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
PubMed ID Author / Year Patient Group Study type (level of evidence) 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. 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	(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	Archie Jones, DDS, MBA
Faculty mentor 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?) None available
Comments and Evidence-Based Updates on the CAT (FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) None available