Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study
Objective. The risk to dentists, assistants, and patients of infectious diseases through aerosols has long been recognized. The aim of this study was to evaluate and compare the efficacy of commercially available preprocedural mouth rinses containing 0.2% chlorhexidine (CHX) gluconate, Befresh™ herb...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2020/2021082 |
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| author | Sangeeta Umesh Nayak Anushka Kumari Valliammai Rajendran Vijendra Pal Singh Ashwini Hegde Keshava K. Pai |
| author_facet | Sangeeta Umesh Nayak Anushka Kumari Valliammai Rajendran Vijendra Pal Singh Ashwini Hegde Keshava K. Pai |
| author_sort | Sangeeta Umesh Nayak |
| collection | DOAJ |
| description | Objective. The risk to dentists, assistants, and patients of infectious diseases through aerosols has long been recognized. The aim of this study was to evaluate and compare the efficacy of commercially available preprocedural mouth rinses containing 0.2% chlorhexidine (CHX) gluconate, Befresh™ herbal mouthwash, and water in reducing the levels of viable bacteria in aerosols. Materials & Methods. This was a single-center, double-masked, placebo-controlled, randomized, three-group parallel design study. 30 patients (10 patients in each group) were recruited in the study. Patient rinsed mouth with 10 ml of CHX, 10 ml Befresh™, or 10 ml water. All the patients underwent supragingival ultrasonic scaling for a minimum of 30 min. The aerosol collection was done using a blood agar plate. The blood agar plates were kept approximately 12 inches from the patient’s mouth. The microbial culture was analyzed. The colony-forming unit (CFU) counting in all three groups was assessed using one-way ANOVA test to compare among the groups (p value <0.001). The intergroup comparison was done using the post hoc Tukey test. Result. There was a marked reduction in the CFU in the CHX group in all three areas. This was followed by Befresh™ (Sagar Pharmaceuticals) mouthwash. There was no reduction in the CFU of the water group. Conclusion. This study proves that a regular preprocedural mouth rinse could significantly reduce the majority bacteria present in aerosols generated by the use of an ultrasonic unit, and Befresh™ mouth rinse was found to be equally effective in reducing the aerosol contamination to 0.2% CHX gluconate. |
| format | Article |
| id | doaj-art-3a9b81d84ad34a51b70c3b84f92a01d9 |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-3a9b81d84ad34a51b70c3b84f92a01d92025-02-03T01:05:06ZengWileyInternational Journal of Dentistry1687-87281687-87362020-01-01202010.1155/2020/20210822021082Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological StudySangeeta Umesh Nayak0Anushka Kumari1Valliammai Rajendran2Vijendra Pal Singh3Ashwini Hegde4Keshava K. Pai5Department of Periodontology, Manipal College of Dental Sciences, Mangalore 575001, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaManipal College of Dental Sciences, Mangalore-575001, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaDepartment of Periodontology, Manipal College of Dental Sciences, Mangalore 575001, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaDepartment of Periodontology and Implantology, Faculty of Dentistry, Melaka Manipal Medical College, Manipal Academy of Higher Education, Melaka, MalaysiaDepartment of Microbiology, Kasturba Medical College, Mangalore 575001, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaDepartment of Psychiatry, Kasturba Medical College, Mangalore-575001, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaObjective. The risk to dentists, assistants, and patients of infectious diseases through aerosols has long been recognized. The aim of this study was to evaluate and compare the efficacy of commercially available preprocedural mouth rinses containing 0.2% chlorhexidine (CHX) gluconate, Befresh™ herbal mouthwash, and water in reducing the levels of viable bacteria in aerosols. Materials & Methods. This was a single-center, double-masked, placebo-controlled, randomized, three-group parallel design study. 30 patients (10 patients in each group) were recruited in the study. Patient rinsed mouth with 10 ml of CHX, 10 ml Befresh™, or 10 ml water. All the patients underwent supragingival ultrasonic scaling for a minimum of 30 min. The aerosol collection was done using a blood agar plate. The blood agar plates were kept approximately 12 inches from the patient’s mouth. The microbial culture was analyzed. The colony-forming unit (CFU) counting in all three groups was assessed using one-way ANOVA test to compare among the groups (p value <0.001). The intergroup comparison was done using the post hoc Tukey test. Result. There was a marked reduction in the CFU in the CHX group in all three areas. This was followed by Befresh™ (Sagar Pharmaceuticals) mouthwash. There was no reduction in the CFU of the water group. Conclusion. This study proves that a regular preprocedural mouth rinse could significantly reduce the majority bacteria present in aerosols generated by the use of an ultrasonic unit, and Befresh™ mouth rinse was found to be equally effective in reducing the aerosol contamination to 0.2% CHX gluconate.http://dx.doi.org/10.1155/2020/2021082 |
| spellingShingle | Sangeeta Umesh Nayak Anushka Kumari Valliammai Rajendran Vijendra Pal Singh Ashwini Hegde Keshava K. Pai Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study International Journal of Dentistry |
| title | Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study |
| title_full | Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study |
| title_fullStr | Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study |
| title_full_unstemmed | Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study |
| title_short | Comparative Evaluation of Efficacy of Chlorhexidine and Herbal Mouthwash as a Preprocedural Rinse in Reducing Dental Aerosols: A Microbiological Study |
| title_sort | comparative evaluation of efficacy of chlorhexidine and herbal mouthwash as a preprocedural rinse in reducing dental aerosols a microbiological study |
| url | http://dx.doi.org/10.1155/2020/2021082 |
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