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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
Journals - Article | |
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Česky / Czech version | Prakt. zub. Lék., 2000, roč. 48, č. 2, s. |
Regulation of Cariogennic Flora in
Children after the Topical Application of Chlorhexidine with Regard to
Bacteriological Findings and Caries Increment; a three-year-clinical Trial Dušková J., Broukal Z., Roušalová M. Výzkumný ústav stomatologický VFN, Praha, |
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Summary: The effect of repeated topical application of chlorhexidine (CLX)-containing
varnish was evaluated in a three-year-clinical trial. The study was conducted on a group of
children (aged 14–17) with high caries experience (DMFT §§§ 5). The CLX containing varnish
CERVITEC (Vivadent) was applied in six-month-time intervals and patients were repeatedly
examined clinically and bacteriologically (salivary mutans streptococci and lactobacilli). Re-
sults showed that repeated application of CERVITEC varnish significantly decreased caries
increment and improved gingival status and oral hygiene when compared with findings in the
control group without CLX application. Screening evaluation of salivary levels of cariogennic
bacteria did not reveal reproducible and sufficient predictive value. The topical antibacterial
prophylaxis of caries by the CLX containing varnish is an effective and safe method suitable
as an adjunct means to oral hygiene and fluoride prevention in individuals at higher risk of
dental caries.
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