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How to irrigate with chlorhex, and place site specific a/microbials

I temped at a mainly perio office today and I was asked to do stuff I had never done before. I felt unprepared, and i muddled through, did I do right?

To irrigate with chlorhex I drew some in a syringe, added a cannula and squeezed the fluid around each tooth.
For the site specific I squeezed it around the tooth until it started coming out. I wiped off the excess.
Honestly I have no recollection of being taught this in school :-/



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2 Answers

Well I’m assuming the site specific stuff your talking about it an antibiotic, maybe Arestin? If it’s site specific then no you don’t squeeze it around each tooth you squeeze it specifically into that site not the entire tooth. For example mesial buccal of #30 is a 6mm pocket, insert tip of antibiotic cartridge right in the MB pocket, not around the entire tooth. It helps if when you are pushing the syringe or antibiotic into the pocket that you start at the base of the sulcus and slowly come out while releasing the antibiotic into the pocket. My office we use arestin we tell the pt not to floss the areas for 24 hrs even though in reality the pamphlet says 10days. Arestin reps will agree and tell you it’s 24hrs

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That is how it is done. For the CHX try to get the tip just under the gingiva and it will flow down into the pocket. For the site specific antimicrobials, I find it helps to flatten the tip just a bit to be able to get down into the pocket as far as possible. You want to make sure that most, if not all of the medicine is able to be retained in the pocket.

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