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CHX

I would like to start irrigating with CHX
I need validation, why it helps
My assistant chief will approve it, only if it’s validated



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8 Answers

I used to irrigate with CHX in my early years of hygiene. Now it’s only RX’d as a home rinse. I feel the ultrasonic scaler does the irrigation and kills the bacteria. If pockets aren’t responding to tx, then I will use a perio chip. If I’ve used a perio chip and still no response, many times the Dr will do a gingivectomy.

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We put CHX in our cavitron, along with a little water, so we can irrigate as we SRP. We also use as a home rinse if it is deemed necessary.

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There have been studies done to prove the effectiveness of CHX. It works best as a daily rinse more so than a one time dose in the office only. At my office I always irrigate with a 3cc syringe of CHX as part of our normal SRP protocol and then give them a bottle to take home. It helps keep the bacterial load down and helps control inflammation. It does stain however. So I would suggest Googleing CHX effectiveness studies and give them to your assistant chief. You can irrigate after SRP and during maintenance appointments on deeper pockets that are not responding to scaling alone. Check PubMed for study information.

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I irrigate with CHX after S/RP and SELL them a bottle of Periogard for $12 …the patients appreciate not having to go fill an RX. Also the stain is a sign of poor OH, I review OH at each of the 4 RP/s visits and see the stain get less and less…

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we no longer use chx after srp, we irrigate with iodine and then tell pt to rinse with a combination of bleach/h2o 3 x a week.

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We have had great results with our Soft Tissue Management Program by including a Rotadent or Sonicare toothbrush, chlorohexidine mouth rinse and Clinpro 5000 toothpaste in the patients treatment plan for scaling and root planing. Patients are told to brush on the rinse at bedtime for 10 days post SRP. When the Chx is brushed on with Sonicare/Rotadent very little staining will result.

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Chx is amazing stuff. I usually put my patients on it for A 2 week period. 2 times a day swish for 30 seconds but really the key is to not have anything to eat or drink for 30 mins after. Chx efficacy is for 8 hours. That means someone would have to rinse with listening 4 times in those 8 hours to be just as effective. I irrigate at SRP and also whenever someone comes in for perio maintenance. Plus more patients comment on how clean their mouth feels from the irrigation.

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Regarding irrigating with chlorhexidine: studies have shown CHX inhibits 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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