Early intervention with a locally applied antibiotic or antimicrobial, such as Arestin Atridox, PerioChip, or Dentomycin or subgingival irrigation
with an antiseptic agent such as peroxide, Listerine, or chlorhexidine using a plastic irrigation tip may help to slow or reverse the inflammation [32, 33].
124) The use of chlorhexidine as an adjunct to SRP administered via subgingival irrigation
has been studied by many investigators.
Position paper: the role of supra-and subgingival irrigation
in the treatment of periodontal diseases.
19,20) Moreover 2% CHX, used for subgingival irrigation
is non toxic to periodontal tissue at this concentration, a fact that also justifies its use as irrigating solution in the root canal system in terms of biocompatibility.
Some techniques for applying antimicrobial subgingivally, such as subgingival irrigation
, involve local delivery but not controlled release.
Each group was then assigned to a self-care routine consisting of either routine oral hygiene only or routine oral hygiene plus twice daily water irrigation with the Pik Pocket[R] subgingival irrigation
The discussion of non-surgical approaches goes beyond mechanical debridement to include subgingival irrigation
, systemic antibiotics and locally delivered antibiotics.
Water (or other solutions) delivered by a dental water jet create the process of subgingival irrigation
penetrates much deeper in to the pocket and significant improvements in gingival health, when compared to supra gingival irrigation.
Gutierrez uses chlorhexidine for subgingival irrigation
Similarly, these same comments regarding a lack of supporting data are also applicable to the article's recommendations to use 1) povidone-iodine, now at a one-tenth dilution, as an irrigant delivered via an ultrasonic scaler; and 2) sodium hypochlorite for home, self-administered, subgingival irrigation
12) High-pressure subgingival irrigation
may force abscess-producing bacteria into the gingiva, even though it seems to be a low-risk event.