ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Chlorhexidine Rinse Treatment Improved Patients’ Outcome When Combined With Scaling And Root Planning |
| Clinical Question |
In adult periodontitis patients, will the use of Chlorhexidine rinse in conjunction with scaling and root planning be more effective than scaling and root planning alone in reducing the pocket depths? |
| Clinical Bottom Line |
Combining chlorhexidine rinse with scaling and root planning improves pocket depth more effectively than scaling and root planning alone. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 19703236 | Feres/2009 | Sixty subjects from 30 to 55 years of age have untreated periodontal disease selected from clinical referral | Randomized controlled trial | | Key results | Compared to the control group of scaling and root planning alone (p<0.05), scaling and root planning with Chlorhexidine rinse (p<0.05) treatment showed significant reduction in the percentage of sites with pocket depth over 5 mm at 2 months treatment and continued to 6 months treatment. | | #2) 16965522 | Faveri/2006 | 29 subjects over the age of 30 with at least 15 teeth selected from clinical referral. | Randomized Controlled trial | | Key results | At 42 days after treatment, the use of chlorhexidine rinse following scaling and root planing reduced probing depths from 4 mm to less than 3 mm (p<0.05) compared to scaling and root planning alone (p<0.05), which reduced probing depths to approximately 3.23 mm. The effect continued when measured at 63 days. | |
| Evidence Search |
("Periodontal Pocket"[Mesh] AND "Root Planing"[Mesh]) AND "Chlorhexidine"[Mesh] |
Comments on
The Evidence |
Feres: This is a randomized controlled trial. Sixty subjects had no difference in deep pocket depth before the study. The data collection was comprehensive and study length was sufficient. Also, the study had high compliance of patients in a large sample size indicating the statistical relevance of data. Faveri: This randomized controlled trial has 29 of 30 compliant subjects with comprehensive, detailed graphs. The two-month study length indicates rapid improvement in symptoms and extended benefit treatment of using Chlorhexidine treatment with scaling and root planing. |
| Applicability |
Adult periodontitis patients can benefit from scaling and root planning in combination with the use of chlorhexidine rinse to reduce pocket depth. Chlorhexidine rinse is an affordable treatment which makes it accessible and available to patients. |
| Specialty/Discipline |
(General Dentistry) (Periodontics) (Dental Hygiene) |
| Keywords |
Periodontal Pocket, Root planning, Chlorhexidine
|
| ID# |
2266 |
| Date of submission: |
04/13/2012 |
| E-mail |
hayslett@livemail.uthscsa.edu |
| Author |
Han Truong Hayslett |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Archie Jones, DDS, MBA |
| Faculty mentor/Co-author e-mail |
JonesA@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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