{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:29:34Z","timestamp":1791239374482,"version":"4.1.0"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Ultrasonic scaling is a potential source of aerosol contamination in dental clinics. The two primary sources of microbial load in aerosols are from the oral cavity and dental unit water line. Literature evidence suggest that the use of preprocedural mouth rinse reduce the bacterial load in aerosol generated during ultrasonic scaling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study is to assess the comparative efficacy of reduction in viable bacteria in the aerosol at patient\u2019s chest area, doctor\u2019s mask area and two feet beside the patient following use of chlorhexidine\/herbal formulation diluted in the water source by a randomized controlled clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Forty-five subjects (with chronic gingivitis) were matched for age, gender, and gingival index score. The subjects were randomized and received ultrasonic scaling with distilled water (control)\/chlorhexidine (tTest)\/herbal formulation (test). Aerosol produced during scaling was collected at patient\u2019s chest area, doctor\u2019s mask area, two feet beside the patient on blood agar plates, which were incubated at 37\u00b0C for 48 h and total colony forming units (CFUs) were counted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A significant reduction in the total CFUs\u2019 counts was observed at all the three sites sampled in test groups (chlorhexidine group and herbal formulation group) as compared to control (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The addition of antiseptic agents to the water source contributed to a significant reduction of the cultivable microbial counts in the aerosol and hence can be used to reduce the risk of cross-infection during ultrasonic scaling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisp.jisp_478_21","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T15:59:48Z","timestamp":1717084788000},"page":"82-86","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Efficacy of chlorhexidine\/herbal formulation for microbial reduction in aerosol generated following ultrasonic scaling - A double-blinded randomized controlled trial"],"prefix":"10.4103","volume":"27","author":[{"given":"Lekha","family":"Ashokkumar","sequence":"first","affiliation":[{"name":"Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vamsi","family":"Lavu","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennedy Kumar","family":"Palraj","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh Ranga","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subbusamy Kanakasabapathy","family":"Balaji","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1,3]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.jhin.2006.05.022","article-title":"Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premises","volume":"64","author":"Tang","year":"2006","journal-title":"J Hosp Infect"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3396\/ijic.v6i1.003.10","article-title":"Aerosol contamination in a rural university dental clinic in south India","volume":"6","author":"Acharya","year":"2010","journal-title":"Int J Infect Control"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/S0002-8177(15)30011-8","article-title":"Hepatitis B virus infection in the dental profession","volume":"110","author":"Cottone","year":"1985","journal-title":"J Am Dent Assoc"},{"key":"R4-20240828","first-page":"376","article-title":"Risk and prevention of transmission of infectious diseases in dentistry","volume":"33","author":"Araujo","year":"2002","journal-title":"Quintessence Int"},{"key":"R5-20240828","first-page":"14","article-title":"Generation of airborne infection by high speed dental equipment","volume":"6","author":"Miller","year":"1976","journal-title":"J Am Soc Prev Dent"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/S0140-6736(52)90218-3","article-title":"Tuberculosis in medical and dental students;a study at Guy's hospital","volume":"2","author":"Shaw","year":"1952","journal-title":"Lancet"},{"key":"R7-20240828","first-page":"10","article-title":"Infectious diseases","volume":"63","author":"Goldman","year":"1986","journal-title":"Their disease, our unease: Infectious diseases and dental practice. 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