Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planing. I. Clinical observations

Journal of Periodontology

Volumn 78, Issue 3, 2007, Pages 430-437

  Cosyn, Jan ^a   Wyn, Iris ^a   De Rouck, Tim ^a   Sabzevar, Mehran Moradi ^a  

^a FREE UNIVERSITY OF BRUSSELS   (Belgium)

Author keywords

Chlorhexidine; Clinical study; Dental scaling; Periodontitis; Root planing; Varnish

Indexed keywords

CHLORHEXIDINE; CHLORHEXIDINE GLUCONATE; DRUG DERIVATIVE; PAINT; TOPICAL ANTIINFECTIVE AGENT;

ARTICLE; CHRONIC DISEASE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HUMAN; MALE; MIDDLE AGED; MULTIMODALITY CANCER THERAPY; PERIODONTICS; PERIODONTITIS; PREVENTIVE DENTISTRY; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; TOOTH PLAQUE;

ANTI-INFECTIVE AGENTS, LOCAL; CHLORHEXIDINE; CHRONIC DISEASE; COMBINED MODALITY THERAPY; DENTAL PLAQUE INDEX; FEMALE; HUMANS; MALE; MIDDLE AGED; PAINT; PERIODONTAL INDEX; PERIODONTITIS; ROOT PLANING; SINGLE-BLIND METHOD;

EID: 33947696139     PISSN: 00223492     EISSN: None     Source Type: Journal    
DOI: 10.1902/jop.2007.060221     Document Type: Article

References (49)

