Chance to Avoid New Caries by Adding Chlorhexidine to the Preventive Protocol in Adolescent Special Needs
Chance to Avoid New Caries by Adding Chlorhexidine to the Preventive Protocol in Adolescent Special Needs
Adolescent Special need individuals are most need of easy forms of antibacterial agents, so
 in this study, using chemotherapeutic agents like the newly introduced varnish containing
 chlorhexidine seems to be a quite promising tool for local delivery to patients with special
 needs . Chlorhexidine is a wide spectrum very effective bactericidal used for years against
 the oral flora while fluorides are well known with their antibacterial ability. This may be
 an excellent way to reduce the risk assessment in adolescent special needs patients.
Participants will be divided into two groups according to the tested regimen, where (A1)
 represents participants exposed to risk based conventional protocol, (A2) represents
 participants exposed to chlorhexidine containing varnish and risk based conventional
 preventive protocol. The study will be carried over a period of 10 months (one academic
 year), the study will be divided into three phases Phase I: Information of the Cariogram
 parameters (caries experience, diet content, diet frequency, plaque amount, mutans
 streptococci, fluoride program, saliva secretion and saliva buffer capacity) will be
 collected, which will be used to generate the individual caries profile, based on which the
 participants will be divided into 2 risks groups. Phase II: Risk based preventive program
 will be implemented including the restorative part. Phase III: At the end of 10 months,
 caries profile will be generated again
Inclusion Criteria:

 -  Clinical diagnosis of disability like : autism and down syndrome.

 -  Must be able to open his/her mouth for varnish application

 Exclusion Criteria:

 -  systemically unhealthy patients with fetal diseases

 -  Age below 13 and above 18