhexidine gluconate mouthwashes in the prevention of chemotherapy-induced oral mucositis

    Directory of Open Access Journals (Sweden)

    M Mehdipour

    2011-03-01

    Full Text Available "n Background and the Purpose of the Study: Patients undergoing high-dose chemotherapy for hematological malignancies are susceptible to development of oral mucositis, and no effective modality has been reported for its prophylaxis and treatment. The aim of this study was to evaluate the effectiveness of zinc mouthwash on chemotherapy-induced oral mucositis lesions. "nMethods: In this double-blind randomized trial, patients under chemotherapy for acute leukemia were divided into two test and control groups of 15 patients each. The groups were homogeneous with respect to medical history, tumor characteristics, and therapeutic details. The test group received 10ml 0.2% zinc sulfate mouthwash, and the control group received 10ml 0.2% chlorhexidine gluconate mouthwash, twice a day for a period of two weeks. Spijkervet scale was used to grade the severity of mucositis at every other week during eight weeks. The severity scores were analyzed with repeated measure ANOVA using SPSS 13.0 computer software. "nResults: Mean severity scores were generally lower in the test group compared to the controls at all four time intervals evaluated; but only, the differences in weeks of 2 and 3 were statistically significant (P=0.025. Conclusion: Zinc mouthwash used in conjunction with chemotherapy may reduce the severity of oral mucositis lesions in patients with leukaemia.

  8. Antibiofilm efficacy of photoactivated curcumin, triple and double antibiotic paste, 2% chlorhexidine and calcium hydroxide against Enterococcus fecalis in vitro.

    Science.gov (United States)

    Devaraj, Sharmila; Jagannathan, Nithya; Neelakantan, Prasanna

    2016-01-01

    Root canal disinfection is one of the most important factors governing success of root canal treatment, especially when regenerative strategies are used. This study evaluated the efficacy of 5 intracanal medicaments against mature biofilms of Enterococcus fecalis in vitro: Light activated curcumin, triple antibiotic paste (TAP), double antibiotic paste (DAP), chlorhexidine, calcium hydroxide. Untreated teeth with biofilms served as controls. Confocal microscopy was used to analyse the biofilm mass and percentage of live/dead bacteria within the root canal as well as dentinal tubules. Dentinal shavings obtained from the root canal walls (at 200 and 400 microns depth) were used to quantify the colony forming units/mL. The results showed that light activated curcumin and triple antibiotic paste brought about complete disruption of the biofilm structure (P calcium hydroxide were not significantly different from the control (P > 0.05). Light activated curcumin brought about the highest percentage of dead cells at both depths, but this was not significantly different from triple antibiotic paste (P > 0.05). Curcumin, TAP and DAP brought about a significant reduction of CFU/mL at both depths compared to the control and other groups (P < 0.05). Light activated curcumin brought about a 7 log reduction of bacteria at both depths. PMID:27097667

  9. Ions Release and pH of Calcium Hydroxide-, Chlorhexidine- and Bioactive Glass-Based Endodontic Medicaments.

    Science.gov (United States)

    Carvalho, Ceci Nunes; Freire, Laila Gonzales; Carvalho, Alexandre Pinheiro Lima de; Duarte, Marco Antonio Húngaro; Bauer, José; Gavini, Giulio

    2016-01-01

    This study evaluated pH and release of calcium, sodium and phosphate ions from different medications in human dentin. Fifty premolars were prepared and randomly divided into groups: (CHX) - 2% chlorhexidine gel; (CHX + CH) - CHX + calcium hydroxide PA; (CH) - CH + propylene glycol 600; (NPBG) - experimental niobium phosphate bioactive glass + distilled water; (BG) - bioactive glass (Bio-Gran) + distilled water. The specimens were immersed in deionized water and the pH variations were measured. The quantification of ions in the solutions was made by inductively coupled plasma - atomic emission spectroscopy (ICP/AES) at 10 min, 24 h, 7, 14, 21 and 30 days. The results were analyzed by ANOVA and Tukey`s test, with a significance level of 5%. CH had the highest level of calcium ions release at 30 days, while CHX and BG released more sodium ions. BG, NPBG and CHX released a higher amount of phosphate ions. The pH of CH was significantly higher compared with the other groups. CH favored the greatest increase of pH and calcium ions release. The bioactive glasses released more sodium and phosphate ions and presented an alkaline pH immediately and after 30 days. PMID:27224568

  10. The antibacterial activity of sodium hypochlorite and chlorhexidine against Enterococcus faecalis: A review on agar diffusion and direct contact methods

    Directory of Open Access Journals (Sweden)

    Norhayati Luddin

    2013-01-01

    Full Text Available Complete debridement and disinfection of the root canal system are fundamental requirements for successful endodontic treatment. Despite the morphological challenges of the internal root anatomy, root canal irrigants play an important role in the optimization of the root canal preparation, which is essentially a chemo-mechanical procedure. Enterococcus faecalis is one of the most resistant microorganisms that dominants the microbial ecosystem of persistent periradicular lesions in retreatment cases. For that reason, many in vitro and in vivo studies evaluated and compared the antibacterial activity of sodium hypochlorite and chlorhexidine at varying concentrations using different experimental models against this microorganism. However, many controversies with regard to the ideal irrigant and concentration do in fact exist. Hence, this review aims to discuss the antibacterial activity of these two main root canal irrigants against Enterococcus faecalis using the agar diffusion and direct contact methods and the possible modulating factors responsible for inconsistent findings among different studies. In addition, the disinfection potential of both chemical agents on gutta percha and Resilon cones are also discussed. The source of this review was conducted through an electronic literature search using PubMed database from December 1997 until December 2011, which analyze the related laboratory investigations of both irrigants, published in major endodontic journals.

  11. Antibacterial and residual antimicrobial activities against Enterococcus faecalis biofilm: A comparison between EDTA, chlorhexidine, cetrimide, MTAD and QMix

    Science.gov (United States)

    Zhang, Rui; Chen, Min; Lu, Yan; Guo, Xiangjun; Qiao, Feng; Wu, Ligeng

    2015-08-01

    We compared the antibacterial and residual antimicrobial activities of five root canal irrigants (17% EDTA,2% chlorhexidine,0.2% cetrimide, MTAD, and QMix) in a model of Enterococcus faecalis biofilm formation. Sixty dentin blocks with 3-week E. faecalis biofilm were divided into six equal groups and flushed with irrigant for 2 min or left untreated. A blank control group was also established. Antibacterial activities of the irrigants were evaluated by counting colony forming units. To test residual antimicrobial activities, 280 dentin blocks were divided into seven equal groups and flushed with irrigant for 2 min or left untreated and then incubated with E. faecalis suspension for 48 h, or used as a blank. No bacteria were observed in the blank control group. The number of viable E. faecalis was significantly fewer in the irrigant-treated groups compared with the untreated control (P root canal irrigants were effective to some extent against E. faecalis, but QMix and CHX had the strongest, and CHX the longest (up to 36 h), antimicrobial activity.

  12. Double-blind, placebo-controlled, randomized study of chlorhexidine prophylaxis for 5-fluorouracil-based chemotherapy-induced oral mucositis with nonblinded randomized comparison to oral cooling (cryotherapy) in gastrointestinal malignancies

    DEFF Research Database (Denmark)

    Skovsgaard, T.; Bork, E.; Damstrup, L.;

    2008-01-01

    BACKGROUND: The purpose was to evaluate prevention of oral mucositis (OM) using chlorhexidine compared with placebo and with oral cooling (cryotherapy) during fluorouracil (5-FU)-based chemotherapy in gastrointestinal (GI) cancer. METHODS: Patients with previously untreated GI cancer receiving...... bolus 5-FU/leucovorin chemotherapy were randomized to chlorhexidine mouthrinse 3 times a day for 3 weeks (Arm A), double-blind placebo (normal saline) with the same dose and frequency (Arm B), or cryotherapy with crushed ice 45 minutes during chemotherapy (Arm C). Patients self-reported on severity (CTC...... in Arm B (33%) than in A (13%, P< .01) and C (11%, P< .005). Duration was significantly longer in B than in both A (P= .035) and C (P= .003). CONCLUSIONS: The frequency and duration of OM are significantly improved by prophylactic chlorhexidine and by cryotherapy. The latter is easy and inexpensive...

  13. Levels of infection and colonization of some oral bacteria after use of naf, chlorhexidine and a combined chlorhexidine with naf mouthrinses Níveis de infecção e colonização de algumas bactérias orais após o uso de soluções de fluoreto de sódio, clorexidina e de uma combinação de fluoreto de sódio e clorexidina

    Directory of Open Access Journals (Sweden)

    Kenio Costa Lima

    2001-06-01

    Full Text Available This study was carried out to evaluate levels of infection of bacteria involved in caries and oral streptococci and their colonization after use of mouthrinses with NaF, chlorhexidine and chlorhexidine plus NaF. Combination of chlorhexidine and fluoride was the only agent that reduced levels of Streptococcus mutans (group for 30 days.O objetivo deste estudo foi avaliar os níveis de infecção de bactérias cariogênicas e estreptococos orais e sua colonização após uso de bochechos com NaF, clorexidina e clorexidina e NaF associados. Associação de clorexidina e NaF foi o único agente que reduziu os níveis de Streptococcus mutans (grupo por 30 dias.

  14. Comparative Evaluation of Propolis, Metronidazole with Chlorhexidine, Calcium Hydroxide and Curcuma Longa Extract as Intracanal Medicament Against E.faecalis– An Invitro Study

    Science.gov (United States)

    Nair, Rashmi; Asrani, Hemant

    2015-01-01

    Introduction The increase of potential side effects and safety concerns of conventional medicaments have led to the recent popularity of herbal alternative medications. The herbal products are known for its high antimicrobial activity, biocompatibility, anti-inflammatory and antioxidant properties. Aim The purpose of this study was to investigate and compare the effectiveness of Propolis, Metronidazole with Chlorhexidine gel, Curcuma Longa and Calcium Hydroxide for elimination of E.faecalis bacteria in extracted teeth samples. Materials and Methods Ninety extracted single rooted intact teeth were taken for the study. Decoronation, removal of apices and chemomechanical preparation was done for all samples. These sterilized samples were then contaminated with pure culture of E.faecalis under laminar flow. The samples were incubated for a period of 21 days. The infected samples were assigned to 5 groups: Group I- Propolis; Group II- Metronidazole with Chlorhexidine gel; Group III- Calcium hydroxide; Group IV- Curcuma Longa; and control group- Saline. Efficacy of newer intracanal medicaments against E.faecalis were carried out in the samples at the end of 1, 2 & 5 days for each group with the help of colorimeter. Student paired t-test, ANOVA and multiple tukey test were used for statistical analysis. Results The value of optical density was statistically significant in all groups when compared to that of control group. Group I (Propolis) produced better antimicrobial efficacy followed by Chlorhexidine Metronidazole combination, Curcuma Longa and Calcium hydroxide. Conclusion Within the limitations of this study, it can be concluded that Propolis showed better antimicrobial properties against E.faecalis than other medicaments. PMID:26673857

  15. Clinical evaluation of chlorhexidine in the root canal treatment%洗必泰冲洗液在根管治疗中的临床应用

    Institute of Scientific and Technical Information of China (English)

    何静; 陈洪

    2014-01-01

    目的:探讨洗必泰冲洗液在根管治疗中的疗效。方法选择需要根管治疗的牙髓炎患牙120例,随机分为两组,分别采用洗必泰冲洗和双氧水以及生理盐水冲洗,比较两组患者诊间疼痛发生率。结果试验组疼痛发生率(32.2%)低于对照组(73.3%),两组比较有显著性差异(P<0.01)。结论洗必泰冲洗液进行根管冲洗可减少诊间疼痛的发生,值得在临床推广和应用。%Objective To evaluate the clinical effect of chlorhexidine in the root canal treatment.Methods 120 cases of pulpitis which need the root canal treatment were divided into two groups at random. Chlorhexidine was applied to the cases of experimental group and hydrogen peroxide and normal sodium were applied to the control group. The incidence of pain among appointment was evaluated and compared clinically.Results The incidence of pain in experimental group was lower than that of the control group(P < 0.01).Conclusion chlorhexidine can decrease the incidence of pain,thus it is worth the promotion and application in clinic.

  16. The effect of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans count in 6- to 12-year-old school children: An in vivo study

    Directory of Open Access Journals (Sweden)

    Neeraja R

    2008-05-01

    Full Text Available Objectives: Treating a carious tooth in children with high caries experience by providing a restoration does not cure the disease. If the unfavorable oral environment that caused the cavity persists so will the disease and more restorations will be required in future. Treating the oral infection by reducing the number of cariogenic microorganisms and establishing a favorable oral environment to promote predominantly remineralization of tooth structure over time will stop the caries process. The present study was conducted: (1 To evaluate the efficacy of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans when used as an adjunct to restoration. (2 To compare the anti-microbial effect of 1% povidone-iodine and 0.2% chlorhexidine mouth rinses on plaque S. mutans count. Study Design: Forty-five study participants in the age group of 6-12 years with dmft (decay component of three or four were selected from one government school in Bangalore city. They were divided into three groups after the restorative treatment. Group-A, Group-B, and Group-C received 1% povidone-iodine mouth rinse, 0.2% chlorhexidine mouth rinse and placebo mouth rinse, respectively, twice daily for 14 days. The plaque sample was collected and S. mutans count was estimated at six phases: (1 Baseline, (2 3 weeks after restoration, (3 First day after mouth rinse therapy, (4 15 days after mouth rinse therapy, (5 1 month and (6 3 months after mouth rinse therapy Results: After the restoration the percentage change in S. mutans count was 28.4%. Immediately after mouth rinse therapy there was significant reduction in S. mutans count in all the three groups. After which the count started to increase gradually and after 3 months the bacterial counts in the povidone-iodine group and placebo group were almost near the postrestorative count. Conclusion: Mouth rinses can be used as adjunct to restoration for short duration as temporary measure in reduction of S

  17. Prevention and management guidelines to oral health care for patients with head and neck cancer: HCT20, Carisolv and Chlorhexidine varnish are suggested

    International Nuclear Information System (INIS)

    Orofacial complications are unfortunately common with all modalities used in the management of patients with head and neck cancer. It is well known that hypo salivation develops if radiation therapy involves the salivary glands. A significant decrease in salivary volume can adversely affect oral comfort, mucous health, dentition, deglutition and mastication. Xerostomia may lead to consumption of diet high in carbohydrates and make good oral hygiene difficult. The purpose of this study is to report a new prevention and management guidelines to oral and dental health care for patients with head and neck cancer who will treat with radiotherapy. New materials as HCT20, Carisolv and chlorhexidine varnish are suggested. (author)

  18. CLEANING ABILITY OF CHLORHEXIDINE GEL AND SODIUM HYPOCHLORITE ASSOCIATED OR NOT WITH EDTA AS ROOT CANAL IRRIGANTS: A SCANNING ELECTRON MICROSCOPY STUDY

    OpenAIRE

    Bruno Carvalho de Vasconcelos; Suyane Maria Luna-Cruz; Gustavo De-Deus; Ivaldo Gomes de Moraes; Claudio Maniglia-Ferreira; Eduardo Diogo Gurgel-Filho

    2007-01-01

    The aim of this study was to evaluate the cleaning efficacy of 2% chlorhexidine gluconate gel (CHX) compared to 2.5% sodium hypochlorite solution (NaOCl) associated or not with 17% EDTA used as irrigants during the biomechanical preparation. Fifty freshly extracted single-rooted human teeth with complete apex formation were randomly divided into five groups: G1 - sterile saline, G2 - 2.5% NaOCl, G3 - 2% CHX, G4 - 2.5% NaOCl + EDTA and G5 - 2% CHX + EDTA. The specimens of G1 were subdivided in...

  19. The comparative effects of 0.12% chlorhexidine and herbal oral rinse on dental plaque-induced gingivitis: A randomized clinical trial

    OpenAIRE

    Devaki Bhate; Sanjay Jain; Rahul Kale; Sangeeta Muglikar

    2015-01-01

    Background: Chlorhexidine (CHX) is considered as a gold standard of antimicrobial rinses. Various herbal oral rinses are available in the market. However, little is known of its effectiveness. Aim: The aim of this study was to evaluate the clinical changes after the usage of herbal oral rinse and 0.12% CHX. Subjects and Methods: In a randomized clinical trial, 76 patients with dental plaque-induced gingivitis were assigned to Group I (Herbal Oral Rinse - Hiora; ) and 76 patients with dental p...

  20. Comparison of a commercially available herbal and 0.2% chlorhexidine mouthrinse for prevention of oral malodor: A clinical trial

    Science.gov (United States)

    Mishra, Vandita; Shettar, Leena; Bajaj, Mahesh; Math, Abhishek Savir

    2016-01-01

    Objectives: Despite the adverse effects of chlorhexidine (CHX) in the oral cavity, it is still the most commonly prescribed mouthrinse for halitosis control due to its excellent results. The purpose of this study was to compare the efficacy of a mouthrinse with herbal formulation for halitosis control with 0.2% CHX gluconate containing rinse and to simultaneously assess adverse effects caused by the herbal mouthrinse if any. Materials and Methods: Ninety-six systemically healthy subjects with chronic generalized gingivitis were recruited in the study and divided into three groups receiving 0.2% CHX gluconate mouthrinse, herbal mouthrinse, or negative control, respectively as Group A, B, and C. The halimeter scores and organoleptic scores were recorded for each subject at baseline and after scaling. Others parameters recorded were plaque index and gingival index. All scores were reassessed on the 7th and 14th day, respectively. Statistical analysis was performed using Kruskal–Wallis ANOVA, Mann–Whitney U-test, and Wilcoxon matched pairs test. Results: There was an overall reduction in the halimeter scores both in Group A and B subjects which were not statistically significant within the groups; this was in accordance with the decrease in the mean organoleptic scores. Reduction in Group C scores was the least and differed statistically from both Group A and B scores. Conclusions: The results indicate an equivalent reduction in breath odor by both the herbal mouthrinse and CHX. Furthermore, side effects were less, and patient compliance was more with the herbal mouthrinse, which can thus be prescribed more safely and with predictable outcomes for oral malodor. PMID:27195230

  1. Antibacterial and Toxic Effect of Hydrogen Peroxide Combined with Different Concentrations of Chlorhexidine in Comparison with Sodium Hypochlorite

    Directory of Open Access Journals (Sweden)

    Hosein Mirhadi

    2015-12-01

    Full Text Available Statement of the Problem: Hydrogen peroxide (H2O2 has been suggested to be used in sequence or in combination with chlorhexidine (CHX to enhance the antibacterial activity against Enterococcus faecalis, but there is no research in the literature on the safety and effectiveness of this irrigation protocol. Purpose: This study aimed to assess the cytocompatibility and antibacterial activity of different concentrations of CHX combined with H2O2 in comparison with the activity of 5.25 and 2.5% sodium hypochlorite (NaOCl. Materials and Method: Different concentrations of H2O2 (10, 5, 3 and 1% were exposed to the PDL cells. Then, the solution with minimal cytotoxicity was selected (3% H2O2. The cytocompatibility and antibacterial activity of 0.1, 0.2, 1 and 2% CHX combined with 3% H2O2 were evaluated and compared with 5.25 and 2.5% NaOCl. The differences in the mean viability of PDL cells were evaluated by one-way ANOVA. Kruskal-Wallis and post-hoc Dunn's tests were adopted to compare the antibacterial activity of the solutions against E.faecalis. Results: The viability of PDL cells was lower when treated with 5.25 or 2.5% NaOCl than all combinations of CHX and H2O2. There was no significant difference in the antibacterial activity of the solutions against E.faecalis, except for the 0.1% CHX + 3% H2O2 combination, which had significantly lower efficacy than other groups. Conclusion: All combinations of CHX and H2O2 (used in this study except 0.1% CHX + 3% H2O2 were efficient irrigants against planktonic E.faecalis and had a better cytocompatibility with PDL cells than 5.25 and 2.5% NaOCl.

  2. [Disinfection efficacy of hand hygiene based on chlorhexidine gluconate content and usage of alcohol-based hand-rubbing solution].

    Science.gov (United States)

    Tanaka, Ippei; Watanabe, Kiyoshi; Nakaminami, Hidemasa; Azuma, Chihiro; Noguchi, Norihisa

    2014-01-01

    Recently, the procedure for surgical hand hygiene has been switching to a two-stage method and hand-rubbing method from the traditional hand-scrubbing method. Both the two-stage and hand-rubbing methods use alcohol-based hand-rubbing after hand washing. The former requires 5 min of antiseptic hand washing, and the latter 1 min of nonantiseptic hand washing. For a prolonged bactericidal effect in terms of surgical hand hygiene, chlorhexidine gluconate (CHG) has been noted due to its residual activity. However, no detailed study comparing the disinfection efficacy and prolonged effects according to different contents of CHG and the usage of alcohol-based hand-rubbing has been conducted. The glove juice method is able to evaluate disinfection efficacy and prolonged effects of the disinfectants more accurately because it can collect not only transitory bacteria but also normal inhabitants on hands. In the present study, we examined the disinfection efficacy and prolonged effects on alcohol-based hand-rubbing containing CHG by six hand-rubbing methods and three two-stage methods using the glove juice method. In both methods, 3 mL (one pump dispenser push volume) alcohol-based hand-rubbing solution containing 1% (w/v) CHG showed the highest disinfection efficacy and prolonged effects, and no significant difference was found between the hand-rubbing and two-stage methods. In the two methods of hand hygiene, the hand-rubbing method was able to save time and cost. Therefore, the data strongly suggest that the hand-rubbing method using a one pump dispenser push volume of alcohol-based hand-rubbing solution containing 1% (w/v) CHG is suitable for surgical hand hygiene. PMID:25366919

  3. Effect of chlorhexidine varnish on gingival growth in orthodontic patients: a randomized prospective split-mouth study

    Directory of Open Access Journals (Sweden)

    Henrique Pretti

    2015-10-01

    Full Text Available Introduction: Fixed orthodontic appliances patients suffer limitations on the effective control of biofilm by mechanical methods, bringing the need of a coadjutant in the control of inflammation and oral health improvement.Objective: The aim of this prospective split-mouth blind study was to analyze the effect of a 40% chlorhexidine (CHX varnish on gingival growth of patients with orthodontic fixed appliances. Methods: Healthy teenage patients with fixed orthodontic appliances and increased gingival volume were recruited (n = 30. Each individual was his own control, having in the maxilla one control side and one treatment side. An application of varnishes occurred on the vestibular area of the upper premolars and first molar crowns, on the control side (placebo varnish and on the experimental side (EC40(r Biodentic CHX varnish. The varnishes and sides were randomly chosen and its identification and group was kept by a third party observer and it was not revealed to the researchers and participants until the end of study. In order to establish a baseline registration, digital photographs were taken by a trained photographer before varnish application at baseline (T0, as well as 14 days (T14 and 56 days (T56 after the application. The gingival volume was calculated indirectly using the vestibular areas (mm2 of the upper second premolars' clinical crowns by RapidSketch(r software, at all study times. The data were analyzed using ANOVA and the Turkey-Krammer test.Results:It was observed, in the final sample of 30 individuals, that at T0, the control and treatment groups were similar. At T14 and T56, a progressive reduction of the clinical crown area was seen in the control group, and an increase in the average area was detected in the experimental group (p < 0,05.Conclusions: The use of 40% CHX varnish decreases the gingival overgrowth in patients undergoing orthodontic treatment. Further studies are necessary to set the action time and frequency of

  4. The spherical nanoparticle-encapsulated chlorhexidine enhances anti-biofilm efficiency through an effective releasing mode and close microbial interactions

    Science.gov (United States)

    Li, Xuan; Wong, Chi-Hin; Ng, Tsz-Wing; Zhang, Cheng-Fei; Leung, Ken Cham-Fai; Jin, Lijian

    2016-01-01

    We reported two forms (sphere and wire) of newly fabricated chlorhexidine (CHX)-loaded mesoporous silica nanoparticles (MSNs), and investigated their releasing capacities and anti-biofilm efficiencies. The interactions of the blank MSNs with planktonic oral microorganisms were assessed by field emission scanning electron microscopy. The anti-biofilm effects of the two forms of nanoparticle-encapsulated CHX were examined by 2,3-bis (2-methoxy- 4-nitro-5-sulfo-phenyl)-2H-tetrazolium-5-carboxanilide. The profiles of biofilm penetration were analyzed by fluorescent-labeled MSNs using confocal microscopy and ImageJ. The spherical MSNs with an average diameter of 265 nm exhibited a larger surface area and faster CHX-releasing rate than the MSN wires. The field emission scanning electron microscopy images showed that both shaped MSNs enabled to attach and further fuse with the surfaces of testing microbes. Meanwhile, the nanoparticle-encapsulated CHX could enhance the anti-biofilm efficiency with reference to its free form. Notably, the spherical nanoparticle-encapsulated CHX presented with a greater anti-biofilm capacity than the wire nanoparticle-encapsulated CHX, partly due to their difference in physical property. Furthermore, the relatively even distribution and homogeneous dispersion of spherical MSNs observed in confocal images may account for the enhanced penetration of spherical nanoparticle-encapsulated CHX into the microbial biofilms and resultant anti-biofilm effects. These findings reveal that the spherical nanoparticle-encapsulated CHX could preferably enhance its anti-biofilm efficiency through an effective releasing mode and close interactions with microbes. PMID:27330290

  5. Effects of extracellular plaque components on the chlorhexidine sensitivity of strains of Streptococcus mutans and human dental plaque

    Energy Technology Data Exchange (ETDEWEB)

    Wolinsky, L.E.; Hume, W.R.

    1985-08-01

    An in vitro study was undertaken to determine the effects of sucrose-derived extracellular plaque components on the sensitivity of selected oral bacteria to chlorhexidine (CX). Cultures of Streptococcus mutans HS-6, OMZ-176, Ingbritt C, 6715-wt13, and pooled human plaque were grown in trypticase soy media with or without 1% sucrose. The sensitivity to CX of bacteria grown in each medium was determined by fixed-time exposure to CX and subsequent measurement of /sup 3/H-thymidine uptake. One-hour exposure to CX at concentrations of 10(-4) M (0.01% w/v) or greater substantially inhibited subsequent cellular division among all the S. mutans strains and human plaque samples tested. An IC50 (the CX concentration which depressed /sup 3/H-thymidine incorporation to 50% of control level) of close to 10(-4) M was noted for S. mutans strains HS-6, OMZ-176, and 6715-wt13 when grown in the presence of sucrose. The same strains grown in cultures without added sucrose showed about a ten-fold greater sensitivity to CX (IC50 close to 10(-5) M). A three-fold difference was noted for S. mutans Ingbritt C. Only a slight increase in the IC50 was noted for the plaque samples cultured in sucrose-containing media, but their threshold for depression of /sup 3/H-thymidine uptake by CX was lower than that for the sucrose-free plaque samples. The study showed that extracellular products confer some protection against CX to the bacteria examined, and provided an explanation for the disparity between clinically-recommended concentrations for plaque suppression and data on in vitro susceptibility.

  6. Effects of extracellular plaque components on the chlorhexidine sensitivity of strains of Streptococcus mutans and human dental plaque

    International Nuclear Information System (INIS)

    An in vitro study was undertaken to determine the effects of sucrose-derived extracellular plaque components on the sensitivity of selected oral bacteria to chlorhexidine (CX). Cultures of Streptococcus mutans HS-6, OMZ-176, Ingbritt C, 6715-wt13, and pooled human plaque were grown in trypticase soy media with or without 1% sucrose. The sensitivity to CX of bacteria grown in each medium was determined by fixed-time exposure to CX and subsequent measurement of 3H-thymidine uptake. One-hour exposure to CX at concentrations of 10(-4) M (0.01% w/v) or greater substantially inhibited subsequent cellular division among all the S. mutans strains and human plaque samples tested. An IC50 (the CX concentration which depressed 3H-thymidine incorporation to 50% of control level) of close to 10(-4) M was noted for S. mutans strains HS-6, OMZ-176, and 6715-wt13 when grown in the presence of sucrose. The same strains grown in cultures without added sucrose showed about a ten-fold greater sensitivity to CX (IC50 close to 10(-5) M). A three-fold difference was noted for S. mutans Ingbritt C. Only a slight increase in the IC50 was noted for the plaque samples cultured in sucrose-containing media, but their threshold for depression of 3H-thymidine uptake by CX was lower than that for the sucrose-free plaque samples. The study showed that extracellular products confer some protection against CX to the bacteria examined, and provided an explanation for the disparity between clinically-recommended concentrations for plaque suppression and data on in vitro susceptibility

  7. The comparative effects of 0.12% chlorhexidine and herbal oral rinse on dental plaque-induced gingivitis: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Devaki Bhate

    2015-01-01

    Full Text Available Background: Chlorhexidine (CHX is considered as a gold standard of antimicrobial rinses. Various herbal oral rinses are available in the market. However, little is known of its effectiveness. Aim: The aim of this study was to evaluate the clinical changes after the usage of herbal oral rinse and 0.12% CHX. Subjects and Methods: In a randomized clinical trial, 76 patients with dental plaque-induced gingivitis were assigned to Group I (Herbal Oral Rinse - Hiora; and 76 patients with dental plaque-induced gingivitis to Group II (0.12% Chlorhexidine-Peridex; . Gingival index and Plaque index scores were recorded at baseline and 21 days after scaling. Results: Intragroup comparison in both groups showed that plaque index and gingival index scores were statistically significant after 21 days as compared to baseline. Intergroup comparison showed that plaque index scores and gingival index scores were statistically significant in Group II as compared to Group I. Conclusion: When herbal oral rinse was compared to 0.12% CHX, 0.12% CHX mouth rinse effectively reduced the clinical symptoms of plaque-induced gingivitis.

  8. Design of the Prevention of Adult Caries Study (PACS: A randomized clinical trial assessing the effect of a chlorhexidine dental coating for the prevention of adult caries

    Directory of Open Access Journals (Sweden)

    Snyder John J

    2010-10-01

    Full Text Available Abstract Background Dental caries is one of the primary causes of tooth loss among adults. It is estimated to affect a majority of Americans aged 55 and older, with a disproportionately higher burden in disadvantaged populations. Although a number of treatments are currently in use for caries prevention in adults, evidence for their efficacy and effectiveness is limited. Methods/Design The Prevention of Adult Caries Study (PACS is a multicenter, placebo-controlled, double-blind, randomized clinical trial of the efficacy of a chlorhexidine (10% w/v dental coating in preventing adult caries. Participants (n = 983 were recruited from four different dental delivery systems serving four diverse communities, including one American Indian population, and were randomized to receive either chlorhexidine or a placebo treatment. The primary outcome is the net caries increment (including non-cavitated lesions from baseline to 13 months of follow-up. A cost-effectiveness analysis also will be considered. Discussion This new dental treatment, if efficacious and approved for use by the Food and Drug Administration (FDA, would become a new in-office, anti-microbial agent for the prevention of adult caries in the United States. Trial Registration Number NCT00357877

  9. Staining and calculus formation after 0.12% chlorhexidine rinses in plaque-free and plaque covered surfaces: a randomized trial

    Directory of Open Access Journals (Sweden)

    Fabrício Batistin Zanatta

    2010-10-01

    Full Text Available OBJECTIVES: Studies concerning side effects of chlorhexidine as related to the presence of plaque are scarce. The purpose of this study was to compare the side effects of 0.12% chlorhexidine gluconate (CHX on previously plaque-free (control group and plaque-covered surfaces (test group. METHODS: This study had a single-blind, randomized, split-mouth, 21 days-experimental gingivitis design, including 20 individuals who abandoned all mechanical plaque control methods during 25 days. After 4 days of plaque accumulation, the individuals had 2 randomized quadrants cleaned, remaining 2 quadrants with plaque-covered dental surfaces. On the fourth day, the individuals started with 0.12% CHX rinsing lasting for 21 days. Stain index intensity and extent as well as calculus formation were evaluated during the experimental period. RESULTS: Intergroup comparisons showed statistically higher (p<0.05 stain intensity and extent index as well as calculus formation over the study in test surfaces as compared to control surfaces. Thus, 26.19% of test surfaces presented calculus, whereas calculus was observed in 4.52% in control surfaces. CONCLUSIONS: The presence of plaque increased 0.12% CHX side effects. These results strengthen the necessity of biofilm disruption prior to the start of CHX mouthrinses in order to reduce side effects.

