Chlorhexidine

Re: Chlorhexidine

bob lehner — Wed, 08 Oct 2014 16:38:57 GMT

[quote user="Rob Davis"]I have a strong scepticism about any drinking water additives which are claimed to improve oral hygiene.[/quote]

Yes - always struck me as highly dubious.

The way dogs and cats lap - surely it just goes over the back of the tongue and straight down the hatch. Not as if Rover is going to swill it around the mouth and gargle for a minute.

Re: Chlorhexidine

Rob Davis — Wed, 08 Oct 2014 11:41:44 GMT

[quote user="villagevet"]

Not sure if many are using it but we have seen massive imporvements in oral health since recommending use of 'dentagen aqua' in drinking water (dechra). Palatability is good, risk to owner in administering into sore mouths nil and clinical results promising so far. Have had better results with dentisept for skin folds/wounds than oral problems but better than nothing - apply with applicator or cotton buds and keep away from water!

[/quote]

I have a strong scepticism about any drinking water additives which are claimed to improve oral hygiene. Do you know if there is any trial work to support it's efficacy?

Re: Chlorhexidine

Lindsey Edwards — Sun, 05 Oct 2014 22:58:45 GMT

Re: Chlorhexidine

Evelyn Barbour-Hill — Thu, 02 Oct 2014 10:56:40 GMT

[quote user="robloxley"]

[quote user="Evelyn Barbour-Hill"]The trouble with Corsodyl and Cervitec and anything else made for humans is that they are flavoured with peppermint [/quote]

Corsodyl Gel was pretty flavour-free last time I used it

[/quote]

OK, I'm sorry, I must have tried the wrong version.

Corsodyl it is then.

Re: Chlorhexidine

Rob Davis — Thu, 02 Oct 2014 10:09:27 GMT

Hexarinse?

Re: Chlorhexidine

Rob Loxley — Thu, 02 Oct 2014 09:20:01 GMT

[quote user="Evelyn Barbour-Hill"]The trouble with Corsodyl and Cervitec and anything else made for humans is that they are flavoured with peppermint [/quote]

Corsodyl Gel was pretty flavour-free last time I used it

Re: Chlorhexidine

Roland Bulkyn-Rackowe — Thu, 02 Oct 2014 09:11:42 GMT

The cats I have where I'm pretty reluctant to anaesthetise them are those with multiple medical problems especially congestive heart failure, smoke signs in a dilated left atrium or barely controlled pleural effusions +/- other medical problems (diabetes, renal insufficiency etc) as might be expected in ancient ones. If truly uncontrollable discomfort then I might suggest a dental procedure / euthanasia.

I've had a few ancient cats suddenly die over the last 15 years 1-7d post anaesthetic (normal blood tests before often as not) and am concerned that I might have missed a thrombus in these. Probably straying OT here.

Thanks for the info regarding taste of the human products. I might prefer them to my cat. ISTR my old dog hated minty odours / flavours!

Sincerely,

Ro.

Re: Chlorhexidine

Evelyn Barbour-Hill — Thu, 02 Oct 2014 01:02:24 GMT

The trouble with Corsodyl and Cervitec and anything else made for humans is that they are flavoured with peppermint and aniseed and stuff like that, which I expect humans love ('cos it makes their mouths feel "fresh") but cats hate with a vengeance (and their vengeance may be upon you )

You could try Virbac's cat toothpaste, which is actually a gel not a paste. It's not chlorhexidine but its antibacterial action seems to be genuine. Or use rinses (but cats often hate those too.....)

There's a gel from the US containing zinc gluconate and ascorbic acid that ain't bad.... the name escapes me at the moment but it's often advertised in JVD.

I think certain people here are being very unfair in accusing you of using chlorhexidine as a substitute for proper diagnosis and treatment – I see no indication at all of that in your posts.(I'm mildly puzzled by the mention of "periods between prophylaxis" in "chronic gingivitis" but that's something that would be a long and rambling debate). And I can't agree that "antibiosis post dental" is a proper treatment, if "antibiosis" is intended to mean (erroneously) "administration of an antibiotic drug" .

On the other hand,

[quote user="Michael Woodhouse"]

[quote user="roland bulkyn-rackowe"]Another use for me is in patients where anaesthesia is contraindicated to improve oral comfort.[/quote]

There is no such thing in our practice. Have fixed many manky old mouth when others have said 'too old' etc. Never had any negative consequences, only huge positive benefit.

[/quote]

I'd agree with that, on the whole.

Re: Chlorhexidine

Michael Woodhouse — Wed, 01 Oct 2014 23:57:04 GMT

[quote user="roland bulkyn-rackowe"]Another use for me is in patients where anaesthesia is contraindicated to improve oral comfort.[/quote]

There is no such thing in our practice. Have fixed many manky old mouth when others have said 'too old' etc. Never had any negative consequences, only huge positive benefit.

Re: Chlorhexidine

Charlotte Marshall — Wed, 01 Oct 2014 23:37:41 GMT

I've only used a chlorhexidine rinse rather than paste. I have a dog with paradontal stomatitis which uses the logic rinse for maintenance.

Re: Chlorhexidine

Roland Bulkyn-Rackowe — Wed, 01 Oct 2014 20:39:01 GMT

Thanks for the suggestions. Corsodyl paste was one that I'd seen, I'll have a look for the Henry Schein one as I hadn't seen that. I'd like one with decent palatability (will try on my own long suffering cat / me) and ideally an animal pic. If corsodyl fits the bill then I'll just have to stick with that one, certainly the price is right.

Re: Chlorhexidine

Roland Bulkyn-Rackowe — Wed, 01 Oct 2014 20:33:36 GMT

Hi, I'm using this to decrease the severity of gingivitis prior to prophylaxis. All cats with gingivitis that have a scale and polish will get oral rads (adds £30 to our fees so why not). I find that this seems to mean less inflammation and bleeding.

I'll also use as an adjunct to mechanical methods (please no RMB comments) in both cats and dogs with chronic gingivitis to extend periods between prophylaxis.

Another use for me is in patients where anaesthesia is contraindicated to improve oral comfort. I've found a few geriatric diabetics particularly seem to have benefitted. Is this an unusual product to use? Perhaps I'm the only one using it and that's why it's gone!

Cheers,

Ro.

Re: Chlorhexidine

Rob Loxley — Wed, 01 Oct 2014 17:31:15 GMT

Henry Schein do a Chlorhexidine paste, for a gel why not human Corsodyl gel?

Re: Chlorhexidine

Martin Atkinson — Wed, 01 Oct 2014 17:25:21 GMT

Not sure why you'd want to use it. I have also found Dentisept hopeless to apply as well but it sounds as though you are looking for a substitute for investigating why these cats have chronic gingivitis (if indeed they do), better dental prophylaxis and antibiosis post dental.