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Amine Fluoride/Stannous Fluoride and Chlorhexidine Mouthwashes as Adjuncts to Surgical Periodontal Therapy: A Comparative Study
Author(s) -
Horwitz Jacob,
Machtei Eli E.,
Peled Micha,
Laufer Dov
Publication year - 2000
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2000.71.10.1601
Subject(s) - chlorhexidine , medicine , dentistry , debridement (dental) , fluoride , randomized controlled trial , clinical trial , chlorhexidine gluconate , gingival and periodontal pocket , periodontal surgery , surgery , periodontitis , chemistry , inorganic chemistry
Background: Postsurgical mouthwashes are routinely used in clinical studies and also in daily clinical practice. Chlorhexidine gluconate (CHX) has long been the gold standard for supragingival chemical plaque control regimens. Amine fluoride/stannous fluoride (AmF/SnF 2 ) formulations have also been extensively studied and shown to have an antibacterial effect and be useful as antiplaque agents. The antibacterial effect of AmF/SnF 2 and its minimal extrinsic tooth staining make it a possible alternative to CHX as an adjunct to periodontal surgical therapy. The aim of this double‐blind, controlled clinical trial was to evaluate and compare the combined effect of an AmF/SnF 2 or a CHX mouthwash and surgical periodontal therapy on periodontal parameters. Methods: Thirty‐two patients with at least 3 pockets ≥5 mm in the same quadrant were selected for this study, following a hygienic phase of therapy. They were randomized into 2 treatment groups: surgical flap debridement and a postsurgical CHX mouthwash or surgical flap debridement and an AmF/SnF 2 postsurgical mouthwash, performed twice daily for 3 weeks. Clinical measurements were taken at baseline and 3 and 12 weeks postsurgery. Results: Both treatment modalities resulted in significant improvements in probing depth and clinical attachment level. There was no significant difference between groups in any of the recorded parameters. Staining index at week 3 in the CHX group was significantly higher than in the AmF/SnF 2 group ( P <0.05). However these differences leveled down at 12 weeks. Conclusions: Our results support the alternative use of an AmF/SnF 2 mouthwash in plaque control management of patients following flap debridement surgery. J Periodontol 2000;71:1601‐1606.