Volume 46, Issue 3 pp. 342-353
RANDOMIZED CLINICAL TRIAL

Clinical effects of the adjunctive use of a 0.03% chlorhexidine and 0.05% cetylpyridinium chloride mouth rinse in the management of peri-implant diseases: A randomized clinical trial

Alberto Pulcini

Alberto Pulcini

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

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Juan Bollaín

Juan Bollaín

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

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Ignacio Sanz-Sánchez

Ignacio Sanz-Sánchez

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

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Elena Figuero

Corresponding Author

Elena Figuero

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

Correspondence

Elena Figuero, ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, Department of Dental Clinical Specialties, Faculty of Dentistry, University Complutense, Madrid, Spain.

Email: [email protected]

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Bettina Alonso

Bettina Alonso

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

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Mariano Sanz

Mariano Sanz

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

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David Herrera

David Herrera

ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain

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First published: 18 February 2019
Citations: 43

Funding information

The study was funded through a research contract (58/2015) between University Complutense of Madrid and Dentaid S.A. (Barcelona, Spain), within the activities of the Cátedra Extraordinaria Dentaid en Investigación Periodontal (University Complutense, Madrid).

Clinical Trial Registration number: NCT03533166

Abstract

Aim

To evaluate the efficacy of a 0.03% chlorhexidine and 0.05% cetylpyridinium chloride mouth rinse, as an adjunct to professionally and patient-administered mechanical plaque removal, in the treatment of peri-implant mucositis (PiM).

Material and Methods

Patients displaying PiM in, at least, one implant were included in this randomized, double-blinded, clinical trial. Subjects received professional prophylaxis (baseline and 6 months) and were instructed to regular oral hygiene practices and to rinse, twice daily, with the test or placebo mouth rinses, during one year. Clinical, radiographic and microbiological outcomes were evaluated at baseline, 6 and 12 months. Disease resolution was defined as absence of bleeding on probing (BOP). Data were analysed by repeated measures ANOVA, Student's t and chi-square tests.

Results

Fifty-four patients were included and 46 attended the final visit (22 in control and 24 in test group). In the test group, there was a 24.49% greater reduction in BOP at the buccal sites (95% confidence interval [3.65–45.34%]; p = 0.002) than in controls. About 58.3% of test implants and 50% controls showed healthy peri-implant tissues at final visit (p > 0.05).

Conclusions

The use of the test mouth rinse demonstrated some adjunctive benefits in the treatment of PiM. Complete disease resolution could not be achieved in every case.

CONFLICT OF INTEREST

The authors declare that they have no conflict of interest.

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