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A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis

Jan Cosyn (UGent) and Iris Wyn
(2006) JOURNAL OF PERIODONTOLOGY. 77(2). p.257-264
Author
Organization
Abstract
Background: Several local antimicrobial agents, such as a bioabsorbable chlorhexidine chip, have been developed to enhance the outcome of non-surgical periodontal therapy. Methods: Electronic (MEDLINE and Cochrane Oral Health Group Specialized Trials Register) and manual searches were performed to detect studies concerning the use of the chlorhexidine chip as an adjunct to scaling and root planing in the treatment of chronic periodontitis. Only full-text randomized controlled trials published in English up to June 2005 were included. Results: Five studies were finally selected following independent screening by two reviewers. Due to considerable heterogeneity in study design, a qualitative data analysis was performed. Multicenter studies have indicated significantly higher pocket reductions and clinical attachment gains following a combination of mechanical debridement and repeated chlorhexidine chip administration in comparison to scaling and root planing alone. However, some recent studies failed to confirm the additional value of the chlorhexidine chip. A number of interstudy disparities with respect to methodological quality and study design may account for this lack of accordance. Conclusions: The clinical and microbiological data currently available on the chlorhexidine chip are limited and conflicting. More research is needed to elucidate the additional value of the chlorhexidine chip when used as an adjunct to scaling and root planing.
Keywords
dental scaling, chlorhexidine, periodontitis, root planing, subgingival, systematic review, CONTROLLED-RELEASE CHLORHEXIDINE, SUBGINGIVAL ANTIMICROBIAL IRRIGATION, LOCALLY-DELIVERED CHLORHEXIDINE, GINGIVAL CREVICULAR FLUID, STANNOUS FLUORIDE GEL, ACTINOBACILLUS-ACTINOMYCETEMCOMITANS, PORPHYROMONAS-GINGIVALIS, ADULT PERIODONTITIS, CLINICAL-PARAMETERS, PROBING DEPTH

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Citation

Please use this url to cite or link to this publication:

MLA
Cosyn, Jan, and Iris Wyn. “A Systematic Review on the Effects of the Chlorhexidine Chip When Used as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis.” JOURNAL OF PERIODONTOLOGY 77.2 (2006): 257–264. Print.
APA
Cosyn, J., & Wyn, I. (2006). A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis. JOURNAL OF PERIODONTOLOGY, 77(2), 257–264.
Chicago author-date
Cosyn, Jan, and Iris Wyn. 2006. “A Systematic Review on the Effects of the Chlorhexidine Chip When Used as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis.” Journal of Periodontology 77 (2): 257–264.
Chicago author-date (all authors)
Cosyn, Jan, and Iris Wyn. 2006. “A Systematic Review on the Effects of the Chlorhexidine Chip When Used as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis.” Journal of Periodontology 77 (2): 257–264.
Vancouver
1.
Cosyn J, Wyn I. A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis. JOURNAL OF PERIODONTOLOGY. 2006;77(2):257–64.
IEEE
[1]
J. Cosyn and I. Wyn, “A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis,” JOURNAL OF PERIODONTOLOGY, vol. 77, no. 2, pp. 257–264, 2006.
@article{855118,
  abstract     = {Background: Several local antimicrobial agents, such as a bioabsorbable chlorhexidine chip, have been developed to enhance the outcome of non-surgical periodontal therapy. 
Methods: Electronic (MEDLINE and Cochrane Oral Health Group Specialized Trials Register) and manual searches were performed to detect studies concerning the use of the chlorhexidine chip as an adjunct to scaling and root planing in the treatment of chronic periodontitis. Only full-text randomized controlled trials published in English up to June 2005 were included. 
Results: Five studies were finally selected following independent screening by two reviewers. Due to considerable heterogeneity in study design, a qualitative data analysis was performed. Multicenter studies have indicated significantly higher pocket reductions and clinical attachment gains following a combination of mechanical debridement and repeated chlorhexidine chip administration in comparison to scaling and root planing alone. However, some recent studies failed to confirm the additional value of the chlorhexidine chip. A number of interstudy disparities with respect to methodological quality and study design may account for this lack of accordance. 
Conclusions: The clinical and microbiological data currently available on the chlorhexidine chip are limited and conflicting. More research is needed to elucidate the additional value of the chlorhexidine chip when used as an adjunct to scaling and root planing.},
  author       = {Cosyn, Jan and Wyn, Iris},
  issn         = {0022-3492},
  journal      = {JOURNAL OF PERIODONTOLOGY},
  keywords     = {dental scaling,chlorhexidine,periodontitis,root planing,subgingival,systematic review,CONTROLLED-RELEASE CHLORHEXIDINE,SUBGINGIVAL ANTIMICROBIAL IRRIGATION,LOCALLY-DELIVERED CHLORHEXIDINE,GINGIVAL CREVICULAR FLUID,STANNOUS FLUORIDE GEL,ACTINOBACILLUS-ACTINOMYCETEMCOMITANS,PORPHYROMONAS-GINGIVALIS,ADULT PERIODONTITIS,CLINICAL-PARAMETERS,PROBING DEPTH},
  language     = {eng},
  number       = {2},
  pages        = {257--264},
  title        = {A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis},
  url          = {http://dx.doi.org/10.1902/jop.2006.050216},
  volume       = {77},
  year         = {2006},
}

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