September 2011

Volume 28, Issue 3

Clinical evaluation of chlorhexidine for the control of dental biofilm in children with special needs

Authors: A.C.R. Chibinski M.T. Pochapski P.V. Farago F.A. Santos G.D. Czlusniak
doi: 10.1922/CDH_2593Santos05


Objective: The aim of the present study was to assess two vehicles and forms of the in-home administration of chlorhexidine for the control of dental biofilm in children with special needs. Basic Research Design: Twenty-nine children aged seven to 12 years (mixed dentition phase) participated in the study. A double-blind, placebo-controlled, cross-over clinical trial was carried out with the following treatment groups: 1 - 0.12% chlorhexidine gel (CG); 2 - placebo gel (PG); 3 - 0.12% chlorhexidine spray (CS); 4 - placebo spray (PS). Ten-day experiment periods were separated by 15-day washout intervals. Main Outcome Measures: The parameters evaluated were plaque, gingival bleeding, and preferences of parents/caregivers. Results: The initial conditions were similar in each phase of the experiment (p>0.05). The treatments with chlorhexidine (gel and spray) achieved a significant reduction (p<0.0001) in plaque and bleeding. The placebo treatments did not achieve significant differences (p>0.05). The parents/caregivers preferred the administration of chlorhexidine in spray form. Conclusions: The topical administration of chlorhexidine associated to tooth brushing led to a reduction in dental biofilm and gingival bleeding in children with special needs. Administration in spray form proved easier and was preferred by parents/caregivers. Key words: Plaque control; Gingivitis; Oral hygiene; Special care; Clinical Trials

£10 single article

Other articles in this issue

Article Pages Access
Editorial - Position papers by EADPH Special Interest Groups 190-190 £10 single article
Tooth wear and erosion: Methodological issues in epidemiological and public health research and the future research agenda 191-195 £10 single article
The relationship between tooth wear in the primary and permanent dentitions 196-200 £10 single article
The efficacy of dentifrices on extrinsic tooth stains among community dwelling adults in India – a randomised controlled trial 201-205 £10 single article
Clinical and socio-demographic factors influencing the oral health-related quality of life of Chinese elders 206-210 £10 single article
The effects of chronic pain on oral health related quality of life in patients with anterior disc displacement with reduction. 211-215 £10 single article
Dental self-care and visiting behaviour in relation to social inequality in caries experience 216-221 £10 single article
Clinical evaluation of chlorhexidine for the control of dental biofilm in children with special needs 222-226 £10 single article
Oral health related quality of life among children with parents and those with no parents 227-231 £10 single article
Psychometric properties of long and short forms of the Child Perceptions Questionnaire (CPQ11-14) in a Thai population 232-237 £10 single article
Dental examiners consistency in applying the ICDAS criteria for a caries prevention community trial 238-242 £10 single article
Investing in professional advocacy: a case study of a successful fluoridation campaign in rural New South Wales, Australia 243-247 £10 single article
Relationship of caries and fluorosis in adolescents from high- and low-fluoride areas in Iran 248-252 £10 single article


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