scholarly journals Comparative Evaluation of Root Surface Changes by Air-Polishing using Glycine and Chlorhexidine Acetate Powder: An in-vitro Study

Author(s):  
Hardi Rajanbhai Shukla ◽  
Aditi Mathur ◽  
Neema Shetty ◽  
Barkha Makhijani ◽  
Balaji Manohar

Background: Biofilm removal is the central part of the etiotropic and maintenance phase of periodontal therapy. Commercially available injection water jets such as Prophy-Jet allows an efficient and convenient biofilm removal as an adjunct to mechanical periodontal therapy. But, due to the abrasive nature of traditionally used air polishing powders such as sodium bicarbonate, there is a continuous research going on for less abrasive materials. Aims: To compare the effectiveness of air polishing using glycine powder and chlorhexidine acetate powder on tooth surface as compared to ultrasonic scaling and also to evaluate the time taken for stain removal. Materials and Methods: Thirty fully erupted, single rooted teeth extracted due to poor periodontal prognosis were used in this in-vitro study. The sample teeth were divided into 3 equal groups and stained in coffee solution. The test Groups A and B underwent air-polishing with glycine powder and chlorhexidine acetate powder respectively. Group C was control group and underwent ultrasonic scaling. Time taken for stain removal was recorded. The sample teeth were also evaluated under a stereo-microscope and digital micrometer preprocedurally and post-procedurally to measure surface changes. Results: The study showed statistically significant results (p<0.05) when measurements of changes in surface roughness of samples treated with glycine powder air-polishing were compared with ultrasonic scaling and chlorhexidine acetate powder air-polishing were compared with ultrasonic scaling. Surface texture loss as well as time taken for stain removal was minimum with glycine powder and maximum with ultrasonic scaling. Conclusion: Air-polishing with glycine powder was least abrasive on root surface followed by chlorhexidine acetate powder air-polishing. This is because of the lower particle size of glycine which also covers larger area in lesser time.  

2014 ◽  
Vol 85 (11) ◽  
pp. e363-e369 ◽  
Author(s):  
Lorenzo Drago ◽  
Massimo Del Fabbro ◽  
Monica Bortolin ◽  
Christian Vassena ◽  
Elena De Vecchi ◽  
...  

Antibiotics ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. 179 ◽  
Author(s):  
Pier Carmine Passarelli ◽  
Marta De Leonardis ◽  
Giovan Battista Piccirillo ◽  
Viviana Desantis ◽  
Raffaele Papa ◽  
...  

Background: Peri-implantitis is an inflammatory disease with an increasing diffusion rate which can affect the long-term survival of a prosthetic rehabilitation. The present study focused on the decontaminating efficacy of chlorhexidine and air polishing system with sodium bicarbonate powder against Candida albicans, a microorganism which seems to have a superinfecting opportunistic role in the pathology. The aim of the authors was to investigate and compare the effectiveness of these treatments, commonly used in clinical practice. Methods: An in vitro study was conducted to analyze the effects of two widely used therapeutic aids for the disinfection of affected titanium implants: chlorhexidine (CHX) and air polishing with sodium bicarbonate powder (P). A qualitative and quantitative comparative analysis of the residual biofilm was carried out using a colorimetric assay (XTT) and scanning electron microscopy (SEM) observation. The experiment was conducted both on machined titanium surfaces and on rough sandblasted ones with the aim of bringing out differences in the therapeutic outcomes concerning the superficial texture of the implant. The null hypothesis was that no difference could be detected between the samples, regarding both the treatments performed and the nano-structural features of titanium. Results: The best results (on both types of implant surfaces) were obtained when combining the use of chlorhexidine and air polishing (C + P). A linear decrease in the optical density (OD) values recorded at three different time points (30 s, 1 min, 5 min) was also observed passing from the first to the last one. When observed under scanning electron microscope rough surfaces showed an extensive and highly structured biofilm, more complex if compared to the one encountered when analyzing machined implants. Conclusions: the present pilot study showed that rough surfaces can promote fungal adhesion and eventually hinder the outcome of a decontaminating treatment. For this purpose, the physio-chemical technique is always more efficient if compared to a single-technique approach regardless of the surface characteristics.


1985 ◽  
Vol 64 (5) ◽  
pp. 804-809 ◽  
Author(s):  
P. Phankosol ◽  
R.L. Ettinger ◽  
M.J. Hicks ◽  
J.S. Wefel

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