Effects of two different post-surgical protocols including either 0.05 % chlorhexidine herbal extract or 0.1 % chlorhexidine on post-surgical plaque control, early wound healing and patient acceptance following standard periodontal surgery and implant placement.
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BORIS DOI
Publisher DOI
PubMed ID
26795622
Description
OBJECTIVES
The aim of this study was to compare early wound healing, tooth staining and patient acceptance with two different post-surgical maintenance protocols.
MATERIALS AND METHODS
Forty patients scheduled for flap surgery to treat periodontal pockets or accommodate dental implants were randomly assigned to receive the following two different post-surgical maintenance protocols: (a) 2 weeks rinsing with a 0.05 % chlorhexidine digluconate (CHX)/herbal extract combination (test) or (b) a 0.1 % CHX solution (control). Early wound healing was evaluated clinically and immunologically. Tooth staining and patient acceptance were assessed by means of visual analogue scale (VAS).
RESULTS
Both groups presented with comparable wound healing profiles. No statistically significant differences were observed between the two protocols regarding early wound healing and plaque index (p > 0.05). However, in the control group, statistically significantly more patients felt discomfort due to tooth staining (p = 0.0467). Compared with patients from the test group, patients in the control group reported statistically significant more irritation of taste at week 1 (p = 0.0359) and at week 2 (p = 0.0042).
CONCLUSIONS
The present findings indicate that the two CHX protocols resulted in comparable healing and inhibition of plaque formation. Tooth staining and subjective discomfort related to irritation of taste were more frequent in the control group.
CLINICAL RELEVANCE
A post-operative protocol including 0.05 % CHX/herbal extract may have the potential to improve patient compliance during post-operative maintenance.
The aim of this study was to compare early wound healing, tooth staining and patient acceptance with two different post-surgical maintenance protocols.
MATERIALS AND METHODS
Forty patients scheduled for flap surgery to treat periodontal pockets or accommodate dental implants were randomly assigned to receive the following two different post-surgical maintenance protocols: (a) 2 weeks rinsing with a 0.05 % chlorhexidine digluconate (CHX)/herbal extract combination (test) or (b) a 0.1 % CHX solution (control). Early wound healing was evaluated clinically and immunologically. Tooth staining and patient acceptance were assessed by means of visual analogue scale (VAS).
RESULTS
Both groups presented with comparable wound healing profiles. No statistically significant differences were observed between the two protocols regarding early wound healing and plaque index (p > 0.05). However, in the control group, statistically significantly more patients felt discomfort due to tooth staining (p = 0.0467). Compared with patients from the test group, patients in the control group reported statistically significant more irritation of taste at week 1 (p = 0.0359) and at week 2 (p = 0.0042).
CONCLUSIONS
The present findings indicate that the two CHX protocols resulted in comparable healing and inhibition of plaque formation. Tooth staining and subjective discomfort related to irritation of taste were more frequent in the control group.
CLINICAL RELEVANCE
A post-operative protocol including 0.05 % CHX/herbal extract may have the potential to improve patient compliance during post-operative maintenance.
Date of Publication
2016-11
Publication Type
article
Subject(s)
600 - Technology::610 - Medicine & health
Keyword(s)
Chlorhexidine digluconate
•
Herbal extract
•
Patient compliance
•
Periodontal wound healing
•
Taste Irritation
•
Tooth staining
Language(s)
en
Contributor(s)
Laugisch, Oliver | |
Additional Credits
Zahnmedizinische Kliniken, Klinik für Parodontologie
Zahnmedizinische Kliniken, Forschung
Zahnmedizinische Kliniken (ZMK)
Zahnmedizinische Kliniken, Forschung Parodontologie
Dozenten der ZMK
Series
Clinical oral investigations
Publisher
Springer
ISSN
1432-6981
Access(Rights)
open.access