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How long do you recommend patients use Chlorhexidine mouthrinse?

When you recommend the use of Chlorhexidine for perio patients how long do you tell them to use it? I was told in school that prolonged use could encourage the growth of antibacterial resistant strains of bacteria.



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4 Answers

I find that the best way is to try and ween them off it. First week 1x daily, second week, 1x every other day, third week 2-3 days. After this, some patients get attached to their routine but if I can get them to be that faithful with a product like Listerine, than they are so much better off than before when they typically did nothing. They’ve now (most of them) created a routine and HAVE to rinse or it drives them crazy. If they like, they can use the CHX once in a while, just not daily like before.

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usually I recommend 10 days only 2 times a day, swish for 30 seconds. I inform the patients of staining. Recently I have been unhappy with the generalized staining and I’m looking for something else to offer pts

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I’m in the uk and we advise using 1-2 daily for max of two weeks at a time, it encourages resistance and promotes staining

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I’m in the uk and we advise using 1-2 daily for max of two weeks at a time, it encourages resistance and promotes staining

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