title: Chlorhexidine with an Anti Discoloration System. A comparative study.
abstract: Correct oral hygiene is believed to be the basis of primary and secondary prevention. Sometimes, using a toothbrush or other mechanical instruments for oral hygiene may be difficult and it may become necessary to use an antiseptic. Chlorhexidine is an essential component in many available preparations on sale, because of its marked antiseptic qualities. One of the most frequent side-effects is the appearance of stains on the teeth and mucous membranes, which particularly disturbs the patient. A new mouthwash containing chlorhexidine has recently become available, besides maintaining its antiseptic qualities, also avoids the side-effect of staining.
  
  
  OBJECTIVE
  The aim of this study was to check the capacity of the new mouthwash, which contains chlorhexidine and Anti Discoloration System (ADS), not only to prevent plaque formation like the other mouthwashes containing chlorhexidine but also to avoid staining that is one of the most frequent side-effects.
  
  
  METHODS
  The comparative study was carried out on a sample of 15 patients treated with two mouthwashes both containing 0.2% chlorhexidine, but different in that the first does not contain ADS, which is instead present in the second, a new product. The results obtained show that in the 15 patients treated, there is no statistically significant difference in the ability of the mouthwash to prevent bacterial plaque, however evidence of the stain was much less with the new mouthwash.
authors.affiliation: Department of Dental Sciences, Degree course for Dental Hygienists, Alma Mater Studiorum, University of Bologna, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Bernardi
authors.forename: M R
authors.initials: MR
authors.lastname: Pincelli
authors.forename: S
authors.initials: S
authors.lastname: Carloni
authors.forename: M R
authors.initials: MR
authors.lastname: Gatto
authors.forename: L
authors.initials: L
authors.lastname: Montebugnoli
mesh_terms: D000328:Adult; D000891:Anti-Infective Agents, Local / Q000009:adverse effects*; D001205:Ascorbic Acid / Q000627:therapeutic use; D002626:Chemistry, Pharmaceutical; D002710:Chlorhexidine / Q000009:adverse effects*; D003124:Colorimetry; D003773:Dental Plaque / Q000517:prevention & control; D003774:Dental Plaque Index; D005260:Female; D016166:Free Radical Scavengers / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009067:Mouthwashes / Q000009:adverse effects* / Q000737:chemistry; D010512:Periodontal Index; D010592:Pharmaceutic Aids / Q000627:therapeutic use; D016037:Single-Blind Method; D013447:Sulfites / Q000627:therapeutic use; D014070:Tooth / Q000187:drug effects / Q000473:pathology; D019237:Tooth Cervix / Q000187:drug effects / Q000473:pathology; D014075:Tooth Discoloration / Q000139:chemically induced / Q000517:prevention & control*
chemical_list: D000891:Anti-Infective Agents, Local; D016166:Free Radical Scavengers; D009067:Mouthwashes; D010592:Pharmaceutic Aids; D013447:Sulfites; C005200:sodium metabisulfite; D001205:Ascorbic Acid; D002710:Chlorhexidine