3 research outputs found
Differential clinical effects of chlorhexidine gels on patients undergoing orthodontic treatment
OBJECTIVES AND BACKGROUND
This study aims to evaluate and compare the clinical
effects on gingival inflammation and plaque control using
0.2% chlorhexidine gluconate gel with 0.1%
chlorhexidine digluconate gel in patients undergoing
orthodontic treatment.
MATERIALS AND METHODS
Twenty six patients aged between 20 and 30 years
receiving fixed appliance orthodontic treatment in private
practice, were selected for this study. Patients were split
in two groups. The first group received a subgingival
application of 10 ml 0.2% chlorhexidine gluconate gel
(Glucosite, Cerkamed). Subjects in the second group
received a subgingival application of 10 ml 0.1%
chlorhexidine digluconate gel (RxPerioflush, Dental Life
Sciences).
RESULTS
The results of the present study seem to support
the results of previous scientific studies where
chlorhexidine gluconate was used in a similar population
CONCLUSIONS
Within the limits of this study, we showed that
usage of chlorhexidine gels in patients undergoing
orthodontic treatment reduce PI, GI and BOP and PD,
but no significant difference was observed, except for the
initial phase of the inflammatory process concerning the
gingival tissue.
REFERENCES
1. 1 Fiore JP, Ishikuwa So, Kim DM. Gingival
inflamation. In: Newman MG, Takel HH,
Klokkeuold PR. Carranza’s clinical
periodontology, Missouri. Linda Duncan. 2006. p.
389-396.
2. Lindhe J. Textbook of clinical periodontology
2nd ed., Copenhagen: Munksgaard. 1989. p. 234-
236.
3. Zachrisson S, Zachrisson BU. Gingival condition
associated with orthodontic treatment. Angle
Orthod. 1972. p. 26–34
Microbiological aspects in periodontal disease and diabetes mellitus
Background and Aims. Scientists are constantly showing a high interest for the relationship between Periodontal Disease (PD) and Diabetes Mellitus (DM). PD, “the sixth complication” of DM is recognized to be a chronic gram-negative anaerobic infectious disease. This paper is aimed at reviewing and evaluating the correlations between PD and DM from a microbiological point of view. Treatment implications of PD’s management as an important component of DM care is reviewed in the light of microbiological current knowledge. Materials and Methods. Microbiological studies and clinical trials were selected from medical and dental journals, and studied thoroughly. Results. Plaque biofilm and prolonged hyperglycemia increase the risk of PD development in DM. These two features determine inflammatory reactions that end-up in tissue destruction and impaired healing responses. Few pathogens are considered highly prevalent periodontal pathogens, with destructive actions. Studies have shown that metabolic balance or lack of balance determines bacterial variations in diabetic patients with PD. Other results demonstrate the importance of microbial tests (especially PCR techniques) as indicators for healing or disease progression. Conclusions. There aren’t many studies assessing the relationship between PD and DM from microbiological points of view. In light of increasing evidence, larger interventional studies are neede