  10. Antimicrobial efficacy of external fixator pins coated with a lipid stabilized hydroxyapatite/chlorhexidine complex to prevent pin tract infection in a goat model.

    Energy Technology Data Exchange (ETDEWEB)

    Dejong, E. Schuyler; Deberardino, T. M.; Brooks, D. E.; Nelson, B. J.; Campbell, Allison A.; Bottoni, Craig R.; Pusateri, A. E.; Walton, R. S.; Guymon, C. H.; Mcmanus, Albert T.

    2001-06-01

    Background: Pin tract infection is a common complication of external fixation. An antiinfective external fixator pin might help to reduce the incidence of pin tract infection and improve pin fixation. Methods: Stainless steel and titanium external fixator pins, with and without a lipid stabilized hydroxyapatite/chlorhexidine coating, were evaluated in a goat model. Two pins contaminated with an identifiable Staphylococcus aureus strain were inserted into each tibia of 12 goats. The pin sites were examined daily. On day 14, the animals were killed, and the pin tips cultured. Insertion and extraction torques were measured. Results: Infection developed in 100% of uncoated pins, whereas coated pins demonstrated 4.2% infected, 12.5% colonized, and the remainder, 83.3%, had no growth (p < 0.01). Pin coating decreased the percent loss of fixation torque over uncoated pins (p = 0.04). Conclusion: These results demonstrate that the lipid stabilized hydroxyapatite/chlorhexidine coating was successful in decreasing infection and improving fixation of external fixator pins.

  11. Impact of umbilical cord cleansing with 4% chlorhexidine on rate of omphalitis and separation time among newborns in Khartoum state, Sudan

    Directory of Open Access Journals (Sweden)

    Abdelmoneim E.M. Kheir

    2015-07-01

    Full Text Available Infection of the umbilical cord remains high in developing countries with subsequent increase in neonatal mortality rates. This may be due to the practice of applying potentially harmful substances to the freshly cut cord. The aim of this study was to assess the impact of umbilical cord care with 4% chlorhexidine on the rate of omphalitis and separation time among newborns in Khartoum State. This was a quasi-experimental research design that was carried out in the main maternity hospitals of Khartoum state between February and August 2012. One hundred mothers and their respective babies were selected by convenience sampling and were divided equally into intervention and control groups. The tools used for data collection were a questionnaire and an observational checklist. The data were analyzed using Statistical Package for Social Sciences version 17 for descriptive and inferential statistics. Umbilical cord training was effective in enhancing mothers’ knowledge and skills in the intervention group. The result showed that the omphalitis rate was reduced significantly in the intervention group; also the intervention group had a shorter separation time (mean=5.02 compared to the control group (mean=7.24. In conclusion, the application of 4% chlorhexidine on the freshly cut umbilical cord stump, significantly reduces omphalitis rate. This inexpensive and simple intervention can save a significant number of newborn lives in developing countries.

  12. Comparative evaluation of compressive strength, diametral tensile strength and shear bond strength of GIC type IX, chlorhexidine-incorporated GIC and triclosan-incorporated GIC: An in vitro study

    Science.gov (United States)

    Jaidka, Shipra; Somani, Rani; Singh, Deepti J.; Shafat, Shazia

    2016-01-01

    Aim: To comparatively evaluate the compressive strength, diametral tensile strength, and shear bond strength of glass ionomer cement type IX, chlorhexidine-incorporated glass ionomer cement, and triclosan-incorporated glass ionomer cement. Materials and Methods: In this study, glass ionomer cement type IX was used as a control. Chlorhexidine diacetate, and triclosan were added to glass ionomer cement type IX powder, respectively, in order to obtain 0.5, 1.25, and 2.5% concentrations of the respective experimental groups. Compressive strength, diametral tensile strength, and shear bond strength were evaluated after 24 h using Instron Universal Testing Machine. The results obtained were statistically analyzed using the independent t-test, Dunnett test, and Tukey test. Results: There was no statistical difference in the compressive strength, diametral tensile strength, and shear bond strength of glass ionomer cement type IX (control), 0.5% triclosan-glass ionomer cement, and 0.5% chlorhexidine-glass ionomer cement. Conclusion: The present study suggests that the compressive strength, diametral tensile strength, and shear bond strength of 0.5% triclosan-glass ionomer cement and 0.5% chlorhexidine-glass ionomer cement were similar to those of the glass ionomer cement type IX, discernibly signifying that these can be considered as viable options for use in pediatric dentistry with the additional value of antimicrobial property along with physical properties within the higher acceptable range. PMID:27195231

  13. EFEKTIFITAS PENGENCERAN CHLORHEXIDINE 0,2% 1:1 TERHADAP KASUS GINGIVITIS SERTA EVALUASI DISKOLORASI PADA GIGI (Penelitian

    Directory of Open Access Journals (Sweden)

    Dessy Rosmelita

    2015-07-01

    Full Text Available Background: Chlorhexidine (CHx mouthrinse was the first choice for gingivitis. The loss of taste and tooth discolorisation was motivated the clinician to dilute CHx 0.2% to 1:1. Aims: To compare the effectiveness of CHx 0.2% and diluted Chx 1:1 as mouthrinse on gingivitis and evaluate tooth discoloration. Method: Ninety nine students with mild and moderate gingivitis at SMU Lab School Jakarta, age between 14-15 years, had participated. The subjects were randomised selected and double-blind method was applied. The subjects were divided into 3 groups. The first group was instructed to rinse with CHx 0,2%, the second group rinsed with diluted CHx 1:1, and the third group as a control, without rinsing. The first and the second groups were rinsing the regimen for one minute, twice a day in 7 days, in the morning and night. Plaque and bleeding were scored using Plaque Index (Loe and Silness and modified Papilla Bleeding Index (Muhleman on the first and seventh day of the study. The changes of scores (PII and PBI before and after rinsing were analyzed using "paired t test". The differences of the effectivity of CHx 0.2%, Chx 1:1 and control groups using "ANOVA test" with 95% probability. Differences of tooth discoloration after rinsing were analyzed by "independent t test". Probabilities of less than 5 percents were taken to be statistically significant. Result: The results showed at day 7, not significant difference between CHx groups for plaque (CHx: 0.74, CHx 1:1: 0.66, and gingival bleeding (CHx: 1.02, CHx 1:1: 0.83. The proportion of tooth discoloration was not significant in the diluted CHx group (4.8% and in the CHx group (7.3%. Conclusion: Diluted 1:1 effectively on gingivitis. The clinician can be used in the clinic, whereas the lost of taste were reduced. No differences significant of tooth discolorisation between rinsing regimens on seventh days.

  14. Antibacterial effect of calcium hydroxide combined with chlorhexidine on Enterococcus faecalis: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Masoud SAATCHI

    2014-10-01

    Full Text Available Objective: Enterococcus faecalis (E. faecalis is the most frequently isolated strain in failed endodontic therapy cases since it is resistant to calcium hydroxide (CH. Whether a combination of CH and chlorhexidine (CHX is more effective than CH alone against E. faecalis is a matter of controversy. Thus, the aim of this study was to conduct a systematic review and meta-analysis of the literature. Material and Methods: A comprehensive search in PubMed, EMbase, EBSCOhost, The Cochrane Library, SciELO, and BBO databases, Clinical trials registers, Open Grey, and conference proceedings from the earliest available date to February 1, 2013 was carried out and the relevant articles were identified by two independent reviewers. Backward and forward search was performed and then inclusion and exclusion criteria were applied. The included studies were divided into "comparisons" according to the depth of sampling and dressing period of each medicament. Meta-analysis was performed using Stata software 10.0. The level of significance was set at 0.05. Results: Eighty-five studies were retrieved from databases and backward/forward searches. Fortyfive studies were considered as relevant (5 in vivo, 18 in vitro, 18 ex vivo, and 4 review articles. Nine studies were included for meta-analysis. Inter-observer agreement (Cohen kappa was 0.93. The included studies were divided into 21 comparisons for meta-analysis. Chi-square test showed the comparisons were heterogeneous (p<0.001. Random effect model demonstrated no significant difference between CH/CHX mixture and CH alone in their effect on E. faecalis (p=0.115. Conclusions: According to the evidence available now, mixing CH with CHX does not significantly increase the antimicrobial activity of CH against E. faecalis. It appears that mixing CH with CHX does not improve its ex vivo antibacterial property as an intracanal medicament against E. faecalis. Further in vivo studies are necessary to confirm and correlate

  15. Effectiveness of N-acetyl cysteine, 2% chlorhexidine, and their combination as intracanal medicaments on Enterococcus faecalis biofilm

    Directory of Open Access Journals (Sweden)

    Udayakumar Palaniswamy

    2016-01-01

    Full Text Available Aim: The purpose of this study was to evaluate the antibacterial efficacies of 2% chlorhexidine (CHX, N-acetyl cysteine (NAC and assess their synergistic or antagonist action as intracanal medicament. Materials and Methods: Agar diffusion test was performed with 2% CHX, NAC, and their combination against E. faecalis planktonic cells. The diameters of the zones of bacterial inhibition were measured and recorded for each solution. The assay was further extended to 2 weeks old E. faecalis dentinal biofilm. Sixteen freshly extracted teeth were vertically sectioned into two halves resulting in a total of 32 samples. The samples were inoculated with bacterial suspension and incubated at 37°C for 2 weeks for biofilm formation. The samples were then divided into four experimental groups with 8 samples in each group. The samples were gently washed in saline and placed in culture wells containing the test solutions, i.e., 2% CHX, NAC, a combination of 2% CHX and NAC in 1:1 ratio, and a control group containing saline. The biofilm formed on the root canal surface were removed with a sterile scalpel and inoculated on blood agar plates to check for the formation of E. faecalis colonies. Statistical Analysis: For agar diffusion test, data were analyzed statistically using one-way analysis of variance and then by post-hoc Scheffe′s test to compare the antimicrobial efficacy between the groups. Statistical analysis was not done for the cultures obtained from the biofilm as there was no growth in all the three test groups except the control group, i.e., saline. Results: In agar diffusion test, among the three groups tested, 2% CHX and NAC showed almost equal zones of inhibition whereas maximum inhibition was shown by a combination of NAC and 2% CHX suggesting a synergistic action. The results obtained were highly significant (P < 0.001 for the combination of medicament when compared to individual test group. In culture analysis, which was done for the biofilm

  16. Impact of 4.0% chlorhexidine cleansing of the umbilical cord on mortality and omphalitis among newborns of Sylhet, Bangladesh: design of a community-based cluster randomized trial

    Directory of Open Access Journals (Sweden)

    Ahmed Saifuddin

    2009-10-01

    Full Text Available Abstract Background The World Health Organization recommends dry cord care for newborns but this recommendation may not be optimal in low resource settings where most births take place in an unclean environment and infections account for up to half of neonatal deaths. A previous trial in Nepal indicated that umbilical cord cleansing with 4.0% chlorhexidine could substantially reduce mortality and omphalitis risk, but policy changes await additional community-based data. Methods The Projahnmo Chlorhexidine study was a three-year, cluster-randomized, community-based trial to assess the impact of three cord care regimens on neonatal mortality and omphalitis. Women were recruited mid-pregnancy, received a basic package of maternal and neonatal health promotion messages, and were followed to pregnancy outcome. Newborns were visited at home by local village-based workers whose areas were randomized to either 1 single- or 2 7-day cord cleansing with 4.0% chlorhexidine, or 3 promotion of dry cord care as recommended by WHO. All mothers received basic messages regarding hand-washing, clean cord cutting, and avoidance of harmful home-base applications to the cord. Death within 28 days and omphalitis were the primary outcomes; these were monitored directly through home visits by community health workers on days 1, 3, 6, 9, 15, and 28 after birth. Discussion Due to report in early 2010, the Projahnmo Chlorhexidine Study examines the impact of multiple or single chlorhexidine cleansing of the cord on neonatal mortality and omphalitis among newborns of rural Sylhet District, Bangladesh. The results of this trial will be interpreted in conjunction with a similarly designed trial previously conducted in Nepal, and will have implications for policy guidelines for optimal cord care of newborns in low resource settings in Asia. Trial Registration ClinicalTrials.gov (NCT00434408

  17. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses.

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-02-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting. PMID:26834268

  18. Efficacy of benzydamine hydrochloride, chlorhexidine, and povidone iodine in the treatment of oral mucositis among patients undergoing radiotherapy in head and neck malignancies: A drug trail

    Directory of Open Access Journals (Sweden)

    G Roopashri

    2011-01-01

    Full Text Available Background and Objectives: Oral mucositis is a common and debilitating complication of radiotherapy, which is associated with significant morbidity. It is therefore extremely important that mucositis be prevented, or at least treated to reduce its severity and sequelae. The objective of the study was to manage oral mucositis induced by radiotherapy and to reduce pain by using Benzydamine hydrochloride (0.15%, Chlorhexidine (0.2%, and Povidone iodine (5%. Results: Benzydamine hydrochloride was observed to be effective and delayed the development of severe form of mucositis and appears more efficient in the management of radiation-induced mucositis. Conclusion: Benzydamine hydrochloride (0.15% is safe, well tolerated, helps not just in delaying the progression of mucositis but also reduces the intensity of pain.

  19. Antimicrobial Activity of Chlorhexidine, Peracetic acid/ Peroxide hydrogen and Alcohol based compound on Isolated Bacteria in Madani Heart Hospital, Tabriz, Azerbaijan, Iran

    Directory of Open Access Journals (Sweden)

    Reza Ghotaslou

    2012-06-01

    Full Text Available Purpose: The aim of present study was to investigate the effect of chemical agents on the clinical isolates in Madani Heart Hospital, Tabriz, Iran. Methods: The minimum bactericide concentration (MBC of disinfectants including chlorhexidine (Fort, peracetic acid (Micro and an alcohol based compound (Deconex on selected bacteria at various dilutions were determined by the standard suspension technique. Results: MBC of Micro, Fort and Deconex were 2-128 mg/L, 2-64 mg/L and 4 - 32 mg/L, respectively. The Gram negative bacteria were more resistance to disinfectant relation to Gram positive bacteria. Conclusion: The results showed that these agents are able to eradicate the bacteria and they can be used lonely.

  20. Low compliance with alcohol gel compared with chlorhexidine for hand hygiene in ICU patients: results of an alcohol gel implementation program

    Directory of Open Access Journals (Sweden)

    Luis Fernando Aranha Camargo

    2009-10-01

    Full Text Available Although the introduction of alcohol based products have increased compliance with hand hygiene in intensive care units (ICU, no comparative studies with other products in the same unit and in the same period have been conducted. We performed a two-month-observational prospective study comparing three units in an adult ICU, according to hand hygiene practices (chlorhexidine alone-unit A, both chlorhexidine and alcohol gel-unit B, and alcohol gel alone-unit C, respectively. Opportunities for hand hygiene were considered according to an institutional guideline. Patients were randomly allocated in the 3 units and data on hand hygiene compliance was collected without the knowledge of the health care staff. TISS score (used for measuring patient complexity was similar between the three different units. Overall compliance with hand hygiene was 46.7% (659/1410. Compliance was significantly higher after patient care in unit A when compared to units B and C. On the other hand, compliance was significantly higher only between units A (32.1% and C (23.1% before patient care (p=0.02. Higher compliance rates were observed for general opportunities for hand hygiene (patient bathing, vital sign controls, etc, while very low compliance rates were observed for opportunities related to skin and gastroenteral care. One of the reasons for not using alcohol gel according to health care workers was the necessity for water contact (35.3%, 12/20. Although the use of alcohol based products is now the standard practice for hand hygiene the abrupt abolition of hand hygiene with traditional products may not be recommended for specific services.

  1. Cleaning ability of chlorhexidine gel and sodium hypochlorite associated or not with EDTA as root canal irrigants: a scanning electron microscopy study

    Directory of Open Access Journals (Sweden)

    Bruno Carvalho de Vasconcelos

    2007-10-01

    Full Text Available The aim of this study was to evaluate the cleaning efficacy of 2% chlorhexidine gluconate gel (CHX compared to 2.5% sodium hypochlorite solution (NaOCl associated or not with 17% EDTA used as irrigants during the biomechanical preparation. Fifty freshly extracted single-rooted human teeth with complete apex formation were randomly divided into five groups: G1 - sterile saline, G2 - 2.5% NaOCl, G3 - 2% CHX, G4 - 2.5% NaOCl + EDTA and G5 - 2% CHX + EDTA. The specimens of G1 were subdivided into two control groups. The teeth were decoronated and the coronal and middle root thirds were prepared with Gates-Glidden burs, and the apical third was reserved to manual instrumentation. All procedures were performed by a single operator. In all groups, 2 mL of irrigant was delivered between each file change. The teeth were sectioned and prepared for analyses under scanning electron microscopy (SEM. SEM micrographs were graded according to a score scale by two examiners. Data were analyzed statistically by Kruskal-Wallis and Dunn tests at 1% significance level. The best results were obtained in the groups in which the irrigant was used followed by the chelating agent. No statistically significant difference was observed among G4, G5 and the positive control group (p<0.01. The groups G2 and G3 were significantly different from the others, presenting the worst cleaning capacity. In conclusion, the use of the chelating agent is necessary to obtain clean canal walls, with open tubules and no heavy debris. The use of 2% chlorhexidine gluconate gel alone is not able to remove the smear layer.

  2. Prevalence of qacA/B Genes and Mupirocin Resistance Among Methicillin-Resistant Staphylococcus aureus (MRSA) Isolates in the Setting of Chlorhexidine Bathing Without Mupirocin.

    Science.gov (United States)

    Warren, David K; Prager, Martin; Munigala, Satish; Wallace, Meghan A; Kennedy, Colleen R; Bommarito, Kerry M; Mazuski, John E; Burnham, Carey-Ann D

    2016-05-01

    OBJECTIVE We aimed to determine the frequency of qacA/B chlorhexidine tolerance genes and high-level mupirocin resistance among MRSA isolates before and after the introduction of a chlorhexidine (CHG) daily bathing intervention in a surgical intensive care unit (SICU). DESIGN Retrospective cohort study (2005-2012) SETTING A large tertiary-care center PATIENTS Patients admitted to SICU who had MRSA surveillance cultures of the anterior nares METHODS A random sample of banked MRSA anterior nares isolates recovered during (2005) and after (2006-2012) implementation of a daily CHG bathing protocol was examined for qacA/B genes and high-level mupirocin resistance. Staphylococcal cassette chromosome mec (SCCmec) typing was also performed. RESULTS Of the 504 randomly selected isolates (63 per year), 36 (7.1%) were qacA/B positive (+) and 35 (6.9%) were mupirocin resistant. Of these, 184 (36.5%) isolates were SCCmec type IV. There was a significant trend for increasing qacA/B (P=.02; highest prevalence, 16.9% in 2009 and 2010) and SCCmec type IV (P<.001; highest prevalence, 52.4% in 2012) during the study period. qacA/B(+) MRSA isolates were more likely to be mupirocin resistant (9 of 36 [25%] qacA/B(+) vs 26 of 468 [5.6%] qacA/B(-); P=.003). CONCLUSIONS A long-term, daily CHG bathing protocol was associated with a change in the frequency of qacA/B genes in MRSA isolates recovered from the anterior nares over an 8-year period. This change in the frequency of qacA/B genes is most likely due to patients in those years being exposed in prior admissions. Future studies need to further evaluate the implications of universal CHG daily bathing on MRSA qacA/B genes among hospitalized patients. Infect Control Hosp Epidemiol 2016;37:590-597. PMID:26828094

  3. Comparative evaluation of the antimicrobial activity of natural extracts of Morinda citrifolia, papain and aloe vera (all in gel formulation), 2% chlorhexidine gel and calcium hydroxide, against Enterococcus faecalis: An in vitro study

    OpenAIRE

    Anuj Bhardwaj; Suma Ballal; Natanasabapathy Velmurugan

    2012-01-01

    Aim: A comparative evaluation of the antimicrobial activity of natural extracts of Morinda citrifolia, papain, and aloe vera (all in gel formulations), 2% chlorhexidine gel and calcium hydroxide, against Enterococcus faecalis-an in vitro study. Materials and Methods: The antimicrobial efficacy was assessed in vitro using dentin shavings collected at 2 depths of 200 and 400 μm. The total colony forming units at the end of 1, 3, and 5 days were assessed. Results: The overall percentage ...

  4. Perubahan warna lempeng resin akrilik yang direndam dalam larutan desinfektan sodium hipoklorit dan klorhexidin (The color changes of acrylic resins denture base material which are immersed in Sodium hypochlorite and chlorhexidine

    Directory of Open Access Journals (Sweden)

    David David

    2006-03-01

    Full Text Available One of the acrylic resins properties is the water absorption including color fluids and chemically fluids that affect on the color changes of the acrylic resins. This laboratory experiments studied sodium hypochlorite and chlorhexidine effect on the color changes of acrylic denture base resins material. The study was conducted by immersing heat cured acrylic plate samples of 26 mm of diameter and 0.4 mm of thickness in sodium hypochlorite for 10; 70 and 140 minutes and chlorhexidine for 15; 105 and 210 minutes. Seven samples were used for each experiment. An optical spectrometer BPX-47 type photo cell and a digital microvoltage were used for the color changes observation. The statistical test used were t-test, One-way ANOVA and LSD with 0.05 significance degree level. The results of the studied showed that the color of acrylic resins denture base plate changed after immersion in sodium hypochlorite for 70 and 140 minutes and chlorhexidine for 105 and 210 minute of immersion.

  5. Ex-vivoand in-vitro assessment of mucoadhesive patches containing the gel-forming polysaccharide psyllium for buccal delivery of chlorhexidine base.

    Science.gov (United States)

    Cavallari, Cristina; Brigidi, Patrizia; Fini, Adamo

    2015-12-30

    The aim of the present study was to evaluate the gel-forming polysaccharide psyllium in the preparation of mucoadhesive patches for the controlled release of chlorhexidine (CHX) to treat pathologies in the oral cavity, using the casting-solvent evaporation technique. A number of different film-forming semi-synthetic polymers, such as sodium carboxymethyl cellulose (SCMC) and hydroxypropylmethyl cellulose (HPMC) were evaluated for comparison. The patch formulations were characterized in terms of drug content, morphology surface, swelling and mucoadhesive properties, microbiology inhibition assay and in vitro release tests. Three ex-vivo testswere carried out using porcine mucosa: an alternative dissolution test using artificial saliva that allows contemporary measurement of dissolution and mucoadhesion, a permeation test through the mucosa and the measurement of mucoadhesion using a Nouy tensile tester, as the maximum force required for the separation of the patch from the mucosa surface. The patches were also examined for determination of the minimum inhibitory concentration in cultures of Escherichia coli and Staphylococcus aureus. All the patches incorporating psyllium were found suitable in terms of external morphology, mucoadhesion and controlled release of the drug: in the presence of psyllium the drug displays prolonged zero-order release related to slower swelling rate of the system. PMID:26541304

  6. Modified Widman flap and non-surgical therapy using chlorhexidine chip in the treatment of moderate to deep periodontal pockets: A comparative study

    Directory of Open Access Journals (Sweden)

    Paul Grace

    2010-01-01

    Full Text Available Introduction: It is a well established fact that periodontitis is caused by a group of highly specific microorganisms, organized as a bio-film on the tooth surface. Hence, therapeutic modalities are directed against elimination or adequate suppression of these organisms. Thorough debridement of these sites is possible mainly by scaling and root planing (SRP and open- flap debridement in deeper sites. Open- flap debridement includes conventional surgical procedures such as the modified Widman flap procedure. Surgical procedures, however, have a number of disadvantages and hence efforts have been on at improving various non-surgical approaches, which are directed more specifically at the microbial nature of periodontal disease. Use of local drug-delivery devices is one such approach. The combined therapy of SRP and local drug delivery has been showing promising results in improving all the parameters in periodontal disease. Materials and Methods: This study compares the clinical, as well as, microbiological results of a split-mouth trial using modified Widman flap and non-surgical therapy of SRP and the use of a controlled release drug-delivery device (Chlorhexidine chip, in the management of moderate to deep pockets. Results and Conclusion: The results showed that the non-surgical most sites subjected to the non-surgical treatment were found to be maintainable without further deterioration, during the study period.

  7. Comparative evaluation of the efficacy of two controlled release devices: Chlorhexidine chips and indigenous curcumin based collagen as local drug delivery systems

    Directory of Open Access Journals (Sweden)

    Sruthima N. V. S. Gottumukkala

    2014-01-01

    Full Text Available Aim: To comparatively evaluate the therapeutic efficacy of chlorhexidine (CHX chips (Periocol-CG and indigenous curcumin (CU based collagen as adjuncts to scaling and root planning in the nonsurgical management of chronic periodontitis. Materials and Methods: A total of 120 sites from 60 patients presenting with chronic periodontitis (age group 25-55 years of both sexes, with pocket depth of ≥5 mm with radiographic evidence of bilateral bone loss were earmarked for the study. A split mouth design was employed, and all the clinical parameters-plaque index, gingival index, probing pocket depth (PPD and clinical attachment levels (CAL were recorded at baseline, 1 month, 3 months, and 6 months. However, the microbiological parameters, i.e., N-benzoyl-DL-arginine-β-naphthylamide (BANA test and microbial colony count were recorded at baseline, 3 months and 6 months postoperatively. Results: Significant reduction in plaque and gingival index scores were observed in both groups at the end of the study period, i.e., 6 months. The microbiological parameters (BANA test, microbial colony count, PPD and CAL levels also showed significant improvement in both groups. However, at the end of the study period CHX group showed greater improvement in all of these parameters compared to CU collagen group. Conclusion: Future directions of this study should include targeting the beneficial effects of these local drug delivery systems at varied concentrations so that they could be utilized to achieve the maximum beneficial therapeutic effects in the nonsurgical treatment of periodontal disease.

  8. Efficacy of different carrier gases for barrier discharge plasma generation compared to chlorhexidine on the survival of Pseudomonas aeruginosa embedded in biofilm in vitro.

    Science.gov (United States)

    Matthes, R; Hübner, N-O; Bender, C; Koban, I; Horn, S; Bekeschus, S; Weltmann, K-D; Kocher, T; Kramer, A; Assadian, O

    2014-01-01

    Because of its antimicrobial properties, nonthermal plasma could serve as an alternative to chemical antisepsis in wound treatment. Therefore, this study investigated the inactivation of biofilm-embedded Pseudomonas aeruginosa SG81 by a surface barrier-discharged (SBD) plasma for 30, 60, 150 and 300 s. In order to optimize the efficacy of the plasma, different carrier gases (argon, argon admixed with 1% oxygen, and argon with increased humidity up to approx. 80%) were tested and compared against 0.1% chlorhexidine digluconate (CHG) exposure for 600 s. The antimicrobial efficacy was determined by calculating the difference between the numbers of colony-forming units (CFU) of treated and untreated biofilms. Living bacteria were distinguished from dead by fluorescent staining and confocal laser scanning microscopy. Both SBD plasmas and CHG showed significant antimicrobial effects compared to the untreated control. However, plasma treatment led to a higher antimicrobial reduction (argon plasma 4.9 log10 CFU/cm(2), argon with admixed oxygen 3 log10 CFU/cm(2), and with increased gas humidity 2.7 log10 CFU/cm(2) after 300 s) compared to CHG. In conclusion, SBD plasma is suitable as an alternative to CHG for inactivation of Pseudomonas aeruginosa embedded in biofilm. Further development of SBD plasma sources and research on the role of carrier gases and humidity may allow their clinical application for wound management in the future. PMID:24434726

  9. Self-perception of side effects by adolescents in a chlorhexidine-fluoride-based preventive oral health program Percepção de efeitos adversos por adolescentes em um programa preventivo de saúde bucal, a base de clorexidina e fluoreto

    OpenAIRE

    Ana Rita Duarte Guimaraes; Marco Aurélio Peres; Ricardo de Sousa Vieira; Rodrigo Melin Ferreira; Maria Letícia Ramos-Jorge; Sara Apolinario; Anderson Debom

    2006-01-01

    OBJECTIVE: The objective of this study was to evaluate the incidence of adverse effects reported by adolescents following 14 days of use of a mouthrinse containing 0.05% NaF+0.12% chlorhexidine. METHODS: This double-blind study was developed as part of a randomized clinical trial. The adolescents enrolled to the study were randomly divided into two groups to use either: 0.05% NaF+0.12% chlorhexidine (G1, n=85) or 0.05% NaF (G2, n=85). Both groups used a 10mL solution of the mouthwash during 1...

  10. Probiotic supplements (Lactobacillus reuteri DSM 17938 and ATCC PTA 5289) do not affect regrowth of mutans streptococci after full-mouth disinfection with chlorhexidine: a randomized controlled multicenter trial.

    Science.gov (United States)

    Keller, M K; Hasslöf, P; Dahlén, G; Stecksén-Blicks, C; Twetman, S

    2012-01-01

    The aim of this study was to investigate the effectiveness of tablets containing two probiotic Lactobacillus reuteri strains in inhibiting regrowth of salivary mutans streptococci (MS) after full-mouth disinfection (FMD) with chlorhexidine. The null hypothesis was that the levels of MS would not differ in comparison with a placebo protocol. The study population was comprised of 62 young adults (mean age 23 years) with moderate or high counts of salivary MS who volunteered after informed consent. The study was a double-blinded randomized controlled trial with two parallel groups. After a 3-day chlorhexidine regimen, the subjects were randomly assigned to a test group (n = 32) with probiotic lozenges (2/day) or a placebo group (n = 30). The intervention period was 6 weeks, and stimulated whole saliva was collected at baseline and after 1, 6, and 12 weeks. The samples were processed for MS by a chair-side test and DNA-DNA hybridization as an estimate of 19 bacterial strains associated with oral health and disease. There was no significant difference between the groups at inclusion, and FMD reduced the salivary MS levels significantly in both groups. The MS suppression lasted less than 6 weeks and there were no statistical differences in salivary MS regrowth between the test and control groups at any of the follow-ups. Likewise, there were no major differences in the regrowth patterns of the checkerboard panel between the two groups. We conclude that daily oral administration of L. reuteri did not seem to affect or delay the regrowth of salivary MS after FMD with chlorhexidine. PMID:22472585

  11. 洗必泰葡萄糖酸盐对感染根管细菌生物膜的实验研究%Evaluation of antimicrobial effect with chlorhexidine digluconate against endodontic bacterial biofilms.

    Institute of Scientific and Technical Information of China (English)

    杜田丰; 马净植; 刘得玺; 曹颖光

    2011-01-01

    Objective:The aim of this study was to evalute the antimicrobial effect with chlorhexidine against endodontic bacterial biofilms in vitro. Method: An aliquot of Enterococcus faecalis suspensions was inoculated in the sterile coverslip incubating anaerobically for 1 week to inform bacterial biofilm. The biofilms were exposed to 0.2 % or 5 %chlorhexidine digluconate (CHX) for 1 min and 5 min, and then analyzed by viability staining and confocal laser scanning microscope (CLSM). Result:Them was a more remarkable (P < 0.05) antimicrobial effect with both agents for 5 min then that for 1 min. 5 % CHX killed more (P < 0.05) biofilm bacteria than 0.2 % CHX by exposure of 1 min,but killed bacteria similar to (P > 0.05) 0.2 % CHX for 5 min. Conclusion: Chlorhexidine digluconate showed a promoted bactericidal activity against endodontic bacteria biofilms attributing to the concentration and the exposure time. In addition,using chlorhexidine digluconate alone could not be obtained a successful irrigating and disinfecting outcome.%目的:探讨洗必泰葡萄糖酸盐作为根管冲洗药物,对粪肠球菌生物膜的灭菌作用.方法:在无菌盖玻片上制备粪肠球菌生物膜,应用 0.2%和 5%洗必泰葡萄糖酸盐冲洗,分别作用 1 min 和 5 min,激光扫描共聚焦显微镜观察灭菌效果.结果:0.2%或 5%洗必泰葡萄糖酸盐的灭菌效果随作用时间的延长而增加(P0.05).结论:洗必泰葡萄糖酸盐具有明显的杀灭粪肠球菌生物膜的作用,其不同浓度和不同作用时间的灭菌效果不同,然而尚不能达到完美的根管冲洗消毒目的.

