• 제목/요약/키워드: Chlorhexidine

검색결과 232건 처리시간 0.031초

Effective Management of Acute Necrotizing Ulcerative Gingivitis with Proper Diagnosis and Immediate Treatment

  • Kwon, Eun-Young;Choi, Youn-Kyung;Choi, Jeomil;Lee, Ju-Youn;Joo, Ji-Young
    • Journal of Korean Dental Science
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    • 제9권2호
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    • pp.81-89
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    • 2016
  • Necrotizing periodontal diseases, especially acute necrotizing ulcerative gingivitis (ANUG), it should be noted, occur abruptly and progress rapidly, eventually causing severe soft-tissue and alveolar bone loss. This report presents the cases of two ANUG patients and provides a brief treatment protocol for easy and effective clinical management. After proper diagnosis, sequential treatment with cessation of mechanical brushing, along with a prescription of systemic antibiotics and chlorhexidine as a mouth rinse, scaling, root planing, and supportive periodontal therapy, was utilized. In all cases discussed in this report, there was marked improvement in a few days. ANUG, though an uncommon disease, can be efficiently managed with proper diagnosis and immediate treatment.

Glucanhydrolase from Lipomyces starkeyi KSM 22 as Potential Mouthwash Ingredient

  • Kim, Doman;Ryu, Su-Jin;Son, Eun-Ju;Chung, Hyun-Ju;Kim, Seung-Heuk;Kim, Do-Won;Day, Donal-F.
    • Journal of Microbiology and Biotechnology
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    • 제12권6호
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    • pp.993-997
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    • 2002
  • A glucanhydrolase (a DXAMase exhibiting both dextranolytic and amylolytic activities) from Lipomyces starkeyi KSM 22 hydrolyzed polysaccharides having ${\alpha}-(1{\rightarrow}3)-,\;{\alpha}(1{\rightarrow}4)-,\;and\;{\alpha}-(1{\rightarrow}6)$-D-glucosidic linkages. The oral hygiene benefits of DXAMase-containing mouthwash were examined in relation to human experimental gingivitis during a 3-week period without brushing. The DXAMase-treated group exhibited a lower increase in plaque accumulation and gingival index score than the chlorhexidine-treated group. The DXAMase-treated group also showed less tongue accumulation, bad taste, and tooth staining, thus indicating a positive role for DXAMase as an antiplaque agent ingredient.

Effects of Extended Storage of Chlorhexidine Gluconate and Benzalkonium Chloride Solutions on the Viability of Burkholderia cenocepacia

  • Ahn, Youngbeom;Kim, Jeong Myeong;Lee, Yong-Jin;LiPuma, John J.;Hussong, David;Marasa, Bernard S.;Cerniglia, Carl E.
    • Journal of Microbiology and Biotechnology
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    • 제27권12호
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    • pp.2211-2220
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    • 2017
  • Chlorhexidine gluconate (CHX) and benzalkonium chloride (BZK) formulations are frequently used as antiseptics in healthcare and consumer products. Burkholderia cepacia complex (BCC) contamination of pharmaceutical products could be due to the use of contaminated water in the manufacturing process, over-diluted antiseptic solutions in the product, and the use of outdated products, which in turn reduces the antimicrobial activity of CHX and BZK. To establish a "afe use" period following opening containers of CHX and BZK, we measured the antimicrobial effects of CHX ($2-10{\mu}g/ml$) and BZK ($10-50{\mu}g/ml$) at sublethal concentrations on six strains of Burkholderia cenocepacia using chemical and microbiological assays. CHX (2, 4, and $10{\mu}g/ml$) and BZK (10, 20, and $50{\mu}g/ml$) stored for 42 days at $23^{\circ}C$ showed almost the same concentration and toxicity compared with freshly prepared CHX and BZK on B. cenocepacia strains. When $5{\mu}g/ml$ CHX and $20{\mu}g/ml$ BZK were spiked to six B. cenocepacia strains with different inoculum sizes ($10^0-10^5CFU/ml$), their toxic effects were not changed for 28 days. B. cenocepacia strains in diluted CHX and BZK were detectable at concentrations up to $10^2CFU/ml$ after incubation for 28 days at $23^{\circ}C$. Although abiotic and biotic changes in the toxicity of both antiseptics were not observed, our results indicate that B. cenocepacia strains could remain viable in CHX and BZK for 28 days, which in turn, indicates the importance of control measures to monitor BCC contamination in pharmaceutical products.

