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VOLUME 5 , ISSUE 1 ( January-March, 2014 ) > List of Articles

RESEARCH ARTICLE

Microbial Evaluation of a Single Subgingival Irrigation with Chlorhexidine and Benzydamine in Advanced Periodontitis

Swarnalatha J Wesley

Citation Information : Wesley SJ. Microbial Evaluation of a Single Subgingival Irrigation with Chlorhexidine and Benzydamine in Advanced Periodontitis. World J Dent 2014; 5 (1):37-41.

DOI: 10.5005/jp-journals-10015-1255

Published Online: 01-03-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

This study evaluated the microbial effects of a single subgingival irrigation of chlorhexidine and benzydamine in advanced periodontitis on a comparative basis in the absence of physical debridement using the microbiological parameter.

Methods

Patients who attended the Department of Periodontia, Madras Dental College were selected. The experimental site consisted of two teeth with Chronic Periodontitis, a pocket depth of 4 to 6 mm and a Gingival Index score of 2. The study has been designed to cover the following three groups:

Group I: Irrigated with physiological saline (Control group).

Group II: Irrigated with 0.2% chlorhexidine digluconate solution.

Group III: Irrigated with 0.15% benzydamine hydrochloride solution.

A sample of 30 were selected, 10 samples in each group. The experimental sites of the three groups were assessed using the following Microbiological parameters: (1) spirochetes, (2) motile bacteria, (3) cocci, (4) other microorganisms.

Results

The microbiological analysis showed that the response of the Saline and Chlorhexidine with regard to the Spirochetes followed a concave pattern. But Benzydamine showed a slow tapering effect in annihilating the Spirochetes. In the case of Motile bacteria also the variation in the Saline was negligible and in the chlorhexidine group the trough occurred between first week and second week and then revived, whereas in Benzydamine alone there was no question of revival but the Motile bacteria followed the pattern of sine curve. With regard to Cocci though Saline showed good response it was not significant, whereas chlorhexidine and benzydamine recorded a highly appreciable response. In the case of other microorganisms Saline had no significant effect, whereas Chlorhexidine had significant effect at the end of 1 week and Benzydamine had a sea-saw effect throughout the different periods of time.

Conclusion

The subgingival action of Benzydamine can be favored and preferred to that of Chlorhexidine and Saline because of its sustained progressive response.

How to cite this article

Wesley SJ. Microbial Evaluation of a Single Subgingival Irrigation with Chlorhexidine and Benzydamine in Advanced Periodontitis. World J Dent 2014;5(1):37-41.


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  1. Efficacy of Chlorhexidine on microbial flora supragingival plaque in vitro study. Dessertation submitted to the University of Mysore, 1982.
  2. Chlorhexidine compared with other locally delivered Antimicrobials. A short review. Journal of Clinical Periodontology 1986;13(10):957-964.
  3. Variations in subgingival microflora from healthy and intervention sites using probing depth and bacteriologic identification criteria. Journal of Periodontology 1984;55(7):391-397.
  4. The effect of supragingival plaque control on the subgingival microflora. Journal of Clinical Periodontology 1985;12(8):676-686.
  5. Topical antimicrobial therapy and diagnosis of subgingival bacteria in the management of inflammatory Periodontal disease. Journal of Clinical Periodontology 1986;13(10):975-981.
  6. Subgingival Metronidazole in Acrylic Resin vs Chlorhexidine irrigation in the control of chronic Periodontitis. Journal of Periodontology 1983;54(11): 651-657.
  7. Evaluation of the efficacy of Chlorhexidine incorporated Zinc oxide eugenol collophonium periodontal dressing. Dissertation submitted to the Madras University. 1975.
  8. Clinical evaluation of Benzydamine, Chlorhexidine and Placebo mouthwashes in the management of recurrent Aphthous stomatitis. Journal of Oral Surgery, Oral Medicine, Oral Pathology 1987;63(2):189-191.
  9. Relationship between some subgingival bacteria and periodontal pocket depth and gain or loss of periodontal attachment after treatment of adult periodontitis. Journal of Clinical Periodontology 1985;12(7): 540-552.
  10. Sampling of subgingival microbiota for dark field microscopy. Journal of Clinical Periodontology 1985;12(3):209-215.
  11. The antimicrobial and clinical effects of a single subgingival irrigation of chlorhexidine in advance periodontal lesions. Journal of Clinical Periodontology 1986;33(1):74-80.
  12. Dark field microscopic monitoring of sub-gingival bacteria during periodontal therapy. Journal of Periodontology 1982;53(11): 671-681.
  13. Chlorhexidine digluconate an agent for chemical plaque control and prevention of gingival inflammation. Journal of Periodontal Research 1986;21(S 16):74-89.
  14. Subgingival microflora and periodontal disease. Journal of Clinical Periodontology 1979;6(5):351-382.
  15. The prevalence of Spirochetes in the subgingival microbiota of Tanzanian and Dutch children. Journal of Clinical Periodontology 1986;13(4): 289-293.
  16. Efficacy of supervised rinsing with Chlorhexidine digluconate in comparison to phenolic and plant alkaloid compounds. Journal of Periodontal Research 1986;21(S 16):60-73.
  17. Some microbiological and histopathological features of periodontal disease in man. Journal of Periodontology 1980;51(5):264-269.
  18. Dark field microscopy of subgingival plaque of an urban black population with poor oral hygiene. Journal of Clinical Periodontology 1986;13(6):578-582.
  19. Effect of Chlorhexidine gluconate and Benzydamine hydrochloride mouth spray on clinical signs and quality of life of patients with streptococcal tonsillopharyngitis: multicentre, prospective, randomized, double-blinded, placebo-controlled study. J Laryngol Otol 2011 June;125(6):620-625.
  20. A microbiological and biochemical study of gingival crevice debris obtained from Guatemalan Indians. Journal of Periodontology 1970;41(11): 644-649.
  21. Clinical alterations in relation to the morphological comparison of the subgingival microflora following scaling and root planning. Journal of Clinical Periodontology 1986;13(9):825-832.
  22. Microbiological and clinical short-term effects of repeated intracrevicular chlorhexidine rinsings. Journal of Clinical Periodontology 1984;19:202-209.
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