  12. Clinical implications of the growth-suppressive effects of chlorhexidine at low and high concentrations on human gingival fibroblasts and changes in morphology.

    Science.gov (United States)

    Wyganowska-Swiatkowska, Marzena; Kotwicka, Malgorzata; Urbaniak, Paulina; Nowak, Agnieszka; Skrzypczak-Jankun, Ewa; Jankun, Jerzy

    2016-06-01

    Chlorhexidine (CHX) is considered the gold standard in the antiseptic treatment of the oral cavity, due to its high antibactericidal capability. With the use of CHX mouth-rinse formulations, the bacteriostatic effects are maintained by the adsorption and prolonged release of CHX from oral surfaces. It was believed that antiplaque formation ability and the lack of systemic toxicity of CHX render it an excellent antiseptic in post-surgical dental treatment. However, recent studies have demonstrated that CHX exerts cytotoxic effects on human periodontal tissues, such as gingival fibroblasts and other cells. It also reduces gingival fibroblast adhesion to fibronectin and prevents fibroblast attachment to root surfaces, thus interfering with periodontal regeneration. In this study, using human gingival fibroblasts (HGFs), we investigated effects of CHX on the growth, morphology and proliferation of HGFs. We found that a low concentration (0.002%) of CHX does not interfere with the proliferation and morphology of HGFs. However, a higher concentration (≥0.04%) of CHX inhibits cell proliferation and to a certain extent, affects cell morphology in a time-dependent manner. A decrease in the percentage of cells in the G0/G1 phase and the accumulation of cells in the S phase following treatment with CHX also occurred in a dose-dependent manner. We thus concluded that CHX only at the concentration of 0.002% does not interfere with HGF growth, that is so critical to wound healing. Thus, the application of CHX in the post-surgical antiseptic treatment of the oral cavity should be limited. PMID:27082817

  13. Counteraction of reactive oxygen species and determination of antibacterial efficacy of proanthocyanidin and lycopene when mixed with calcium hydroxide and chlorhexidine mixture: An in vitro comparative study

    Directory of Open Access Journals (Sweden)

    T A Mageshwaran

    2012-01-01

    Full Text Available Aim: The objective of the study was to determine the neutralizing effect of proanthocyanidin (grape seed extract and lycopene (tomato extract on reactive oxygen species (ROS generated by the mixture when used as an intracanal medicament. The study also evaluated the effect of proanthocyanidin and lycopene on the antibacterial efficacy of a mixture of chlorhexidine (CHX and calcium hydroxide [Ca(OH 2 ] against Enterococcus feacalis. Materials and Methods: Four sample groups were prepared as follows. Group I: 2% CHX gluconate (control group and group II: a mixture of 125 mg of Ca(OH 2 with 2% CHX gluconate solution. Group III was a mixture of 125 mg of Ca(OH 2 with 1 mL of 2% CHX gluconate solution and 1 mL of 5% proanthocyanidin solution and group IV, a mixture of 125 mg of Ca(OH 2 with 1 mL of 2% CHX gluconate solution and 1 mL of 5% lycopene solution. The groups were analyzed for ROS formation using the mass spectrometer (JEOL GC MATE II immediately after preparation. The antibacterial property was evaluated by using agar diffusion method and the results were statistically analyzed using one-way analysis of variance (ANOVA and Tukey-Kramer multiple comparison tests. Results: The peak value of 196.96 denotes ROS formation. Group II shows a higher peak value than other groups. Group IV shows a drastic reduction in the peak value. Group IV shows a drastic reduction in ROS formation when compared with group II, group III, and the control group. Antibacterial efficacy was higher in group IV, followed by group III, group II, and group I. Conclusion: Lycopene and proanthocyanidin reduce the ROS significantly by virtue of their antioxidant property. Lycopene shows more antioxidant property when compared with proanthocyanidin.

  14. Management of Cyst-like Periapical Lesions by Orthograde Decompression and Long-term Calcium Hydroxide/Chlorhexidine Intracanal Dressing: A Case Series.

    Science.gov (United States)

    Santos Soares, Suelleng Maria Cunha; Brito-Júnior, Manoel; de Souza, Flávia Kelly; Zastrow, Eduardo Von; Cunha, Carla Oliveira da; Silveira, Frank Ferreira; Nunes, Eduardo; César, Carlos Augusto Santos; Glória, José Cristiano Ramos; Soares, Janir Alves

    2016-07-01

    Cyst-like periapical lesions should be treated initially with conservative nonsurgical procedures. In this case series, we describe the clinical and radiographic outcomes of large cyst-like lesions that were treated by orthograde decompression and long-term intracanal use of calcium hydroxide [Ca(OH)2] mixed with 2% chlorhexidine digluconate. Ten cases of cyst-like periapical lesions involving 15 teeth from 10 patients were selected. Maximal radiographic diameters of the lesions ranged from 11 to 28 mm. Nonsurgical procedures were performed, including apical patency, orthograde puncture of cyst-like exudates, chemomechanical preparation, and placement of intracanal Ca(OH)2/CHX dressings, which were periodically replaced during 6-10 months. The root canals were then filled with gutta-percha and sealer. The follow-up periods ranged from 6 to 24 months, and the outcome was classified as healed, healing, or failure. Nine lesions drained copious exudates after canal patency. One lesion only drained bloody serous exudate after periapical overinstrumentation. In 9 patients, intracanal exudation ceased in the first follow-up visit. At the 24-month follow-up, 6 lesions (60.0%) had healed, and 3 lesions (30.0%) were healing, with the corresponding patients being without clinical signs or symptoms. The case of treatment failure was submitted to surgical treatment. Microscopically, the lesion appeared to be an apical cyst with exuberant extraradicular bacterial biofilms attached to the sectioned root apex. This case series supports the use of nonsurgical methods to resolve larger cyst-like periapical lesions. PMID:27325458

  15. Vitamin D Can Ameliorate Chlorhexidine Gluconate-Induced Peritoneal Fibrosis and Functional Deterioration through the Inhibition of Epithelial-to-Mesenchymal Transition of Mesothelial Cells

    Directory of Open Access Journals (Sweden)

    Yi-Che Lee

    2015-01-01

    Full Text Available Background. Peritoneal dialysis (PD can induce fibrosis and functional alterations in PD patients’ peritoneal membranes, due to long-term unphysiological dialysate exposure, partially occurring via triggering of epithelial-to-mesenchymal transition (EMT in peritoneal mesothelial cells (MCs. Vitamin D can ameliorate these negative effects; however, the mechanism remains unexplored. Therefore, we investigated its possible links to MCs EMT inhibition. Methods. Peritoneal fibrosis was established in Sprague-Dawley rats by chlorhexidine gluconate (CG intraperitoneal injection for 21 days, with and without 1α,25(OH2D3 treatment. Morphological and functional evaluation and western blot analysis of EMT marker were performed upon peritoneum tissue. In vitro study was also performed in a primary human peritoneal MC culture system; MCs were incubated with transforming growth factor-β1 (TGF-β1 in the absence or presence of 1α,25(OH2D3. EMT marker expression, migration activities, and cytoskeleton redistribution of MCs were determined. Results. 1α,25(OH2D3 ameliorated CG-induced morphological and functional deterioration in animal model, along with CG-induced upregulation of α-SMA and downregulation of E-cadherin expression. Meanwhile, 1α,25(OH2D3 also ameliorated TGF-β1-induced decrease in E-cadherin expression, increase in Snai1 and α-SMA expression, intracellular F-actin redistribution, and migration activity in vitro. Conclusion. 1α,25(OH2D3 can ameliorate CG-induced peritoneal fibrosis and attenuate functional deterioration through inhibiting MC EMT.

  16. Effects of Two Fluoride Varnishes and One Fluoride/Chlorhexidine Varnish on Streptococcus mutans and Streptococcus sobrinus Biofilm Formation in Vitro

    Directory of Open Access Journals (Sweden)

    Arzu Pinar Erdem, Elif Sepet, Güven Kulekci, Sule Can Trosola, Yegane Guven

    2012-01-01

    Full Text Available Aims: The aim of this study was to evaluate and to compare the effect of two fluoride varnishes and one fluoride/chlorhexidine varnish on Streptococcus mutans and Streptococcus sobrinus biofilm formation, in vitro.Study design: Standard acrylic discs were prepared and divided into groups based on the varnish applied to the disc surface: Fluor Protector, Bifluoride 12, and Fluor Protector + Cervitec (1:1. Untreated discs served as controls. In the study groups, biofilms of S. mutans and S. sobrinus were formed over 24 h, 48 h, and 5 days. The fluoride concentrations in the monospecies biofilms and viable counts of S. mutans and S. sobrinus were investigated.Results: In all study groups, a statistically significant increase in the viable number of S. mutans and S. sobrinus cells was observed between 24 h and 5 days. In both monospecies biofilms, the greatest antibacterial efficacy was detected in the Fluor Protector and Fluor Protector + Cervitec groups at 24 h. For all groups, the amount of fluoride released was highest during the first 24 h, followed by a significant decrease over the next 4 days. A negative correlation was detected between fluoride concentration and antibacterial effect in those groups with biofilms containing both species. Despite the release of high levels of fluoride, the greatest number of viable S. mutans and S. sobrinus cells was detected in the Bifluoride 12 group.Statistics: The data were analyzed using GraphPad Prism software (ver. 3.Conclusions: The Fluor Protector + Cervitec varnish exerted prolonged antibacterial effects on S. mutans and S. sobrinus biofilms compared to the other varnishes tested.

  17. Comparative Evaluation of Antimicrobial Activity of QMiX, 2.5% Sodium Hypochlorite, 2% Chlorhexidine, Guava Leaf Extract and Aloevera Extract Against Enterococcus faecalis and Candida albicans – An in-vitro Study

    Science.gov (United States)

    Krishnamma, Shoba; Peedikayil, Faizal; Aman, Shibu; Tomy, Nithya; Mariodan, Jithin Pulickal

    2016-01-01

    Introduction Debridement and disinfection of the root canal system is a critical step in endodontic treatment. Most of the irrigants presently used in the endodontic treatment can have an impact on the microbes surviving in the biofilm but none of them are able to do all of the required tasks. Researches are going on its full swing in order to produce an endodontic irrigant having ideal properties. Aim To compare the antimicrobial efficacy of different irrigants like QMiX, guava leaf extract, aloevera extract, 2.5% sodium hypochlorite and 2% chlorhexidine gluconate against Enterococcus faecalis and Candida albicans. Materials and Methods The antimicrobial activity was determined using agar diffusion test. The solutions were divided into five groups: Group I- QMiX, Group II- Guava leaf extract and Group III-Aloevera extract, Group IV–2.5% Sodium hypochlorite and Group V-2% Chlorhexidine. The zones of inhibition of growth were recorded. Results Statistical analysis was performed using one way ANOVA with post-hoc Tukey’s HSD. Values obtained were statistically analyzed (proot canal irrigants. PMID:27437354

  18. 氯己定醇皮肤消毒液应用于儿童浅静脉留置针的效果评价%Effect of chlorhexidine on disinfection of peripheral venous indwelling needles of pediatric patients

    Institute of Scientific and Technical Information of China (English)

    许方蕾; 孙晓敏; 张丽亚; 毛懿雯

    2013-01-01

    目的 探讨2%葡萄糖酸氯己定醇皮肤消毒剂对儿童浅静脉留置针消毒效果.方法 选择2012年8月-2013年1月在儿科行浅静脉留置针穿刺的患儿300例,随机分为观察组和对照组各150例;观察组使用2%葡萄糖酸氯己定醇进行皮肤消毒,对照组使用安尔碘进行皮肤消毒,分别在消毒前,第1、2次消毒后和消毒72 h后对两组进行细菌采样,比较消毒效果.结果 使用2%葡萄糖酸氯己定醇在第1次消毒和消毒72 h后的患儿皮肤菌落数低(P<0.05),且2%葡萄糖酸氯己定醇的消毒待干时间(16.81±1.47)h更短,差异有统计学意义(P<0.05).结论 2%葡萄糖酸氯己定醇在儿童浅静脉留置针的消毒效果确切,且可视度高、待干时间短,为护理人员的临床工作提供了便利,较传统的安尔碘消毒液更具优越性,值得临床推广和应用.%OBJECTIVE To evaluate the effect of 2% chlorhexidine skin disinfectant on the disinfection of the peripheral venous indwelling needles of the pediatric patients. METHODS A total of 300 pediatric patients who had indications of using peripheral venous indwelling needle from Aug 2012 to Jan 2013 were enrolled in the study and were randomly and equally divided into the experimental group and the control group. The patients in the experimental group were sterilized by 2% chlorhexidine skin disinfectant, while the patients in the control group were sterilized by anerdian before the indwelling of the peripheral needle. The bacterial samples were respectively obtained before the disinfection, the first time and the second time after the disinfection, and 72 hours after the disinfection, then the disinfection effects were compared. RESULTS Compared with anerdian, the bacterial colony counts were significantly less in the 2% chlorhexidine skin disinfectant group at first time or 72 hours after the disinfection (P<0. 05) , and the 2% chlorhexidine needed less time to dry (16. 81 ±1. 47) h, the

  19. CLINICAL EVALUATION OF PREOPERATIVE SKIN PREPARATION WITH AQUEOUS POVIDONE IODINE ONLY AND IN COMBINATION WITH ALCHOLIC CHLORHEXIDINE IN PATIENTS UNDERGOING ELECTIVE AND EMERGENCY SURGERIES

    Directory of Open Access Journals (Sweden)

    Latchu

    2015-10-01

    Full Text Available INTRODUCTION: Many techniques are there for skin preparation before surgery, the commonest being initial scrub with antiseptic soap solution, followed by painting the prepared area with antiseptic paint solution. But degerming of the skin can be done with antiseptics us ed for less than one minute which is as effective as five minute scrub with germicidal soap solution followed by painting with antiseptics . AIMS AND OBJECTIVES : 1. To evaluate the efficacy of povidone iodine alone and antiseptic agent containing alcoholic chlorhexidine with povidone iodine in preoperative skin preparation by taking swab culture. 2. To compare the rate of postoperative wound infection in both the groups . METHODS: STUDY DESIGN: Comparative study conducted on 100 patients in two groups. STUDY SETTING: Sri Venkateswara Medical College Tirupathi SOURCE OF DATA: 100 Patients (50 in each Group undergoing elective and emergency surgery admitted in the Department of General Surgery in S.V.R.R. Government General Hospital, Tirupati from 2013 to 2014. INCLUSION CRITERIA: 1. Patients undergoing elective & emergency surgery in department of general surgery. 2. Patients with no focus of infection anywhere on the body. 3. Patients irrespective of their age and sex. 4. Patients neither immunocompromised nor on any long term steroids. 5. Patients undergoing mes h repair of hernia are also included. EXCLUSION CRITERIA: 1. Immuno compromised patients and patients on long term steroids. 2. Patients with septicemia. 3. Patients suffering from malignancies or undergoing chemotherapy or radiation therapy. 4. Contaminat ed surgeries in which viscus was opened were excluded from the study. 5. Patients with co - morbid medical conditions like diabetes, hypertension etc. METHOD OF COLLECTION OF DATA: In each case preoperatively, detailed history was taken and routine investiga tions like haemoglobin, total count, differential count, ESR, RBS and chest X - ray, ultrasound were done to

  20. A Report of At-Scale Distribution of Chlorhexidine Digluconate 7.1% Gel for Newborn Cord Care to 36,404 Newborns in Sokoto State, Nigeria: Initial Lessons Learned

    Science.gov (United States)

    Orobaton, Nosakhare; Abegunde, Dele; Shoretire, Kamil; Abdulazeez, Jumare; Fapohunda, Bolaji; Lamiri, Goli; Maishanu, Abubakar; Ganiyu, Akeem; Ndifon, Eric; Gwamzhi, Ringpon; Osborne-Smith, Matthew

    2015-01-01

    Background With an annual estimated 276,000 neonatal deaths, Nigeria has the second highest of any country in the world. Global progress in accelerating neonatal deaths is hinged to scaled-up interventions in Nigeria. We used routine data of chlorhexidine digluconate 7.1% gel utilized by 36,404 newborns delivered by 36,370 mothers, to study lessons associated with at-scale distribution in Sokoto State, North West Nigeria. Methods and Findings Under state government leadership, a community-based distribution system overseen by 244 ward development committees and over 3,440 community-based health volunteers and community drug keepers, was activated to deliver two locally stored medicines to women when labor commenced. Newborns and their mothers were tracked through 28 days and 42 days respectively, including verbal autopsy results. 36,404 or 26.3% of expected newborns received the gel from April 2013 to December 2013 throughout all 244 wards in the State. 99.97% of newborns survived past 28 days. There were 124 pre-verified neonatal deaths reported. Upon verification using verbal autopsy procedures, 76 deaths were stillborn and 48 were previously live births. Among the previous 48 live births, the main causes of death were sepsis (40%), asphyxia (29%) and prematurity (8%). Underuse of logistics management information by government in procurement decisions and not accounting for differences in LGA population sizes during commodity distribution, severely limited program scalability. Conclusions Enhancements in the predictable availability and supply of chlorhexidine digluconate 7.1% gel to communities through better, evidence-based logistics management by the state public sector will most likely dramatically increase program scalability. Infections as a cause of mortality in babies delivered in home settings may be much higher than previously conceived. In tandem with high prevalence of stillborn deaths, delivery, interventions designed to increase mothers’ timely

  1. A pilot study of the efficacy of wipes containing chlorhexidine 0.3%, climbazole 0.5% and Tris-EDTA to reduce Malassezia pachydermatis populations on canine skin

    Science.gov (United States)

    Cavana, Paola; Peano, Andrea; Petit, Jean-Yanique; Tizzani, Paolo; Perrot, Sébastien; Bensignor, Emmanuel; Guillot, Jacques

    2015-01-01

    Background Wipes containing chlorhexidine and azole derivates have been recommended for veterinary use. No study has been published about their activity against Malassezia pachydermatis. Hypothesis/Objectives To evaluate the in vivo and in vitro activity of wipes soaked in a chlorhexidine, climbazole and Tris-EDTA solution against Malassezia pachydermatis. Animals Five research colony shar-pei dogs. Methods Wipes were applied once daily onto the left axilla, left groin and perianal area (protocol A), and twice daily on the right axilla, right groin and umbilical region (protocol B) for 3 days. In vivo activity was evaluated by quantifying Malassezia colonies through contact plates on the selected body areas before and after wipe application. The activity of the solution in which the wipes were soaked was assessed in vitro by contact tests following the European Standard UNI EN 1275 guidelines. Results Samples collected after wipe application showed a significant and rapid reduction of Malassezia yeast CFU. No significant difference in the Malassezia reduction was found between protocols A and B. In vitro assay showed 100% activity against Malassezia yeasts after a 15 min contact time with the wipe solution. Conclusions and clinical importance Wipes containing chlorhexidine, climbazole and Tris-EDTA substantially reduced the M. pachydermatis population on the skin of dogs. The results, although this was an uncontrolled study performed on a small number of dogs, suggest that these wipes may be useful for topical therapy of Malassezia dermatitis involving the lips, paws, perianal area and skin folds. Résumé Contexte Des lingettes contenant de la chlorhexidine et des dérivésazolés ont été recommandés en médicine vétérinaire. Aucune étude n'a été publiée sur leur activité contre Malassezia pachydermatis. Hypothèses/Objectifs Evaluer l'activité in vivo et in vitro de lingettes imprégnées d'une solution de chlorhexidine, climbazole et Tris

  2. A Report of At-Scale Distribution of Chlorhexidine Digluconate 7.1% Gel for Newborn Cord Care to 36,404 Newborns in Sokoto State, Nigeria: Initial Lessons Learned.

    Directory of Open Access Journals (Sweden)

    Nosakhare Orobaton

    Full Text Available With an annual estimated 276,000 neonatal deaths, Nigeria has the second highest of any country in the world. Global progress in accelerating neonatal deaths is hinged to scaled-up interventions in Nigeria. We used routine data of chlorhexidine digluconate 7.1% gel utilized by 36,404 newborns delivered by 36,370 mothers, to study lessons associated with at-scale distribution in Sokoto State, North West Nigeria.Under state government leadership, a community-based distribution system overseen by 244 ward development committees and over 3,440 community-based health volunteers and community drug keepers, was activated to deliver two locally stored medicines to women when labor commenced. Newborns and their mothers were tracked through 28 days and 42 days respectively, including verbal autopsy results. 36,404 or 26.3% of expected newborns received the gel from April 2013 to December 2013 throughout all 244 wards in the State. 99.97% of newborns survived past 28 days. There were 124 pre-verified neonatal deaths reported. Upon verification using verbal autopsy procedures, 76 deaths were stillborn and 48 were previously live births. Among the previous 48 live births, the main causes of death were sepsis (40%, asphyxia (29% and prematurity (8%. Underuse of logistics management information by government in procurement decisions and not accounting for differences in LGA population sizes during commodity distribution, severely limited program scalability.Enhancements in the predictable availability and supply of chlorhexidine digluconate 7.1% gel to communities through better, evidence-based logistics management by the state public sector will most likely dramatically increase program scalability. Infections as a cause of mortality in babies delivered in home settings may be much higher than previously conceived. In tandem with high prevalence of stillborn deaths, delivery, interventions designed to increase mothers' timely and regular use of quality

  3. Prevention and management guidelines to oral health care for patients with head and neck cancer: HCT20, Carisolv and Chlorhexidine varnish are suggested; Protocolo de prevencao e tratamento de sequelas bucais em pacientes submetidos a radioterapia: uso do HCT20, Carisolv e verniz de clorexidina

    Energy Technology Data Exchange (ETDEWEB)

    Silva Guerra, Eliete Neves da; Melo, N.S. de

    2004-06-01

    Orofacial complications are unfortunately common with all modalities used in the management of patients with head and neck cancer. It is well known that hypo salivation develops if radiation therapy involves the salivary glands. A significant decrease in salivary volume can adversely affect oral comfort, mucous health, dentition, deglutition and mastication. Xerostomia may lead to consumption of diet high in carbohydrates and make good oral hygiene difficult. The purpose of this study is to report a new prevention and management guidelines to oral and dental health care for patients with head and neck cancer who will treat with radiotherapy. New materials as HCT20, Carisolv and chlorhexidine varnish are suggested. (author)

  4. The study on chlorhexidine acetate against pathogens bacteria of acute and chronic pharyngitis in vitro%醋酸氯己定对急慢性咽炎主要致病菌的体外抑菌活性考察

    Institute of Scientific and Technical Information of China (English)

    吴燕; 靳芳庆; 张福成; 林敏; 陈雄

    2011-01-01

    Objective To evaluate the antibacterial activity of different concentrations of chlorhelxidine acatate against several pharyngitis pathogens. Methods MICs of chlorhelxidine acatate at different concentrations on against β-Streptococcus pyogens, Proteusbacillus vulgaris, Dneumococcus and Staphylococcus aureus were determined by 96-well plates method and the antibacterial activity were determined by driling method. Results Chlorhexidine acetate can inhibit or kill the four acute and chronic pharyngitis bacteria effectively and the MICs of chlorhexidine acetate on β-Streptococcus pyogens, Proteusbacillus vulgaris, Dneumococcus and Staphylococcus aureus Rosenbach was 7.81 ×10-3, 0.0313, 3.91×10-3 and 1.96×l0-3mg/mL respectively. Conclusion The activity of chlorhexidine acetate against β-Streptococcus pyogens, Proteusbacillus vulgaris, Dneumococcus and Staphylococcus aureus Rosenbach was strong. Chlorhexidine acetate can be used to treat acute and chronic pharyngitis.%目的 考察不同浓度醋酸氯己定对引起急慢性咽炎的主要致病菌(乙型溶血型链球菌、变形菌、肺炎双球菌、金葡球菌)的体外抑菌作用.方法 采用96孔板测定醋酸氯己定对几种菌的最小抑菌浓度值(MIC),打孔法测定不同浓度醋酸氯己定对引起急慢性咽炎的几种主要致病菌的体外抑菌作用.结果 醋酸氯己定对乙型溶血型链球菌、变形菌、肺炎双球菌、金葡球菌均有明显的抑菌作用,且最小抑菌浓度分别7.81×10(-3)、0.0313、3.91×10(-3)和1.96×10(-3)mg/mL.结论 醋酸氯己定对引起急慢性咽炎的乙型溶血性链球菌、变形菌、肺炎双球菌以及金葡球菌等几种病原菌均有较强的抗菌活性,可用于急慢性咽炎的辅助治疗.

  5. Assessment of the Effectiveness of Silver-Coated Dressing, Chlorhexidine Acetate (0.5%), Citric Acid (3%), and Silver Sulfadiazine (1%) for Topical Antibacterial Effects Against the Multi-Drug Resistant Pseudomonas Aeruginosa Infecting Full-Skin Thickness Burn Wounds on Rats

    OpenAIRE

    Yabanoglu, Hakan; Basaran, Ozgur; Aydogan, Cem; Azap, Ozlem Kurt; Karakayali, Feza; Moray, Gokhan

    2013-01-01

    The aim of this study was to compare the effects of four different topical antimicrobial dressings on a multi-drug resistant Pseudomonas aeruginosa contaminated full-thickness burn wound rat model. A total of 40 adult male Wistar albino rats were used. The control group (group 1), silver sulfadiazine (1%) group 2, chlorhexidine acetate (0.5%) group 3, citric acid (3%) group 4, and silver-coated dressing group 5 were compared to assess the antibacterial effects of a daily application to a 30% ...

  6. Efecto comparativo de nuevo colutorio-gel de clorhexidina con colutorios comerciales en el crecimiento de placa en 24 horas Comparative effect again mouthrinses-gel of chlorhexidine with commercial mouthrinses in the growth of plaque in 24 hours

    Directory of Open Access Journals (Sweden)

    S. Rivera

    2006-12-01

    Full Text Available Introducción. Las soluciones de clorhexidina (CHX, estándares en prevención de formación de placa presentan algunos efectos indeseados como el dolor por alcohol. Objetivos. El propósito de este estudio fue determinar la eficacia clínica de colutorio-gel acuoso de clorhexidina al 0,1% y compararla con colutorios al 0,12% y 0,1% con alcohol, evaluando el crecimiento de placa bacteriana. Materiales y métodos. En un estudio cruzado, doble ciego y randomizado, 25 alumnos de buena salud oral, participaron de cuatro estudios con abstención de limpieza oral por 24 horas, separados entre si por 4 semanas. Los alumnos se enjuagaron por una vez con uno de los siguientes colutorios: CHX 0,12% + alcohol (Oralgene®, CHX 0,12% + alcohol (Perio.Aid®, CHX 0,1%+ alcohol (Dentilim® y CHX 0,1% + HMC 2,5% (Colutoriogel®, acuoso nueva formula. Después de un día se midió formación de placa, se completo y registro el cuestionario de parámetros clínicos Resultados. Las formulaciones de CHX 0,12% + alcohol y CHX 0,1% + HMC 2,5% se mostraron eficientes en retardar el crecimiento de placa dental de novo, esto obtenido de las mediciones clínicas, y siempre superior (pThe chlorhexidine solutions (CHX standars in prevention of plaque formation present some undesired effects like the pain by alcohol. The aim of this study was to determine the clinical effectiveness of Colutoriogel® (new formulation of chlorhexidine to the 0,1% and to compare with mouthrinses to the 0,12% and 0,1% with alcohol being evaluated growth of bacterial plaque. In double-blind, randomised, cross-over study, 25 young dental students with a healthy periodontium, abolished all means of mechanical plaque control during 4 experimental periods of 1 day (separated from each other by a washout period of 4 weeks. During each experimental period, they rinsed 1 daily with one of the following mouthrinses in a randomised order: CHX 0,12% + alcohol (Oralgene ®, CHX 0,12% + alcohol (Perio

  7. A comparative evaluation of the effect of 5.25% sodium hypochlorite and 2% chlorhexidine on the surface texture of Gutta-percha and resilon cones using atomic force microscope

    Directory of Open Access Journals (Sweden)

    Mahima Tilakchand

    2014-01-01

    Full Text Available Aims & Objectives: The purpose of this study was to investigate the effects of 5.25% sodium hypochlorite (NaOCl and 2% chlorhexidine (CHX on Gutta-percha and Resilon cones using an atomic force microscope (AFM. Materials and Methods: Gutta-percha cones (n = 15 and Resilon cones (n = 15 were cut 3 mm from their tip, attached to a glass slide with cyanoacrylate glue and immersed in 5.25% NaOCl and CHX for 1, 5, 10, 20 and 30 min. Five each of Gutta-percha and Resilon cones not treated with any disinfectant were used as control. The analysis of the surface topography was performed on the region between 1 and 2 mm from the tip using the AFM. The root mean square (RMS parameters for contact mode imaging were measured. The differences between RMS values were tested by SPSS-16.0 version statistical software [IBM SPSS (Statistical Product and Service Solutions Data Software, Chicago, US] using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Wilcoxon matched pairs test. Results: There was no deterioration in the surfac e topography of Gutta-percha and Resilon when treated with 2% CHX in comparison to baseline (P < 0.05. Resilon exhibited no deterioration in topography when immersed in 5.25% NaOCl. There was a significant decrease in the mean RMS values of Gutta-percha treated with NaOCl from the control at time intervals of 1, 5, 10, 20 and 30 min.

  8. Effectiveness of a controlled release chlorhexidine chip (PerioColTM‑CG as an adjunctive to scaling and root planing when compared to scaling and root planing alone in the treatment of chronic periodontitis: A comparative study

    Directory of Open Access Journals (Sweden)

    Kameswari Kondreddy

    2012-01-01

    Full Text Available Aims and objectives: The aim of this study is to evaluate the effectiveness of a controlled-release chlorhexidine chip as an adjunctive therapy to scaling and root planing when compared with scaling and root planing alone in the treatment of chronic periodontitis. Materials and Methods: 20 patients with a total number of 40 posterior sites were selected. These sites were divided into two groups in a split mouth design,: Group A (control site had 20 sites treated with scaling and root planing alone and Group B (test site had 20 sites treated with scaling and root planing and PerioCol TM -CG. The clinical parameters (Plaque index, bleeding on probing, probing pocket depth, clinical attachment level were recorded at baseline, 90 th and 180 th day for both the groups. Results: When both groups were compared the change in Plaque index was significantly higher in Group B when compared to Group A on the 90 th day and 180 th day. However, there was no statistically significant difference in the mean percentage of gingival bleeding sites between the two groups on the 90 th day, though Group B showed a statistically higher reduction in the mean percentage of gingival bleeding sites at the end of 180 th day. There was no statistically significant difference in probing pocket depth between the two groups on both 90 th and 180 th day. Gain in clinical attachment level was significantly higher in Group B when compared to Group A on the 90 th and 180 th day. Conclusion: From the results observed in this study, it can be concluded that the adjunctive use of PerioCol TM -CG was safe and provided significant improvement in both Plaque index and gingival bleeding index. It was also more favorable than scaling and root planing alone for gain in clinical attachment level.

  9. Anti-microbial efficacy of green tea and chlorhexidine mouth rinses against Streptococcus mutans, Lactobacilli spp. and Candida albicans in children with severe early childhood caries: A randomized clinical study

    Directory of Open Access Journals (Sweden)

    Ann Thomas

    2016-01-01

    Full Text Available Introduction: Green tea is a beverage which is consumed worldwide and is reported to have anti-cariogenic effect. So, if it was as effective as chlorhexidine (CHX mouth rinse against cariogenic microbes it could be considered a natural, economical alternative. The purpose of this study was to evaluate and compare the anti-microbial efficacy of 0.5% green tea and 0.2% CHX mouth rinses against Streptococcus Mutans, Lactobacilli spp. and Candida Albicans. Materials and Methods: 30 children aged 4-6 years with S-ECC (based ondefs score were selected. Children were divided randomly into 2 equal groups and were asked to rinse with the prescribed mouth rinse once daily for 2 weeks after breakfast under supervision. A base-line and post rinsing non-stimulated whole salivary sample (2 ml was collected and tested for the number of colony forming units. The data was statistically analyzed using SPSS v16.0 software with one-way ANOVA and Tukey′sPOSTHOC test. Results: A statistically significant fall in colony count was found with both the mouth rinses in Streptococcus Mutans (P < 0.001, P < 0.001 and lactobacilli (P < 0.001, P < 0.001 but not against Candida albicans (P = 0.264, P = 0.264. Against Streptococcus Mutans, green tea mouth rinse was found to be significantly better than CHX mouth rinse (P = 0.005. Against lactobacilli spp, CHX mouth rinse was significantly better than green tea mouth rinse (P < 0.001. Conclusion: Green tea mouth rinse can be considered safe, economical and used without much concern. However, further studies are recommended.

