A Comparative Clinical Study to Evaluate the Effect of 1.5% Hydrogen Peroxide Mouthwash as an Adjunct to 0.2% Chlorhexidine Mouthwash to Reduce Dental Stains and Plaque Formation
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 10
Abstract
Introduction: Chlorhexidine mouthwash is known to be the gold standard to control plaque and gingivitis. However, the side effect of stains has restricted its long term use. Oxidizing agent such as hydrogen peroxide is an effective stain remover, both in-vitro and in-vivo and have also been used as an effective plaque control agent and in patients with NUG without any harmful effects. If H2O2 mouthwash could reduce the stains produced by Chlorhexidine and simultaneously improve plaque control, then patients’ compliance will be much better. Material and methods: The present single blind, parallel design study was conducted on 30 patients with generalized marginal gingivitis that were divided into three groups of 10 subjects each. All patients underwent oral prophylaxis at baseline and were randomly allocated to one of the three groups. Group 1: rinsed with Chlorhexidine 0.2%, Group 2: rinsed with Chlorhexidine 0.2% followed by hydrogen peroxide mouthwash 1.5%; Group 3: rinsed with hydrogen peroxide 1.5% mouthwash followed by Chlorhexidine mouthwash 0.2%. Examination for plaque and stains was done at the end of 1st, 2nd and 3rd weeks during the 21 days study period. Results: Group 2 has given results that there was less stain intensity when compared with group 1 after 14 and 21 days. The relative area of stained surfaces was less in the group 2 than in the group 1 and group 3 at the end of 1 week. The plaque formation was significantly less in groups 2 and 3 than group 1 at 7, 14 and 21 days. Conclusion: The use of hydrogen peroxide as adjunct to Chlorhexidine proved to be more effective than the Chlorhexidine alone in regard to the reduction of plaque and stains formation.
Authors and Affiliations
Ravi Prabhu, Bhagyashree Kohale, Amit A. Agrawal, Shreeprasad Vijay Wagle, Goovind Bhartiya, Dipali Chaudhari
Keywords
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