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Chlorhexidine Irrigation

My co-hygienist recently attended a CE meeting where the presenting dentist mentioned irrigation using chlorhexidine disrupts fibroblast activity. We are waiting for the presenter to email the sources of this information, so in the meantime I am wondering two things…1) is anyone familiar with this information and 2) what are you using to irrigate with post SRP and at Perio Mt. appointments in place of chlorhexidine?



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8 Answers

Studies regarding CHX and the inhibition of fibroblast attachment:
http://www.ncbi.nlm.nih.gov/pubmed/10632519
http://www.ncbi.nlm.nih.gov/pubmed/1625152
http://www.ncbi.nlm.nih.gov/pubmed/1920010

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Wow, that is bad news. Are there more studies being done and is CHX only contraindicated with irrigation because of contact with the root surface or is a swish still okay?

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We no longer irrigate with CHX for SRP because we use a soft tissue laser in conjunction with SRP.

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I was unaware of this info until a few weeks ago. CHX is still what we use for irrigation and a post srp take home rinse for the patient.

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Interesting. Haven’t heard of this. Will research now. My thinking so far is it’s done in vitro……..we used for years and got great results. Not sure I’m convinced as of yet.

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I was unaware of this as well. The research show inhibition of fibroblast attachment. I was a big supporter of irrigation with CHX but I think a better option now is laser decontamination. I am a strong supporter of use of LANAP and soft tissue laser use with periodontal therapy.

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I have not heard of this..will need to get the research. We have given perio med..fluoride rinse for patients after perio scaling, instead of Peridex. I have not noticed a substantial difference in using one over the other.

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Wow I have been irrigating every SRP pt. I will need to cheerfully read the studies.

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