  10. Efeito da clorexidina na mucosite induzida por radioterapia em câncer de cabeça e pescoço Effects of chlorhexidine mouthwash on radiation induced mucosistis in head and neck cancer

    Directory of Open Access Journals (Sweden)

    Rogério Labbate

    2003-06-01

    Full Text Available A radioterapia em pacientes com neoplasias de Cabeça e Pescoço causa alterações na mucosa oral comprometendo a execução terapêutica e o resultado final. OBJETIVO: Avaliar o efeito protetor do gluconato de clorexidina, sobre a mucosa oral, durante o tratamento actínico fracionado e o seu reflexo na qualidade de vida referida pelos pacientes. FORMA DE ESTUDO: Clínico prospectivo. MATERIAL E MÉTODO: Foram selecionados 21 portadores de câncer de Cabeça e Pescoço alocados em dois grupos: grupo Placebo (n=11, 9H e 2M, idade média 58 anos água destilada - dois bochechos diários e grupo Medicação (n=10, 7H e 2M, idade média 52 anos gluconato de clorexidina a 0,12% - dois bochechos diários. Os pacientes foram avaliados semanalmente com exame local para detecção das alterações de mucosa (classificação de acordo com a WHO e Grupo de Terapia por Radiação em Oncologia - graus 0 a IV e preenchimento de questionário de qualidade de vida ressaltando os aspectos de dor, apetite, paladar e hábitos alimentares. A análise estatística realizada pelo teste exato de Fisher. RESULTADOS: A graduação da mucosite foi mais intensa no grupo Placebo em 6 das 10 semanas de avaliação. A freqüência e intensidade das dores foram piores no grupo Placebo na 4ª semana de radioterapia e a modificação de paladar foi mais intensa nos indivíduos que não usavam o medicamento apenas na 7ª semana. Não foram encontradas diferenças nos outros parâmetros de qualidade de vida. CONCLUSÃO: Podemos concluir que o gluconato de clorexidina não eliminou as lesões de mucosa mas diminuiu, significativamente, os seus efeitos deletérios e intensidade sem apresentar um reflexo persistente na qualidade de vida dos pacientes.The radiotherapy in patients with neoplasias of Head and Neck causes alterations in the oral mucous membrane interfering with the therapeutic execution and the final result. AIM: To evaluate the protective effect of the chlorhexidin

  11. 聚氨酯/醋酸洗必泰-蒙脱土复合抗菌材料的制备与研究%Preparation and Research of Polyurethane/Chlorhexidine Acetate-Montmorillonite Compound Antibacterial Materials

    Institute of Scientific and Technical Information of China (English)

    邵晓林; 邱化廷; 毛植森; 李建通; 梁红军; 费长书

    2014-01-01

    A peel-dispersion polyurethane/chlorhexidine acetate-montmorillonite ( PU/CA-MMT ) antibacterial material was prepared by CA-MMT nano-antibacterial agent mixed with PU. It was characterized by TG, AFM, SEM test. The antibacterial properties were tested by the bacterial adhesion and film antibacterial experiment. The bacteria adhesion experimental results showed that, compared for the CA, adding MMT could make the CA-MMT resistance high temperature performance significantly improved. It could be adapted in high temperature. The CA-MMT had more excellent antibacterial properties because CA-MMT was stripped and released from the material more easily. The antibacterial experiments result showed that, the experimental group which didn.t adding CA had many colonies, while adding CA group had few bacteria. The PU/CA-MMT nano-antibacterial material had good antibac-terial properties which was excellent than PU/CA.%在聚氨酯( PU)中加入一定量的醋酸洗必泰-蒙脱土( CA-MMT)纳米抗菌剂,制备剥离弥散型的PU/CA-MMT抗菌材料。通过热重分析( TG)、原子力显微镜( AFM)、扫描电镜( SEM)、细菌粘附、贴膜抗菌实验等进行表征和测试抗菌性能。细菌粘附实验结果表明,相比于CA,MMT的加入使CA-MMT耐高温性能明显提高,能适应高温的加工条件,同时由于CA-MMT在材料中被剥离,易于释放出来,因此PU/CA-MMT的抗菌效果更优异。贴膜抗菌实验结果表明,未加CA的菌落数太多,无法计数;而含CA的,有明显的抗菌性,且PU/CA-MMT材料使PU基体具有良好抗菌性能,同时抗菌性能比PU/CA更优异。

  12. Avaliação da atividade antimicrobiana de adesivo ortodôntico associado a verniz de clorexidina e timol na colagem de braquetes Evaluation of antimicrobial activity of orthodontic adhesive associated with chlorhexidine-thymol varnish in bracket bonding

    Directory of Open Access Journals (Sweden)

    Carolina Freire de Carvalho Calabrich

    2010-08-01

    Full Text Available OBJETIVO: avaliar a atividade antimicrobiana da associação de um adesivo ortodôntico com um verniz de clorexidina e timol. MÉTODOS: foram utilizados 32 pré-molares humanos divididos em 4 grupos. O grupo 1 consistiu do grupo controle, no qual o adesivo utilizado para a colagem do braquete não estava associado a nenhum agente antimicrobiano. Os grupos 2, 3 e 4 foram colados com um sistema adesivo associado a um verniz de clorexidina e timol. Os grupos 3 e 4 foram armazenados em água por 7 dias e 30 dias, respectivamente, enquanto os corpos de prova do grupo 2 foram, logo depois da colagem, colocados em ágar semeado com Streptococcus mutans por 48h a 37ºC. RESULTADOS: os grupos experimentais, com exceção do grupo controle, apresentaram atividade antimicrobiana com tendência de redução do seu potencial de ação com maior tempo de imersão em água. CONCLUSÃO: a associação do verniz de clorexidina a um sistema adesivo utilizado em Ortodontia apresenta-se vantajosa pela sua atividade antimicrobiana.OBJECTIVE: To assess the antimicrobial activity resulting from the association of an orthodontic adhesive with chlorhexidine-thymol varnish. METHODS: Thirty-two extracted human premolars were used, divided into four groups. In Group 1, the control group, the adhesive used to bond the bracket was not associated with any antimicrobial agent. Groups 2, 3 and 4 were bonded with an adhesive system associated with chlorhexidine-thymol varnish. Groups 3 and 4 were stored in water for 7 days and 30 days, respectively, while the specimens from group 2 were, soon after bonding, placed on agar seeded with Streptococcus mutans for 48 hours, at 37º C. RESULTS: The experimental groups, with the exception of the control group, showed antimicrobial activity whose action tended to decline commensurately with the amount of time that they remained immersed in water. CONCLUSIONS: The association of chlorhexidine-thymol varnish with an adhesive system used in

  13. Avaliação da resistência adesiva e do padrão de descolagem de diferentes sistemas de colagem de braquetes associados à clorexidina Evaluation of the bond strength and debonding pattern of different bracket bonding systems associated with chlorhexidine

    Directory of Open Access Journals (Sweden)

    Jorge Luís de Oliveira Ribeiro

    2008-08-01

    Full Text Available OBJETIVOS: o objetivo deste estudo in vitro foi avaliar a resistência adesiva e o padrão de descolagem de diferentes sistemas de colagem de braquetes (Sistema Transbond XT / 3M-Unitek e Sistema Enlight / Ormco cujos respectivos adesivos foram pré-misturados ao verniz de clorexidina (Cervitec / Ivoclar-Vivadent. METODOLOGIA: a amostra utilizada foi constituída por 60 pré-molares humanos, extraídos por indicações ortodônticas, incluídos em cilindros de PVC e divididos aleatoriamente em quatro grupos: grupo 1 - Sistema Transbond XT conforme prescrito pelo fabricante; grupo 2 - Sistema Transbond XT associado a verniz de clorexidina; grupo 3 - Sistema Enlight conforme prescrito pelo fabricante; grupo 4 - Sistema Enlight associado a verniz de clorexidina. A resistência adesiva foi avaliada pelo teste de cisalhamento na máquina de ensaios universal EMIC (0,5mm/min; o padrão de descolagem foi avaliado, através da lupa estereoscópica STEMI 2000-C / Zeiss (20x, pela observação do Índice de Adesivo Remanescente (IAR na superfície do esmalte dentário, após a descolagem dos braquetes. RESULTADOS: não houve diferença estatisticamente significante (p AIM: The objective of this in vitro study was to evaluate the bond strength and the debonding pattern of different bracket bonding systems (Transbond XT System / 3M-Unitek and Enlight System / Ormco whose respective adhesives were pre-mixed with chlorhexidine varnish (Cervitec / Ivoclar-Vivadent. METHODS: The sample used consisted of sixty human pre-molars extracted for orthodontic purposes, included in PVC cylinder and randomly divided in four experimental groups: group 1 - Transbond XT System according to the manufacturer’s instructions; group 2 - Transbond XT System combined with chlorhexidine varnish; group 3 - Enlight System according to the manufacturer’s instructions; group 4 - Enlight System combined with chlorhexidine varnish. The bond strength evaluation was obtained through

  14. Estudio clínico comparativo entre colutorio de p-clorofenol y peróxido de hidrógeno con colutorio de clorhexidina al 0.12% en el crecimiento de placa microbiana y gingivitis Mouthwash comparative study between p-chlorophenol and hydrogen peroxide with chlorhexidine mouthwash 0.12% in the growth of microbial plaque and gingivitis

    Directory of Open Access Journals (Sweden)

    PD Jaña

    2010-08-01

    Full Text Available Se formuló un colutorio a base de p-clorofenol alcanforado y peróxido de hidrógeno, y considerando que no se disponían de antecedentes de eficacia y seguridad del colutorio, se realizó un ensayo clínico para medirlas utilizando un modelo de formación de placa microbiana y gingivitis en un período de cuatro días, como control positivo se uso un colutorio de clorhexidina al 0.12%. Participaron 26 sujetos en un estudio doble ciego cruzado y con distribución aleatoria. El colutorio en base a p-clorofenol alcanforado y peróxido de hidrógeno y el de clorhexidina tuvieron un similar efecto en el control de la formación de placa y antigingivitis. No hubo diferencias entre los acontecimientos adversos observados para el colutorio y el control. Por consiguiente, el colutorio en estudio podría ser una alternativa para el control químico de la placa microbiana y gingivitis en el tratamiento de la enfermedad periodontal.A camphorated p-chlorophenol and hydrogen peroxide-based mouthwash was prepared, and a clinical trial to measure the efficiency and safety records of the mouthwash -considering the lack of them- was carried out using a formation model of microbial plaque and gingivitis over a 4-day period, with a 0.12% chlorhexidine mouthwash as positive control. Twenty-six individuals participated in the randomized double-blind crossover study. The camphorated p-chlorophenol and hydrogen peroxide-based and chlorhexidine mouthwash had a similar effect in controlling the formation of plaque and antigingivitis. There was no difference between the adverse events observed for the mouthwash and the control. Therefore, the mouthwash in study might be an alternative to the chemical control of microbial plaque and gingivitis in the periodontal desease treatment.

  15. Effect of maintenance therapy with or without the use of chlorhexidine in teeth restored with composite resin in patients with diabetes mellitus%复合树脂修复联合氯已定维护治疗在糖尿病患者中应用

    Institute of Scientific and Technical Information of China (English)

    唐慕清; 庄则敬; 葛宇飞; 杨卫东

    2016-01-01

    目的:评价0.12%氯已定对已应用复合树脂充填患牙的糖尿病患者行牙周维护治疗的临床效果。方法选择20例有牙周炎病的糖尿病患者,对其前牙区龋齿进行复合树脂充填治疗后,分为研究组( n =10)和对照组(n =10)。在进行基础牙周治疗之前预防性应用抗生素,在牙周维护治疗阶段给予研究组患者0.12%氯已定15 d,对照组患者不应用氯已定。分别在治疗前和治疗后90 d 检测所有患者的菌斑指数、牙龈指数和牙周探诊深度,记录并应用方差分析和 Tukey 检验对数据进行统计。并对研究组患者进行糖化血红蛋白等血清生化指标的检测,比较治疗前后的差异。结果经过90 d 的治疗,研究组患者的菌斑指数、牙龈指数和牙周探诊深度均明显低于对照组,差异有统计学意义(P <0.01)。研究组患者经0.12%氯已定治疗后较治疗前比较,糖化血红蛋白降低,差异有统计学意义(P <0.05);血清总胆红素水平较之前升高(P <0.05);血清磷水平升高(P <0.01);血清钙磷比下降( P <0.01);甘油三酯的水平下降( P <0.05);载脂蛋白 A1升高(P <0.01)。结论在牙周维护治疗中,应用0.12%氯已定能够有效改善糖尿病患者已行树脂修复患牙的牙周健康和糖化血红蛋白,此外还可能影响钙、磷、血脂等其他生化指标。%Objective To evaluate the effects of maintenance therapy with or without the use of 0. 12% chlorhexidine in the periodon-tal tissues of patients with diabetes mellitus who had carious lesions restored with composed resin. Methods Twenty patients were se-lected,all of whom had diabetes mellitus in addition to carious cervical lesions in previously treated teeth. All the patients were diveded into two groups(n = 10 in each). For all patients,antibiotic prophylaxis was performed before the basic periodontal treatment. The ex-perimental group

  16. Desenvolvimento de metodologia para determinação de 4-cloroanilina em frangos por cromatografia gasosa - espectrometria de massas: análise em tecidos tratados com digluconato de clorhexidina após o processamento térmico Methodology for 4-chloroaniline determination in poultry by GC-MS: analisys in chlorhexidine digluconate treated tissues after termical processing

    Directory of Open Access Journals (Sweden)

    Eduardo Vicente

    2003-12-01

    Full Text Available A degradação do antimicrobiano digluconato de clorhexidina (DGCH durante armazenamento ou processamento térmico pode formar a 4-cloroanilina (CA, um composto potencialmente carcinogênico. Conseqüentemente, o uso deste sanitizante para descontaminação de carcaças de frangos representa uma fonte de risco para o consumidor, devendo ser avaliada a presença da CA no produto tratado. Um método foi desenvolvido para determinação de resíduos de CA em tecidos de frangos. Após a extração com diclorometano, foi feita a limpeza do extrato em cartucho C18 e quantificação por cromatografia gasosa-espectrometria de massas (CG-EM, sem derivação. A recuperação média (89,2% - CV 9,9%. e o limite de detecção (1,8ng/g foram considerados satisfatórios para os propósitos do estudo. Em amostras tratadas com DGCH e não submetidas a processamento térmico, a quantidade de CA detectada foi relativamente baixa, e provavelmente se originou da solução de tratamento. A fritura e a cocção em forno convencional resultaram em níveis elevados de CA, enquanto que a cocção em panela de pressão não alterou os níveis de CA presentes na amostra crua. Em vista destes resultados e, considerando-se o potencial tóxico da CA, recomenda-se que estes dados sejam levados em consideração quando avaliada a utilização de DGCH como sanitizante de carcaças em abatedouros de aves.The degradation of the antimicrobial agent chlorhexidine digluconate (CHDG during storage or thermal process originates 4-chloroaniline (CA, a compound which is potentially carcinogenic. As the use of this sanitizing agent to decontaminate poultry carcasses in processing plants may represent a risk to the consumers, it is important to search for the presence of CA residues in the treated products. A method was developed to quantify CA in poultry tissues. After dichloromethane extraction, the extract was cleaned on a C18 cartridge and the quantitation was performed, without

  17. Metodologia para determinação de digluconato de clorhexidina em carcaças de frango utilizando CLAE - par iônico e avaliação de resíduos durante a refrigeração e congelamento HPLC - ion pairing determination of chlorhexidine digluconate in treated poultry carcasses. Analysis during refrigeration and freezing

    Directory of Open Access Journals (Sweden)

    Eduardo Vicente

    2003-12-01

    Full Text Available O uso do digluconato de clorhexidina (DGCH na higienização de equipamentos e instalações na indústria de alimentos e o interesse de aplicação deste produto como sanitizante em carcaças de frango indicam a necessidade da avaliação de resíduos no alimento. Um método por cromatografia líquida de alta eficiência (CLAE com pareamento de íons, incluindo extração com éter etílico em meio alcalino, foi desenvolvido para determinação de clorhexidina em carne de frango. O limite de quantificação do método (0,6mg/g e a recuperação média em carcaça (75% - CV 10%, em pele (72% - CV 7% e na musculatura (82% - CV 8% foram considerados adequados aos propósitos do método. As análises de carcaças e pele tratadas, mantidas refrigeradas ou congeladas, permitiu constatar que ocorreu uma pequena redução nos níveis residuais de DGCH durante o período de armazenamento. Como prováveis causas desta diminuição devem ser considerados a interação com componentes polares da matriz, a perda juntamente com os fluidos liberados dos tecidos durante o armazenamento refrigerado ou no descongelamento de carcaças inteiras e a degradação da clorhexidina. A ausência deste sanitizante na musculatura após o armazenamento refrigerado indica que nas condições empregadas, o DGCH não atravessa a barreira da pele.The use of the antimicrobial agent chlorhexidine digluconate in the sanitization of food industry equipment and installations, and the interest on its application to decontaminate poultry carcasses indicates the need to determine its residue in food. An ion pairing HPLC - UV analytical method including an ethyl ether extraction in alkaline medium was developed to measure clorhexidine residue in poultry meat. The limit of analytical quantitation (0,6mg/g and recoveries in carcasses (75% - CV 10%, skin (72% - CV 7%, and muscular tissue (82% - CV 8% were appropriate to the purposes of the method application. The analysis of treated

  18. Self-perception of side effects by adolescents in a chlorhexidine-fluoride-based preventive oral health program Percepção de efeitos adversos por adolescentes em um programa preventivo de saúde bucal, a base de clorexidina e fluoreto

    Directory of Open Access Journals (Sweden)

    Ana Rita Duarte Guimaraes

    2006-08-01

    Full Text Available OBJECTIVE: The objective of this study was to evaluate the incidence of adverse effects reported by adolescents following 14 days of use of a mouthrinse containing 0.05% NaF+0.12% chlorhexidine. METHODS: This double-blind study was developed as part of a randomized clinical trial. The adolescents enrolled to the study were randomly divided into two groups to use either: 0.05% NaF+0.12% chlorhexidine (G1, n=85 or 0.05% NaF (G2, n=85. Both groups used a 10mL solution of the mouthwash during 1 minute daily for 2 weeks under supervision. After that period, the subject's acceptance of taste was measured using a verbal descriptive scale (Labeled Magnitude Scale - LMS11. Participants were also interviewed regarding the occurrence of possible adverse effects during treatment (temporary palate disorders, tooth staining or unpleasant taste. The proportional differences between the groups were tested using the chi-square test. RESULTS: Palate changes were reported by 26% of participants of each group; 17.7% of G1 and 32% of G2 reported an unpleasant taste (p = 0.062, while staining was reported by 55% of G1 and 68.9% of G2 (p = 0.117. Absenteeism rates were similar in both groups (G1= 2.58 ± 2.69; G2=2.81 ± 2.39, p=0.362. CONCLUSION: adherence was high in both groups and side effects reported by subjects were not perceived by them as being important. Since subjects' acceptance and compliance is fundamental to the success of an oral health program, chlorhexidine-fluoride could be a useful resource in a program of plaque control.OBJETIVO: Este estudo se propôs a calcular taxa de efeitos adversos após 14 dias de uso de solução de bochecho de NaF 0,05% + clorexidina 0,12% realizados por adolescentes. MÉTODOS: Este estudo duplo-cego foi desenvolvido como parte de um ensaio clínico randomizado. Os adolescentes foram divididos aleatoriamente em dois grupos: NaF 0,05% + clorexidina 0,12% (G1 ou NaF 0,05%, (G2 de 85 estudantes cada que bochecharam

  19. 葡萄糖酸盐氯己定应用于儿童静脉留置针皮肤消毒效果观察%Effect of glucose acid salt chlorhexidine on disinfection of venous indwelling catheter of children

    Institute of Scientific and Technical Information of China (English)

    岑慧萍; 朱惠莉; 胡苏军; 戎梅华

    2013-01-01

    目的 通过比较两种皮肤消毒剂使用的不同效果,探求幼儿留置针穿刺的最佳皮肤消毒剂.方法 选取2月龄~3岁患儿,按留置先后顺序随机抽取500例(静脉留置1次为1例),根据随机数字表将患儿分为观察组和对照组;两组患儿使用留置针、透明敷贴相同,分别为BD 24G安全型留置针、3M透明敷贴;观察组使用2%葡萄糖酸盐氯己定(CHG)进行皮肤消毒,对照组使用复合碘进行皮肤消毒.结果 观察组与对照组两组静脉留置患儿使用不同消毒剂消毒皮肤后相关数据比较,平均消毒待干时间观察组(14.64±1.31)s对照组(58.93±4.82)s(P<0.01);一次穿刺成功率观察组为88.4%、对照组为81.6%,差异有统计学意义(P<0.05);透明敷料松动率观察组为7.2%、对照组为25.6%,差异有统计学意义(P<0.01);穿刺部位发红率观察组为1.6%、对照组为4.8%,差异有统计学意义(P<0.05).结论 2%葡萄糖酸盐氯己定能有效用于儿童临床留置针穿刺皮肤消毒,它具有消毒待干时间短、一次穿刺成功率高、引起透明敷料松动及穿刺部位发红较少等优点,值得在儿童静脉留置消毒中推广.%OBJECTIVE To compare the effects of two kinds of skin disinfectants so as to explore the best skin disinfectants for the indwelling catheter of the children.METHODS The children aged from 2 months to 3 years old were recruited,and 500 cases were randomly extracted according to the order of indwelling catheterization and were divided into the observation group and the control group according to the table of random number; the two groups of children used the same indwelling needle and transparent applicators,which were 24 G safe indwelling needle of BD and the transparent applicator of 3 M.The skin disinfection of the observation group was carried out by using 2% chlorhexidine gluconate (CHG),while the control group was treated with compound iodine.RESULTS As

  20. Chlorhexidine gluconate, its properties and applications in endodontics

    OpenAIRE

    Mohammadi, Zahed

    2008-01-01

    The major objective in endodontic therapy is to disinfect the entire root canal system. This requires that the pulpal content be eliminated as sources of infection. This goal may be accomplished by mechanical instrumentation and chemical irrigation, in conjunction with medication of the root canal between treatment sessions. Microorganisms and their by-products are considered to be the major cause of pulpal and periradicular pathosis. In order to reduce or eliminate bacteria from the root can...

  1. Estudio sobre la prevención quimioterapéutica de la caries dental con barnices de clorhexidina y timol, en niños de 5-8 años de edad, con riesgo alto de caries.: Un reporte preliminar Study on the chemotherapeutic prevention of the caries with chlorhexidine/thymol varnish in children of 5-8 years old, with high caries risk.: A preliminary report

    Directory of Open Access Journals (Sweden)

    María C García-Santos

    2004-02-01

    Full Text Available Objetivos: el propósito de este estudio fue evaluar la posibilidad de reducir la caries de fisura en las caras oclusales de los primeros molares permanentes, a través de barnices antimicrobianos, en escolares con alta incidencia de caries. Se ha realizado un ensayo clínico aleatorio a doble ciego. Sujetos: 35 niños saludables con edades comprendidas entre los 6 y 8 años, con alto riesgo de caries, fueron seleccionados en un colegio de Madrid. Par ser incluidos en el estudio cada niño debería tener como mínimo dos primeros molares permanentes sanos, y presentar caries en dentina en sus molares temporales. Métodos: después de la profilaxis dental, el grupo de estudio se le aplicaba un barniz de clorhexidina 1% y timol 1% (Cervitec, y al grupo control un barniz de placebo. El barniz era colocado sobre todos los dientes (dentición temporal y permanente cada tres meses (al inicio a los 3,6 y 9 meses y el incremento de caries era comparado a los 12 meses. Resultados: al inicio del estudio no habían diferencias entre los grupos. Al año existía una diferencia significativa entre el grupo de estudio y el de control, en CAO-D P=0,001, CAO-S P=0,000 (en los primeros molares permanentes . Conclusión: la aplicación de Cervitec cada 3 meses, es efectiva previniendo la caries en los primeros molares permanentes de escolares con alta actividad de caries.Objective: the purpose of this study, was to evaluate the possibility of reducing occlusal fissures caries development, in permanent first molars, using an antimicrobial varnish, in schoolchildren with high caries activity. Randomised, a double-blind clinical trial was developed. Subjects: 35 healthy children aged 6-8 years with high caries risk, were selected from a schools in Madrid. To be included in the study, each child had to have least 2 sound permanent molars and primary molars with carious lesions in dentin. Methods: after prophylaxis, test groups received 1% chlorhexidine and 1% thymol

  2. Microbiological evaluation of different antiseptic povidone-iodine and chlorhexidine formulations after intentional contamination of containers Evaluación microbiológica de las diferentes formulaciones antisépticas, polivinil-pirrolidona-yodo y clorexidina, después de la contaminación intencional de los recipientes Avaliação microbiológica das diferentes formulações anti-sépticas, polivinilpirrolidona-iodo e clorexidina, após contaminação intencional das almotolias

    Directory of Open Access Journals (Sweden)

    Christiane Moreira Padovani

    2008-12-01

    Full Text Available This study aimed to evaluate the survival rate of microorganisms within different antiseptic formulations - povidone-iodine (PVP-I and chlorhexidine (CHX - after intentional contamination, and to establish the minimum care necessary to ensure sterilization of non-disposable antiseptic solution containers. A laboratory study was performed with 180 antiseptic containers, which were contaminated with Serratia marcescens [1 x 105 UFC/mL]. The containers were closed and stored, at room temperature, during seven days and shaken daily. The antiseptic cultures were evaluated to be 100% negative to Serratia marcescens in all of the non-disposable containers. These results suggested that antiseptic solutions inactivate microorganisms [1 x 105 UFC/mL]. Since cleaned antiseptic containers have around 102 UFC coming from tap water, it can be inferred that cleansing is a safe minimum procedure to ensure reuse of containers for distribution of CHX and PVP-I solutions in aqueous, detergent and alcoholic formulations.Los objetivos de este estudio fueron evaluar la sobre vivencia de los micro organismos en las diferentes formulaciones de los antisépticos clorexidina (CHX y polivinil-pirrolidona-yodo (PVP-Y, después de una contaminación intencional de los recipientes y extrapolar los resultados de los laboratorios para el cuidado mínimo a ser dispensado a los recipientes de múltiple uso para el envase de los antisépticos probados. Para esto, fue desarrollado un estudio de laboratorio, en que 180 recipientes fueron contaminados con 1 x 105 UFC/mL de suspensión conteniendo S.marcescens. Después de la contaminación, seis diferentes formulaciones de antisépticos (clorexidina y PVP-Y en los vehículos alcohólico, detergente y acuoso fueron distribuidos y sometidos a la cultura diaria durante siete días, a fin de verificar se hubo crecimiento del microorganismo. Los resultados de esta investigación permiten recomendar la limpieza como el procedimiento m

  3. Chlorhexidine resistance in a Gram-negative bacterium isolated from an aquatic source

    OpenAIRE

    Sekavec, Jeffrey G.; Moore, William T.; Gillock, Eric T.

    2013-01-01

    Aeromonas hydrophila is a Gram-negative bacterium of considerable importance in both clinical, especially nosocomial infections, and zoonotic respects, both aquatic and terrestrial infections. In addition to the ability to thrive in a wide range of conditions, A. hydrophila is resistant to numerous antibiotics and antimicrobials. In conjunction with Kansas State University and the Kansas Water Office, water samples from various locations within Kansas were screened for organisms resistant to ...

  4. A comparative study of amoxicillin, clindamycin and chlorhexidine in the prevention of post-extraction bacteraemia

    OpenAIRE

    Maharaj, Breminand; Coovadia, Yacoob; Vayej, Ahmed C

    2012-01-01

    Abstract We evaluated some of the regimens recommended for the antimicrobial prophylaxis of infective endocarditis prior to dental extraction in 160 patients. Group A patients served as the control group, group B subjects rinsed their mouths with chlorhexidene, group C subjects took 3 g amoxicillin orally and group D patients took 600 mg clindamycin orally. The proportion of patients who had post-extraction bacteraemia in groups A, B, C and D was 35, 40, 7.5 and 20%, respectively. The differe...

  5. Insights into bacterial colonization of intensive care patients' skin: the effect of chlorhexidine daily bathing.

    Science.gov (United States)

    Cassir, N; Papazian, L; Fournier, P-E; Raoult, D; La Scola, B

    2015-05-01

    Skin is a major reservoir of bacterial pathogens in intensive care unit (ICU) patients. The aim of this study was to assess the skin bacterial richness and diversity in ICU patients and the effect of CHG daily bathing on skin microbiota. Twenty ICU patients were included during an interventional period with CHG daily bathing (n = 10) and a control period (n = 10). At day seven of hospitalization, eight skin swab samples (nares, axillary vaults, inguinal creases, manubrium and back) were taken from each patient. The bacterial identification was performed by microbial culturomics. We used the Shannon index to compare the diversity. We obtained 5,000 colonies that yielded 61 bacterial species (9.15 ± 3.7 per patient), including 15 (24.5 %) that had never been cultured from non-pathological human skin before, and three (4.9 %) that had never been cultured from human samples before. Notably, Gram-negative bacteria were isolated from all sites. In the water-and-soap group, there was a higher risk of colonization with Gram-negative bacteria (OR = 6.05, 95 % CI [1.67-21.90]; P = 0.006). In the CHG group, we observed more patients colonized by sporulating bacteria (9/10 vs. 3/10; P = 0.019) with a reduced skin bacterial richness (P = 0.004) and lower diversity (0.37, 95 % CI [0.33; 0.42] vs. 0.50, 95 % CI [0.48; 0.52]). Gram-negative bacteria are frequent and disseminated components of the transient skin flora in ICU patients. CHG daily bathing is associated with a reduction in Gram-negative bacteria colonization together with substantial skin microbiota shifts. PMID:25604707

  6. Efficacy of a probiotic and chlorhexidine mouth rinses: A short-term clinical study

    OpenAIRE

    Harini P; Anegundi R

    2010-01-01

    Introduction: Probiotic technology represents a breakthrough approach to maintaining oral health by utilizing natural beneficial bacteria commonly found in healthy mouths to provide a natural defense against those bacteria thought to be harmful to teeth and gums. However, data are still sparse on the probiotic action in the oral cavity. The review article on probiotics in children published by Twetman and Stecksen- Blicks in 2008 showed only one study of dental interest on probiotics in child...

  7. Mechanisms of the inhibition of endplate acetylcholine receptors by antiseptic chlorhexidine (experiments and models)

    Czech Academy of Sciences Publication Activity Database

    Shaihutdinova, A.R.; Nikolsky, E. E.; Vyskočil, František; Skorinkin, A.I.

    2009-01-01

    Roč. 380, č. 6 (2009), s. 551-560. ISSN 0028-1298 R&D Projects: GA AV ČR(CZ) IAA500110905 Institutional research plan: CEZ:AV0Z50110509 Keywords : acetylcholine * endplate currents Subject RIV: ED - Physiology Impact factor: 2.631, year: 2009

  8. New trends in dentistry: plant extracts against Enterococcus faecalis. The efficacy compared to chlorhexidine

    OpenAIRE

    Adriana Lígia de Castilho; Cintia Helena Coury Saraceni; Ingrit Elida Collantes Díaz; Mateus Luís Barradas Paciencia; Ivana Barbosa Suffredini

    2013-01-01

    Enterococcus faecalis is an important pathogen associated with endodontic diseases, and its elimination and control are of paramount importance, as it represents one of the major causes of failure in the treatment of endodontic disease. Twenty-five plant extracts obtained from Brazilian forests were found to be effective against planktonic E. faecalis and were subjected to two traditional antibacterial assays, the microdilution broth assay (MDBA) and the disk diffusion assay (DDA), using chlo...

