The effects of an immediately pre-surgical chlorhexidine oral rinse on the bacterial contaminants of bone debris collected during dental implant surgery.
Identifieur interne : 008164 ( Main/Exploration ); précédent : 008163; suivant : 008165The effects of an immediately pre-surgical chlorhexidine oral rinse on the bacterial contaminants of bone debris collected during dental implant surgery.
Auteurs : Malcolm P J. Young [Royaume-Uni] ; May Korachi ; Duncan H. Carter ; Helen V. Worthington ; James F. Mccord ; David B. DruckerSource :
- Clinical oral implants research [ 0905-7161 ] ; 2002.
Descripteurs français
- KwdFr :
- Actinomyces (), Adulte d'âge moyen, Anti-infectieux locaux (administration et posologie), Anti-infectieux locaux (usage thérapeutique), Aspiration (technique) (), Bactéries (), Bactéries à Gram positif (), Bains de bouche (usage thérapeutique), Chlorhexidine (administration et posologie), Chlorhexidine (analogues et dérivés), Chlorhexidine (usage thérapeutique), Clostridium (), Femelle, Fusobacterium (), Humains, Maxillaire (), Maxillaire (microbiologie), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (microbiologie), Mâle, Numération de colonies microbiennes, Peptostreptococcus (), Pose d'implant dentaire endo-osseux (microbiologie), Prevotella intermedia (croissance et développement), Propionibacterium (), Résistance bactérienne aux médicaments, Soins préopératoires, Staphylococcus (), Statistique non paramétrique, Streptococcus (), Transplantation osseuse ().
- MESH :
- administration et posologie : Anti-infectieux locaux, Chlorhexidine.
- analogues et dérivés : Chlorhexidine.
- croissance et développement : Prevotella intermedia.
- microbiologie : Maxillaire, Mâchoire partiellement édentée, Pose d'implant dentaire endo-osseux.
- usage thérapeutique : Anti-infectieux locaux, Bains de bouche, Chlorhexidine.
- Actinomyces, Adulte d'âge moyen, Aspiration (technique), Bactéries, Bactéries à Gram positif, Clostridium, Femelle, Fusobacterium, Humains, Maxillaire, Mâchoire partiellement édentée, Mâle, Numération de colonies microbiennes, Peptostreptococcus, Propionibacterium, Résistance bactérienne aux médicaments, Soins préopératoires, Staphylococcus, Statistique non paramétrique, Streptococcus, Transplantation osseuse.
English descriptors
- KwdEn :
- Actinomyces (classification), Anti-Infective Agents, Local (administration & dosage), Anti-Infective Agents, Local (therapeutic use), Bacteria (classification), Bacteria (drug effects), Bone Transplantation (methods), Chlorhexidine (administration & dosage), Chlorhexidine (analogs & derivatives), Chlorhexidine (therapeutic use), Clostridium (classification), Colony Count, Microbial, Dental Implantation, Endosseous (microbiology), Drug Resistance, Bacterial, Female, Fusobacterium (classification), Gram-Positive Bacteria (classification), Humans, Jaw, Edentulous, Partially (microbiology), Jaw, Edentulous, Partially (surgery), Male, Maxilla (microbiology), Maxilla (surgery), Middle Aged, Mouthwashes (therapeutic use), Peptostreptococcus (classification), Preoperative Care, Prevotella intermedia (growth & development), Propionibacterium (classification), Staphylococcus (classification), Statistics, Nonparametric, Streptococcus (classification), Suction (methods).
- MESH :
- chemical , administration & dosage : Anti-Infective Agents, Local, Chlorhexidine.
- chemical , analogs & derivatives : Chlorhexidine.
- classification : Actinomyces, Bacteria, Clostridium, Fusobacterium, Gram-Positive Bacteria, Peptostreptococcus, Propionibacterium, Staphylococcus, Streptococcus.
- drug effects : Bacteria.
- growth & development : Prevotella intermedia.
- methods : Bone Transplantation, Suction.
- microbiology : Dental Implantation, Endosseous, Jaw, Edentulous, Partially, Maxilla.
- surgery : Jaw, Edentulous, Partially, Maxilla.
- chemical , therapeutic use : Anti-Infective Agents, Local, Chlorhexidine, Mouthwashes.
- Colony Count, Microbial, Drug Resistance, Bacterial, Female, Humans, Male, Middle Aged, Preoperative Care, Statistics, Nonparametric.
Abstract
Dental implant surgery produces bone debris that can be used in the "simultaneous augmentation" technique. Although this debris is contaminated with oral bacteria, a stringent aspiration protocol has been shown to reduce the levels of contamination. Chlorhexidine mouthrinse is a well-proven antibacterial rinse that has been shown to reduce infectious complications associated with dental implants. This study examined the effect of pre-operative rinsing with a 0.1% chlorhexidine digluconate mouthrinse on the bacterial contaminants present in collected bone debris bone (CBD). Twenty partially edentate patients were randomly allocated into equal groups and underwent bone collection using the Frios Bone Collector (FBC) during the insertion of two dental implants. In group T a pre-operative chlorhexidine rinse was used, whilst in group C sterile water was used. For both groups, a stringent bone collection protocol was used. Bone samples were immediately transported for microbial analysis. Colonial and microscopic morphology, gaseous requirements and identification kits were utilised for identification of the isolated microbes. Thirty-nine species were identified including a number associated with disease, in particular Actinomyces odontolyticus, Clostridium bifermentans, Prevotella intermedia, and Propionibacterium propionicum. Samples from group T (chlorhexidine mouthrinse) yielded significantly fewer organisms (P < 0.001) than in group C (sterile water mouthrinse). Gram-positive cocci dominated the isolates from both groups. It is concluded that if bone debris is to be used for the purpose of immediate simultaneous augmentation, a preoperative chlorhexidine mouthrinse should be utilised in conjunction with a stringent aspiration protocol to reduce further the bacterial contamination of CBD.
