PMID: 9002920Jul 1, 1995Paper

Chlorhexidine swabbing applications under various conditions of use in preventive oral care for persons with disabilities

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
D J StiefelB G Leroux

Abstract

A sample of 44 adults with severe disabilities completed a randomized single-blind cross-over study testing chlorhexidine swabbing under various conditions: with/without prior dental prophylaxis, reduced frequency of application (2 vs. 5 times per week), and prolonged use (42 weeks). All subjects received therapeutic doses of 10 mL 0.12% chlorhexidine gluconate (Peridex, Procter & Gamble) and 10 mL 0.05% NaF applied with a Toothette (Sage Products). Clinical effectiveness of chlorhexidine swabbing compared with placebo was previously reported. In the present study, while initial benefits were observed to be independent of dental prophylaxis, significant reductions in periodontal scores were sustained by a combination of dental prophylaxis and swabbing protocol, at reduced frequency of application and over prolonged time. High levels of acceptance and compliance by subjects/caregivers were maintained. Subjects/caregivers reported improvements in dental health as well as in attitude, quality of life, and smile. Chlorhexidine swabbing at maintenance frequency, combined with periodic dental prophylaxis, may offer an effective and pragmatic long-term preventive regimen for persons with disabilities.

References

Mar 1, 1992·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·D J StiefelL S Mandel
May 1, 1992·The Journal of the American Dental Association·E Newbrun
May 1, 1991·Journal of Clinical Periodontology·U M ChikteS G Reinach
May 1, 1991·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·A P BurtnerR G Smith
Jul 1, 1991·Oral Surgery, Oral Medicine, and Oral Pathology·R E PerssonR Persson
Nov 1, 1994·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·R H SaundersD T Zero
May 1, 1994·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·M A al-Tannir, H S Goodman

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Citations

Sep 1, 2005·Journal of Clinical Periodontology·Ian NeedlemanJean Pimlott
Jun 30, 2016·PloS One·Rafael FerreiraMariana Schutzer Ragghianti Zangrando
Aug 31, 2002·Analytical Sciences : the International Journal of the Japan Society for Analytical Chemistry·Kunihiko NakayamaNobuyuki Fujii
Aug 12, 2008·British Dental Journal·A Dougall, J Fiske
Jan 1, 2004·JBI Library of Systematic Reviews·Alan Pearson, Jane Chalmers

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