1. Grossi SG, Zambon JJ, Ho AW, et al. Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. J Periodontol 1994;65:260-267.
2. Grossi SG, Genco RJ, Machtei EE, et al. Assessment of risk for periodontal disease. II. Risk indicators for alveolar bone loss. J Periodontol 1995;66:23-29.
3. Grossi SG, Skrepcinski FB, DeCaro T, Zambon JJ, Cummins D, Genco RJ. Response to periodontal therapy in diabetics and smokers. J Periodontol 1996;67 (Suppl.):1094-1102.
4. Kornman KS, Crane A, Wang HY, et al. The interleukin-1 genotype as a severity factor in adult periodontal disease. J Clin Periodontol 1997;24:72-77.
5. Genco RJ, Löe H. The role of systemic conditions and disorders in periodontal disease. Periodontol 2000 1993; 2:98-116.
6. Michalowicz BS. Genetic and heritable risk factors in periodontal disease. J Periodontol 1994;65: 479-488.
7. Michalowicz BS, Diehl SR, Gunsolley JC, et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol 2000;71:1699-1707.
8. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981;8:57-72.
9. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol 1984; 11:63-76.
10. Hill RW, Ramfjord SP, Morrison EC. Four types of periodontal treatment compared over two years. J Periodontol 1981;52:655-662.
11. Isidor F, Karring T, Attström R. The effect of root planing as compared to that of surgical treatment. J Clin Periodontol 1984; 11:669-681.
12. Ramfjord S, Caffesse R, Morrison E. Four modalities of periodontal treatment compared over 5 years. J Clin Periodontol 1987;14:445-452.
13. Kaldahl WB, Kalkwarf KL, Patil KD, Dyer JK, Bates RE Jr. Evaluation of four modalities of periodontal therapy: Mean probing depth, probing attachment levels and recession changes. J Periodontot 1988; 59:783-793.
14. Waerhaug J. Healing of the dento-epithelial junction following subgingival plaque control. II. As observed on extracted teeth. J Periodontol 1978;49: 119-134.
15. Buchanan SA, Robertson PJ. Calculus removal by scaling/root planing with and without surgical access. J Periodontol 1987;58:159-163.
16. Rateitschak-Pluss EM, Schwarz JP, Guggenheim R, Duggelin M, Rateitschak KH. Non-surgical periodontal treatment: Where are the limits? An SEM study. J Clin Periodontol 1992;19:240-244.
17. Cosyn J, Wyn I, De Rouck T, Sabzevar MM. A chlorhexidine varnish implemented treatment strategy for chronic periodontitis. Short-term clinical observations. J Clin Periodontol 2005;32:750-756.
18. Cosyn J, Wyn I, De Rouck T, Sabzevar MM. Long-term clinical effects of a chlorhexidine varnish implemented treatment strategy for chronic periodontitis. J Periodontol 2006;77:406-415.
19. Mühlemann HR, Son S. Gingival sulcus bleeding - A leading symptom in initial gingivitis. Helv Odontol Acta 1971;15:107-113.
20. Quigley GA, Hein JW. Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc 1962;65:26-29.
21. Brayer WK, Melloning JT, Dunlap RM, Marinak KW, Carson RE. Scaling and root planing effectiveness: The effect of root surface access and operator experience. J Periodontol 1989;60:67-72.
22. Griffiths GS, Smart GJ, Bulman JS, Weiss G, Shrowder J, Newman HN. Comparison of clinical outcomes following treatment of chronic adult periodontitis with subgingival scaling or subgingival scaling plus metronidazole gel. J Clin Periodontol 2000;27:910-917.
23. Saglie R, Newman MG, Carranza FA, Pattison GL. Bacterial invasion of gingiva in advanced periodontitis in humans. J Periodontol 1982;53:217-222.
24. Allenspach-Petrzilka GE, Guggenheim B. Bacterial invasion of the periodontium; an important factor in the pathogenesis of periodontitis? J Clin Periodontol 1983;10:609-617.
25. Adriaens PA, De Boever JA, Loesche WJ. Bacterial invasion in root cementurn and radicular dentin of periodontally diseased teeth in humans. A reservoir of periodontopathic bacteria. J Periodontol 1988;59: 222-230.
26. Adriaens PA, Edwards CA, De Boever JA, Loesche WJ. Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth. J Periodontol 1988;59: 493-503.
27. Winkler JR, Matarese V, Hoover CI, Kramer RH, Murray PA. An in vitro model to study bacterial invasion of periodontal tissues. J Periodontol 1988;59: 40-45.
28. Sreenivasan PK, Meyer DH, Fives-Taylor PM. Requirements for invasion of epithelial cells by Actinobacillus actinomycetemcomitans. Infect Immun 1993;61:1239-1245.
29. van Winkelhoff AJ, Gonzales DH, Winkel EG, Dellemijn-Kippuw N, Vandenbroucke-Grauls CMJE, Sanz M. Antimicrobial resistance in the subgingival micro flora in patients with adult periodontitis. A comparison between The Netherlands and Spain. J Clin Periodontol 2000;27:79-86.
30. Herrera D, Sanz M, Jepsen S, Needleman I, Roldan S. A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients. J Clin Periodontol 2002;29 (Suppl. 3):136-162.
31. Quirynen M, Teughels W, De Soete M, van Steenberghe D. Topical antiseptics and antibiotics in the initial therapy of chronic adult periodontitis: Microbiological aspects. Periodontol 2000 2002;28:72-90.
32. Braatz L, Garrett S, Claffey N, Egelberg J. Antimicrobial irrigation of deep pockets to supplement non-surgical periodontal therapy. II.Daily irrigation. J Clin Periodontol 1985;12:630-638.
33. MacAlpine R, Magnusson I, Kiger R, Crigger M, Garrett S, Egelberg J. Antimicrobial irrigation of deep pockets to supplement oral hygiene instruction and root debridement. I. Bi-weekly irrigation. J Clin Periodontol 1985;12:568-577.
34. Lander PE, Newcomb GM, Seymour GJ, Powell RN. The antimicrobial and clinical effects of a single subgingival irrigation of chlorhexidine in advanced periodontal lesions. J Clin Periodontol 1986; 13:74-80.
35. Cosyn J, Sabzevar MM. A systematic review on the effects of subgingival chlorhexidine gel administration in the treatment of chronic periodontitis. J Periodontol 2005;76:1805-1813.
36. Cosyn J, Wyn I. A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis. J Periodontol 2006;77:257-264.
37. Schaeken MJ, Schouten MJ, van den Kieboom CW, van der Hoeven JS. Influence of contact time and concentration of chlorhexidine varnish on Mutans streptococci in interproximal dental plaque. Caries Res 1991;25:292-295.
38. Schaeken MJ, van der Hoeven JS, van den Kieboom CW. Effect of chlorhexidine varnish on Streptococci in dental plaque from occlusal fissures. Caries Res 1994; 28:262-266.
39. Ie YL, Schaeken MJ. Effect of single and repeated application of chlorhexidine varnish on Mutans streptococci in plaque from fissures of premolar and molar teeth. Caries Res 1993;27:303-306.
40. Gerardu VA, Buijs MJ, ten Cate JM, van Loveren C. The effect of a single application of 40% chlorhexidine varnish on the numbers of salivary Mutans streptococci and acidogenicity of dental plaque. Caries Res 2003;37:369-373.
41. Cosyn J, Wyn I, De Rouck T, et al. Short-term anti-plaque effect of two chlorhexidine varnishes. J Clin Periodontol 2005;32:899-904.
42. Cosyn J, Wyn I, De Rouck T, Sabzevar MM. Clinical benefits of subgingival chlorhexidine varnish application as an adjunct to same-day full-mouth root planing. A pilot study. J Periodontol 2006;77:1074-1079.
43. Quirynen M, Bollen CML, Vandekerckhove BNA, Dekeyser C, Papaioannou W, Eyssen H. Full- versus partial-mouth disinfection in the treatment of periodontal infections: Short-term clinical and microbiological observations. J Dent Res 1995;74:1459-1467.
44. Vandekerckhove BNA, Bollen CML, Dekeyser C, Darius P, Quirynen M. Full- versus partial mouth disinfection in the treatment of periodontal infections: Long-term clinical observations. J Periodontol 1996; 67:1251-1259.
45. Mongardini C, van Steenberghe D, Dekeyser C, Quirynen M. One-stage full- versus partial-mouth disinfection in the treatment of chronic adult or generalized early-onset periodontitis. J Periodontol 1999;70: 632-645.
46. Apatzidou DA, Kinane DF. Quadrant root planing versus same-day full-mouth root planing. I. Clinical findings. J Clin Periodontol 2004;31:132-140.
47. Apatzidou DA, Riggio MP, Kinane DF. Quadrant root planing versus same-day full-mouth root planing. II. Microbiological findings. J Clin Periodontol 2004;31: 141-148.
48. Palmer RM, Matthews JP, Wilson RF. Adjunctive systemic and locally delivered metronidazole in the treatment of periodontitis: A controlled clinical study. Br Dent J 1998; 184:548-552.
49. Salvi GE, Mombelli A, Mayfield L, et al. Local antimicrobial therapy after initial periodontal treatment. A randomized clinical trial comparing three biodegradable sustained release polymers. J Clin Periodontol 2002; 29:540-550.