Table 2.
Periodontal conditions where CHX mouthwash could be used currently, in alignment with the 2017 Classification of Periodontal Diseases.
| Periodontal Condition (using 2017 Classification/Terminology) | Examples of clinical uses for CHX |
|---|---|
| Periodontal Health & Gingival Health, Periodontal abscesses, endodontic-periodontal lesions, peri-implant health, peri-implantitis | As a short-term adjunct to mechanical plaque control. |
| During immediate post-operative phase after ressective periodontal surgery e.g. crown lengthening. | |
| Gingivitis: Dental Biofilm induced, Peri-implant mucositis | Short-term management of plaque-induced gingival inflammation as an adjunct to mechanical plaque control. |
| As an adjunct in management of Drug-influenced gingival enlargement / Fixed orthodontic appliance therapy | |
| Gingival Diseases: Non-dental biofilm induced | Management of self-harming traumatic lesions e.g. gingivitis artefacta. |
| Management of specific infections or Inflammatory and immune conditions with erosive/ulcerative tissues | |
| Post biopsy/excision of neoplasms | |
| Necrotising Periodontal Diseases | As a short-term adjunct to (or temporary replacement for) mechanical plaque control. |
| Periodontitis | As a short-term adjunct to mechanical plaque control. |
| Sub-gingival adjunctive irrigant (mouth rinse), gel or local delivery system to conventional sub-gingival debridement | |
| Following periodontal surgery | |
| Periodontitis as a manifestation of systemic disease, traumatic occlusal forces, tooth and prosthesis related factors | As a short-term adjunct to mechanical plaque control. |
| Sub-gingival adjunctive irrigant (mouth rinse), gel or local delivery system to conventional sub-gingival debridement | |
| Following periodontal surgery | |
| Systemic diseases or conditions affecting the periodontal supporting tissues | As a short-term adjunct to mechanical plaque control. |
| Sub-gingival adjunctive irrigant (mouth rinse), gel or local delivery system to conventional sub-gingival debridement | |
| Following periodontal surgery | |
| Periodontal Abscesses | See periodontitis and also for pericoronal abscess / pericoronitis |
| Endodontic-periodontal lesions | See periodontitis |
| Intra-canal irrigant where sodium hypochlorite unavailable/contraindicated | |
| Muco-gingival deformities and conditions | As a short-term adjunct to mechanical plaque control in defect or following corrective muco-gingival surgery |
| Traumatic occlusal forces | See periodontitis |
| Tooth and prosthesis related factors | See periodontitis |
| Removable prosthesis cleansing | |
| Peri-implant health | See Periodontal Health & Gingival Health |
| Peri-implant mucositis | See Gingivitis: Dental Biofilm induced |
| Peri-implantitis | See periodontitis |
| Peri-implant soft and hard tissue deficiencies | As a short-term adjunct to mechanical plaque control to facilitate post-extraction healing |