Comparison of the Effect of Fluoride Varnish, Chlorhexidine Varnish and Casein Phosphopeptide- Amorphous Calcium Phosphate (CPP-ACP) Varnish on Salivary Streptococcus mutans Level: A Six Month Clinical Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Introduction: Dental caries is the most widespread disease which has a multi factorial origin. Streptococcus mutans is considered to be the chief pathogen in its development. Different varnishes are available which can be used for the prevention of the carious process. Aim: To compare the effect of fluoride varnish, chlorhexidine varnish and fluoride varnish containing Casein Phosphopeptide – Amorphous Calcium Phosphate (CPP-ACP) on salivary Streptococcus mutans count in children with mixed dentition over a period of six months. Materials and Methods: Seventy two children of age 6-12 years with mixed dentition were selected fulfilling inclusion and exclusion criteria and divided into three groups: Group I– Fluoride varnish group; Group II– Chlorhexidine varnish group; Group III– MI varnish (fluoride varnish containing CPPACP) group. After thorough oral prophylaxis and restorative treatment the varnishes were applied to the teeth once a week for four consecutive weeks in the respective groups. Salivary Streptococcus mutans count (CFU/ml of saliva) was estimated at baseline, 1 month, 3 months and 6 months after varnish application. Bonferroni post-hoc test and paired t-test for inter group and intra group comparison was used in the study. Results: A statistically significant reduction in salivary S. mutans colony count was seen with all three groups at all the different time intervals. Maximum reduction was noted in chlorhexidine varnish group at all the intervals after varnish application. Conclusion: Prevention of dental caries plays a vital role in paediatric dental practice. The use of dental varnish has proved to be effective in reducing the dental caries. Chlorhexidine varnish was found to show maximum reduction in salivary S. mutans count for six month period, when compared to MI varnish and fluoride varnish. Thus, chlorhexidine varnish can be used as potent caries inhibiting agent and promote good oral health.
Authors and Affiliations
Punit Manish Patel, Shivayogi M Hugar, Seema Halikerimath, Chandrashekhar M Badakar, Niraj S GokhAle, Prachi J Thakkar, Divyata Kohli, Shreyas Shah
Keywords
Related Articles
- EP ID EP361954
- DOI 10.7860/JCDR/2017/26541.10409
- Views 38
- Downloads 0
Impact of Educational Intervention on Quality of Discharge Summaries
ABSTRACT Introduction: Immaculate and timely communication among healthcare providers is crucial for continuity of care. Discharge summaries are commonly used for communication among different healthcare facilities. Def...
Raman Microspectrometry: An Alternative Method of Age Estimation from Dentin and Cementum
Introduction: Raman spectroscopy is simple, quick, sensitive and non destructive form of tissue examination that provides vital data about the structure, molecular composition and interactions within a sample. The human...
An Improved Osmotic Fragility Protocol for Screening of Beta Thalassaemia Carriers in Remote and Resource Limited Settings
Introduction: In a vast country like India where beta thalassaemia is a health burden and majority of the population reside in rural regions, a simple and economic primary screening test is vital. Aim: To modify the exis...
Dengue Haemorrhagic Encephalitis: Rare Case Report with Review of Literature
Dengue is an endemic arboviral infection prevalent especially in tropical countries including Southern and Southeast Asia. Central Nervous System (CNS) involvement in dengue infection is uncommon. Haemorrhagic encephalit...
Comparison of Effect of Lavandula officinalis and Venlafaxine in Treating Depression: A Double Blind Clinical Trial
Introduction: Major depressive disorder is a chronic disease which may be associated with other mental illnesses. Lavandula officinalis and venlafaxine, herbal and chemical drugs respectively, are used to treat depressio...