PubMed: 12005141
Affiliations:
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Worthington</name></author><author><name sortKey="Mccord, James F" sort="Mccord, James F" uniqKey="Mccord J" first="James F" last="Mccord">James F. Mccord</name></author><author><name sortKey="Drucker, David B" sort="Drucker, David B" uniqKey="Drucker D" first="David B" last="Drucker">David B. 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Bacteria (classification)</term><term>Humans</term><term>Jaw, Edentulous, Partially (microbiology)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Maxilla (microbiology)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Mouthwashes (therapeutic use)</term><term>Peptostreptococcus (classification)</term><term>Preoperative Care</term><term>Prevotella intermedia (growth & development)</term><term>Propionibacterium (classification)</term><term>Staphylococcus (classification)</term><term>Statistics, Nonparametric</term><term>Streptococcus (classification)</term><term>Suction (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Actinomyces ()</term><term>Adulte d'âge moyen</term><term>Anti-infectieux locaux (administration et posologie)</term><term>Anti-infectieux locaux (usage thérapeutique)</term><term>Aspiration (technique) ()</term><term>Bactéries ()</term><term>Bactéries à Gram positif ()</term><term>Bains de bouche (usage thérapeutique)</term><term>Chlorhexidine (administration et posologie)</term><term>Chlorhexidine (analogues et dérivés)</term><term>Chlorhexidine (usage thérapeutique)</term><term>Clostridium ()</term><term>Femelle</term><term>Fusobacterium ()</term><term>Humains</term><term>Maxillaire ()</term><term>Maxillaire (microbiologie)</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (microbiologie)</term><term>Mâle</term><term>Numération de colonies microbiennes</term><term>Peptostreptococcus ()</term><term>Pose d'implant dentaire endo-osseux (microbiologie)</term><term>Prevotella intermedia (croissance et développement)</term><term>Propionibacterium ()</term><term>Résistance bactérienne aux médicaments</term><term>Soins préopératoires</term><term>Staphylococcus ()</term><term>Statistique non paramétrique</term><term>Streptococcus ()</term><term>Transplantation osseuse ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration 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qualifier="usage thérapeutique" xml:lang="fr"><term>Anti-infectieux locaux</term><term>Bains de bouche</term><term>Chlorhexidine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Colony Count, Microbial</term><term>Drug Resistance, Bacterial</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Preoperative Care</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Actinomyces</term><term>Adulte d'âge moyen</term><term>Aspiration (technique)</term><term>Bactéries</term><term>Bactéries à Gram positif</term><term>Clostridium</term><term>Femelle</term><term>Fusobacterium</term><term>Humains</term><term>Maxillaire</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Numération de colonies microbiennes</term><term>Peptostreptococcus</term><term>Propionibacterium</term><term>Résistance bactérienne aux médicaments</term><term>Soins préopératoires</term><term>Staphylococcus</term><term>Statistique non paramétrique</term><term>Streptococcus</term><term>Transplantation osseuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dental implant surgery produces bone debris that can be used in the "simultaneous augmentation" technique. Although this debris is contaminated with oral bacteria, a stringent aspiration protocol has been shown to reduce the levels of contamination. Chlorhexidine mouthrinse is a well-proven antibacterial rinse that has been shown to reduce infectious complications associated with dental implants. This study examined the effect of pre-operative rinsing with a 0.1% chlorhexidine digluconate mouthrinse on the bacterial contaminants present in collected bone debris bone (CBD). Twenty partially edentate patients were randomly allocated into equal groups and underwent bone collection using the Frios Bone Collector (FBC) during the insertion of two dental implants. In group T a pre-operative chlorhexidine rinse was used, whilst in group C sterile water was used. For both groups, a stringent bone collection protocol was used. Bone samples were immediately transported for microbial analysis. Colonial and microscopic morphology, gaseous requirements and identification kits were utilised for identification of the isolated microbes. Thirty-nine species were identified including a number associated with disease, in particular Actinomyces odontolyticus, Clostridium bifermentans, Prevotella intermedia, and Propionibacterium propionicum. Samples from group T (chlorhexidine mouthrinse) yielded significantly fewer organisms (P < 0.001) than in group C (sterile water mouthrinse). Gram-positive cocci dominated the isolates from both groups. It is concluded that if bone debris is to be used for the purpose of immediate simultaneous augmentation, a preoperative chlorhexidine mouthrinse should be utilised in conjunction with a stringent aspiration protocol to reduce further the bacterial contamination of CBD.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li></settlement><orgName><li>Université de Manchester</li></orgName></list><tree><noCountry><name sortKey="Carter, Duncan H" sort="Carter, Duncan H" uniqKey="Carter D" first="Duncan H" last="Carter">Duncan H. Carter</name><name sortKey="Drucker, David B" sort="Drucker, David B" uniqKey="Drucker D" first="David B" last="Drucker">David B. Drucker</name><name sortKey="Korachi, May" sort="Korachi, May" uniqKey="Korachi M" first="May" last="Korachi">May Korachi</name><name sortKey="Mccord, James F" sort="Mccord, James F" uniqKey="Mccord J" first="James F" last="Mccord">James F. Mccord</name><name sortKey="Worthington, Helen V" sort="Worthington, Helen V" uniqKey="Worthington H" first="Helen V" last="Worthington">Helen V. Worthington</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Young, Malcolm P J" sort="Young, Malcolm P J" uniqKey="Young M" first="Malcolm P J" last="Young">Malcolm P J. Young</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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