Journal of Disability and Oral Health

cover art

Cover Date:
April 2006
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
7
Issue:
1

A comparison of the effectiveness of chlorhexidine varnish, fluoride varnish and fluoride gel in children with intellectual disability

Objective: To compare the effectiveness of chlorhexidine and fluoride varnishes and fluoride gel within a group of intellectually disabled patients. Design: A randomised controlled trial. Methods: Ninety young people aged between 12–15 years, who had previously received full-mouth rehabilitation under general anaesthesia, participated in this study. Subjects were randomly allocated to one of three groups for treatment with Cervitec®, a chlorhexidine-containing varnish or a fluoride gel or Bifluorid 12®, a fluoride containing varnish. The Cervitec® varnish was re-applied every three months and the fluoride treatments semi-annually. The outcomes were the caries increment (DMFS index), dental plaque, mutans streptococci (MS) and lactobacilli counts by comparison at baseline and after one year. Results: Thirtyseven subjects showed poor compliance with the follow-ups and were excluded from the study. The Cervitec® varnish group showed a statistically significant reduction in MS counts after one year in comparison to the fluoride gel and fluoride varnish groups (p<0.05), but no inhibitory effect was found in the lactobacilli counts in all groups. There were also no statistically significant differences in the pre- and post-treatment plaque scores between the groups. The caries increments were 0.74±1.5, 1.06±2.26, 1.38±2.03 in the Cervitec®, fluoride gel and Bifluorid 12® groups, respectively. The differences between the groups in mean caries increment were not significant. Conclusion: The preventive agents tested showed equal efficiency in one-year caries increments within a group of children with intellectual disabilities. Key words: Chlorhexidine, Streptococcus mutans, lactobacilli, fluoride, intellectually disabled children, caries

Article Price
£15.00
Institution Article Price
£15.00
Page Start
10
Page End
16
Authors
Özant Öncag, Nazan Kocatas Ersin

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - Special Care Dentistry – a reality
  2. 2
  3. 2

  1. Oral health findings in a group of Greek schoolchildren with mild intellectual impairment
  2. 3
  3. 9

  1. A comparison of the effectiveness of chlorhexidine varnish, fluoride varnish and fluoride gel in children with intellectual disability
  2. 10
  3. 16

  1. Feeding habits of children with Down syndrome living in Riyadh, Saudi Arabia
  2. 17
  3. 21

  1. An approach to the restoration of fractured anterior teeth in adolescents with intellectual impairment
  2. 25
  3. 28

  1. The use of hypnosis and systematic desensitisation in the management of dental phobia: a case report
  2. 29
  3. 34

  1. Mortality after full mouth rehabilitation under general anesthesia for a child with Tetralogy of Fallot: report of a case
  2. 35
  3. 42

  1. Oral hygiene status and behaviour of the special needs children in Lahore, Pakistan
  2. 43
  3. 47

  1. The oral health status of Special Olympics athletes in Trinidad and Tobago
  2. 48
  3. 52

  1. The dental management of a patient with erythromelalgia: a case report
  2. 53
  3. 54

  1. BSDH News
  2. 55
  3. 55

  1. Addendum
  2. 56
  3. 56

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