  9. Chlorhexidine Gluconate Dressings Reduce Bacterial Colonization Rates in Epidural and Peripheral Regional Catheters

    Directory of Open Access Journals (Sweden)

    Klaus Kerwat

    2015-01-01

    Full Text Available Introduction. Bacterial colonization of catheter tips is common in regional anesthesia and is a suspected risk factor for infectious complications. This is the first study evaluating the effect of CHG-impregnated dressings on bacterial colonization of regional anesthesia catheters in a routine clinical setting. Methods. In this prospective study, regional anesthesia catheter infection rates were examined in two groups of patients with epidural and peripheral regional catheters. In the first group, regional anesthesia was dressed with a conventional draping. The second group of patients underwent catheter dressing using a CHG-impregnated draping. Removed catheters and the insertion sites were both screened for bacterial colonization. Results. A total of 337 catheters from 308 patients were analysed. There was no significant reduction of local infections in either epidural or peripheral regional anesthesia catheters in both CHG and conventional groups. In the conventional group, 21% of the catheter tips and 41% of the insertion sites showed positive culture results. In the CHG-group, however, only 3% of the catheter tips and 8% of the insertion sites were colonised. Conclusion. CHG dressings significantly reduce bacterial colonization of the tip and the insertion site of epidural and peripheral regional catheters. However, no reductions in rates of local infections were seen.

  10. Maximum inhibitory dilution of mouthwashes containing chlorhexidine and polyhexamethylene biguanide against salivary staphylococcus aureus

    Directory of Open Access Journals (Sweden)

    Andresa Piacezzi Nascimento

    2008-10-01

    Full Text Available OBJECTIVE: The aim of the present study was to determine the in vitro maximum inhibitory dilution (MID of two chlorhexidinebased oral mouthwashes (CHX: Noplak®, Periogard®, and one polyhexamethylene biguanide-based mouthwash (PHMB: Sanifill Premium® against 28 field Staphylococcus aureus strains using the agar dilution method. MATERIALS AND METHODS: For each product, decimal dilutions ranging from 1/10 to 1/655,360 were prepared in distilled water and added to Mueller Hinton Agar culture medium. After homogenization, the culture medium was poured onto Petri dishes. Strains were inoculated using a Steers multipoint inoculator and dishes were incubated at 37ºC for 24hours. For reading, MID was considered as the maximum dilution of the mouthwash still capable of inhibiting microbial growth. RESULTS: Sanifill Premium® inhibited the growth of all strains at 1/40 dilution and of 1 strain at 1/80 dilution. Noplak® inhibited the growth of 23 strains at 1/640 dilution and of all 28 strains at 1/320 dilution. Periogard® showed inhibited growth of 7 strains at 1/640 dilution and of all 28 strains at 1/320 dilution. Data were submitted to Kruskal-Wallis statistical test, showing significant differences between the mouthwashes evaluated (p0.05. Sanifill Premium® was the least effective (p<0.05. CONCLUSION: It was concluded that CHX-based mouthwashes present better antimicrobial activity against S. Aureus than the PHMB-based mouthwash.

  11. Comparative evaluation of topical application of turmeric gel and 0.2% chlorhexidine gluconate gel in prevention of gingivitis

    OpenAIRE

    Singh, Vibha; Pathak, Anjani Kumar; Pal, Mahesh; Sareen, Sagar; Goel, Kopal

    2015-01-01

    Introduction: Turmeric commonly known as “Haldi” is a popular spice frequently used in Indian foods and curry. Turmeric holds a high place in Ayurvedic medicine as a “detoxifier of the body,” and today, science has documented several diseased conditions that can be healed by the active ingredients of turmeric. Curcumin is the most active constituent of turmeric curcuminoids obtained from the rhizome of Curcuma longa. Curcumin has been found to have antioxidant, anti-tumor, anti-inflammatory, ...

  12. A comparison between zinc sulfate and chlorhexidine gluconate mouthwashes in the prevention of chemotherapy-induced oral mucositis

    OpenAIRE

    Mehdipour, M.; A Taghavi Zenoz; I Asvadi Kermani; Hosseinpour, A.

    2011-01-01

    "n Background and the Purpose of the Study: Patients undergoing high-dose chemotherapy for hematological malignancies are susceptible to development of oral mucositis, and no effective modality has been reported for its prophylaxis and treatment. The aim of this study was to evaluate the effectiveness of zinc mouthwash on chemotherapy-induced oral mucositis lesions. "nMethods: In this double-blind randomized trial, patients under chemotherapy for acute leukemia were divided...

  13. The effects of propidium monoazide treatment on the measured composition of polymicrobial biofilms after treatment with chlorhexidine

    NARCIS (Netherlands)

    R.A.M. Exterkate; E. Zaura; M.J. Buijs; J. Koopman; W. Crielaard; J.M. ten Cate

    2014-01-01

    Background: The treatment of polymicrobial biofilms with antimicrobial compounds results in not only an overall loss of viability, but also compositional shifts. While DNA-based technologies may be more appropriate for the assessment of bacterial composition than culturing, these techniques amplify

  14. Antimicrobial activity of sodium hypochlorite, chlorhexidine and MTAD® against Enterococcus faecalis biofilm on human dentin matrix in vitro

    Directory of Open Access Journals (Sweden)

    Cristiana Francescutti Murad

    2012-06-01

    Full Text Available Objective: This study evaluated the antimicrobial efficacy of 2.5% and 5.25% NaOCl, 2% gel and liquid CHX and MTAD against Enterococcus faecalis biofilms on human dentin. Material and methods: E. faecalis biofilms grown on dentin matrix of 216 root sections were submerged in test irrigants for 1, 5, 15 and 30 minutes. The antimicrobial activity of the test irrigants were assessed through CFU counts. Biofilm formation over the dentin surface was ensured by SEM analysis. Results: Results showed no statistic difference among CHX gel, 2.5% and 5.25% NaOCl. However, the CHX liquid and MTAD were less effective than 2.5% and 5.25% NaOCl. Only CHX liquid and MTAD had differences in its efficacy depending on the time. Conclusion: The most effective irrigants in eliminating E. faecalis biofilms were 2.5% and 5.25% NaOCl and 2% CHX gel, at all the tested time intervals, in comparison to CHX liquid and MTAD.

  15. The antibacterial activity of sodium hypochlorite and chlorhexidine against Enterococcus faecalis: A review on agar diffusion and direct contact methods

    OpenAIRE

    Luddin, Norhayati; Ahmed, Hany Mohamed Aly

    2013-01-01

    Complete debridement and disinfection of the root canal system are fundamental requirements for successful endodontic treatment. Despite the morphological challenges of the internal root anatomy, root canal irrigants play an important role in the optimization of the root canal preparation, which is essentially a chemo-mechanical procedure. Enterococcus faecalis is one of the most resistant microorganisms that dominants the microbial ecosystem of persistent periradicular lesions in retreatment...

  16. The synthesis of bisguanidinoalkanes and guanidinoalkanes, N- or N'-substitutes with pyrimidines, as analogues of chlorhexidine

    International Nuclear Information System (INIS)

    A series of N,N''' -alkanediylbis[N'-(5-halopyrimidin-2-yl)guanidine] salts has been synthesized along with N,N'''-(trans-cyclohexane-1,4-diyl)bis[N'-(5-chloropyrimidin-2-yl)guanidine], N,N'''-(cis-cyclohexane-1,4-diyl)bis[N'-(5-chloropyrimidin-2-yl)guanidine] dihydrochloride and N-(cis-4-aminocyclohexan-1-yl)-N'-(5-chloropyrimidin-2-yl)guanidine dihydrochloride. Furthermore, a series of N-(alkan-1-yl)-N'-(5-chloropyrimidin-2yl)guanidine hydrochlorides and N-(6-aminohexan-1-yl)-N'-(5-chloropyrimidin-2-yl)guanidine dihydrochloride were synthesized. This series of compounds was prepared by displacement reactions of 2-methylsulfonylpyrimidines with bisguanidinoalkanes or by condensation of 5-chloro-2-cyanoaminopyrimidine (5-chloropyrimidin-2-ylcyanamide) with alkylamines. 19 refs

  17. The synthesis of bisguanidinoalkanes and guanidinoalkanes, N- or N`-substitutes with pyrimidines, as analogues of chlorhexidine

    Energy Technology Data Exchange (ETDEWEB)

    Elmes, B.C.; Holan, G.; Wernert, G.T.; Winkler, D.A. [Commonwealth Scientific and Industrial Research Organisation (CSIRO), Melbourne, VIC (Australia). Div. of Materials Science

    1996-12-31

    A series of N,N``` -alkanediylbis[N`-(5-halopyrimidin-2-yl)guanidine] salts has been synthesized along with N,N```-(trans-cyclohexane-1,4-diyl)bis[N`-(5-chloropyrimidin-2-yl)guanidine], N,N```-(cis-cyclohexane-1,4-diyl)bis[N`-(5-chloropyrimidin-2-yl)guanidine] dihydrochloride and N-(cis-4-aminocyclohexan-1-yl)-N`-(5-chloropyrimidin-2-yl)guanidine dihydrochloride. Furthermore, a series of N-(alkan-1-yl)-N`-(5-chloropyrimidin-2yl)guanidine hydrochlorides and N-(6-aminohexan-1-yl)-N`-(5-chloropyrimidin-2-yl)guanidine dihydrochloride were synthesized. This series of compounds was prepared by displacement reactions of 2-methylsulfonylpyrimidines with bisguanidinoalkanes or by condensation of 5-chloro-2-cyanoaminopyrimidine (5-chloropyrimidin-2-ylcyanamide) with alkylamines. 19 refs.

  18. Acidogenicity and acidurance of dental plaque and saliva sediment from adults in relation to caries activity and chlorhexidine exposure

    OpenAIRE

    Sotirios, Kalfas; Georgios, Andreadis; Vassiliki, Topitsoglou

    2015-01-01

    Background: The ecological plaque hypothesis for the etiopathogenesis of caries implies a microbial shift towards a more aciduric dental plaque microbiota, due to a frequent carbohydrate intake. Acid tolerance has been suggested as an important property of the caries-associated bacteria and several in vitro studies with mixed cultures indicated that a low pH rather than the carbohydrate availability is responsible for microbiota shifts associated with the development of dental caries.Objectiv...

  19. Comparative evaluation of turmeric gel with 2% chlorhexidine gluconate gel for treatment of plaque induced gingivitis: A randomized controlled clinical trial

    OpenAIRE

    Kandwal, Abhishek; Mamgain, Ravindra Kumar; Mamgain, Pratibha

    2015-01-01

    Introduction: Ayurveda is regarded as most ancient traditional system of medicine originated in India having its root back in the Vedas. Medicinal herbs have been long employed to improve the oral health by means of frequently used therapeutic procedures Kavala (gargling) and Gandusha (holding of medicated liquids in the mouth). Gingivitis is most common ailment that results in bleeding gums and halitosis. Aim: To evaluate the efficacy of turmeric gel as an anti-plaque and anti-gingivitis age...

  20. Evaluation of antimicrobial efficacy of Triphala (an Indian Ayurvedic herbal formulation and 0.2% chlorhexidine against Streptococcus mutans biofilm formed on tooth substrate: An in vitro study

    Directory of Open Access Journals (Sweden)

    J Prabhakar

    2014-01-01

    Conclusion: Triphala showed statistically significant antibacterial activity against S. mutans biofilm formed on tooth substrate. The incorporation of Triphala in mouth rinse could prove to be effective in reducing S. mutans count in the oral cavity.

  1. Efficacy of Dental Floss and Chlorhexidine Mouth Rinse as an Adjunct to Toothbrushing in Removing Plaque and Gingival Inflammation – A Three Way Cross Over Trial

    OpenAIRE

    Arora, Vikram; Tangade, Pradeep; T.L., Ravishankar; Tirth, Amit; Pal, Sumit; Tandon, Vaibhav

    2014-01-01

    Background: Maintaining good oral hygiene is important to combat periodontal diseases. The use of tooth brush alone does not serve the purpose of removing plaque which demands the use of some adjuncts such as proximal cleaning aids.

  2. Effect of topical applications of a novel chlorhexidine-thymol varnish formula on mutans streptococci and caries development in occlusal fissures of permanent molars

    DEFF Research Database (Denmark)

    Sköld-Larsson, Kerstin; Sollenius, Ola; Petersson, Lars G;

    2009-01-01

    double-blind split-mouth design was applied, and 116 pairs of molar teeth were randomly assigned to topical varnish applications with either the new Cervitec Plus or its predecessor Cervitec. Both varnishes contained 1% CHX and 1% thymol (CHX/T) as active ingredients, but differed with respect to...

  3. Prevention of nosocomial infection in cardiac surgery by decontamination of the nasopharynx and oropharynx with chlorhexidine gluconate - A randomized controlled trial

    NARCIS (Netherlands)

    P. Segers; R.G.H. Speekenbrink; D.T. Ubbink; M.L. van Ogtrop; B.A. de Mol

    2006-01-01

    Context Nosocomial infections are an important cause of morbidity and mortality after cardiac surgery. Decolonization of endogenous potential pathogenic microorganisms is important in the prevention of nosocomial infections. Objective To determine the efficacy of perioperative decontamination of the

  4. Prevention and management guidelines to oral health care for patients with head and neck cancer: HCT20, Carisolv and chlorhexidine varnish are suggested

    International Nuclear Information System (INIS)

    Orofacial complications are unfortunately common with all modalities used in the management of patients with head and neck cancer. It is well known that hypo salivation develops if radiation therapy involves the salivary glands. A significant decrease in salivary volume can adversely affect oral comfort, mucosal health, dentition, deglutition and mastication. Xerostomia may lead to consumption of diet high in carbohydrates and make good oral hygiene difficult. (author)

  5. Comparing the antiplaque efficacy of 0.5% Camellia sinensis extract, 0.05% sodium fluoride, and 0.2% chlorhexidine gluconate mouthwash in children

    OpenAIRE

    Hambire, Chaitali U.; Jawade, Rashmi; Patil, Amol; Wani, Vaibhav R.; Kulkarni, Ankur A.; Nehete, Parag B.

    2015-01-01

    Background: Dental caries is a multifactorial disease which requires a susceptible host, a cariogenic microflora, and a suitable substrate that must be present for a sufficient length of time. Tea is prepared by the infusion of dried leaves of the tea plant, Camellia sinensis, which contains bioactive compounds like polyphenols, flavonoids, and catechins that are thought to be responsible for the health benefits that have traditionally been attributed to tea. These compounds have multidimensi...

  6. Multivariate analysis of surface physico-chemical properties controlling biofilm formation on orthodontic adhesives prior to and after fluoride and chlorhexidine treatment

    NARCIS (Netherlands)

    Chin, Yeen; Sandham, John; Pratten, Jonathan; de Vries, Jacob; van der Mei, Henny C.; Busscher, Henk J.

    2006-01-01

    Biofilm formation on orthodontic adhesives is a serious clinical problem, as it leads to enamel demineralization around fixed orthodontic appliances, often leaving white spot lesions after their removal. The aim of this work was to determine the influence of surface physico-chemical properties of fo

  7. Drug: D10301 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D10301 Mixture, Drug Chlorhexidine gluconate - alcohol mixt; Prevantics (TN) Chlorhexidine gluco ... [DR:D00858], (Isopropanol [DR:D00137] | Anhydrous ethanol ... [DR:D00068] | Ethanol ... for disinfection [DR:D04855] ...

  8. Drug: D04425 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available e salicylate - hydrocortisone acetate - benzalkonium chloride - chlorhexidine hydrochloride mixt PubChem: 17398102 ... ...D04425 Mixture, Drug Diphenhydramine salicylate - hydrocortisone acetate - benzalkonium chloride - chlorhexi...dine hydrochloride mixt; Despa (TN) Diphenhydramine salicylate [DR:D02419], Hydroco

  9. Comparison of combined application treatment with one-visit varnish treatments in an orthodontic population

    OpenAIRE

    Baygin, Ozgul; Tuzuner, Tamer; Ozel, Mehmet Birol; Bostanoglu, Ozge

    2013-01-01

    Objective: To evaluate the effect of chlorhexidine-thymol varnish alone, its combination with chlorhexidine-fluoride containing dentifrice and fluoride varnish on oral hygiene and caries prevention in orthodontic patients. Study design: Sixty patients, aged 12-18, with orthodontic fixed appliances were randomly assigned into three groups as follows: Group 1 (n=20): 1% chlorhexidine and 1% thymol varnish (Cervitec®Plus); Group 2 (n=20): Cervitec®Plus+ 0.2% chlorhexidine and 0.2% sodium fluorid...

  10. Near fatal intra-operative anaphylaxis to chlorhexidine—is it time to change practice?

    OpenAIRE

    R. A. Khan; Kazi, T; O'Donohoe, B

    2011-01-01

    The authors report a case of a near fatal anaphylactic reaction to chlorhexidine. Increasingly adverse reactions are being reported with the use of chlorhexidine. Serious reactions are related to use on mucous membranes and acceptable alternatives are readily available. Therefore, the fundamental question that must be asked is: is it time to withdraw chlorhexidine preparations used for mucous membranes?

  11. Allergic urticaria: A case report of rare skin allergy with a common mouthwash

    Directory of Open Access Journals (Sweden)

    Viresh Chopra

    2013-01-01

    Full Text Available Chlorhexidine is a widely used antiseptic and disinfectant in medical and non-medical environments. Compared to its ubiquitous use, allergic contact dermatitis from chlorhexidine has rarely been reported and so its sensitization rate seems to be low. Chlorhexidine has been used for more than 50 years but it was only in the last two decades, that reports of immediate- type reactions to chlorhexidine were seen. Reactions ranging from localized urticaria to anaphylactic shock and hypersensitivity reactions, including delayed hypersensitivity reactions such as contact dermatitis, fixed drug eruptions, and photosensitivity reactions, began to appear more frequently. However the prevalence of contact urticaria and anaphylaxis due to chlorhexidine remains to be unknown. In this case report we have reported a case of urticaria due to oral use of chlorhexidine. The adverse reaction was confirmed by a skin prick test.

  12. Severe anaphylaxis: the secret ingredient.

    Science.gov (United States)

    Buergi, Andreas; Jung, Barbara; Padevit, Christian; John, Hubert; Ganter, Michael T

    2014-02-01

    In this case report, we describe a healthy urological patient who suffered severe intraoperative anaphylaxis to chlorhexidine, an ingredient contained in frequently used lubricants (Instillagel, Endosgel). Chlorhexidine is a well-known skin disinfectant and antiseptic component in mouthwash or other over the counter antiseptic pharmaceuticals. There is little awareness that commonly used lubricants may contain hidden chlorhexidine. After severe intraoperative anaphylaxis, it is important to investigate all potential (including hidden) agents that might have caused this life-threatening reaction. PMID:25611155

  13. The effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc lactate on the microflora of oral halitosis patients : a dual-centre, double-blind placebo-controlled study

    NARCIS (Netherlands)

    Roldan, S; Winkel, EG; Herrera, D; Sanz, M; Van Winkelhoff, AJ

    2003-01-01

    Aim: This study evaluated the microbial effects of a newly formulated mouthwash (Halita((R)) ) on oral halitosis patients. Methods: Forty subjects were included in this dual-centre, double-blind, placebo-controlled parallel study. Inclusion and exclusion criteria were used to select patients. At bas

  14. Efecto de colutorio-gel de clorhexidina sobre el crecimiento de placa en 24 horas = Effect of chlorhexidine mouthrinses-gel on de novo plaque formation in 24 hours

    OpenAIRE

    Rivera, Tânia

    2006-01-01

    En un estudio cruzado, doble ciego y randomizado, 25 alumnos de Odontologia de buena salud oral, participaron de cuatro estudios donde ellos se abtuvieron de toda limpieza mecanica oral por 24 horas, los estudios estuvieron separados entre si por 4 semanas. Durante los estudios los alumnos en un randomizado orden, se enjuagaron por una vez con uno de los siguientes colutorios: CHX 0. 12% + alcohol (Oralgene®), CHX 0. 12% + alcohol (Perio. Aid®), CHX 0. 1% + alcohol (Dentilim®) y CHX 0. 1% + H...

  15. Efecto de colutorio-gel de clorhexidina sobre el crecimiento de placa en 24 horas = Effect of chlorhexidine mouthrinses-gel on de novo plaque formation in 24 hours

    Directory of Open Access Journals (Sweden)

    Rivera, Tânia

    2006-01-01

    Full Text Available En un estudio cruzado, doble ciego y randomizado, 25 alumnos de Odontologia de buena salud oral, participaron de cuatro estudios donde ellos se abtuvieron de toda limpieza mecanica oral por 24 horas, los estudios estuvieron separados entre si por 4 semanas. Durante los estudios los alumnos en un randomizado orden, se enjuagaron por una vez con uno de los siguientes colutorios: CHX 0. 12% + alcohol (Oralgene®, CHX 0. 12% + alcohol (Perio. Aid®, CHX 0. 1% + alcohol (Dentilim® y CHX 0. 1% + HMC 2. 5% (Colutoriogel®, nueva formula. Despues de un dia se midio formación de placa, se completo y registro el cuestionario de parametros clinicos. Las formulaciones de CHX 0. 12% + alcohol y CHX 0. 1% + HMC 2. 5% se mostraron eficientes en retardar el crecimiento de placa dental de novo, esto obtenido de las observaciones clinicas, y siempre superior (p < 0. 05 a la formulación del colutorio de CHX 0. 1%+ alcohol (Dentilim®. Los resultados de este estudio demuestran el potencial clinico de este nuevo colutorio-gel sin alcohol de CHX 0. 1% + HMC 2. 5% (Colutoriogel® como un efectivo agente antiplaca y con reducidas efectos secundarios registrados.

  16. Chlorhexidine Gluconate Cleansing in Preventing Central Line Associated Bloodstream Infection and Acquisition of Multi-drug Resistant Organisms in Younger Patients With Cancer or Undergoing Donor Stem Cell Transplant

    Science.gov (United States)

    2016-02-22

    Bacterial Infection; Benign Neoplasm; Malignant Neoplasm; Methicillin-Resistant Staphylococcus Aureus Infection; Recurrent Childhood Acute Lymphoblastic Leukemia; Recurrent Childhood Acute Myeloid Leukemia; Untreated Childhood Myeloid Neoplasm

  17. Optimization of preparation technology of hydrocortisone and chlorhexidine acetate cream and investigation of its in vitro realse%氢定乳膏制备工艺的优化及体外释放度考察

    Institute of Scientific and Technical Information of China (English)

    杨跃辉; 丁平田; 何溥汉

    2008-01-01

    目的:优化氢定乳膏的制备工艺,测定其体外释放速率.方法:以乳膏的均匀度和粒度为考察指标,采用正交设计优化制备工艺;采用高效液相色谱法测定氢定乳膏在释放介质中的含量及释放速率.结果:最佳制备工艺为三乙醇胺和聚山梨醇酯-80加入水相中,乳化温度85℃,变速搅拌,乳化40 min.氢化可的松和醋酸氯已定的释放速率分别为13.9,137.1 μg·cm-2·h-1/2,r=0.983 5,r=0.996.结论:以最优工艺制备的3批制剂释放参数无明显变化,质量稳定.

  18. Efeito da concentração de clorexidina na resistência de união à dentina em dentes decíduos =: Effect of chlorhexidine concentration on the bond strength to dentin in primary teeth

    OpenAIRE

    Manfro, Aline Rosler Grings

    2010-01-01

    Objetivo: Avaliar o efeito do uso de digluconato de clorexidina 0,5% e 2% na resistência de união imediata à dentina de dentes decíduos para um sistema adesivo convencional. Metodologia: Vinte e um molares decíduos hígidos foram divididos em três grupos (n=7), sendo um controle e dois experimentais. Após a exposição da dentina, foi realizado no grupo controle (A) o procedimento adesivo utilizando ácido fosfórico gel a 37% (15 s); a superfície foi então lavada (15 s), seca com ar (30 s) e reid...

  19. The effect of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans count in 6- to 12-year-old school children: An in vivo study

    OpenAIRE

    Neeraja R; Anantharaj A; Praveen P; Karthik V; Vinitha M

    2008-01-01

    Objectives: Treating a carious tooth in children with high caries experience by providing a restoration does not cure the disease. If the unfavorable oral environment that caused the cavity persists so will the disease and more restorations will be required in future. Treating the oral infection by reducing the number of cariogenic microorganisms and establishing a favorable oral environment to promote predominantly remineralization of tooth structure over time will stop the caries process. ...

  20. Effect of gamma-irradiation on disinfectant, 1

    International Nuclear Information System (INIS)

    The effect of 60Co-γ irradiation on the antibacterial activity of chlorhexidine hydrochloride was examined and the following results were obtained. 1. The radioresistance of B. pumilus ATCC 27142 spore suspended in the solution of chlorhexidine hydrochloride was apparently higher than that suspended in distilled water. 2. The antibacterial activity of chlorhexidine hydrochloride irradiated in wet state decreased with an increase of irradiation dose, but that in dry state did not decrease. Upon irradiating chlorhexidine hydrochloride adsorbed on cellulose product, the antibacterial acticity showed a similar tendency. (auth.)

  1. Perbandingan Pengaruh Larutan dan Gel Klorheksidin Terhadap Kekuatan Geser Perlekatan Breket Logam

    OpenAIRE

    Malayati

    2012-01-01

    The aim of this study was to know the comparison of the influence of chlorhexidine solution and chlorhexidine gel as antiseptic agents on the shear bond strength of metallic brackets. For this purpose, 50 samples of man’s first maxillary premolars which were cleaned and extracted were divided into five equal clusters. Cluster 1 was controlling cluster, cluster 2 was the application of 0.2% of chlorhexidine solution, cluster 3 was the application of 0.2% of chlorhexidine gel, cluster 4 was the...

  2. Irritancy of antiseptics tested by repeated open exposures on the human skin, evaluated by non-invasive methods

    NARCIS (Netherlands)

    Tupker, RA; Schuur, J; Coenraads, PJ

    1997-01-01

    The aim of the study was to test the irritancy of 6 antiseptics in an open exposure model. The following agents were tested in their normal use concentrations using open exposures, 2x daily for 4 days in 20 subjects: chlorhexidine 4% (CH), chlorhexidine 0.5% in ethanol 70% (CE), ethanol 70% (ET), io

  3. In vitro antiplaque activity of octenidine dihydrochloride (WIN 41464-2) against preformed plaques of selected oral plaque-forming microorganisms.

    OpenAIRE

    Slee, A M; O'Connor, J R

    1983-01-01

    The antibacterial activity of octenidine dihydrochloride (WIN 41464-2) against intact preformed in vitro plaques of four indigenous oral plaque-forming microorganisms, Streptococcus mutans, Streptococcus sanguis, Actinomyces viscosus, and Actinomyces naeslundii, was studied. Both absolute (plaque bactericidal index) and relative (chlorhexidine coefficient) indices of antiplaque efficacy were established. Octenidine dihydrochloride compared favorably with chlorhexidine digluconate with respect...

  4. Evaluation of the antimicrobial and physical properties of an orthodontic photo-activated adhesive modified with an antiplaque agent: An in vitro study

    Directory of Open Access Journals (Sweden)

    Chanjyot Singh

    2013-01-01

    Results: The findings indicated that (1 addition of chlorhexidine to the orthodontic composite resin enhanced its antimicrobial properties, (2 there was no significant difference between the bond strengths of the control and the experimental resins tested after 24 h and 25 days and (3 maximum release of chlorhexidine from the modified resin was much higher than the minimum inhibitory concentration level.

  5. Comparison of antimicrobial substantivity of root canal irrigants in instrumented root canals up to 72 h: An in vitro study

    Directory of Open Access Journals (Sweden)

    M N Shahani

    2011-01-01

    Full Text Available Disinfection of the root canal system is one of the primary aims of root canal treatment. This can be achieved through the use of various antimicrobial agents in the form of irrigants and medicaments. The antimicrobial substantivity of 2% chlorhexidine gluconate, 1% povidone iodine, 2.5% hydrogen peroxide followed by 2% sodium hypochlorite, and 2% sodium hypochlorite alone as irrigants was assessed in instrumented root canals. 2% chlorhexidine showed antimicrobial substantivity lasting up to 72 h, followed by 1% povidone iodine, and 2% sodium hypochlorite. Thus 2% chlorhexidine should be used as a final rinse irrigant in endodontic treatment protocols.

  6. A Double-Blind, Randomized, Controlled Trial of Topical Polysporin Triple Compound Versus Topical Mupirocin for the Eradication of Colonization with Methicillin-Resistant Staphylococcus aureus in a Complex Continuing Care Population

    Directory of Open Access Journals (Sweden)

    S O’Grady

    2009-01-01

    Full Text Available BACKGROUND: Intranasal mupirocin or Polysporin Triple (PT ointment (polymyxin B, bacitracin, gramicidin, in combination with chlorhexidine body washes, have been used for eradicating methicillin-resistant Staphylococcus aureus (MRSA, but no comparative studies have been done.

  7. Peripherally inserted central catheter - dressing change

    Science.gov (United States)

    ... change the dressing, you need: Sterile gloves A face mask Cleaning solution (such as chlorhexidine) in a single- ... dressing and check your skin: Put on the face mask and a pair of sterile gloves. Gently peel ...

  8. Preventing root caries development under oral biofilm challenge in an artificial mouth

    OpenAIRE

    Mei, May Lei; CHU, CHUN HUNG; Lo, Edward Chin Man; Samaranayake, Lakshman P.

    2013-01-01

    Objectives: To study the preventive effects of chlorhexidine against root caries under oral biofilm in an artificial mouth. Study Design: Sixteen human tooth-root disks were inoculated with a salivary sample that was produced by mixing the unstimulated saliva of three adults who had no untreated caries. The disks were incubated in an artificial mouth fed with a 5% sucrose solution three times daily for one week. Eight disks received a twice daily rinse of 0.12% chlorhexidine (test group). The...

  9. Perbandingan Efektivitas Klorheksidin Glukonat 0,2% dengan Povidon Iodin 1% Sebagai Obat Kumur Antiseptik terhadap Penurunan Jumlah Koloni Mikroorganisme di Sekitar Rongga Mulut pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara

    OpenAIRE

    Raharja, Hendra

    2013-01-01

    Oral health is closely related to oral hygiene. One of the methods that can be used to maintain a good oral hygiene is by using mouthwash. In Indonesia, there are various types of mouthwashes over the counter that could be obtained by public. Selecting the right mouthwash became an important issue for the community. Povidone iodine and chlorhexidine gluconate are two types of mouthwashes that have been widely used. Therefore, this study was designed to compare the efficacy of chlorhexidine gl...

  10. Clinical efficacy analysis of the mouth rinsing with pomegranate and chamomile plant extracts in the gingival bleeding reduction.

    Science.gov (United States)

    Batista, Ana Luzia Araújo; Lins, Ruthineia Diógenes Alves Uchôa; de Souza Coelho, Renata; do Nascimento Barbosa, Danielle; Moura Belém, Nayara; Alves Celestino, Frayni Josley

    2014-02-01

    Medicinal plants represent important therapeutic resources to health restoration, including the use of herbal products in the mouth conditions treatment. A randomized controlled clinical trial was performed in order to evaluate the effectiveness of mouth rinse with pomegranate and chamomile plant extracts, against chlorhexidine 0.12% in the gingiva bleeding condition. The mouth rinses with the herbal products were effective for this case, showing thus, antimicrobial and anti-inflammatory properties similar to that of chlorhexidine 0.12%. PMID:24439653

  11. Comparison of the sensitivities of the Buehler test and the guinea pig maximization test for predictive testing of contact allergy

    DEFF Research Database (Denmark)

    Frankild, S; Vølund, A; Wahlberg, J E;

    2001-01-01

    dose-response model. To compare the sensitivity of the 2 test procedures the test conditions were kept identical and the following chemicals with a range of sensitization potentials were tested: chloraniline, chlorhexidine, eugenol, formaldehyde, mercaptobenzothiazole and neomycin sulphate....... Formaldehyde and neomycin sulphate were strong sensitizers in both tests. Mercaptobenzothiazole, eugenol and chloraniline were all strong sensitizers in the GPMT, eugenol and mercaptobenzothiazole were negative in the Buehler test and equivocal results were obtained with chloraniline. Chlorhexidine was...

