Povidone-iodine's effects and role in the management of periodontal diseases: a review.
This review article addresses the effects of povidone-iodine (PVP-I) and its utility in the treatment of periodontal diseases. There are data to support the following statements: PVP-I is a potent antiseptic and, when used as a component in a rinse with H202, the rinse can decrease the level of gingivitis. With regards to patients with adult periodontitis, there is some evidence to indicate that PVP-I delivered via an ultrasonic device achieves better results in deep pockets than ultrasonic debridement when water is the irrigant. The benefits of PVP-I in the treatment of refractory periodontitis are unclear. Subgingival irrigation with PVP-I may reduce the incidence of bacteremia if it is employed as a pre-procedural intrasulcular irrigant; however, this technique is not recommended for high-risk patients. PVP-I is a safe antiseptic and does not appear to impede wound healing or induce resistant bacteria. It is an approved drug whose intraoral use is an unlabeled indication. In conclusion, the literature suggests that utilization of PVP-I is potentially beneficial in the management of some periodontal diseases. However, additional clinical trials are needed to verify this assessment, since it is based upon a limited number of studies.
Greenstein
G
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University of Medicine and Dentistry of New Jersey, Newark, USA.
D000891:Anti-Infective Agents, Local / Q000494:pharmacology / Q000627:therapeutic use*; D016470:Bacteremia / Q000523:psychology; D001419:Bacteria / Q000187:drug effects; D004348:Drug Labeling; D005891:Gingivitis / Q000188:drug therapy*; D006801:Humans; D009067:Mouthwashes / Q000627:therapeutic use; D010518:Periodontitis / Q000188:drug therapy*; D011206:Povidone-Iodine / Q000494:pharmacology / Q000627:therapeutic use*; D007507:Therapeutic Irrigation
D000891:Anti-Infective Agents, Local; D009067:Mouthwashes; D011206:Povidone-Iodine