Effects of chlorhexidine preprocedural rinse on bacteremia in periodontal patients: a randomized clinical trial

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dc.creatorRodrigo Dalla Pria Balejo
dc.creatorRenata Magalhães Cyrino
dc.creatorFernando de Oliveira Costa
dc.creatorJosé Roberto Cortelli
dc.creatorTaís Browne de Miranda
dc.creatorDavi Romeiro Aquino
dc.creatorSheila Cavalca Cortelli
dc.creatorKarina Cogo-Müller
dc.creatorSara Porto Moura
dc.date.accessioned2024-05-03T18:07:25Z
dc.date.accessioned2025-09-09T01:04:42Z
dc.date.available2024-05-03T18:07:25Z
dc.date.issued2017
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1590/1678-7757-2017-0112
dc.identifier.issn1678-7765
dc.identifier.urihttps://hdl.handle.net/1843/68069
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Applied Oral Science
dc.rightsAcesso Aberto
dc.subjectBacteremia
dc.subjectPeriodontal diseases
dc.subjectPeriodontal debridement
dc.subjectMouthwashes
dc.subjectAnti-bacterial agents
dc.subjectGingivitis
dc.subjectBacteria
dc.subjectDental plaque index
dc.subjectPeriodontal index
dc.subject.otherclorexidine
dc.subject.othermouthrinse Keywords: Bacteremia, Periodontal diseases, Periodontal debridement, Mouthwashes
dc.subject.otheropen acess busca dia 13/03/2024assunto: Periodontal Diseases Effects of chlorhexidine preprocedural rinse on bacteremia in periodontal patients: a randomized clinical trial periódico: Journal of applied oral science
dc.subject.otherPeriodontitis
dc.titleEffects of chlorhexidine preprocedural rinse on bacteremia in periodontal patients: a randomized clinical trial
dc.typeArtigo de periódico
local.citation.epage595
local.citation.issue6
local.citation.spage586
local.citation.volume25
local.description.resumoObjective: Single dose of systemic antibiotics and short-term use of mouthwashes reduce bacteremia. However, the effects of a single dose of preprocedural rinse are still controversial. This study evaluated, in periodontally diseased patients, the effects of a pre-procedural mouth rinse on induced bacteremia. Material and methods: Systemically healthy individuals with gingivitis (n=27) or periodontitis (n = 27) were randomly allocated through a sealed envelope system to: 0.12% chlorhexidine pre-procedural rinse (13 gingivitis and 13 periodontitis patients) or no rinse before dental scaling (14 gingivitis and 15 periodontitis patients). Periodontal probing depth, clinical attachment level, plaque, and gingival indices were measured and subgingival samples were collected. Blood samples were collected before dental scaling, 2 and 6 minutes after scaling. Total bacterial load and levels of P. gingivalis were determined in oral and blood samples by real-time polymerase chain reaction, while aerobic and anaerobic counts were determined by culture in blood samples. The primary outcome was the antimicrobial effect of the pre-procedural rinse. Data was compared by Mann-Whitney and Signal tests (p<0.05). Results: In all sampling times, polymerase chain reaction revealed higher blood bacterial levels than culture (p<0.0001), while gingivitis patients presented lower bacterial levels in blood than periodontitis patients (p<0.0001). Individuals who experienced bacteremia showed worse mean clinical attachment level (3.4 mm vs. 1.1 mm) and more subgingival bacteria (p<0.005). The pre-procedural rinse did not reduce induced bacteremia. Conclusions: Bacteremia was influenced by periodontal parameters. In periodontally diseased patients, pre-procedural rinsing showed a discrete effect on bacteremia control.
local.identifier.orcids
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://www.scielo.br/j/jaos/a/D7CnDLzWFbJHZvVWNCHRzLK/?lang=en#

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