ABSTUCT-The side effects of chlorhexidine mouth washes have been evaluated in a group of 50 soldiers during a period of 4 months. Previous publications have shown the effects on plaque formation and gingival conditions. The present paper discusses urifavorable side effects. When rinsing with 0.2 and 0.1 yo chlorhexidine gluconate and acetate, some desquamations and soreness in the oral mucosa were observed. lwelve per cent of the tooth surfaces and 62 "/c of the silicate fillings were discolored, while 36 % of the test persons developed discolored tongues in the experimental period. Because of the side effects, there are some objections LO uncritical use of chlorhexidine in preventive dentistry. A close control is necessary; and until more information is gained, the use of chlorhexidine mouth washes is recommended for. short periods only. Other methods of application must be studied.
– Aqueous solutions of chlorhexidine salts have been used as mouth washes to supplement routine oral hygiene in a group of young adults for a period of 4 months. In the first part of the study (2 months) the effect of plaque formation and gingival condition in the presence of calculus and rough surfaces was studied. Under such circumstances the chlorhexidine mouth washes reduced the amount of plaque on an average of 66%, whereas the gingival inflammation was reduced by 24% in the same period. In the next 2 months the effect of chlorhexidine was studied on scaled and polished teeth. The plaque reduction was now 84% and the Gingival Index values were reduced by 43% after subgingival scaling. No effect on gingival inflammation adjacent to pockets exceeding 3 mm was observed.
Three experimental studies were carried out to compare the effect of different implements recommended for interdental cleaning. In young adults, with healthy periodontal tissues, dental floss was superior to toothpicks in removing plaque from the lingual parts of the interproximal surfaces. The use of a single‐tufted brush as a supplement to the toothpicks compensated for the lack of effectiveness of toothpicks alone. In wide‐open interproximal areas, following periodontal destruction, the interdental brush is the most suitable implement to remove bacterial plaque.
In this short paper some data from clinical use of chlorhexidine outside dental institutions are presented. In these trials chlorhexidine mouthwashes, chlorhexidine dentifrices and chlorhexidine gel in cap splints have been utilized. Some comments were made upon related side effects.
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