Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review

Objectives: Modern dentistry has made available a series of cariostatic pharmacological products with beneficial positive effects on oral health. One of the most commonly prescribed and used drugs is chlorhexidine. This active ingredient, derived from chlorine in gel and mouthwash formulations, is w...

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Main Authors: Luca Fiorillo, Cesare D'Amico, Vini Mehta, Marco Cicciù, Gabriele Cervino
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024000918
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author Luca Fiorillo
Cesare D'Amico
Vini Mehta
Marco Cicciù
Gabriele Cervino
author_facet Luca Fiorillo
Cesare D'Amico
Vini Mehta
Marco Cicciù
Gabriele Cervino
author_sort Luca Fiorillo
collection DOAJ
description Objectives: Modern dentistry has made available a series of cariostatic pharmacological products with beneficial positive effects on oral health. One of the most commonly prescribed and used drugs is chlorhexidine. This active ingredient, derived from chlorine in gel and mouthwash formulations, is widely used thanks to its antiseptic properties even in the post-surgical phases and takes place in many prophylactic protocols. This review aims to highlight the cytotoxic effects of this active ingredient on oral tissue cells. Methods: The review considered all the studies related to the topic (208). After skimming the results and isolating only recent studies (20 years) written in English and accessible, it was possible to define the number of articles to be included. in the review. Results: Only 14 articles were included in the systematic review. All these in vitro studies evaluate the cytotoxicity and antimicrobial effect of Chlorhexidine alone or in combination with other compounds. All manuscripts according that cytotoxic effect in vitro is present at a concentration major than 0.001%. Conclusion: In conclusion, the cytotoxicity of chlorhexidine on oral cells and tissues is a complex issue that requires further investigation. While its efficacy in reducing bacterial populations and preventing oral infections is well established, the long-term impact of chlorhexidine on oral health should be considered in the context of its potential cytotoxicity. Practitioners should use chlorhexidine judiciously and be aware of the patient's specific needs and risk factors when deciding on its use in oral health procedures.
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series Oral Oncology Reports
spelling doaj-art-a86fa2b8b4e3412a9f0cad84848193ac2025-01-09T06:15:29ZengElsevierOral Oncology Reports2772-90602024-03-019100245Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic reviewLuca Fiorillo0Cesare D'Amico1Vini Mehta2Marco Cicciù3Gabriele Cervino4School of Dentistry, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Via Consolare Valeria, 1, 98125 Messina, Italy; Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy; Department of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune 411018, IndiaSchool of Dentistry, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Via Consolare Valeria, 1, 98125 Messina, Italy; Department of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, AlbaniaDepartment of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune 411018, India; Corresponding author.Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123 Catania, ItalySchool of Dentistry, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Via Consolare Valeria, 1, 98125 Messina, ItalyObjectives: Modern dentistry has made available a series of cariostatic pharmacological products with beneficial positive effects on oral health. One of the most commonly prescribed and used drugs is chlorhexidine. This active ingredient, derived from chlorine in gel and mouthwash formulations, is widely used thanks to its antiseptic properties even in the post-surgical phases and takes place in many prophylactic protocols. This review aims to highlight the cytotoxic effects of this active ingredient on oral tissue cells. Methods: The review considered all the studies related to the topic (208). After skimming the results and isolating only recent studies (20 years) written in English and accessible, it was possible to define the number of articles to be included. in the review. Results: Only 14 articles were included in the systematic review. All these in vitro studies evaluate the cytotoxicity and antimicrobial effect of Chlorhexidine alone or in combination with other compounds. All manuscripts according that cytotoxic effect in vitro is present at a concentration major than 0.001%. Conclusion: In conclusion, the cytotoxicity of chlorhexidine on oral cells and tissues is a complex issue that requires further investigation. While its efficacy in reducing bacterial populations and preventing oral infections is well established, the long-term impact of chlorhexidine on oral health should be considered in the context of its potential cytotoxicity. Practitioners should use chlorhexidine judiciously and be aware of the patient's specific needs and risk factors when deciding on its use in oral health procedures.http://www.sciencedirect.com/science/article/pii/S2772906024000918ChlorhexidineCytotoxicityOral healthAntisepticOral surgeryProphylaxis
spellingShingle Luca Fiorillo
Cesare D'Amico
Vini Mehta
Marco Cicciù
Gabriele Cervino
Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review
Oral Oncology Reports
Chlorhexidine
Cytotoxicity
Oral health
Antiseptic
Oral surgery
Prophylaxis
title Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review
title_full Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review
title_fullStr Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review
title_full_unstemmed Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review
title_short Chlorhexidine cytotoxicity on oral Behaviors: Last 20 Years systematic review
title_sort chlorhexidine cytotoxicity on oral behaviors last 20 years systematic review
topic Chlorhexidine
Cytotoxicity
Oral health
Antiseptic
Oral surgery
Prophylaxis
url http://www.sciencedirect.com/science/article/pii/S2772906024000918
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AT cesaredamico chlorhexidinecytotoxicityonoralbehaviorslast20yearssystematicreview
AT vinimehta chlorhexidinecytotoxicityonoralbehaviorslast20yearssystematicreview
AT marcocicciu chlorhexidinecytotoxicityonoralbehaviorslast20yearssystematicreview
AT gabrielecervino chlorhexidinecytotoxicityonoralbehaviorslast20yearssystematicreview