클로르헥시딘을 함유한 상아질 결합제의 전단결합강도 (Shear Bond Strengths of Dentin Bonding Agent containing 0.2% Chlorhexidine)

  • 김진혁;김기섭;김종수;김종빈
    • 대한소아치과학회지
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    • 제44권1호
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    • pp.82-88
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    • 2017
  • 본 연구의 목적은 0.2% 클로르헥시딘이 함유된 $Peak^{(R)}$ Universal Bond (PUB)의 우치 상아질에서의 전단결합강도를 알아보는 것이다. 30개 우치의 상아질 시편을 10개씩 세 군으로 나누어 I군에는 $Adper^{TM}$ Single Bond Universal (SB)를 적용하였고 II군에는 $Consepsis^{(R)}$를 처리한 이후 SB를 적용하였고 III군에는 PUB를 적용하고 $Filtek^{TM}$ Z-350 XT B3 shade를 충전후 각각의 전단결합강도를 비교 평가하였다. 그 결과 산부식 후 $Consepsis^{(R)}$를 사용하는 것은 상아질의 전단결합강도에 있어 통계학적으로 유의한 차이를 보이지 않았다(p > 0.05). SB에 $Consepsis^{(R)}$를 적용하거나 적용하지 않은 것의 전단결합강도와 PUB의 전단결합강도는 통계학적으로 유의한 차이를 보였다(p < 0.05).

The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients

  • Lee, Shin-Hwa;Kim, Young-Joon;Chung, Hyun-Ju;Kim, Ok-Su
    • Journal of Periodontal and Implant Science
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    • 제39권sup2호
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    • pp.239-251
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    • 2009
  • Purpose: Full-mouth disinfection enables to reduce the probability of cross contamination from untreated pockets to treated ones, for completing the entire SRP under local anesthesia with chlorhexidine as a mouth wash in two visits within 24 hours. This study aimed to compare the clinical effects of modified full-mouth disinfection (Fdis) after 6 months with those of conventional SRP (cSRP). Methods: Thirty non-smoking chronic periodontitis subjects were randomly allocated two groups. The Fdis group underwent the entire SRP under local anesthesia in two visits within 24 hours, a week after receiving supragingival scaling. A chlorhexidine (0.1%) solution was used for rinsing and subgingival irrigation for Fdis. The cSRP group received SRP per quadrant under local anesthesia at one-week intervals, one week after they had received scaling. Clinical parameters were recorded at baseline, after 1, 3 and 6 months. Results: There are significant (P<0.05) decreases in the sulcus bleeding index, and plaque index, and the increases in gingival recession were significantly smaller with Fdis after six months compared with cSRP. There was significant improvement in the probing depth and clinical attachment level for initially medium-deep pockets (4-6mm) after Fdis compared with cSRP. Multi-rooted teeth showed significantly larger attachment gain up to six months after Fdis. Single-rooted teeth showed significantly more attachment gain, 1 and 6 months after Fdis. Conclusions: Fdis has more beneficial effects on reducing gingival inflammation, plaque level, probing depth, gingival recession and improving clinical attachment level over cSRP.

Effect of chlorhexidine application on the bond strength of resin core to axial dentin in endodontic cavity

  • Kim, Yun-Hee;Shin, Dong-Hoon
    • Restorative Dentistry and Endodontics
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    • 제37권4호
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    • pp.207-214
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    • 2012
  • Objectives: This study evaluated the influence of chlorhexidine (CHX) on the microtensile bonds strength (${\mu}TBS$) of resin core with two adhesive systems to dentin in endodontic cavities. Materials and Methods: Flat dentinal surfaces in 40 molar endodontic cavities were treated with self-etch adhesive system, Contax (DMG) and total-etch adhesive system, Adper Single Bond 2 (3M ESPE) after the following surface treatments: (1) Priming only (Contax), (2) CHX for 15 sec + rinsing + priming (Contax), (3) Etching with priming (Adper Single Bond 2), (4) Etching + CHX for 15 sec + rinsing + priming (Adper Single Bond 2). Resin composite build-ups were made with LuxaCore (DMG) using a bulk method and polymerized for 40 sec. For each condition, half of specimens were submitted to ${\mu}TBS$ after 24 hr storage and half of them were submitted to thermocycling of 10,000 cycles between $5^{\circ}C$ and $55^{\circ}C$ before testing. The data were analyzed using ANOVA and independent t-test at a significance level of 95%. Results: CHX pre-treatment did not affect the bond strength of specimens tested at the immediate testing period, regardless of dentin surface treatments. However, after 10,000 thermocycling, all groups showed reduced bond strength. The amount of reduction was greater in groups without CHX treatments than groups with CHX treatment. These characteristics were the same in both self-etch adhesive system and total-etch adhesive system. Conclusions: 2% CHX application for 15 sec proved to alleviate the decrease of bond strength of dentin bonding systems. No significant difference was shown in ${\mu}TBS$ between total-etching system and self-etching system.

