Medical Journal of Indonesia Vol. 31 No. 4 2022 FKUI
Subgingival Chlorhexidine Irrigation for Scaling and Root Planing Ajunctive Therapy in Chronic Periodontitis: A Systematic Review
Dublin Core
Title
Medical Journal of Indonesia Vol. 31 No. 4 2022 FKUI
Subgingival Chlorhexidine Irrigation for Scaling and Root Planing Ajunctive Therapy in Chronic Periodontitis: A Systematic Review
Subgingival Chlorhexidine Irrigation for Scaling and Root Planing Ajunctive Therapy in Chronic Periodontitis: A Systematic Review
Subject
chlorhexidine, periodontitis, root planing, therapeutic irrigation
Description
BACKGROUND Scaling and root planing (SRP) is a conventional treatment for chronic
periodontitis; however, it has limitations in treating deep pockets. To enhance its
efficacy, chlorhexidine (CHX) is proposed as adjunctive therapy with SRP due to its
broad antimicrobial spectrum, low systemic toxic activity in humans, absence of oral
microorganism resistance, and lack of teratogenic effects. This study aimed to know
the efficacy of the adjunctive therapy of CHX.
METHODS A literature search was conducted using various databases including PubMed,
LIVIVO, EBSCOhost, and Google Scholar, following the Preferred Reporting Items for
Systematic Review and Meta-Analyses guidelines within the last 10 years (2011–2021).
Clinical parameters such as plaque index (PI), gingival index (GI), bleeding on probing
(BOP), pocket depth (PD), and clinical attachment level (CAL) were recorded. The risk
of bias in the selected studies was assessed using Cochrane Collaboration’s Handbook
version 5.2.0.
RESULTS Of 368 studies, 10 met the inclusion criteria, with 8 of them having a higher
quality. Higher reduction of PI, GI, BI, PD, and CAL were observed in SRP with CHX
irrigation compared with SRP alone.
CONCLUSIONS Overall, adding CHX to SRP appeared to have additional clinical benefits
compared with SRP alone in the treatment of chronic periodontitis.
periodontitis; however, it has limitations in treating deep pockets. To enhance its
efficacy, chlorhexidine (CHX) is proposed as adjunctive therapy with SRP due to its
broad antimicrobial spectrum, low systemic toxic activity in humans, absence of oral
microorganism resistance, and lack of teratogenic effects. This study aimed to know
the efficacy of the adjunctive therapy of CHX.
METHODS A literature search was conducted using various databases including PubMed,
LIVIVO, EBSCOhost, and Google Scholar, following the Preferred Reporting Items for
Systematic Review and Meta-Analyses guidelines within the last 10 years (2011–2021).
Clinical parameters such as plaque index (PI), gingival index (GI), bleeding on probing
(BOP), pocket depth (PD), and clinical attachment level (CAL) were recorded. The risk
of bias in the selected studies was assessed using Cochrane Collaboration’s Handbook
version 5.2.0.
RESULTS Of 368 studies, 10 met the inclusion criteria, with 8 of them having a higher
quality. Higher reduction of PI, GI, BI, PD, and CAL were observed in SRP with CHX
irrigation compared with SRP alone.
CONCLUSIONS Overall, adding CHX to SRP appeared to have additional clinical benefits
compared with SRP alone in the treatment of chronic periodontitis.
Creator
Agus Susanto, Nunung Rusminah, Yohana Putri Pertiwi
Source
https://doi.org/10.13181/mji.rev.236337
Date
March 06, 2023
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Agus Susanto, Nunung Rusminah, Yohana Putri Pertiwi, “Medical Journal of Indonesia Vol. 31 No. 4 2022 FKUI
Subgingival Chlorhexidine Irrigation for Scaling and Root Planing Ajunctive Therapy in Chronic Periodontitis: A Systematic Review,” Repository Horizon University Indonesia, accessed November 22, 2024, https://repository.horizon.ac.id/items/show/1092.
Subgingival Chlorhexidine Irrigation for Scaling and Root Planing Ajunctive Therapy in Chronic Periodontitis: A Systematic Review,” Repository Horizon University Indonesia, accessed November 22, 2024, https://repository.horizon.ac.id/items/show/1092.