Chlorhexidine controlled-release profile after EDTA root surface etching: an in vivo study

J Periodontol. 2011 May;82(5):751-7. doi: 10.1902/jop.2010.100523. Epub 2010 Nov 23.

Abstract

Background: The main objective of the present study was to quantify chlorhexidine (CHX) release after the use of CHX-EDTA root surface treatment as a local-delivery antimicrobial vehicle.

Methods: Twenty non-smoking patients clinically diagnosed as having moderate-to-severe chronic periodontitis were selected to participate in this study. After cause-related therapy, one site in every patient received defect overfill with CHX gel 2% (20 sites). In addition, twenty contralateral sites received defect fill of CHX gel after 3 minutes of 24% EDTA gel root surface etching (20 sites). Gingival crevicular fluid samples were collected at 1, 3, 7, and 14 days post-therapy.

Results: The CHX-EDTA group showed statistically significantly higher levels of CHX than those of the control group at 1, 3, and 7 days. At 14 days, the CHX-EDTA group showed 0.8 mg/mL values.

Conclusion: The use of CHX-EDTA root surface treatment as a local-delivery antimicrobial improves CHX substantivity.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental / methods*
  • Adult
  • Alveolar Bone Loss / drug therapy
  • Alveolar Bone Loss / therapy
  • Anti-Infective Agents, Local / administration & dosage*
  • Chelating Agents / therapeutic use*
  • Chlorhexidine / administration & dosage*
  • Chromatography, High Pressure Liquid
  • Chronic Periodontitis / drug therapy*
  • Chronic Periodontitis / therapy
  • Delayed-Action Preparations
  • Dental Plaque Index
  • Dental Scaling
  • Edetic Acid / therapeutic use*
  • Female
  • Follow-Up Studies
  • Gingival Crevicular Fluid / chemistry
  • Humans
  • Male
  • Middle Aged
  • Oral Hygiene
  • Periodontal Attachment Loss / drug therapy
  • Periodontal Attachment Loss / therapy
  • Periodontal Index
  • Periodontal Pocket / drug therapy
  • Periodontal Pocket / therapy
  • Root Planing
  • Subgingival Curettage
  • Tooth Root / drug effects*

Substances

  • Anti-Infective Agents, Local
  • Chelating Agents
  • Delayed-Action Preparations
  • Edetic Acid
  • Chlorhexidine