Chlorhexidine Gluconate – A Promising Endodontic Irrigant: A Review
نویسنده
چکیده
Local debridement in the diseased pulp space is the main step in root canal treatment to prevent the tooth from being a source of infection. In this review article, requirements for irrigating solutions, chlorhexidine as an endodontic irrigant, its mechanism of action, characteristics like substansivity, adhering property to dentin and new formulations which are chlorhexidine based are spelled out. Chemical and toxicological concerns related to their use are discussed, including different approaches to enhance local efficacy without increasing the caustic potential. Based on the actions and interactions of currently available solutions, a clinical irrigating regimen is proposed.
منابع مشابه
The effect of chlorhexidine gluconate as an endodontic irrigant on the apical seal: long-term results.
The purpose of this study was to determine whether chlorhexidine gluconate (0.12%), used as an endodontic irrigating solution, would affect the apical seal of three root canal cements. One hundred, extracted, human, single-canal teeth were divided into 9 experimental groups of 10 teeth each, in addition to a positive and negative control group of 5 teeth each. The teeth were decoronated at the ...
متن کاملTissue dissolving ability of several endodontic irrigants on bovine pulp tissue
INTRODUCTION A desirable characteristic of root canal irrigants is the ability of dissolving soft tissues. Sodium hypochlorite, an antibacterial and tissue solvent irrigant used in endodontic treatment is known to be toxic for periapical tissues. Chlorhexidine gluconate, an effective antimicrobial agent, is another irrigant with limited tissue dissolving ability. A mixture of a tetracycline iso...
متن کاملIn vitro assessment of the immediate and prolonged antimicrobial action of chlorhexidine gel as an endodontic irrigant against Enterococcus faecalis.
OBJECTIVE The aim of this study was to assess in vitro the antimicrobial activity of 2% chlorhexidine gel against Enterococcus faecalis , comparing it to other endodontic irrigants (2% chlorhexidine liquid and 5.25% sodium hypochlorite). STUDY DESIGN Eighty roots of human mandibular premolars were prepared by serial instrumentation technique, autoclaved, and contaminated for 7 days with E fae...
متن کاملEndodontic irrigants and irrigant delivery systems
Endodontic treatment is a predictable procedure with high success rates. Success depends on a number of factors, including appropriate instrumentation, successful irrigation and decontamination of the root-canal space to the apices and in areas such as isthmuses. These steps must be followed by complete obturation of the root canals, and placement of a coronal seal, prior to restorative treatme...
متن کاملComparison of Two Intracanal Irrigants’ Effect on Flare-Up in Necrotic Teeth
INTRODUCTION The aim of this study was to compare the efficacy of two irrigants on decreasing the pain and swelling at different times after treatment of necrotic pulp. MATERIALS AND METHODS Fifty patients with single canal tooth and necrotic pulp were selected and divided into two groups, twenty-five in each. Rotary files were used for preparing the canals and 0.2% chlorhexidine gluconate an...
متن کامل