  12. Influence of preventive dental treatment on mutans streptococci counts in patients undergoing head and neck radiotherapy

    OpenAIRE

    Lívia Buzati Meca; Fátima Regina Nunes de Souza; Helio Massaioshi Tanimoto; Alvimar Lima de Castro; Elerson Gaetti-Jardim Júnior

    2009-01-01

    The aim of this study was to evaluate the influence of chlorhexidine gluconate, sodium fluoride and sodium iodine on mutans streptococci counts in saliva of irradiated patients. MATERIAL AND METHODS: Forty-five patients were separated into three experimental groups and received chlorhexidine (0.12%), sodium fluoride (0.5%) or sodium iodine (2%), which were used daily during radiotherapy and for 6 months after the conclusion of the treatment. In addition, a fourth group, composed by 15 additio...

  13. Comparison of antimicrobial substantivity of root canal irrigants in instrumented root canals up to 72 h: An in vitro study

    OpenAIRE

    M N Shahani; Subba Reddy, V. V.

    2011-01-01

    Disinfection of the root canal system is one of the primary aims of root canal treatment. This can be achieved through the use of various antimicrobial agents in the form of irrigants and medicaments. The antimicrobial substantivity of 2% chlorhexidine gluconate, 1% povidone iodine, 2.5% hydrogen peroxide followed by 2% sodium hypochlorite, and 2% sodium hypochlorite alone as irrigants was assessed in instrumented root canals. 2% chlorhexidine showed antimicrobial substantivity lasting up to ...

  14. Accuracy of Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigant

    OpenAIRE

    Shin, Hyeong-Soon; Yang, Won-Kyung; Kim, Mi-Ri; Ko, Hyun-Jung; Cho, Kyung-Mo; Park, Se-Hee; Kim, Jin-Woo

    2012-01-01

    Objectives To evaluate the accuracy of the Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigants, such as saline, 5.25% sodium hypochlorite (NaOCl), 2% chlorhexidine liquid, 2% chlorhexidine gel, and RC-Prep, and also to determine the electrical conductivities of these endodontic irrigants. Materials and Methods A root perforation was simulated on twenty freshly extracted teeth by means of a small perforation made on the proximal surface o...

  15. Effect of ozone water rinse on wound healing in rats withPseudomonas aeruginosa infection

    Institute of Scientific and Technical Information of China (English)

    Ju-Hua Ye; Jun-Wu Huang; Hong-Yun Shi

    2016-01-01

    Objective:To study the promoting effect of ozone water rinse on wound healing in rats with Pseudomonas aeruginosa infection.Methods:Wistar male rats were selected as experimental animals and randomly divided into control group, chlorhexidine group and ozone water group,Pseudomonas aeruginosa-infected wounds were made and cleaned with normal saline, chlorhexidine and ozone water respectively; would healing of three groups was observed, wound tissue was collected and contents of inflammatory factors, apoptosis molecules and autophagy markers were detected.Results:Wound healing rates of chlorhexidine group and ozone water group were higher than that of control group and wound healing time was shorter than that of control group, wound healing rate of ozone water group was higher than that of chlorhexidine group and wound healing time was shorter than that of chlorhexidine group; TNF-α, IL-1, IL-2, Fas, FasL and Beclin-1 contents and LC3Ⅱ/LC3Ⅰ ratios in wound tissue of chlorhexidine group and ozone water group were lower than those of control group, and TNF-α, IL-1, IL-2, Fas, FasL and Beclin-1 contents and LC3Ⅱ/LC3Ⅰ ratios in wound tissue of ozone water group were lower than those of chlorhexidine group.Conclusions:Compared with normal saline and chlorhexidine, ozone water rinse helps to promote wound healing, improve wound healing rate and shorten wound healing time in rats withPseudomonas aeruginosa infection, and meanwhile it can inhibit cell apoptosis and autophagy in the wounds.

  16. Efficacy of low-concentration iodophors for germicidal hand washing.

    OpenAIRE

    Stiles, M E; Sheena, A. Z.

    1985-01-01

    The efficacy of iodophor germicides containing different concentrations of available iodine against transient (inoculated) bacteria and the natural hand microflora was compared with chlorhexidine gluconate (2 and 4%) liquid detergent (Hibitane), non-germicidal soap and a tap water rinse. The tap water rinse was ineffective compared with all other treatments. Only 4% chlorhexidine gluconate liquid detergent and iodophor containing 0.75% available iodine were significantly better than the non-g...

  17. Comparative evaluation of the effect of cavity disinfectants on the fracture resistance of primary molars restored with indirect composite inlays: An in vitro study

    Directory of Open Access Journals (Sweden)

    Indira M

    2010-01-01

    Full Text Available A study was conducted to evaluate and compare the effect of cavity disinfectants on the fracture resistance of primary molars restored with indirect composite inlays. Thirty-six non-carious primary second molars were selected and divided randomly into three groups (n = 12: control group (no disinfectant, chlorhexidine group (disinfected with 2% chlorhexidine for 40 seconds and sodium hypochlorite group crowns (disinfected with 2% chlorhexidine for 40 seconds. The inlays were fabricated by indirect method using Ceram X nanocomposite on plaster die. All the groups were submitted to compression mechanic test in a Hounsfield universal testing machine at 1 mm/min cross-head speed and the results were calculated in Newtons. Descriptive statistics, independent t test, and one way analysis of variance (ANOVA test revealed the mean fracture resistance of three groups, i.e., control group, chlorhexidine group and sodium hypochlorite group to be 2260.66, 1858.08 and 1310.66, respectively. When intragroup comparisons were made, a significant difference was observed in all the groups (P<0.001. Scheffe′s post hoc test revealed that control group had the highest fracture resistance, followed by chlorhexidine group, and sodium hypochlorite group had the least fracture resistance. Each value differed significantly from the other (P<0.05. Cavity disinfectants used in the present study had detrimental effect on the fracture resistance of primary molars. Among the disinfectants employed in the present study, chlorhexidine showed a better resistance to fracture than sodium hypochlorite.

  18. O gluconato de clorexidina ou o álcool-iodo-álcool na anti-sepsia de campos operatórios em cães Chlorhexidine gluconate or alcohol-iodine-alcohol in the antisepsis of surgical area in dogs

    OpenAIRE

    Décio Adair Rebellatto da Silva; Mateus Matiuzzi da Costa; Agueda Castagna de Vargas; Marcelo Meller Alievi; João Eduardo Wallau Schossler; Tatiana Resende da Silva

    2000-01-01

    Foi comparada a efetividade da anti-sepsia de sítios operatórios em vinte e quatro animais, subdivididos em três grupos, utilizando água destilada (grupo controle), álcool-iodo-álcool (grupo I) e gluconato de clorexidina (grupo II). As amostras foram coletadas através de swab da pele, depois da tricotomia (T0), após anti-sepsia (T1) e duas horas após o uso do anti-séptico (T2), e submetidas à contagem de Unidades Formadoras de Colônia(UFC)/ml. Nos três grupos, ocorreu crescimento bacteriano e...

  19. Efeito de gomas de mascar contendo clorofenol / peróxido de hidrogênio, xilitol ou clorexidina no fluxo salivar, pH, capacidade tampão e escores salivares de Streptococcus mutans = Effects of chlorophenol / hydrogen peroxide versus xylitol or chlorhexidine as chewing gum on salivary flow rate, pH, buffer capacity and salivary Streptococcus mutans scores

    Directory of Open Access Journals (Sweden)

    Yévenes López, Ismael

    2014-01-01

    Full Text Available Objetivos: Gomas de mascar medicadas são preparações sólidas, de dose única, que devem ser mastigadas por um determinado período de tempo a fim de que um ou mais agentes farmacológicos sejam admnistrados. Neste contexto, gomas de mascar medicadas com três ingredientes farmacêuticos ativos – cânfora, p-clorofenol e peróxido de hidrogênio – foram avaliadas como agentes terapêuticos para cárie dentária. O objetivo deste estúdio foi comparar o efeito de gomas de mascar contendo chlorophenol / peróxido de hidrogênio, xilitol ou clorexidina sobre Streptococos mutans salivares, pH, capacidade tampão, a taxa de secreção salivar. Métodos: Foi realizado estudo duplo-cego, com deliamento de randomização cruzada de tratamento em 24 pacientes. Esses foram submetidos a seis sequências diferentes de tratamento. Gomas de mascar foram administradas três vezes ao dia durante 20 minutos, pela manhã, tarde e noite. No início e no final das três fases de amostras de saliva experimentais foram obtidas para a determinação de pH, capacidade tampão, fluxo salivar e enumeração quantitativa de S. mutans. Resultados: O uso de goma medicado de cânfora com p-clorofenol e peróxido de hidrogénio não modificaram os parâmetros químicos salivares medidos, e reduziram o número de S. mutans, após 7 dias. Gomas de mascar contendo clorexidina reduziram significativamente a contagem quantitativa de S. mutans e a taxa de fluxo salivar em um período de 7 dias. Conclusões: O uso de gomas de mascar medicadas com base de cânfora / p-clorofenol ou com peróxido de hidrogênio não altera significativamente os parâmetros químicos salivares e não reduz significativamente o número de S. mutans após a utilização por período de 7 dias

  20. Estudio clínico comparativo entre colutorio de p-clorofenol y peróxido de hidrógeno con colutorio de clorhexidina al 0.12% en el crecimiento de placa microbiana y gingivitis Mouthwash comparative study between p-chlorophenol and hydrogen peroxide with chlorhexidine mouthwash 0.12% in the growth of microbial plaque and gingivitis

    OpenAIRE

    PD Jaña; LI Yévenes; AS Rivera

    2010-01-01

    Se formuló un colutorio a base de p-clorofenol alcanforado y peróxido de hidrógeno, y considerando que no se disponían de antecedentes de eficacia y seguridad del colutorio, se realizó un ensayo clínico para medirlas utilizando un modelo de formación de placa microbiana y gingivitis en un período de cuatro días, como control positivo se uso un colutorio de clorhexidina al 0.12%. Participaron 26 sujetos en un estudio doble ciego cruzado y con distribución aleatoria. El colutorio en base a p-cl...

  1. Efeito de gomas de mascar contendo clorofenol / peróxido de hidrogênio, xilitol ou clorexidina no fluxo salivar, pH, capacidade tampão e escores salivares de Streptococcus mutans = Effects of chlorophenol / hydrogen peroxide versus xylitol or chlorhexidine as chewing gum on salivary flow rate, pH, buffer capacity and salivary Streptococcus mutans scores

    OpenAIRE

    Yévenes López, Ismael et al.

    2014-01-01

    Objetivos: Gomas de mascar medicadas são preparações sólidas, de dose única, que devem ser mastigadas por um determinado período de tempo a fim de que um ou mais agentes farmacológicos sejam admnistrados. Neste contexto, gomas de mascar medicadas com três ingredientes farmacêuticos ativos – cânfora, p-clorofenol e peróxido de hidrogênio – foram avaliadas como agentes terapêuticos para cárie dentária. O objetivo deste estúdio foi comparar o efeito de gomas de mascar contendo chlorophenol / per...

  2. Prevention and management guidelines to oral health care for patients with head and neck cancer: HCT20, Carisolv and chlorhexidine varnish are suggested; Protocolo de prevencao e tratamento de sequelas bucais em pacientes submetidos a radioterapia: uso deo HCT20, Carisolv e verniz de clorexidina

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, Eliete Neves da Silva; Melo, Nilce Santos de [Brasilia Univ., DF (Brazil). Faculdade de Ciencias da Saude. Dept. de Odontologia]. E-mail: elieteneves@terra.com.br

    2004-07-01

    Orofacial complications are unfortunately common with all modalities used in the management of patients with head and neck cancer. It is well known that hypo salivation develops if radiation therapy involves the salivary glands. A significant decrease in salivary volume can adversely affect oral comfort, mucosal health, dentition, deglutition and mastication. Xerostomia may lead to consumption of diet high in carbohydrates and make good oral hygiene difficult. (author)

  3. Preparation and evaluation of antimicrobial activity of nanosystems for the control of oral pathogens Streptococcus mutans and Candida albicans

    Directory of Open Access Journals (Sweden)

    Pupe CG

    2011-10-01

    Full Text Available Carolina Gonçalves Pupe1, Michele Villardi1, Carlos Rangel Rodrigues1, Helvécio Vinícius Antunes Rocha2, Lucianne Cople Maia3, Valeria Pereira de Sousa1, Lucio Mendes Cabral11Depto de Medicamentos, Faculdade de Farmácia, UFRJ, Rio de Janeiro, 2Farmanguinhos/FIOCRUZ, Rio de Janeiro, 3Faculdade de Odontologia, UFRJ, Rio de Janeiro, BrazilBackground: Diseases that affect the buccal cavity are a public health concern nowadays. Chlorhexidine and nystatin are the most commonly used drugs for the control of buccal affections. In the search for more effective antimicrobials, nanotechnology can be successfully used to improve the physical chemical properties of drugs whilst avoiding the undesirable side effects associated with its use. Herein described are studies using nystatin and chlorhexidine with sodium montmorillonite (MMTNa, and chlorhexidine with ß-cyclodextrin and two derivatives methyl-β-cyclodextrin and hydroxypropyl-β-cyclodextrin in the development of antimicrobial nanosystems.Methods: The nanosystems were prepared by kneading and solubilization followed by freeze-drying technique. The nanosystems were characterized by X-ray powder diffraction (XRPD, differential scanning calorimetry (DSC, and Fourier transform infrared spectroscopy (FTIR. Nanosystem antimicrobial activity against Streptococcus mutans and Candida albicans strains was evaluated with inhibition halo analysis.Results: The nanocarriers MMTNa and cyclodextrins showed good yields. XRPD, FTIR, and DSC analysis confirmed the proposed nanosystems formation and the suitability of the production methods. The nanosystems that showed best antimicrobial effect were chlorhexidine gluconate (CHX and cyclodextrin inclusion complexes and CHX:MMTNa 60% cation exchange capacity – 24 hours.Conclusion: The nanosystem formulations present higher stability for all chlorhexidine inclusion complexes compared with pure chlorhexidine. The nystatin nanosystems have the potential to mask the

  4. Antibacterial activity of ethanolic extract of Myrtus communis. L leaves against salivary Mutans streptococci

    International Nuclear Information System (INIS)

    The aim of this study was to evaluate the efficacy of ethanolic extract of Myrtus communis (myrtle) leaves in the selective reduction of Mutans streptococci count in saliva compared to chlorhexidine through in vitro and in vivo experiments. Ethanolic extract (2%) was prepared and screened by UV-visible spectrophotometer to detect peaks of active compounds. The minimum inhibitory concentrations (MICs) of myrtle extract as well as chlorhexidine (0.12%) were determined against Mutans streptococci isolated from human saliva and identified bacteriologically in vivo experiments, the effect of single mouth rinse of myrtle extract or chlorhexidine was investigated against the number of colony forming unit (CFU) of Mutans streptococci for two hours after rinse. The results showed the presence of one large peak at λ266.5 nm and a small one at λ672 of the extract in UV-visible spectra suggesting the presence of flavanoid. The MIC of myrtle was 106.6 μg/mL compared with 3.3 μg/mL of chlorhexidine. Single mouth rinse of myrtle extract significantly reduced the number of CFU of salivary Mutans streptococci but its effect was significantly less than that of chlorhexidine. It was concluded that the antibacterial effect of myrtle on Mutans streptococci was due to its flavanoid content. Therefore, ethanolic extract of myrtle could be a potential remedy for the prevention of colonization by Mutans streptococci thereby preventing or retarding development of dental caries. (author)

  5. Comparison of two commercially available mouth rinses on gingival inflammation, pain and acceptability after third molar surgery.

    Science.gov (United States)

    Chew, Bertrand; Cheng, Wu Loo; Tay, Sylvia; Fei, Yeo Jin

    2007-12-01

    A randomized clinical trial was carried out to compare the difference in the effects of using two different mouth rinses on healing after surgical removal of wisdom teeth. One mouth rinse contained chlorhexidine with alcohol whereas the other was chlorhexidine without alcohol. Twenty-one patients without any medical conditions underwent surgical removal of their 3rd molars by the same operator on both the sides. Data were analysed by the non-parametric function test. Significant differences were shown in the pain score and the number of inflammation sites (p > 0.05). There was no significant difference in the acceptability of the two mouth rinses. In this study, nonalcohol chlorhexidine mouth rinse seemed better than an alcohol-containing chlorhexidine mouth rinse in diminishing patients' post-operative pain and wound inflammation. Non-alcohol chlorhexidine mouth rinse had similar properties without the adverse effects of alcohol, such as dryness of the mouth and addiction. Likewise, they were less likely to result in alcohol-induced pain. PMID:18472528

  6. Brushes and picks used on nails during the surgical scrub to reduce bacteria: a randomised trial.

    Science.gov (United States)

    Tanner, J; Khan, D; Walsh, S; Chernova, J; Lamont, S; Laurent, T

    2009-03-01

    Though brushes are no longer used on the hands and forearms during the surgical scrub, they are still widely used on the nails. The aim of this study was to determine whether nail picks and nail brushes are effective in providing additional decontamination during a surgical hand scrub. A total of 164 operating department staff were randomised to undertake one of the following three surgical hand-scrub protocols: chlorhexidine only; chlorhexidine and a nail pick; or chlorhexidine and a nail brush. Bacterial hand sampling was conducted before and 1h after scrubbing using a modified version of the glove juice method. No statistically significant differences in bacterial numbers were found between any two of the three intervention groups. Nail brushes and nail picks used during surgical hand scrubs do not decrease bacterial numbers and are unnecessary. PMID:19162371

  7. Antimicrobial activity of Eucalyptus globulus oil, xylitol and papain: a pilot study

    Directory of Open Access Journals (Sweden)

    Valéria de Siqueira Mota

    2015-04-01

    Full Text Available OBJECTIVE To evaluate the in vitro antimicrobial activity of the Eucalyptus globulus essential oil, and of the xylitol and papain substances against the following microorganisms: Pseudomonas aeruginosa; Samonella sp.; Staphylococus aureus; Proteus vulgaris; Escherichia coli and Candida albicans. METHOD The in vitro antimicrobial evaluation was used by means of the agar diffusion test and evaluation of the inhibition zone diameter of the tested substances. Chlorhexidine 0.5% was used as control. RESULTS The Eucalyptus globulus oil showed higher inhibition than chlorhexidine when applied to Staphylococcus aureus, and equal inhibition when applied to the following microorganisms: Escherichia coli, Proteus vulgaris and Candida albicans. Papain 10% showed lower antimicrobial effect than chlorhexidine in relation to Candida albicans. Xylitol showed no inhibition of the tested microorganisms. CONCLUSION The Eucalyptus globulus oil has antimicrobial activity against different microorganisms and appears to be a viable alternative as germicidal agent hence, further investigation is recommended.

  8. Cu(II AND Zn(II COMPLEX COMPOUNDS WITH BIGUANIDES AROMATIC DERIVATIVES. SYNTHESIS, CHARACTERIZATION, BIOLOGICAL ACTIVITY

    Directory of Open Access Journals (Sweden)

    Ticuţa Negreanu-Pîrjol

    2011-05-01

    Full Text Available In this paper we report the synthesis, physical-chemical characterization and antimicrobial activity of some new complex compounds of hetero-aromatic biguanides ligands, chlorhexidine base (CHX and chlorhexidine diacetate (CHXac2 with metallic ions Cu(II and Zn(II, in different molar ratio. The synthesized complexes were characterized by elemental chemical analysis and differential thermal analysis. The stereochemistry of the metallic ions was determined by infrared spectra, UV-Vis, EPR spectroscopy and magnetic susceptibility in the aim to establish the complexes structures. The biological activity of the new complex compounds was identified in solid technique by measuring minimum inhibition diameter of bacterial and fungal culture, against three standard pathogen strains, Escherichia coli ATCC 25922, Staphilococcus aureus ATCC 25923 and Candida albicans ATCC 10231. The results show an increased specific antimicrobial activity for the complexes chlorhexidine:Cu(II 1:1 and 1:2 compared with the one of the Zn(II complexes.

  9. A comparative study of two mouthrinses on plaque and gingivitis in school children in the age group of 13-16 years in Bangalore city

    Directory of Open Access Journals (Sweden)

    Jayaprakash K

    2007-09-01

    Full Text Available Research and clinical evidence indicate that most forms of plaque associated periodontal disease start as inflammatory lesions of the gingiva which if left untreated, may progress and eventually involve and compromise the entire periodontal attachment apparatus of the affected teeth. A study was conducted to assess the effect of a mouthrinse containing chlorhexidine and sodium fluoride on plaque accumulation and gingivitis in comparison with a chlorhexidine mouthrinse alone in a group of school children aged 13-16 years in Bangalore city. This combination alongwith the well established effect of fluoride in the prevention of caries presents an important contribution to dental public health. The results suggest that the chlorhexidine-sodium fluoride mouthrinse potentially possesses a significant effect on inhibition of plaque accumulation and gingivitis. This combination along with the well-established effect of fluoride in the prevention of caries, presents an important contribution to dental public health.

  10. Antimicrobial activity of Eucalyptus globulus oil, xylitol and papain: a pilot study.

    Science.gov (United States)

    Mota, Valéria de Siqueira; Turrini, Ruth Natalia Teresa; Poveda, Vanessa de Brito

    2015-01-01

    OBJECTIVE To evaluate the in vitro antimicrobial activity of the Eucalyptus globulus essential oil, and of the xylitol and papain substances against the following microorganisms: Pseudomonas aeruginosa; Samonella sp.; Staphylococus aureus; Proteus vulgaris; Escherichia coli and Candida albicans. METHOD The in vitro antimicrobial evaluation was used by means of the agar diffusion test and evaluation of the inhibition zone diameter of the tested substances. Chlorhexidine 0.5% was used as control. RESULTS The Eucalyptus globulus oil showed higher inhibition than chlorhexidine when applied to Staphylococcus aureus, and equal inhibition when applied to the following microorganisms: Escherichia coli, Proteus vulgaris and Candida albicans. Papain 10% showed lower antimicrobial effect than chlorhexidine in relation to Candida albicans. Xylitol showed no inhibition of the tested microorganisms. CONCLUSION The Eucalyptus globulus oil has antimicrobial activity against different microorganisms and appears to be a viable alternative as germicidal agent hence, further investigation is recommended. PMID:25992819

  11. Cytotoxicity and mutagenicity of opthalmic solution preservatives and UVA radiation in L5178Y cells

    International Nuclear Information System (INIS)

    Four preservatives used in ophthalmic solutions were tested for toxic and mutagenic potential in mouse lymphoma cells with and without exposure of cells to ultraviolet A (UVA) radiation. The preservatives tested were benzalkonium chloride (BAK), chlorhexidine, thimerosal and ethylenediaminetetraacetic acid (EDTA). Cell survival and mutagenesis were measured using the L5178Y mouse lymphoma (TK+/-) system. Cells were exposed to varying amounts of preservatives for 1 h at 370C, and aliquots irradiated with UVA radiation (during exposure to preservative). Cells were then assayed for survival, and mutagenesis at the thymidine kinase (TK) locus. In concentrations commonly found in ophthalmic solutions, BAK, chlorhexidine, and thimerosal were toxic to cells, and thimerosal was slightly mutagenic. When cells were exposed to preservative and UVA radiation, chlorhexidine was mutagenic and the mutagenic activity of thimerosal was enhanced. (author)

  12. Cytotoxicity and mutagenicity of opthalmic solution preservatives and UVA radiation in L5178Y cells

    Energy Technology Data Exchange (ETDEWEB)

    Withrow, T.J.; Brown, N.T.; Hitchins, V.M.; Strickland, A.G. (Food and Drug Administration, Rockville, MD (USA). Center for Devices and Radiological Health)

    1989-09-01

    Four preservatives used in ophthalmic solutions were tested for toxic and mutagenic potential in mouse lymphoma cells with and without exposure of cells to ultraviolet A (UVA) radiation. The preservatives tested were benzalkonium chloride (BAK), chlorhexidine, thimerosal and ethylenediaminetetraacetic acid (EDTA). Cell survival and mutagenesis were measured using the L5178Y mouse lymphoma (TK{sup +/-}) system. Cells were exposed to varying amounts of preservatives for 1 h at 37{sup 0}C, and aliquots irradiated with UVA radiation (during exposure to preservative). Cells were then assayed for survival, and mutagenesis at the thymidine kinase (TK) locus. In concentrations commonly found in ophthalmic solutions, BAK, chlorhexidine, and thimerosal were toxic to cells, and thimerosal was slightly mutagenic. When cells were exposed to preservative and UVA radiation, chlorhexidine was mutagenic and the mutagenic activity of thimerosal was enhanced. (author).

  13. Effectiveness of sanitizing agents in inactivating Escherichia coli (ATCC 25922 in food cutting board surfaces. Removal E. coli using different sanitizers

    Directory of Open Access Journals (Sweden)

    CEZAR AUGUSTO BELTRAME

    2016-03-01

    Full Text Available The objective of this study was to investigate Escherichia coli adhesion on new and used polyethylene cutting board surface and evaluate it’s removal using different sanitizer (peracetic acid,chlorhexidine, sodium hypochlorite and organic acids. Results indicated that the number of adherent cells increased with time in both surfaces evaluated. Evaluating the sanitizer action, 0.5%peracetic acid was more effective in removal E. coli than chlorhexidine and organic acids at same concentration in both surfaces. Peracetic acid and sodium hypochlorite also showed effectiveness at concentrations of 0.2% and 0.5% on new surfaces, respectively. 0.8% of chlorhexidine and 2.0% of organic acids showed similar effectiveness in the removal E. coli on new and used surfaces, respectively.These results suggest that peracetic acid is considerable promise sanitizer for application in surfaces of the food processing industry.

  14. Effect of a disinfectant udder wash and a post-milking teat dip on the bacterial population of the teat end and on the rate of new intramammary infection.

    Science.gov (United States)

    Sheldrake, R F; Hoare, R J

    1980-10-01

    A pre-milking wash disinfectant procedure employing a 2% (w/v) chlorhexidine solution in a detergent basic did not reduce the rate of new intramammary infection in a lactating herd challenged with Staphylococcus aureus. Teat-end swabs showed no significant difference in the number of Staph. aureus isolated from the teat-ends pre-washed with either water, or water and chlorhexidine. In contrast, disinfecting teats after milking with a solution containing 5000 mg available iodine/l significantly reduced the staphylococcal population of the teat-ends and the rate of new intramammary infection, compared with teats not disinfected. PMID:7451707

  15. Committee Opinion No. 571: Solutions for surgical preparation of the vagina.

    Science.gov (United States)

    2013-09-01

    Currently, only povidone-iodine preparations are approved for vaginal surgical-site antisepsis. However, there are compelling reasons to consider chlorhexidine gluconate solutions for off-label use in surgical preparation of the vagina, especially in women with allergies to iodine. Although chlorhexidine gluconate solutions with high concentrations of alcohol are contraindicated for surgical preparation of the vagina, solutions with low concentrations of alcohol (eg, 4%) are both safe and effective for off-label use as vaginal surgical preparations and may be used as an alternative to iodine-based preparations in cases of allergy or when preferred by the surgeon. PMID:23963423

  16. Estudio sobre la prevención quimioterapéutica de la caries dental con barnices de clorhexidina y timol, en niños de 5-8 años de edad, con riesgo alto de caries.: Un reporte preliminar Study on the chemotherapeutic prevention of the caries with chlorhexidine/thymol varnish in children of 5-8 years old, with high caries risk.: A preliminary report

    OpenAIRE

    María C García-Santos; R Rioboo-García

    2004-01-01

    Objetivos: el propósito de este estudio fue evaluar la posibilidad de reducir la caries de fisura en las caras oclusales de los primeros molares permanentes, a través de barnices antimicrobianos, en escolares con alta incidencia de caries. Se ha realizado un ensayo clínico aleatorio a doble ciego. Sujetos: 35 niños saludables con edades comprendidas entre los 6 y 8 años, con alto riesgo de caries, fueron seleccionados en un colegio de Madrid. Par ser incluidos en el estudio cada niño debería ...

  17. Differential effect of CLK SR Kinases on HIV-1 gene expression: potential novel targets for therapy

    Directory of Open Access Journals (Sweden)

    Dobson Wendy

    2011-06-01

    Full Text Available Abstract Background RNA processing plays a critical role in the replication of HIV-1, regulated in part through the action of host SR proteins. To explore the impact of modulating SR protein activity on virus replication, the effect of increasing or inhibiting the activity of the Cdc2-like kinase (CLK family of SR protein kinases on HIV-1 expression and RNA processing was examined. Results Despite their high homology, increasing individual CLK expression had distinct effects on HIV-1, CLK1 enhancing Gag production while CLK2 inhibited the virus. Parallel studies on the anti-HIV-1 activity of CLK inhibitors revealed a similar discrepant effect on HIV-1 expression. TG003, an inhibitor of CLK1, 2 and 4, had no effect on viral Gag synthesis while chlorhexidine, a CLK2, 3 and 4 inhibitor, blocked virus production. Chlorhexidine treatment altered viral RNA processing, decreasing levels of unspliced and single spliced viral RNAs, and reduced Rev accumulation. Subsequent experiments in the context of HIV-1 replication in PBMCs confirmed the capacity of chlorhexidine to suppress virus replication. Conclusions Together, these findings establish that HIV-1 RNA processing can be targeted to suppress virus replication as demonstrated by manipulating individual CLK function and identified chlorhexidine as a lead compound in the development of novel anti-viral therapies.

  18. Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

    Directory of Open Access Journals (Sweden)

    Alex Nogueira HAAS

    2014-01-01

    Full Text Available Properly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.

  19. Component Analysis of Multipurpose Contact Lens Solutions To Enhance Activity against Pseudomonas aeruginosa and Staphylococcus aureus.

    Science.gov (United States)

    Lin, Leo; Kim, Janie; Chen, Hope; Kowalski, Regis; Nizet, Victor

    2016-07-01

    More than 125 million people wear contact lenses worldwide, and contact lens use is the single greatest risk factor for developing microbial keratitis. We tested the antibacterial activity of multipurpose contact lens solutions and their individual component preservatives against the two most common pathogens causing bacterial keratitis, Pseudomonas aeruginosa and Staphylococcus aureus The in vitro antibacterial activity of five multipurpose contact lens solutions (Opti-Free GP, Boston Simplus, Boston Advance, Menicare GP, and Lobob) was assayed by the standard broth dilution method. Synergy between the preservative components found in the top performing solutions was assayed using checkerboard and time-kill assays. The ISO 14729 criteria and the standard broth dilution method were used to define an optimized contact lens solution formulation against a clinical panel of drug-susceptible and drug-resistant P. aeruginosa and S. aureus strains. Preservatives with the biguanide function group, chlorhexidine and polyaminopropylbiguanide (PAPB), had the best antistaphylococcal activity, while EDTA was the best antipseudomonal preservative. The combination of chlorhexidine and EDTA had excellent synergy against P. aeruginosa A solution formulation containing chlorhexidine (30 ppm), PAPB (5 ppm), and EDTA (5,000 ppm) had three to seven times more antipseudomonal activity than anything available to consumers today. A multipurpose contact lens solution containing a combination of chlorhexidine, PAPB, and EDTA could help to reduce the incidence of microbial keratitis for contact lens users worldwide. PMID:27139484

  20. Assessing transgastric Natural Orifice Transluminal Endoscopic Surgery prior to clinical implementation

    DEFF Research Database (Denmark)

    Donatsky, Anders Meller

    2014-01-01

    -abdominal abscess formation as a result of contamination from the access route was still present. To reduce this contamination, mouthwash with chlorhexidine was effective in a human randomised study. The same study also found significant higher bacterial load in the stomach of patients using proton pump inhibitor...

