title: Gingival enhancement in fixed prosthodontics. Part II: Microbiologic findings.
abstract: This study assessed the changes of the subgingival/marginal microflora during fixed prosthodontic procedures and evaluated the effect of adjunctive rinsing with 0.12% chlorhexidine on the subgingival/marginal microflora during fixed prosthodontic treatment. Thirty patients scheduled for fixed prosthodontics were randomly assigned to either rinsing with 15 ml of tap water b.i.d. (control) or rinsing with 15 ml of 0.12% chlorhexidine gluconate b.i.d. (experimental). Subgingival and marginal plaque was analyzed at baseline, before crown preparation (2 weeks), before crown cementation (5 weeks), and 2 weeks after cementation (7 weeks). The fixed prosthodontic procedures alone altered the subgingival and marginal microbiota toward a more health-associated flora. Adjunctive rinsing twice daily with 0.12% chlorhexidine had a significantly greater effect in reducing putative periodontal pathogens compared with the control regimen. This medication was a useful adjunct to regular oral hygiene during fixed prosthodontic procedures by permitting the establishment and maintenance of a microflora compatible with periodontal health.
authors.affiliation: Section of Periodontics, University of California, School of Dentistry, Los Angeles.
authors.forename: T F
authors.initials: TF
authors.lastname: Flemmig
authors.forename: J A
authors.initials: JA
authors.lastname: Sorensen
authors.forename: M G
authors.initials: MG
authors.lastname: Newman
authors.forename: S
authors.initials: S
authors.lastname: Nachnani
mesh_terms: D000328:Adult; D001419:Bacteria / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification*; D001439:Bacteroides / Q000187:drug effects / Q000302:isolation & purification; D002710:Chlorhexidine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use; D015169:Colony Count, Microbial; D003442:Crowns; D003773:Dental Plaque / Q000382:microbiology; D005260:Female; D005881:Gingiva / Q000382:microbiology*; D006801:Humans; D008297:Male; D008855:Microscopy, Electron, Scanning; D009067:Mouthwashes; D013499:Surface Properties; D013997:Time Factors
chemical_list: D009067:Mouthwashes; C010882:chlorhexidine gluconate; D002710:Chlorhexidine