title: Anti-plaque effect of tempered 0.2% chlorhexidine rinse: an in vivo study.
abstract: OBJECTIVE
  The aim of this in vivo study was to compare the anti-plaque effect of warm and cold chlorhexidine gluconate irrigation on matured human plaque.
  
  
  METHODS
  In a split-mouth design, the antibacterial effect of 47 degrees C "warm" 0.2% chlorhexidine solution was compared with that of 18 degrees C "cold" rinse at the same concentration on newly-formed supragingival plaque that had been left undisturbed for 72 h. Before and 1 h after a 1-min rinse procedure, plaque was sampled from 10 test persons and vitality determined using vital fluorescence technique.
  
  
  RESULTS
  Cold and warm 0.2% chlorhexidine solution reduced plaque vitality significantly from 99.63% to 77.81% (p=0.014) and from 98.98% to 51.77% (p<0.001), respectively. Rinsing with warm chlorhexidine solution reduced plaque vitality to a significantly greater degree (p=0.003) than did cold chlorhexidine.
  
  
  CONCLUSIONS
  In this study, warm 0.2% chlorhexidine rinse showed a significantly more intensive anti-plaque effect than cold chlorhexidine solution at the same concentration.
authors.affiliation: Department of Periodontology, Dental School, University of Kiel, Germany.
authors.forename: Jörgen
authors.initials: J
authors.lastname: König
authors.forename: Volker
authors.initials: V
authors.lastname: Storcks
authors.forename: Thomas
authors.initials: T
authors.lastname: Kocher
authors.forename: Klaus
authors.initials: K
authors.lastname: Bössmann
authors.forename: Hans-Christian
authors.initials: HC
authors.lastname: Plagmann
mesh_terms: D000328:Adult; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D001419:Bacteria / Q000187:drug effects; D002710:Chlorhexidine / Q000008:administration & dosage* / Q000031:analogs & derivatives*; D003773:Dental Plaque / Q000188:drug therapy* / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D009067:Mouthwashes / Q000627:therapeutic use*; D018709:Statistics, Nonparametric; D013696:Temperature
chemical_list: D000891:Anti-Infective Agents, Local; D009067:Mouthwashes; C010882:chlorhexidine gluconate; D002710:Chlorhexidine