  1. Direct spectorphotometric assay of quaternary ammonium compounds using bromthymol blue.

    Science.gov (United States)

    Lowry, J B

    1979-01-01

    Benzalkonium chloride, benzethonium chloride, and chlorhexidine gluconate were assayed quantitatively by a direct spectrophotometric method with bromthymol blue buffered at pH 7.5. The method shows good results at concentrations of 0--300 microgram/ml and in the presence of epinephrine bitartrate, phenylephrine hydrochloride, pilocarpine hydrochloride, and polyvinyl alcohol. PMID:758444

  2. Long-term effect of maternal xylitol exposure on their children's caries prevalence

    DEFF Research Database (Denmark)

    Thorild, I; Lindau, B; Twetman, S

    2012-01-01

    Aim: To evaluate the long-term outcome of a motherchild project in which mothers (n=173) with high counts of salivary mutans streptococci were randomly assigned to daily chewing gums containing xylitol (A), chlorhexidine/ xylitol/sorbitol (B), or sodium fluoride/xylitol/sorbitol (C) for one year...

  3. A case of methicillin-resistant Staphylococcus pseudintermedius (MRSP) pyoderma in a Labrador retriever dog

    OpenAIRE

    Wan, Jennifer

    2014-01-01

    An 8-year-old, neutered male Labrador retriever dog with generalized pruritis had a history of recurring atopic dermatitis and superficial pyoderma. Cocci and yeast were found on cytology and methicillin-resistant Staphylococcus pseudintermedius was cultured. A regimen of marbofloxacin, dexamethasone, ketoconazole, and cyclosporine in addition to bathing with 2% chlorhexidine shampoo resulted in marked improvement.

  4. 940 nm diode laser therapy in management of recurrent apthous ulcer

    OpenAIRE

    Misra, Neeta; Maiti, Debasmita; Misra, Pradyumna; Singh, Ashish Kumar

    2013-01-01

    Recurrent apthous stomatitis (RAS) is one of the most common oral inflammatory diseases characterised by painful recurrent ulcerations of the orofacial region. The ulcers occur in three clinical forms: minor, major and herpetiform. Several therapies have been advocated to manage these lesions such as topical corticosteroids (triamcinolone acetonide, hydrocortisone acetate and clobetasol propionate), chlorhexidine mouth rinses, tetracycline oral rinses, thalidomide, fluocinonide, colchicines a...

  5. Antimicrobial efficacy of Acacia nilotica, Murraya koenigii (L. Sprengel, Eucalyptus hybrid, Psidium guajava extracts and their combination on Streptococcus mutans and Lactobacillus acidophilus

    Directory of Open Access Journals (Sweden)

    B R Chandra Shekar

    2016-01-01

    Conclusion: All the individual plant extracts and their combinations were effective against S. mutans and L. acidophilus. These could be tried as herbal alternates to chlorhexidine. However, these in vitro results have to be further evaluated for any toxicity of the polyherbal combinations in animal models and effectiveness has to be assessed using in vivo studies on humans.

  6. Effect of sodium bicarbonate on Candida albicans adherence to thermally activated acrylic resin

    Directory of Open Access Journals (Sweden)

    Fernando Augusto Cervantes Garcia de Sousa

    2009-12-01

    Full Text Available The purpose of this study was to evaluate the effect of 5% sodium bicarbonate on the adherence of Candida albicans to thermally activated acrylic resin. Fifty 4 mm² specimens of acrylic resin were obtained using a metallic matrix. The specimens received chemical polishing, were sterilized and then immersed in Sabouraud broth, inoculated with Candida albicans standardized suspension. After 24 hours of incubation at 37ºC, the specimens were divided into four groups according to the substance used for disinfection (5% sodium bicarbonate, 0.12% digluconate chlorhexidine, vinegar and Corega Tabs. A control group was included, in which distilled water was used. The adhered microorganisms were dispersed, diluted and plated onto culture media to determine the number of colony-forming units (cfu/mL. The results were analyzed through the Mann-Whitney statistical test at the 5% level of significance. Only 0.12% digluconate chlorhexidine and 5% sodium bicarbonate presented a statistically significant difference (p = 0.0010 and p = 0.0156, respectively compared to the control group, decreasing the number of cfu/mL. However, when the different disinfecting solutions were compared with each other, only 0.12% digluconate chlorhexidine presented a statistically significant difference in the reduction of cfu/mL. It was concluded that although 0.12% digluconate chlorhexidine was more effective in the reduction of Candida albicans adherence values to thermally activated acrylic resin, 5% sodium bicarbonate also proved to be a viable alternative.

  7. [Estimation of antimicrobial means action efficacy in children oral cavities by pH-test].

    Science.gov (United States)

    Guliamov, S S

    2009-01-01

    Possibility of mixed saliva pH determination in the efficacy of antimicrobial mean action was assessed using fluctuations in hydrogen index (pH following consumption of sweets in teenagers according to Stephan curve). Antimicrobial activity of chlorhexidine-containing preparation Eludrile and Elgidium-tooth paste, as well as furacillin solution in oral cavities of teenagers was estimated. PMID:19365352

  8. A randomized, double‑blind clinical study to assess the antiplaque and antigingivitis efficacy of Aloe vera mouth rinse

    Directory of Open Access Journals (Sweden)

    Bathini Chandrahas

    2012-01-01

    Full Text Available Aims: To evaluate the efficacy of Aloe Vera mouth rinse on experimental plaque accumulation and gingivitis. Materials and Methods: In this randomized, controlled, and double-blind study, a total of 148 systemically healthy subjects were screened in the age group of 18-25 years. Finally, 120 subjects were requested to abstain from oral hygiene (tooth brushing for 14 days and used a specially fabricated plaque guard. Following cessation of tooth brushing in the specified area, the subjects were randomly divided into Group A (test group who received 100% Aloe vera, Group B (negative control group who received placebo (distilled water, and Group C (positive control group who received 0.2% chlorhexidine. The rinse regimen began on the 15 th day and continued for 7 days. Plaque accumulation was assessed by Plaque Index (PI and gingivitis was assessed by Modified Gingival Index (MGI and Bleeding Index (BI at baseline (0, 7 th , 14 th , and 22 nd days. Results: There was statistically significant decrease in PI, MGI, and BI scores after the rinse regimen began in both Group A (test group and Group C (chlorhexidine compared with Group B. Mouth wash containing Aloe vera showed significant reduction of plaque and gingivitis but when compared with chlorhexidine the effect was less significant. Conclusion: Aloe vera mouthwash can be an effective antiplaque agent and with appropriate refinements in taste and shelf life can be an affordable herbal substitute for chlorhexidine.

  9. Resistance of Streptococcus sanguis biofilms to antimicrobial agents

    DEFF Research Database (Denmark)

    Larsen, T; Fiehn, N E

    1996-01-01

    of Streptococcus sanguis 804 and ATCC 10556 to amoxicillin, doxycycline and chlorhexidine was determined by a broth dilution method. Subsequently, S. sanguis biofilms established in an in vitro flow model were perfused with the antimicrobial agents for 48 h at concentrations equal to and up to 500 times the MIC...

  10. The efficacy of three formulations of Lippia sidoides Cham. essential oil in the reduction of salivary Streptococcus mutans in children with caries: a randomized, double-blind, controlled study.

    Science.gov (United States)

    Lobo, Patrícia Leal Dantas; Fonteles, Cristiane Sá Roriz; Marques, Lídia Audrey Rocha Valadas; Jamacaru, Francisco Vagnaldo Fechine; Fonseca, Said Gonçalves da Cruz; de Carvalho, Cibele Barreto Mano; de Moraes, Maria Elisabete Amaral

    2014-01-01

    Essential oils of many plants have been previously tested in the treatment of oral diseases and other infections. This study was a randomized, double-blind, in parallel with an active control study, which aimed to evaluate the efficacy of three formulations of the Lippia sidoides Cham. essential oil (LSO) in the reduction of salivary Streptococcus mutans in children with caries. 81 volunteers, aged 6-12 years, both genders, with caries, were recruited to participate in this study, and randomly assigned to either one of five different groups. Each group received topical treatment with either 1.4% LSO toothpaste, 1.4% LSO gel, 0.8% LSO mouthwash, 1% chlorhexidine gel, or 0.12% chlorhexidine mouthwash. A 5-ml volume of each gel was placed inside disposable trays, and applied for 1 min, every 24h, for 5 consecutive days. The mouthwash groups used 5-ml volume of a mouthwash inside disposable syringes. In the toothpaste group, children brushed their teeth for 1 min, once a day for 5 days. Saliva was collected before and after treatment. MS colonies were counted, isolated and confirmed through biochemical tests. Differences in MS levels measured in different days within the same treatment group was only verified with LSO toothpaste, chlorhexidine gel and chlorhexidine mouthwash. Comparison between groups of LSO mouthwash, toothpaste and gel showed that the toothpaste group expressed significantly lower MS levels than the mouthwash and gel groups at day-30. Chlorhexidine significantly reduced MS levels after 5 days of treatment, but these levels returned to baseline in other periods of the study. LSO toothpaste reduced MS levels after 5 days of treatment, and MS levels remained low and did not return to baseline during subsequent analysis. Hence, LSO toothpaste demonstrated the most long-lasting MS reduction in saliva, whereas other LSO formulations did not effectively reduce MS levels in children with dental caries. PMID:24863037

  11. The effectiveness of a pre-procedural mouthrinse in reducing bacteria on radiographic phosphor plates

    International Nuclear Information System (INIS)

    This study assessed the effectiveness of three antimicrobial mouthrinses in reducing microbial growth on photostimulable phosphor (PSP) plates. Prior to performing a full-mouth radiographic survey (FMX), subjects were asked to rinse with one of the three test rinses (Listerine, Decapinol, or chlorhexidine oral rinse 0.12%) or to refrain from rinsing. Four PSP plates were sampled from each FMX through collection into sterile containers upon exiting the scanner. Flame-sterilized forceps were used to transfer the PSP plates onto blood agar plates (5% sheep blood agar). The blood agar plates were incubated at 37 degree C for up to 72 h. An environmental control blood agar plate was incubated with each batch. Additionally, for control, 25 gas-sterilized PSP plates were plated onto blood agar and analyzed. The mean number of bacterial colonies per plate was the lowest in the chlorhexidine group, followed by the Decapinol, Listerine, and the no rinse negative control groups. Only the chlorhexidine and Listerine groups were significantly different (p=0.005). No growth was observed for the 25 gas-sterilized control plates or the environmental control blood agar plates. The mean number of bacterial colonies was the lowest in the chlorhexidine group, followed by the Decapinol, Listerine, and the no rinse groups. Nonetheless, a statistically significant difference was found only in the case of Listerine. Additional research is needed to test whether a higher concentration (0.2%) or longer exposure period (two consecutive 30 s rinse periods) would be helpful in reducing PSP plate contamination further with chlorhexidine.

  12. Shear bond strength of composite resin to dentin after application of cavity disinfectants - SEM study

    Directory of Open Access Journals (Sweden)

    Vivek Sharma

    2011-01-01

    Full Text Available Aim: The aim was to evaluate the effect of different cavity disinfectants on dentin bond strengths of composite resin applied with two different adhesive systems. Materials and Methods: Two-hundred mandibular molars were sectioned parallel to the occlusal surface to expose dentin in the midcoronal one-third. The dentinal surfaces were polished with waterproof-polishing papers. The specimens were randomly divided into five groups of 40 teeth each as follows: group 1(control -- specimens were not treated with any cavity disinfectants. Groups 2--5 (experimental groups -- dentin surfaces were treated with the following cavity disinfectants, respectively; 2% chlorhexidine solution, 0.1% benzalkonium chloride-based disinfectant, 1% chlorhexidine gel, and an iodine potassium iodide/copper sulfate-based disinfectant. The specimens were then randomly divided into two subgroups including 20 teeth each to evaluate the effect of different bonding systems. Dentin bonding systems were applied to the dentin surfaces and the composite buildups were done. After the specimens were stored in an incubator for 24 hours, the shear bond strength was measured at a crosshead speed of 1 mm/min. The specimens were then statistically analyzed. Statistical Analysis Used: One way analysis of variance and Tukey-HSD tests were used. Results: There was no significant difference between chlorhexidine gel and control groups regardless of the type of the bonding agent used (P>0.05. On the other hand, pretreatment with benzalkonium chloride-based, iodine potassium iodide/copper sulfate-based disinfectants or chlorhexidine solutions had a negative effect on the shear bond strength of self-etching bonding systems. Conclusions: The findings of this study suggest that when benzalkonium chloride-based, iodine potassium iodide/copper sulfate-based disinfectants or chlorhexidine solutions are used as a cavity disinfectant, an etch-and-rinse bonding system should be preferred.

  13. Preventive effect of toothpastes with MMP inhibitors on human dentine erosion and abrasion in vitro

    Science.gov (United States)

    Hannas, Angelica Reis; Kato, Melissa Thiemi; Cardoso, Cristiane de Almeida Baldini; Magalhães, Ana Carolina; Pereira, José Carlos; Tjäderhane, Leo; Buzalaf, Marília Afonso Rabelo

    2016-01-01

    ABSTRACT The use of gels and mouthrinses with MMP inhibitors (chlorhexidine, and green tea extract) was shown to prevent erosive wear. The aim of this study was to analyze the protective effect of toothpastes containing MMP inhibitors on dentine loss induced by erosion in vitro. Material and Methods Five groups each containing 12 specimens of human root dentine were prepared. The specimens were subjected to 1 min erosion by immersion in a cola drink, 4 times a day, for 5 d. Each day, after the first and last erosive challenges, the specimens were brushed for 15 s with a slurry of dentifrice and water (1:3) containing placebo, 1,100 ppm fluoride, 0.61% green tea extract, 0.12% chlorhexidine or 0.004% chlorhexidine (commercial toothpaste). Between the acid challenges, the specimens were stored in artificial saliva with remineralizing potential until the next treatment. Dentine loss was determined using profilometry. Data were analyzed using one-way ANOVA after log transform (p<0.05). Results The mean wear values (μm) were as follows: placebo 1.83±0.53; 0.61% green tea extract 1.00±0.21; fluoride 1.27±0.43; 0.12% chlorhexidine 1.19±0.30; and 0.004% chlorhexidine 1.22±0.46. There was a significant difference in wear between placebo and all the treatment toothpastes, which did not differ from each other. Conclusion The results suggest that toothpastes containing MMP inhibitors are as effective as those based on NaF in preventing dentine erosion and abrasion. PMID:27008258

  14. Antibacterial effect of an herbal product persica on porphyromonas gingivalis and aggregatibacter actinomycetemcomitans: an in-vitro study.

    Directory of Open Access Journals (Sweden)

    Zahra Jelvehgaran Esfahani

    2014-08-01

    Full Text Available The plant Salvadora persica is used for oral hygiene in many parts of the world. It has been suggested that it has antibacterial properties, in addition to its ability to mechanically remove plaques. The aim of this study was to assess the antimicrobial activity of the herbal product Persica containing Salvadora persica against periodontopathogens Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans in vitro.Fifty patients with moderate and severe periodontitis were recruited. Using paper points, subgingival plaque samples were taken from pockets with attachment loss ≥ 3mm. The samples were subjected to microbial culture to yield P. gingivalis and A. actinomycetemcomitans. The ditch plate method was used for antimicrobial susceptibility testing of the bacteria to Persica compared to chlorhexidine and distilled water. The growth inhibition zones of microorganisms around the ditches were measured in millimeters. The data were analyzed using SPSS 16. Freidman test and Wilcoxon signed ranks test with Bonferroni adjustment were used for analysis of variance with 5% significance level. P<0.05 for main comparisons and P< 0.017 for multiple comparisons were considered statistically significant.P. gingivalis was sensitive to chlorhexidine and persica. There was a significant difference (P=0.001 between antimicrobial activity of chlorhexidine (mean 28.733mm, SD 5.216 and Persica (mean 16.333mm, SD 5.259 compared to water against P. gingivalis. There was a significant difference (P< 0.001 between the antimicrobial activity of chlorhexidine (24.045mm, SD 3.897 and Persica (0.545mm, SD 2.558 with respect to A. actinomycetemcomitans. There was no significant difference (P=0.317 between the antimicrobial activity of Persica and water against A. actinomycetemcomitans.The herbal product Persica had significant antimicrobial activity against P. gingivalis and negligible antimicrobial activity against A. actinomycetemcomitans compared to 0

  15. The effectiveness of a pre-procedural mouthrinse in reducing bacteria on radiographic phosphor plates

    Energy Technology Data Exchange (ETDEWEB)

    Hunter, Allison; Kalathingal, Sajitha; Shrout, Michael; Plummer, Kevin; Looney, Stephen [Georgia Regents University, College of Dental Medicine, Augusta (United States)

    2014-06-15

    This study assessed the effectiveness of three antimicrobial mouthrinses in reducing microbial growth on photostimulable phosphor (PSP) plates. Prior to performing a full-mouth radiographic survey (FMX), subjects were asked to rinse with one of the three test rinses (Listerine, Decapinol, or chlorhexidine oral rinse 0.12%) or to refrain from rinsing. Four PSP plates were sampled from each FMX through collection into sterile containers upon exiting the scanner. Flame-sterilized forceps were used to transfer the PSP plates onto blood agar plates (5% sheep blood agar). The blood agar plates were incubated at 37 degree C for up to 72 h. An environmental control blood agar plate was incubated with each batch. Additionally, for control, 25 gas-sterilized PSP plates were plated onto blood agar and analyzed. The mean number of bacterial colonies per plate was the lowest in the chlorhexidine group, followed by the Decapinol, Listerine, and the no rinse negative control groups. Only the chlorhexidine and Listerine groups were significantly different (p=0.005). No growth was observed for the 25 gas-sterilized control plates or the environmental control blood agar plates. The mean number of bacterial colonies was the lowest in the chlorhexidine group, followed by the Decapinol, Listerine, and the no rinse groups. Nonetheless, a statistically significant difference was found only in the case of Listerine. Additional research is needed to test whether a higher concentration (0.2%) or longer exposure period (two consecutive 30 s rinse periods) would be helpful in reducing PSP plate contamination further with chlorhexidine.

  16. Preventive effect of toothpastes with MMP inhibitors on human dentine erosion and abrasion in vitro

    Directory of Open Access Journals (Sweden)

    Angelica Reis Hannas

    2016-02-01

    Full Text Available ABSTRACT The use of gels and mouthrinses with MMP inhibitors (chlorhexidine, and green tea extract was shown to prevent erosive wear. The aim of this study was to analyze the protective effect of toothpastes containing MMP inhibitors on dentine loss induced by erosion in vitro. Material and Methods Five groups each containing 12 specimens of human root dentine were prepared. The specimens were subjected to 1 min erosion by immersion in a cola drink, 4 times a day, for 5 d. Each day, after the first and last erosive challenges, the specimens were brushed for 15 s with a slurry of dentifrice and water (1:3 containing placebo, 1,100 ppm fluoride, 0.61% green tea extract, 0.12% chlorhexidine or 0.004% chlorhexidine (commercial toothpaste. Between the acid challenges, the specimens were stored in artificial saliva with remineralizing potential until the next treatment. Dentine loss was determined using profilometry. Data were analyzed using one-way ANOVA after log transform (p<0.05. Results The mean wear values (μm were as follows: placebo 1.83±0.53; 0.61% green tea extract 1.00±0.21; fluoride 1.27±0.43; 0.12% chlorhexidine 1.19±0.30; and 0.004% chlorhexidine 1.22±0.46. There was a significant difference in wear between placebo and all the treatment toothpastes, which did not differ from each other. Conclusion The results suggest that toothpastes containing MMP inhibitors are as effective as those based on NaF in preventing dentine erosion and abrasion.

  17. The effects of biocides (antiseptics and disinfectants on the endospores of Rhinosporidium seeberi

    Directory of Open Access Journals (Sweden)

    Arseculeratne S

    2006-01-01

    Full Text Available No data exists on the activity of biocides (antiseptics and disinfectants on Rhinosporidium seeberi that causes rhinosporidiosis in humans and animals. On account of the inability to culture R. seeberi, in vitro , dyes were used to assess the morphological integrity and viability of biocide-treated endospores that are considered to be the infective stage of this pathogen. Evan′s Blue (EvB identifies the morphological integrity of the endospores while MTT (3-[4, 5-dimethylthiazol-2yl]-2, 5-diphenyl tetrazolium bromide identifies metabolic activity through its reduction by cellular dehydrogenases to microscopically visible deposits of insoluble formazan. MTT-negativity has earlier been shown to correlate with absence of growth of yeast and mycelial fungi in culture and could thus indicate the loss of viability of MTT-negative rhinosporidial endospores. Hydrogen peroxide, glutaraldehyde, chloroxylenol, chlorhexidine, cetrimide, thimerosal, 70% ethanol, iodine in 70% ethanol, 10% formalin, povidone-iodine, sodium azide and silver nitrate were tested on freshly-harvested endospores and all biocides caused metabolic inactivation with or without altered structural integrity as shown by absence of MTT-staining after 3, 24 or 36 hour after exposure, while EvB stained only the endospores treated with sodium azide, ethanol, thimerosal, chloroxylenol, glutaraldehyde and hydrogen peroxide. With clinically useful biocides - chlorhexidine, cetrimide-chlorhexidine, 70% ethanol, povidone-iodine and silver nitrate, a total period of exposure of endospores to the biocide, for seven minutes, produced metabolic inactivation of the endospores. Anti-rhinosporidial antiseptics that could be used in surgery on rhinosporidial patients include povidone-iodine in nasal packs for nasal and naso-pharyngeal surgery, chlorhexidine and cetrimide-chlorhexidine on the skin, while povidone-iodine and silver nitrate could have application in ocular rhinosporidiosis.

  18. PREPARATIVE SKIN PREPARATION AND SURGICAL WOUND INFECTION

    Directory of Open Access Journals (Sweden)

    Anjanappa

    2015-01-01

    Full Text Available BACKGROUND AND OBJECTIVE: It is an established fact now that the normal skin of healthy human beings harbours a rich bacterial fl ora. Normally considered non - pathogenic , these organisms way be a potential source of infection of the surgical wound. Approximately 20% of the resident flora is beyond the reach of surgical scrubs and antiseptics. The goal of surgical preparation of the skin with antiseptics is to remove transient and pathogenic microorganisms on the skin surface and to reduce the resident flora to a low level. Povidone iodine (I odophors and chlorhexidine are most often used antiseptics for pre - operative skin preparation. OBJECTIVES : To evaluate the efficacy of povidone iodine alone and in combination with antiseptic agent containing alcoholic chlorhexidine in preoperative skin p reparation by taking swab culture. (2 To compare the rate of postoperative wound infection in both the groups. METHODS: One hundred patients (fifty in each group undergoing clean elective surgery with no focus of infection on the body were included in th e study. The pre - operative skin preparation in each group is done with the respective antiseptic regimen. In both the groups after application of antiseptics , sterile saline swab culture was taken immediately from site of incision. In cases which showed gr owth of organisms , the bacteria isolated were identified by their morphological and cultural characteristics. Grams staining , coagulase test and antibiotic sensitivity test were done wherever necessary and difference in colonization rates was determined as a measure of efficacy of antiseptic regimen. RESULTS: The results of the study showed that when compared to povidone iodine alone , using a combination of povidone iodine and alcoholic solution of chlorhexidine , the colonization rates of the site of incisi on were reduced significantly. As for the rate of post - operative wound infection , it is also proven that wound infections are also

  19. Effectiveness of different chemical agents in rapid decontamination of gutta-percha cones

    Directory of Open Access Journals (Sweden)

    Cardoso Celso Luíz

    2000-01-01

    Full Text Available The effectiveness of seven disinfectant compounds used in dentistry for a rapid decontamination of 32 gutta-percha cones adhered with Staphylococcus aureus, Enterococcus faecalis, Escherichia coli strains or Bacillus subtilis spores was compared. Cones were treated with 2% glutaraldehyde, 1% sodium hypochlorite, 70% ethyl alcohol, 1% and 0.3% iodine alcohol, 2% chlorhexidine, 6% hydrogen peroxide, and 10% polyvinylpyrrolidone-iodine, for 1, 5, 10, and 15 minutes. After treatment, each cone was transferred to thioglycollate broth and incubated at 37ºC for 7 days. The products were bactericidal after 1 to 5 minutes and, with exception of ethyl alcohol and iodine-alcohol, sporicidal after 1 to 15 minutes of exposure. Results suggest that chlorhexidine, sodium hypochlorite, polyvinylpyrrolidone-iodine, hydrogen peroxide, and glutaraldehyde were the most effective products in the decontamination of gutta-percha cones.

  20. Prolonged in vitro exposure of Staphylococcus aureus to germicidal teat dips.

    Science.gov (United States)

    Hogan, J S; Smith, K L

    1989-04-01

    Eight strains of Staphylococcus aureus were tested to determine if prolonged exposure to commercial teat dips could enhance bacterial tolerance to teat dips in vitro. All strains of S. aureus were serially plated 15 times on chemically defined agar medium containing sublethal concentrations of linear dodecyl benzene sulfonic acid, chlorhexidine, sodium hypochlorite, and iodophor teat dips. Growth responses of S. aureus to chlorhexidine, sodium hypochlorite, and iodophor were not affected by prolonged exposure to these teat dips. Isolates subcultured on agar containing .1% linear dodecyl benzene sulfonic acid teat dip subsequently had a greater mean growth response to .1% solution of the germicide than did controls subcultured on basal medium. Hemolytic patterns, tube coagulase, clumping factor, and protein A reactions of S. aureus were not altered by exposure to any of the teat dips tested. In general, prolonged exposure to commercial teat dips did not alter germicidal susceptibility of S. aureus. PMID:2745808

  1. Germicidal activities of representatives of five different teat dip classes against three bovine mycoplasma species using a modified excised teat model.

    Science.gov (United States)

    Boddie, R L; Owens, W E; Ray, C H; Nickerson, S C; Boddie, N T

    2002-08-01

    Six representative teat dips from five different teat dip classes were tested for germicidal activity against challenge exposure to Mycoplasma bovis, Mycoplasma californicum, and Mycoplasma bovigenitalium using a modified excised teat model. All teat dip formulations tested were efficacious against all of the Mycoplasma species, providing bacterial logarithmic reductions above 4. The germicides performed best against M. bovigenitalium with an average log reduction (LR) of 6.29. Average LR were 5.41 and 5.70 against M. bovis and M. californicum, respectively. The iodine and chlorhexidine products performed best against M. bovis and M. californicum, respectively, with complete kill of all organisms. The chlorhexidine and the barrier chlorine product also had complete kill of M. bovigenitalium organisms. PMID:12214982

  2. Evaluation of a nisin-based germicidal formulation on teat skin of live cows.

    Science.gov (United States)

    Sears, P M; Smith, B S; Stewart, W K; Gonzalez, R N; Rubino, S D; Gusik, S A; Kulisek, E S; Projan, S J; Blackburn, P

    1992-11-01

    A purified preparation of the nontoxic antimicrobial peptide, nisin (AMBICIN N), was used in the formulation of a germicidal sanitizer suitable for use on cow teats. The germicidal activity of the formulation against mastitis pathogens was measured on teat skin of live cows. The nisin-based formulation gave a mean log reduction of 3.90 against Staphylococcus aureus and 4.22 log reduction against Escherichia coli after exposure for 1 min to the germicide. This activity was comparable with that exhibited by a 1% iodophor teat dip but was significantly greater than that exhibited by the .1 and .5% iodophors and by the .5% chlorhexidine digluconate teat dips. The nisin-based formulation showed little or no potential for skin irritation after multiple application to skin, but iodophor and chlorhexidine digluconate teat dips showed significant potential for skin irritation in comparable studies. PMID:1460143

  3. Evaluation of nine teat dip formulations under experimental challenge to staphylococcus aureus and streptococcus agalactiae.

    Science.gov (United States)

    Pankey, J W; Philpot, W N; Boddie, R L; Watts, J L

    1983-01-01

    Nine postmilking teat dips were evaluated by an experimental challenge model against either Staphylococcus aureus, Streptococcus agalactiae, or both. Formulations containing .9 and .6% sodium hypochlorite, 1% sodium dichloro-s-triazene-trione, .55% chlorhexidine gluconate, and .35% povidone iodine reduced incidence of Staphylococcus aureus infections 56.8, 28.3, 75.9, 92.5, and 77.9%. Incidence of infections with Streptococcus agalactiae was reduced 48.1 and 63.2% by 1.7 and 1% sodium dichloro-s-triazene-trione formulations. The 1% chlorhexidine gluconate and .35% povidone iodine products reduced Streptococcus agalactiae infections 71.0 and 67.0%. Three experimental 1% iodophor formulations reduced Streptococcus agalactiae infections 28.9, 44.8, and 50.7%. The experimental challenge model was refined further and provided an efficient method to determine efficacy of postmilking teat dips. PMID:6339575

  4. The efficacy of different moisturizers on barrier recovery in hairless mice evaluated by non-invasive bioengineering methods. A model to select the potentially most effective product

    DEFF Research Database (Denmark)

    Mørtz, Charlotte G; Andersen, Klaus Ejner; Halkier-Sørensen, L

    1997-01-01

    Moisturizers (emollients) are used frequently on normal and diseased skin. However, only few studies have examined their effects in dynamic situations and in more clinically relevant settings. We evaluated the effect of 4 commonly used products in a hairless mice model after acute skin barrier...... known irritant product, chlorhexidine cream 1%. Locobase was the most effective product in correcting barrier function and significantly improved barrier function during early stages of barrier recovery (< 6 h) without interfering with late stages of barrier recovery (> 6 h). The irritant control...... product, chlorhexidine cream 1%, delayed barrier recovery in the late stages. The model makes it possible to evaluate the combined effects of exogenous and endogenous components on barrier repair and to select the potentially most effective products before performing more cumbersome and time...

  5. The apical leakage of mineral trioxide aggregate as the retrograde filling material with various mixing agents

    Directory of Open Access Journals (Sweden)

    Ema Mulyawati

    2010-06-01

    Full Text Available Background: Mineral trioxide aggregate (MTA is relatively considered as a new material in endodontic. It even has been used as retrograde filling material due to its biocompatibility, antibacterial effect, sealing ability and anti-moist effect. Some materials have been used as mixing agent to achieve an appropiate setting of MTA. Purpose: The aim of this study is to investigate the effect of the mixing agents of MTA towards the apical leakage when they are used together as retrograde filling materials. Method: The samples of this research consist of 30 human extracted upper central incisors. First, the crown of each tooth is sectioned. The root canals are prepared by using the conventional technique and then are obturated with gutta percha. After cutting the root apex, 2 mm from apical, class 1 cavities are prepared by using fissure bur with the depth of 3 mm. The samples then are divided into 3 groups with 10 teeth for each. Group I uses aquabidest as mixing agent of MTA (MTA-aquabidest, group II uses saline (MTA-saline, while group III uses 0.12% chlorhexidine (MTA-chlorhexidine. The apex of each group then is filled with the mixing MTA determined already. Afterwards, clearing method is used to evaluate the apical leakage. The apical leakage actually is determined by measuring the depth of methylene blue penetration with stereomicroscope. The statictical analyses of the linear dye penetration then are performed with analysis of varians ANOVA. Result: The dye penetration for both MTA-aquadest and MTA-saline groups indicates the lowest penetration, and there is even a significant difference compared with MTA-0.12% chlorhexidine group (p<0.005. Conclusion: It can be concluded that aquabidest and saline as mixing agents of MTA produce less apical leakage compared with 0.12% chlorhexidine.Latar belakang: Mineral trioxide aggregate (MTA merupakan bahan yang relatif baru dalam bidang endodontik. Bahan tersebut diindikasikan sebagai bahan pengisi

  6. STUDY TO ASSESS THE DISINFECTION OF DENTAL PROSTHESES TO CLEAR LOCALLY PREVALENT MICROBIAL STRAINS

    Directory of Open Access Journals (Sweden)

    Lavanya

    2015-11-01

    Full Text Available The following study was carried out to assess the effectiveness of four disinfectant solutions (Sodium hypochlorite 1%, chlorhexidine gluconate 2%, 100% vinegar and sodium perborate 3.8% in making acrylic resin specimens free of locally prevalent strains of three different micro-organisms. The organisms tested were Staphylococcus aureus, Escherichia coli and Candida albicans. The study was conducted following a request by the Prosthodontics Department in the college, as part of the annual quality appraisal. One hundred and fifty samples of the standardized acrylic resin specimens were participated in the study, of which, 30 specimens were run as controls. It was concluded that 1% sodium hypochlorite, 2% chlorhexidine, 100% vinegar and 3.8% sodium perborate are all useful as disinfectants of acrylic resin, to make it free from local strains of Staphylococcus aureus, Escherichia coli and Candida albicans.

