Anti Disclosing Chlorhexidine Mouthwash Versus Chlorhexidine Mouthwash in Orthodontic Patients: A Comparative Clinical Study

The goal of this study is to evaluate the clinical efficacy and degreeof staining recent mouthwash Chlorhexidine with an antidiscoloration system (ADS) versus Chlorhexidine mouthwash (conventional) in orthodontic fixed bracket patients.

This comparative study is carried out on a sampleof 50 orthodontic patient under going fixed brackets therapy at Department of Dentistry, Patna Medical College & Hospital, Patna, Bihar. All patients used either0.2% chlorhexidine mouthwash with ADS (bottle A) or0.2% chlorhexidine (bottle B) for 21 days. Each patient first rinsed with a randomly assigned mouthwashfor 21 days followed by a 15-day washout period. Subsequently, each patient used a second mouthwash. Beforeeach cycle, a full oral prophylaxis was performed. Clinical efficacy and degree of staining was evaluated using parameter in the plaque, gingival, and Brecx staining indexes.

The results showed less tooth staining with the testgroup (P <0.01). No statistically significant differences wereobserved in plaque accumulation (P = 0.1496) and gingival indexes (P =0.1688). Seventy-nine percent of patients followed the instructionsoutlined in the protocol of study. In terms of other adverseeffects, four patients reported a bad taste with both mouthwashes.

The test group with chlorhexidine with antidiscoloration system had less stainingthan the control group with chlorhexidine during a usage period of 21 days in patients undergoing orthodontic fixed bracket therapy. However, the two mouthwashes seems to be equally effective in antiplaque and antigingivitis activities.