Diferencias clínicas en el tratamiento periodontal con y sin el uso de clorhexidina. Revisión sistemática.

Abstract

Abstract Introduction: In this review, it is detailed that periodontal disease is mechanically treated by scaling and root planing; although the efficacy of periodontal therapy can be increased with the implementation of a chemical adjuvant treatment that is chlorhexidine, such as the gold standard mouthwash in the periodontal field that helped due to its multiple benefits in many cases studied. Objective: To explain the clinical differences in periodontal treatment with and without the use of chlorhexidine. Materials and methods: A descriptive cross-sectional and retrospective study was carried out, which details the effects that chlorhexidine provides when used as an adjunctive treatment in periodontal therapy. The search for articles was carried out in Pubmed, selecting 32 articles out of 136, all published in the last 5 years. Results: It was found that in 24% of the studies it was used in patients who presented great depth of probing, chlorhexidine being more used in mouthwash presentation in 61% of the studies, it first demonstrated a significant reduction of plaque in 26% of the studies and 39% of the studies mentioned a great decrease in aerobic bacteria, mainly, causing in the end as a common side effect the alteration of taste in 39% of the studies. Conclusions: In the present systematic review, it was possible to conclude that chlorhexidine as an adjunct to periodontal treatment helped to further improve gingival clinical parameters, compared to periodontal treatments in which chlorhexidine was not used.