Abstract
Aim:To evaluate and compare the efficacy of pre-procedural mouth rinses in reducing microbial content of aerosol product during ultrasonic-scaling procedures by viable bacterial count.Materials And Methods:5 patients were assigned in each group: A- Neem, B -CHX, C-Triphala, D - Control Group.In Group A, B, C -Patient were asked to rinse their mouth with 10 ml mouthwash for 30 seconds before SRP, of which A and C are self- prepared herbal mouthwashes i.e Triphala and Neem. Aerosol will be collected, cultured and incubated on blood agar plates at specified sites from operator. CFU will be counted and result will be assessed statistically. Conclusion: The study suggests that 10 ml of Neem Mouth rinse when used 10 minutes prior to ultrasonic scaling is more potent in reducing the aerosol contamination as compared to the Triphala mouth rinse and commercially available 0.2 % Chlorhexidine mouthrinse. Also the reduction in aerosol content was seen in Tray location when rinsed with CHX and aerosol reduction in Spitoon and Chest location while rinsing with Neem mouthrinse.
Highlights
Aim:To evaluate and compare the efficacy of pre-procedural mouth rinses in reducing microbial content of aerosol product during ultrasonic-scaling procedures by viable bacterial count.Materials And Methods:[5] patients were assigned in each group: A- Neem, B -CHX, C-Triphala, D - Control Group.In Group A, B, C -Patient were asked to rinse their mouth with 10 ml mouthwash for 30 seconds before SRP, of which A and C are self- prepared herbal mouthwashes i.e Triphala and Neem
The study suggests that 10 ml of Neem Mouth rinse when used 10 minutes prior to ultrasonic scaling is more potent in reducing the aerosol contamination as compared to the Triphala mouth rinse and commercially available 0.2 % Chlorhexidine mouthrinse
Chlorhexidine (CHX) is still considered the gold standard antimicrobial mouthmash because of its broad spectrum of the bacterial activity and prolonged substantivity .(7) But it has some side effects, notably tooth staining, taste alteration, supragingival calculus formation and, less commonly, desquamation of the oral mucosa.(8)On the other hand, herbal mouth rinses with their natural ingredients offer a safe and effective option that should be made use of in the most favourable way.(9) Chlorhexidine was compared with Triphala and Neem mouth wash as a preprocedural rinse.Triphala is a well known powdered preparation being used in Ayurveda and it consists of equal parts of the Embica Officinalis (Amalaki), Terminalia Chebula (Harritaki) and Terminalia (Vibhitaki)
Summary
The growth of infectious microorganisms within aerosols is identified as an important health risk linked with specific occupations.(1)Inspite of the efforts made to bring down these health hazards, they are inevitable in the work place by nature of the profession.(2) Most of the procedures carried out in the mouth, leads in the formation of aerosol and splatters which are usually mixed with bacteria, fungi, protozoa and even blood borne viruses.(3)The terms “aerosol and splatter” in dental enviornment were put forward by Micik in their pioneering work on aerobiology.(4)The microbial aerosol per concentrations in dental treatment rooms were related more with scaling procedures and to a minor extent with cavity preparation.(5)These aerosols may be inhaled into the lungs and reach the alveoli, or they may come in contact with the skin or mucous membranes result into infection.As suggested by Harrel and Molinari, the three levels of shield in the minimization of aerosols are the usage of:Personal Protective barrier such as masks, Chlorhexidine (CHX) is still considered the gold standard antimicrobial mouthmash because of its broad spectrum of the bacterial activity and prolonged substantivity .(7) But it has some side effects, notably tooth staining, taste alteration, supragingival calculus formation and, less commonly, desquamation of the oral mucosa.(8)On the other hand, herbal mouth rinses with their natural ingredients offer a safe and effective option that should be made use of in the most favourable way.(9) Chlorhexidine was compared with Triphala and Neem mouth wash as a preprocedural rinse.Triphala is a well known powdered preparation being used in Ayurveda and it consists of equal parts of the Embica Officinalis (Amalaki), Terminalia Chebula (Harritaki) and Terminalia (Vibhitaki). This study was aimed to evaluate the effectiveness of Chlorhexidine and Prepared Herbal mouth rinses on the reduction of aerosol contamination produced by ultrasonic scalerAIM: To evaluate and compare the efficacy of preprocedural mouth rinses (Neem, Triphala, Chlorhexidine digluconate) in reducing microbial content of aerosol product during ultrasonic-scaling procedures by viable bacterial count.
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