clorhexidine
DESCRIPTION
TRANSCRIPT
UNIVERSIDAD AUTÓNOMA DE CIUDAD JUÁREZ
CLORHEXIDINE
DRA. AMARIS MENDOZA ASTRAIN
DR. ALFREDO NEVAREZ RASCÓN
History
Chlorhexidine developed in the 1940s in England,
and was released in 1954 as an antiseptic for skin
wounds. Use in dentistry,initially for disinfection
of the mouth, and from 1970 he popularized the use
of chlorhexidine mouthwash capable of inhibiting the
formation of plaque and gingivitis development.
Chlorhexidine needs to be protected from
light as it breaks easily.
At high temperatures and decomposes
into chloroaniline the presence of organic
matter not inactive
composition
Chlorhexidine
is an antiseptic bisbiguanidico. This compound
is a strong base and dicationica at pH
levels over 3.5. Nature dicatiónicaof
chlorhexidine makes it
extremely interactive with anions, which
isrelevant to their efficacy, safety and local
side effects.
uses in dentistry
Oral infections for various reasons including those
produced by rubbing of dentures
Prevention of infection in oral surgery
Chemotherapeutic prevention of dental caries
As a disinfectant of cavities prior to sealing
Commercial Presentations
Spray
Gel
mouthwash
Fig. 1
http://www.lacer.es/wps/wcm/connect/04ff9a00463daaf
0926e9bc9bb9f72a0/30
Chlorhexidine spray
It has been marketed spray
chlorhedine to the 0.1% and 0.2%
Prevention and treatment
of gingivitis
Very delicate state of the
gingiva: Lets you
apply chlorhexidinewithout
touching the affected area
When rinsing is painful
Special Patients (physical or
mental disabilities)
Fig 2
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rv/ES/29045327247742/T/34
0x340/C/FFFFFF/url/lacer-
clorhexidina-spray-40.jpg
Chlorhexidine Gel
The gel allows the
selection of sites
affected, leaving the
healthy free,
thus increasing the
safety
margin, chlorhexidine g
els are suitable for
prevention and care
of critical areas.
Fig. 3
http://www.farmahouse.com/images/clorh
exidina%20gel.JPG
Chlorhexidine mouthwash
Is used in
concentrations of 0.12 to 0.2%, Indications of rinses
Cases of excessive formation of plaque.
Prevention in the treatment of gingivitis.
People with difficulty performing normal dental hygiene.
Mouthwash before or after surgery.
Prevention of dental caries.
Fig 4
http://www.dermofactory.com/160617
6-1155-thickbox/lacer-clorhexidina-
colutorio-200-ml.jpg
Precautions
It is exclusively for local use and not be swallowed
You can leave a bitter taste after application will be enhanced if the mouth is rinsed immediately
Dilute reduces its antimicrobial effect
Do not use continuously for more than 2-3 months, and always underprofessional supervision, as it may have unwanted side effects.
side effects
The adverse effects of this are usually mild and
transient inspecial brown spots on the teeth,
tongue, prosthesis and silicate and
resin restorations and temporary alteration of taste
perception and scaling of the oral mucosa.
trademarks
Paroex.
Cariax gingival.
PerioAid alcohol-free.
Lacer.
Eludril
Fig. 5
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38123x2005000400007&script=sci_artt
ext
advantage
Bactericidal action: antimicrobial effects as good as sodium
hypochlorite
relatively inocua
It has no unpleasant odo
Residual activity of several hours after instrumentation
Easy storage and handling
low toxicity
Disadvantages
Staining of the teeth
staining lingual
Bitter, metallic taste
Possible peeling of the oral mucosa
Stains are accentuated if the patient drinks red
wine, coffee, tea, and a smoking
Bibliography
http://www.odontologosecuador.com/espanol/artodontologos
/gluconato_dental.htm
http://www.encolombia.com/odontologia/odontonet/monogra
fia-clorhexidina4.htm
http://scielo.isciii.es/scielo.php?pid=s1138-
123x2005000400007&script=sci_arttext