  7. In vitro efficacy of several disinfectants against Salmonella enterica serovar Enteritidis and Escherichia coli strains from poultry

    Directory of Open Access Journals (Sweden)

    Sonia Martínez-Martínez

    2016-01-01

    Full Text Available ABSTRACT The efficacy of 28 individual or blended disinfectants against avian Salmonella enterica serovar Enteritidis and Escherichia coli strains was determined. An in vitro test in the presence and absence of serum as source of organic material was conducted. Povidone-iodine (releasing 1% available iodine, 1% potassium permanganate, 70% ethanol, 2% chlorhexidine digluconate and three commercial formulations based on quaternary ammonium compounds + formaldehyde or cresol derivates were the most effective against all strains tested and reduced bacterial counts by more than 106 times (6-log10 regardless of the presence of organic matter. These commercial compounds as well as ethanol and chlorhexidine among the individual substances tested might be helpful in the adoption of environmental control measures against these two enterobacteria in poultry industry.

  8. Influence of subinhibitory concentrations of antimicrobials on hydrophobicity, adherence and ultra-structure of Fusobacterium nucleatum

    Directory of Open Access Journals (Sweden)

    Okamoto Ana C.

    2002-01-01

    Full Text Available Fusobacterium nucleatum is considered a bridge organism between earlier and later colonizers in dental biofilms and a putative periodontopathogen. In Dentistry, antimicrobial agents are used for treatment and control of infectious diseases associated with dental plaque. Antiseptics have been used in association with antibiotics to reduce infections after oral surgeries. In this study, the influence of subinhibitory concentrations (SC of chlorhexidine, triclosan, penicillin G and metronidazole, on hydrophobicity, adherence to oral epithelial cells, and ultra-structure of F. nucleatum was examined. All isolates were susceptible to chlorhexidine, triclosan, and metronidazole; however, most of the isolates were susceptible to penicillin G, and all of them were hydrophilic when grown with or without antimicrobials. Adherence was decreased by all antimicrobials. Results suggest that adherence of F. nucleatum was influenced by adhesins because structures such as fimbries or capsule were not observed by transmission electronic microscope.

  9. Effects of three Commercial Mouth Rinses on the Cultured Fibroblasts: An in Vitro Study

    Directory of Open Access Journals (Sweden)

    Ghabanchi J.

    2013-06-01

    Full Text Available Statement of Problems: An ideal antimicrobial agent should have minimal cytotoxic effect to host cells.Purpose: The aim of this study was to determine the cytotoxic effect of three commercial mouthwashes (Chlorhexidine, Persica and Irsha on the cultured fibroblasts.Material and Methods: For determining the cytotoxic effect of Irsha, Chlorhexidine and Persica, uninfected cells were grown in the absence and presence of various concentration (2,4,8,16,32,64,128 of these mouth washes for 1, 2, 3 and 4 days.Results: In this study, three mouth washes show cytotoxic effect on the cultured cells, at commercially available concentration and even diluted and Irsha was found to be the most toxic one. Cytotoxicity of three mouthwashes was reduced with decreasing concentration.Conclusion: Our results showed that all three solutions were toxic to the cultured fibroblast. Other studies which investigate their clinical effect are recommended.

  10. Substaniation of antimicrobial dressings use in surgery

    Directory of Open Access Journals (Sweden)

    Paliy G.K.

    2014-06-01

    Full Text Available Antimicrobial materials incorporate in their structure modern antiseptics, which have the ability of dischargeng in the environment and provide death of opportunistic microorganisms. The results of the research of antimicrobial qualities of modern dressings, which include decamethoxine, chlorhexidine digluconate, furagin are shown. It was found that strains of Staphylococcus spp., Escherichia spp., Pseudomonas spp. are of high sensitivity to decamethoxin in dressing materials in comparison with textile materials, finished with chlorhexidine digluconate, furagin. The kinetics of decamethoxin release from antimicrobial materials is presented in the article. It was proven, that the release of decametoxin from antimicrobial materials in the environment occurs due to the diffusion and hydrolytic destruction of polymers in aqueous phase, which continues during 15 days.

  11. Antimicrobial activity of poplar propolis on mutans streptococci and caries development in rats

    OpenAIRE

    ARSLAN, Soley; SİLİCİ, Sibel; PERÇİN, Duygu; Koç, Ayşe Nedret; Er, Özgür

    2012-01-01

    The influence of the different extracts of propolis and chlorhexidine on mutans streptococci and the development of dental caries in rats was examined in this study. Specifically, the antimicrobial effects of propolis extracts (including ethanol, methanol, chloroform, hexane, propylene glycol, and ethyl acetate) on Streptococcus mutans UA159 and Streptococcus sobrinus 6715 were studied. Minimal inhibitory concentration and minimal bactericidal concentration were determined using the National ...

  12. The antimicrobial sensitivity of Streptococcus mutans and Streptococcus sangius to colloidal solutions of different nanoparticles applied as mouthwashes

    Directory of Open Access Journals (Sweden)

    Farzaneh Ahrari

    2015-01-01

    Full Text Available Background: Metal nanoparticles have been recently applied in dentistry because of their antibacterial properties. This study aimed to evaluate antibacterial effects of colloidal solutions containing zinc oxide (ZnO, copper oxide (CuO, titanium dioxide (TiO 2 and silver (Ag nanoparticles on Streptococcus mutans and Streptococcus sangius and compare the results with those of chlorhexidine and sodium fluoride mouthrinses. Materials and Methods: After adding nanoparticles to a water-based solution, six groups were prepared. Groups I to IV included colloidal solutions containing nanoZnO, nanoCuO, nanoTiO 2 and nanoAg, respectively. Groups V and VI consisted of 2.0% sodium fluoride and 0.2% chlorhexidine mouthwashes, respectively as controls. We used serial dilution method to find minimum inhibitory concentrations (MICs and with subcultures obtained minimum bactericidal concentrations (MBCs of the solutions against S. mutans and S. sangius. The data were analyzed by analysis of variance and Duncan test and P < 0.05 was considered as significant. Results: The sodium fluoride mouthrinse did not show any antibacterial effect. The nanoTiO 2 -containing solution had the lowest MIC against both microorganisms and also displayed the lowest MBC against S. mutans (P < 0.05. The colloidal solutions containing nanoTiO 2 and nanoZnO showed the lowest MBC against S. sangius (P < 0.05. On the other hand, chlorhexidine showed the highest MIC and MBC against both streptococci (P < 0.05. Conclusion: The nanoTiO 2 -containing mouthwash proved to be an effective antimicrobial agent and thus it can be considered as an alternative to chlorhexidine or sodium fluoride mouthrinses in the oral cavity provided the lack of cytotoxic and genotoxic effects on biologic tissues.

  13. Condições de estabilidade para preparações magistrais contendo clorexidina

    OpenAIRE

    Paula Martinez Rodrigue; Andrea Cristina Marioto Barbos; Betania Senturelle Banhos; Ana Julia Pereira Santinho Gomes

    2009-01-01

    The mouthwash containing chlorhexidine (CHX) is a solution and aims to complement the oral hygiene. It is considered standard for judging of antimicrobial effectiveness compared to other chemical agents in dentistry. CHX used in low concentrations it has a bacteriostatic and bactericidal high. The mouthwash consisting of CHX has some side effects, including blackening of the teeth, tongue and resets, burning mouth and changes in taste and to reverse the process, no need of stopping treatment....

  14. Thalidomide Prevents the Progression of Peritoneal Fibrosis in Mice

    OpenAIRE

    Arai, Hideyuki; Furusu, Akira; Nishino, Tomoya; Obata, Yoko; Nakazawa, Yuka; Nakazawa, Masayuki; Hirose, Misaki; Abe, Katsushige; Koji, Takehiko; Kohno, Shigeru

    2011-01-01

    Thalidomide is clinically recognized as a therapeutic agent for multiple myeloma and has been known to exert anti-angiogenic actions. Recent studies have suggested the involvement of angiogenesis in the progression of peritoneal fibrosis. The present study investigated the effects of thalidomide on the development of peritoneal fibrosis induced by injection of chlorhexidine gluconate (CG) into the mouse peritoneal cavity every other day for 3 weeks. Thalidomide was given orally every day. Per...

  15. Evaluation of holy basil mouthwash as an adjunctive plaque control agent in a four day plaque regrowth model

    Science.gov (United States)

    Acharya, Anirudh B.; Vij, Chhavi; Trivedi, Dhiraj; Setty, Swati B.; Thakur, Srinath L.

    2014-01-01

    Objectives: Various antibacterial and antiplaque agents are used in chemical plaque control but none are without their shortcomings. Chlorhexidine considered a gold standard, also has an array of side effects. To overcome these, numerous herbal extracts have been tried and tested and one among them is holy basil. The present study evaluated the antibacterial efficacy of holy basil in vitro against some periodontopathogens and its antiplaque effect in vivo. Study Design: Thirty periodontally healthy volunteers were randomly divided into three groups and refrained from all mechanical oral hygiene measures for 4 days and used one of the randomly assigned mouthwash (1- chlorhexidine; 2- holy basil; and 3- sterile water [placebo]) twice daily. The Plaque Index (PI) was assessed at days 0 and 5. Aqueous extract of holy basil was tested against Prevotella intermedia (P. intermedia) and Fusobacterium nucleatum (F.nucleatum). Results: Holy basil extract showed inhibition of both the tested periodontopathogens (P.intermedia and F.nucleatum) at various concentrations. In all groups, the PI increased from baseline to day 5. There was a statistically significant difference (p < .05) between the chlorhexidine and placebo rinse and the holy basil and placebo rinse, but no statistically significant difference was found between the chlorhexidine and holy basil rinse with respect to PI. Conclusions: These results indicate that the holy basil mouthwash has an antiplaque effect and is efficacious against P. intermedia and F. nucleatum strains in vitro. Hence holy basil mouthwash may have potential as an antiplaque mouthwash with prophylactic benefits. Key words:Antibacterial agent, basil, Fusobacterium nucleatum, mouthwashes, Prevotella intermedia. PMID:25674314

  16. The effect of two different oral antiseptics on dental plaque formation (De Novo Biofilm) and on gingival inflammation

    OpenAIRE

    Zelić Obrad; Čakić Saša; Luković Natalija

    2009-01-01

    Introduction. Since the discovery that periodontal diseases are caused by microbial plaque the interest of many scientists has been focused on oral antiseptics. There are very few mouthrinses with oral antiseptic effect originally designed in our country. One of these is Ozosept® solution. Objective. This study evaluated the effect of Ozosept® solution (phenol compound) on the oral hygiene and gingival inflammation, in comparison with Hibidex DAP® solution (chlorhexidine digluconate). Methods...

  17. Comparative effects of various commercially available mouth-rinse formulations on oral malodour.

    OpenAIRE

    Saad, Saliha

    2010-01-01

    Abstract Objectives: To compare a new mouthwash (SB12®) containing 0.025% chlorhexidine and 0.3% zinc for oral malodour reduction against four commercially available mouthwashes and negative control. A secondary aim was to compare the two methods for measuring volatile sulphur compounds (VSC) by halimetry and OralChroma. Methods: Organoleptic scale, halimeter and the OralChroma were used to assess oral malodour and VSC. The effects of five test formulations and water (negative control) were a...

  18. Assessment of effectiveness of Barleria prionitis on oral health

    OpenAIRE

    Devanand Gupta; Rajendra Kumar Gupta; Ankita Jain; Suresh Bindhumadhav; Sangeeta; Purnima Garg; Saurabh Chaturvedi; Vijay Kumar Chattu

    2016-01-01

    Aim: To evaluate the efficacy of Barleria prionitis extract mouthwash in comparison with gold standard chlorhexidine (CHX) mouthwash on the oral health. Materials and Methods: A total of 30 subjects were randomly divided into two groups, B. prionitis group and the CHX gluconate mouthwash group. The data were collected at the baseline and 3 days. The plaque was disclosed using erythrosine disclosing agent and their scores were recorded using the Quigley and Hein plaque index modified by Turesk...

  19. The effects of three different mouth rinses in a 4-day supragingival plaque regrowth study

    OpenAIRE

    Ulkur, Feyza; Arun, Tulin; Ozdemir, Fulya

    2013-01-01

    Objective: This study compares the effects of three different mouth rinses with respect to reducing Streptococcus mutans (S. mutans) colony counts on the teeth and tongue surfaces. Materials and Methods: In this study, comparison tests using the alcohol-free 0.1% chlorhexidine mouth rinse, alcohol-containing essential oil mouth rinse, and alcohol-free essential oil-containing mouth rinse were conducted. Patients were instructed to avoid mechanical cleaning with either a toothbrush or toothpic...

  20. Comparative effects of various commercially available mouth-rinse formulations on oral malodour.

    OpenAIRE

    2010-01-01

    Abstract Abstract Objectives: To compare a new mouthwash (SB12?) containing 0.025% chlorhexidine and 0.3% zinc for oral malodour reduction against four commercially available mouthwashes and negative control. A secondary aim was to compare the two methods for measuring volatile sulphur compounds (VSC) by halimetry and OralChroma. Methods: Organoleptic scale, halimeter and the OralChroma were used to assess oral malodour and VSC. The effects of five test formulations and wat...

  1. Effect of Cinnamon Oil on icaA Expression and Biofilm Formation by Staphylococcus epidermidis▿

    OpenAIRE

    Nuryastuti, Titik; van der Mei, Henny C.; Henk J Busscher; Iravati, Susi; Aman, Abu T.; Krom, Bastiaan P.

    2009-01-01

    Staphylococcus epidermidis is notorious for its biofilm formation on medical devices, and novel approaches to prevent and kill S. epidermidis biofilms are desired. In this study, the effect of cinnamon oil on planktonic and biofilm cultures of clinical S. epidermidis isolates was evaluated. Initially, susceptibility to cinnamon oil in planktonic cultures was compared to the commonly used antimicrobial agents chlorhexidine, triclosan, and gentamicin. The MIC of cinnamon oil, defined as the low...

  2. Antimicrobial activity of Eucalyptus globulus oil, xylitol and papain: a pilot study

    OpenAIRE

    Valéria de Siqueira Mota; Ruth Natalia Teresa Turrini; Vanessa de Brito Poveda

    2015-01-01

    OBJECTIVE To evaluate the in vitro antimicrobial activity of the Eucalyptus globulus essential oil, and of the xylitol and papain substances against the following microorganisms: Pseudomonas aeruginosa; Samonella sp.; Staphylococus aureus; Proteus vulgaris; Escherichia coli and Candida albicans. METHOD The in vitro antimicrobial evaluation was used by means of the agar diffusion test and evaluation of the inhibition zone diameter of the tested substances. Chlorhexidine 0.5% was used as contro...

  3. Non-surgical management of chronic periodontitis with two local drug delivery agents-A comparative study

    OpenAIRE

    Gill, Jaspreet Singh; Bharti, Vipin; Gupta, Harinder; Gill, Sharanjeet

    2011-01-01

    Background: The selective removal or inhibition of pathogenic microbes with locally delivered antimicrobials when combined with scaling and root planing is often an effective approach for the managment of chronic periodontitis. Aim: To compare the clinical efficacy of tetracycline fibers and a xanthan based chlorhexidine gel in the treatment of chronic periodontitis. Methods and materials: Thirty systemically healthy patients in the age group of 30-50 yea...

  4. Antibacterial Effect of Hydroalcoholic Extract of Punica granatum Linn. Petal on Common Oral Microorganisms

    OpenAIRE

    Farnaz Hajifattahi; Elham Moravej-Salehi; Maryam Taheri; Arash Mahboubi; Mohammad Kamalinejad

    2016-01-01

    Objectives. This study aimed to assess the effect of hydroalcoholic extract of Punica granatum Linn. (P. granatum) petal on Streptococcus sanguinis, Streptococcus mutans, Streptococcus salivarius, Streptococcus sobrinus, and Enterococcus faecalis. Materials and Methods. In this in vitro study, P. granatum extract was prepared using powdered petals and water-ethanol solvent. Antibacterial effect of the extract, chlorhexidine (CHX), and ampicillin was evaluated on brain heart infusion agar (BHI...

  5. The efficacy of antiseptic mouth rinses in comparison with dental floss in controlling interproximal gingivitis

    OpenAIRE

    Mythri, H.; Ananda, S. R.; G M Prashant; V V Subba Reddy; Chandu, G. N.

    2011-01-01

    Objectives: Maintaining good oral hygiene is important to combat periodontal diseases. The use of tooth brush alone does not serve the purpose, especially in inaccessible areas like proximal embrasures, which demand the use of some adjuncts like proximal cleaning aids. Hence, the objective of this study was to compare the clinical efficacy of two antimicrobial mouth rinses (Cool mint Listerine and 0.2% Chlorhexidine gluconate) with dental floss in reducing interproximal gingivitis and dental ...

  6. Antiseptic efficacy of selected agents and tissue tolerable plasma (TTP) on C. albicans biofilms – has the biofilm maturity influence on it?

    OpenAIRE

    Koban, Ina; Hübner, Nils-Olaf; Matthes, Rutger; Welk, Alexander; Kindel, Eckhard; Weltmann, Klaus-Dieter; Kramer, Axel; Kocher, Thomas

    2009-01-01

    Background: The formation of biofilms is crucial to the pathogenesis of many dental microbial infections. Oral candidosis are common and often found under removable partial dentures. Nonthermal atmospheric plasma (tissue tolerable plasma, TTP) was tested for its antimicrobial activity against different matured Candida albicans biofilms.Methods: We assessed the efficacy of selected agents (chlorhexidine, sodium hypochlorite, fluconazol) and TTP against in vitro biofilms of C. albicans grown 12...

  7. STUDIES ON SURFACE TENSION OF SELECTED MOUTHWASH FORMULATION BY DROP NUMBER METHOD USING TRAUBE’S STALAGMOMETER TECHNIQUE

    OpenAIRE

    Ghindora Ghanshayam L; Paikra Nirmala; Jain Vibhor K.; Dhirehe Upendra K; Saha Dibyajyoti

    2011-01-01

    The selected marketed mouthwash formulations was carried out using Traube’s stalagmometer technique by drop number method to determine their individual surface tension for further identification, structure elucidation and chemical constituents. The formulation I (Potassium nitrate & sodium fluoride), formulation II (Chlorhexidine gluconate), formulation III (Thymol, eucalyptol and menthol) were selected for the case study. These formulations were also evaluated to their same quantity mixture ...

  8. Comparison of the biocompatibility of different root canal irrigants

    Directory of Open Access Journals (Sweden)

    João Eduardo Gomes-Filho

    2008-04-01

    Full Text Available The purpose of this study was to compare the reaction of rat subcutaneous connective tissue to 0.9% sterile saline, 2.5% sodium hypochlorite (NaOCl, 5.25% NaOCl and 2% chlorhexidine gluconate solution or gel. Six circles were demarcated on the dorsal skin of 24 male Wistar rats, leaving 2 cm between each circle. Using a syringe, 0.1 mL of each root canal irrigant was injected subcutaneously into 5 circles. In the 6th circle, the needle of an empty syringe was introduced into the skin, but no irrigant was injected (control group. Evaluations were undertaken at 2 h, 48 h, 14 days and 30 days post-procedure. Tissue samples were excised, embedded in paraffin blocks and 3-µm-thick sections were obtained and stained with hematoxylin and eosin. The areas of inflammatory reaction were evaluated and analyzed statistically by ANOVA and Tukey's test. The control group showed few or no inflammatory reaction areas in the subcutaneous tissue. 0.9% saline solution, 2.0% chlorhexidine solution and 2.5% NaOCl showed a good biocompatibility, as very mild inflammatory reaction was detected at 14 days and tissue repair occurred at 30 days. 5.25% NaOCl was the most toxic irrigant, as the number of inflammatory cells remained elevated at 14 and 30 days. The group treated with 2.0% chlorhexidine gluconate gel presented a moderate inflammatory response at 14 days, which decreased at 30 days, being considered similar to that of the control group, 0.9% saline solution, 2.0% chlorhexidine solution and 2.5% NaOCl at this experimental period.

  9. Effect of three commercial mouth rinses on cultured human gingival fibroblast: An in vitro study

    Directory of Open Access Journals (Sweden)

    Flemingson

    2008-01-01

    Full Text Available Aim: To examine the effect of three commercial mouth rinses (Hexidine 0.2%, Listerine Cool Mint, Betadine 1% upon cultured human gingival fibroblast proliferation. Materials and Methods: Human gingival fibroblasts were cultured and incubated in Dulbecco′s Minimum Eagle′s Medium containing Chlorhexidine, Listerine, Povidone-Iodine at varying concentrations (1%, 2%, 5%, 10%, 20% and 100% of the given solution at 37°C for 1, 5 and 15 min. Control cells received an equal volume of Dulbecco′s Minimum Eagle′s Medium without adding mouth rinses, for similar duration of exposure at 37°C. Following incubation the media were removed, cells were washed twice with medium, supplemented with 10% Fetal Bovine Serum, and fibroblasts in the test and control group were allowed to recover in the same media for 24 h. Results: In all the three groups, the proliferation inhibition was dependent on the concentration of solublized mouth rinses in the cell culture but independent of the duration of exposure to all three mouth rinses. The results showed that all three solutions were toxic to cultured human gingival fibroblasts, Chlorhexidine being the most cytotoxic. It was seen that at dilute concentrations (1% and 2% of given solutions Listerine was more cytotoxic than Chlorhexidine and Povidone-Iodine. Conclusion: These results suggest that Chlorhexidine, Listerine and Povidone-Iodine are capable of inducing a dose-dependent reduction in cellular proliferation of fibroblasts. The results presented are interesting, but to know the clinical significance, further studies are needed.

  10. Effect of tetracycline on the bond performance of etch-and-rinse adhesives to dentin

    OpenAIRE

    Rodrigo Stanislawczuk; Jully Anna da Costa; Luceli Grabicoski Polli; Alessandra Reis; Alessandro Dourado Loguercio

    2011-01-01

    This study evaluated the effect of modified tetracycline on the resin-dentin bond strength (µTBS), silver nitrate uptake (SNU) and solution homogeneity (SH) of two adhesives. Dentin surfaces were treated with phosphoric acid, rinsed off and either rewetted with water (control group - CO), 2% minocycline (MI), 2% doxycyline (DO) or 2% chlorhexidine (CH). Adhesive systems (Adper Single Bond 2 and Prime Bond NT) and composite were applied and light-polymerized. Specimens were sectioned to obtain...

  11. Anthocyanin Incorporated Dental Copolymer: Bacterial Growth Inhibition, Mechanical Properties, and Compound Release Rates and Stability by 1H NMR

    OpenAIRE

    Halyna Hrynash; Vinay Kumar Pilly; Alexandra Mankovskaia; Yaoyang Xiong; Getulio Nogueira Filho; Eduardo Bresciani; Céline Marie Lévesque; Anuradha Prakki

    2014-01-01

    Objective. To evaluate bacterial growth inhibition, mechanical properties, and compound release rate and stability of copolymers incorporated with anthocyanin (ACY; Vaccinium macrocarpon). Methods. Resin samples were prepared (Bis-GMA/TEGDMA at 70/30 mol%) and incorporated with 2 w/w% of either ACY or chlorhexidine (CHX), except for the control group. Samples were individually immersed in a bacterial culture (Streptococcus mutans) for 24 h. Cell viability (n = 3) was assessed by counting the ...

  12. The effect of three mouthwashes on radiation-induced oral mucositis in patients with head and neck malignancies: A randomized control trial

    OpenAIRE

    Madan Kumar P; Sequeira P; Shenoy Kamalaksha; Shetty Jayaram

    2008-01-01

    Aims: The present study was done to assess the effect of three alcohol-free mouthwashes on radiation-induced oral mucositis in patients with head and neck malignancies. Materials and Methods: Eighty patients with head and neck malignancies, scheduled to undergo curative radiotherapy, were randomly assigned to receive one of the three alcohol-free test mouthwashes (0.12% chlorhexidine, 1% povidone-iodine, or salt/soda) or a control. The patients were instructed to rinse with 10 ...

  13. In-Vitro Archaeacidal Activity of Biocides against Human-Associated Archaea

    OpenAIRE

    Saber Khelaifia; Jean Michel Brunel; Michel Drancourt

    2013-01-01

    BACKGROUND: Several methanogenic archaea have been detected in the human intestinal microbiota. These intestinal archaea may contaminate medical devices such as colonoscopes. However, no biocide activity has been reported among these human-associated archaea. METHODOLOGY: The minimal archaeacidal concentration (MAC) of peracetic acid, chlorhexidine, squalamine and twelve parent synthetic derivatives reported in this study was determined against five human-associated methanogenic archaea inclu...

  14. Discoloration of Provisional Restorations after Oral Rinses

    Science.gov (United States)

    Turgut, Sedanur; Bagis, Bora; Ayaz, Elif Aydogan; Ulusoy, Kıvanç Utku; Altintas, Subutay Han; Korkmaz, Fatih Mehmet; Bagis, Nilsun

    2013-01-01

    Purpose: Oral rinses are widely used to promote periodontal health with provisional restorations during the interim period. The aim of this study was to compare the discoloration of provisional restoration materials with different oral rinses. Material and Methods: A total of 140 disc-shaped specimens (shade A2) (10 mm x 2 mm) were prepared from one PMMA-based (TemDent Classic®) and three different bis-acrylic-based (Protemp II®, Luxatemp® and Fill-In®) provisional restoration materials (n=7). The color values (L*, a*, and b*) of each specimen were measured before and after exposure with a colorimeter, and the color changes (∆E) were calculated according to the CIE L*a*b* system. The specimens were immersed in each of the 4 oral rinses (alcohol-containing mouthwash, chlorhexidine, benzydamine HCl, benzydamine HCl and chlorhexidine) twice a day for 2 minutes. After 2 minutes of immersion in the oral rinses, the specimens were immersed in artificial saliva. The specimens were exposed to the oral rinses and the artificial saliva for 3 weeks. Two-way ANOVA, the Bonferroni test and the paired sample t-test were used for statistical analyses (p0.05). The lowest color change was observed in PMMA-based Temdent in all oral rinses (pbis-acryl composites after immersion in saliva or the mixture of benzydamine HCl and chlorhexidine and the alcohol-containing mouthwash for 3 weeks (p>0.05). After immersion in chlorhexidine, the color change values of Protemp II and Fill-in showed significant differences (p=0.018). Protemp II also showed less discoloration than the other bis-acryl composites, and this color change was statistically significant (p materials for provisional restorations appears to be more effective. PMID:24046524

  15. Conservative Treatment of a Patient with Epidermolysis Bullosa Presenting as Bart Syndrome: A Case Report

    OpenAIRE

    2010-01-01

    We presented a case of a newborn male with aplasia cutis congenita on the lower limb. The case was treated with conservative method. As for the conservative treatment, daily hydrodebridement with 1/200 diluted povidone-iodine and serum physiologic was performed, followed by closure of the wound with a dexpanthenol + chlorhexidine + fusidic acid-impregnated sterile gauze bandage. the followup that occured after three weeks, the wound was completely epithelialized, but a hypopigmented scar rema...

  16. Effects of easy-to-perform procedures to reduce bacterial colonization with Streptococcus mutans and Staphylococcus aureus on toothbrushes

    Science.gov (United States)

    Hage, Annina; Schneider, Katja; Schlösser, Karolin; Zimmermann, Ortrud; Hornecker, Else; Mausberg, Rainer F.; Frickmann, Hagen; Groß, Uwe; Ziebolz, Dirk

    2013-01-01

    It is well known that dental caries and periodontitis are the consequence of bacterial colonization and biofilm formation on the enamel surface. The continuous presence of bacterial biofilms on the tooth surface results in demineralization of the tooth enamel and induces an inflammatory reaction of the surrounding gums (gingivitis). The retention and survival of microorganisms on toothbrushes pose a threat of recontamination especially for certain patients at risk for systemic infections originating from the oral cavity, e.g., after T-cell depleted bone marrow transplantation. Thus, the effects of different decolonization schemes on bacterial colonization of toothbrushes were analyzed, in order to demonstrate their applicability to reduce the likelihood of (auto-)reinfections. Toothbrushes were intentionally contaminated with standardized suspensions of Streptococcus mutans or Staphylococcus aureus. Afterwards, the toothbrushes were exposed to rinsing under distilled water, rinsing and drying for 24 h, 0.2% chlorhexidine-based decolonization, or ultraviolet (UV) radiation. The remaining colony forming units were compared with freshly contaminated positive controls. Each experiment was nine-fold repeated. Bi-factorial variance analysis was performed; significance was accepted at P < 0.05. All tested procedures led to a significant reduction of bacteral colonization irrespective of the toothbrush model, the brush head type, or the acitivity state. Chlorhexidine-based decolonization was shown to be superior to rinsing and slightly superior to rinsing and drying for 24 h, while UV radiation was similarly effective as chlorhexidine. UV radiation was slightly less prone to species-dependent limitations of its decolonizing effects by bristle thickness of toothbrushes than chlorhexidin. Reduction of bacterial colonization of toothbrushes might reduce the risk of maintaining bacterial infections of the upper respiratory tract. Accordingly, respective procedures are

  17. Prospektive Longitudinalstudie zur Wirksamkeit zweier Chlorhexidinpräparate bei Lippen-Kiefer-Gaumen-Spalt-Patienten mit Multibracket-Apparaturen

    OpenAIRE

    Weiß, Malte-Christian

    2010-01-01

    The aim of this clinical study was to reduce the caries risk in cleft lip and palate (CLP) patients with multibracket appliances by a compliance-independent method. Sixty-eight CLP patients with multibracket appliances were submitted to professional tooth cleaning in four-week intervals. After randomization, patients of group A wore a splint filled with chlorhexidine (CHX) gel (Chlorhexamed) for 15 minutes (3 x 5 min) every 12 weeks. Patients of group B were treated with CHX varnish (EC40...

  18. A Randomized Clinical Trial of Schinus terebinthifolius Mouthwash to Treat Biofilm-Induced Gingivitis

    OpenAIRE

    Irlan de Almeida Freires; Livia Araújo Alves; Gabriela Lacet Silva Ferreira; Vanessa de Carvalho Jovito; Ricardo Dias de Castro; Alessandro Leite Cavalcanti

    2013-01-01

    Objectives. This study aimed to investigate the efficacy of a Schinus terebinthifolius (ST) mouthwash in reducing gingival inflammation levels (GI) and biofilm accumulation (BA) in children with gingivitis. Methods. This was a randomized, controlled, triple blind, and phase II clinical trial, with children aged 9–13 years (n = 27) presenting with biofilm-induced gingivitis. The sample was randomized into experimental (0.3125% ST, n = 14) and control (0.12% chlorhexidine/CHX, n = 13) groups. P...

  19. Effect of methods of evaluation on sealing ability of mineral trioxide aggregate apical plug

    OpenAIRE

    Nikhil, Vineeta; Jha, Padmanabh; Suri, Navleen Kaur

    2016-01-01

    Aim: The purpose of the study was to evaluate and compare the sealing ability of mineral trioxide aggregate (MTA) with three different methods. Materials and Methods: Forty single canal teeth were decoronated, and root canals were enlarged to simulate immature apex. The samples were randomly divided into Group MD = MTA-angelus mixed with distilled water and Group MC = MTA-angelus mixed with 2% chlorhexidine, and apical seal was recorded with glucose penetration method, fluid filtration method...

  20. Surface tension of calcium hydroxide associated with different substances Tensão superficial do hidróxido de cálcio associado a diferentes substâncias

    OpenAIRE

    Carlos Estrela; Cyntia Rodrigues de Araújo Estrela; Luiz Fernando Guimarães; Reginaldo Santana Silva; Jesus Djalma Pécora

    2005-01-01

    The purpose of this study was to evaluate the surface tension of calcium hydroxide (CH) associated with different substances (deionized distilled water, camphorated paramonochlorophenol, 2% chlorhexidine digluconate, Otosporin, 3% sodium lauryl ether sulphate; Furacin, PMC Furacin) using tensiometer. The action of the substances studied on the dentinal structure enhances the property of surface tension. This method consists in the application of force to separate a platinum ring immersed in t...