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

http://csimg.mercamania.es/s

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

http://scielo.isciii.es/scielo.php?pid=s11

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