치근면에 항균 varnish 처치 전후의 치태 세균 및 치은열구액내 항체수준 변화에 관한 연구 (A STUDY ON THE CHANGES OF THE ROOT SURFACE PLAQUE FLORA AND GINGIVAL CREVICULAR FLUID ANTIBODY TITERS AFTER ANTIMICROBIAL VARNISH TREATMENT)

  • 도정욱;권혁춘
    • Restorative Dentistry and Endodontics
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    • 제18권2호
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    • pp.341-356
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    • 1993
  • In the prevention of root surface caries, antimicrobial therapy for the control of subgingival and supragingival plaque is seriously considered as a long term suppression of pathogenic microflora. Recently, varnishes containing antimicrobial agents have been developed to control the supragingival microflora. The purpose of this study was to determine the antimicrobial effects of 20% chlorhexidine varnish and 2.6% silane fluoride varnish with sealant. In clinical experiments, 12 subjects were selected from the periodontally treated patient and divided into 3 groups. After a dental prophylaxis, the subjects were treated with single application of placebo varnish (group I), 20% chlorhexidine varnish (group II), and 2.6% silane fluoride varnish (group III). Root surface plaque samples were taken before (baseline) and one, two, four, and 8 weeks after the treatments. Microbiological examinations of root surface plaque were performed with culture study and indirect immunoflorescence (I.I.F.) study, and immunological examination of gingival crevicular fluid antibody titers was performed with ELISA study. The results were as follows: 1. Pathogenic microflora on the root surface including S. mutans, S. sanguis, S. mitis, A. naeslundii, A. viscosus were 24 - 37% on I.I.F. study. 2. S. mutans, S. sanguis, S. mitis, A. naeslundii, A. viscosus of the root surface plaque was significantly reduced from 1 week to 8 weeks after antimicrobial varnish treatment, but showed generally increasing tendency in control group. 3. Gingival crevicular fluid antibody titers were significantly reduced from 1 or 2 weeks to 4 weeks after antimicrobial varnish treatment.

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항균물질을 함유한 지각과민처치제에 대한 항균효과 및 세포독성 (Antibacterial Effect and Cytotoxicity of Desensitizer Containing Antimicrobial)

  • 이현옥;박지영
    • 치위생과학회지
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    • 제15권2호
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    • pp.238-245
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    • 2015
  • 본 연구는 지각과민처치제에 항균 물질을 첨가하여 항균실험 및 지각과민처치제의 세포독성실험을 실시하여 다음과 같은 결과를 얻었다. 항균실험에서는 Micro Prime은 항균 약물의 농도가 높을수록 항균력도 높게 나타나 각 그룹간의 항균 범위는 통계적인 유의차를 나타내었다(p<0.05). Hurri Seal에서는 gallic acid 항균 약물 농도가 높을수록 항균력이 높게 나타났지만(p<0.05), tetracycline을 함유한 desensitizer에서는 농도가 높을수록 항균효과는 떨어지는 것으로 나타났다(p<0.05). 또한 chlorhexidine과 cetylpyridinium chloride에서는 대조군에서만 차이를 나타내고(p<0.05), 각 실험군에서 차이를 나타내지 않았다. 세포독성도를 평가한 결과 Micro Prime은 미약한 세포독성을 나타냈으며, Hurri Sea은 심한 세포독성을 나타냈다. 이상의 연구결과로 지각과민처치제에 항균물질을 첨가할 경우 우수한 항균력이 나타났기 때문에 지각과민 환자의 동통을 줄여 줄 것으로 사료되며 항균성을 가진 지각과민처치제로 사용이 가능할 것으로 판단된다.