INTRODUCTION: Chlorhexidine (CHX) is likely to decompose into reactive by-products. This study evaluated the generation of 4-chloroaniline (pCA), reactive oxygen species (ROS), and 1-chloro-4-nitrobenzene in high concentrations of CHX and in a mixture of CHX and calcium hydroxide at different time points. METHODS: A gas chromatography method was developed to detect pCA and CHX by-products. Mass spectroscopy was used to elucidate the structure of compounds. The samples, which were kept at 36.5°C and 95% relative humidity during the study, were analyzed immediately and 7 days after preparation. RESULTS: pCA was detected in the 2% CHX solution and in the mixture of CHX and calcium hydroxide at all time points. pCA concentrations increased after storing under those conditions. The 2% CHX solution alone and the mixture of CHX and calcium hydroxide released ROS at all time points, but 1-chloro-4-nitrobenzene was not found. CONCLUSIONS: pCA and ROS were identified as by-products of the 2% CHX aqueous solution alone and as ointment base of calcium hydroxide paste.
INTRODUCTION:Chlorhexidine (CHX) is likely to decompose into reactive by-products. This study evaluated the generation of 4-chloroaniline (pCA), reactive oxygen species (ROS), and 1-chloro-4-nitrobenzene in high concentrations of CHX and in a mixture of CHX and calcium hydroxide at different time points. METHODS: A gas chromatography method was developed to detect pCA and CHX by-products. Mass spectroscopy was used to elucidate the structure of compounds. The samples, which were kept at 36.5°C and 95% relative humidity during the study, were analyzed immediately and 7 days after preparation. RESULTS: pCA was detected in the 2% CHX solution and in the mixture of CHX and calcium hydroxide at all time points. pCA concentrations increased after storing under those conditions. The 2% CHX solution alone and the mixture of CHX and calcium hydroxide released ROS at all time points, but 1-chloro-4-nitrobenzene was not found. CONCLUSIONS: pCA and ROS were identified as by-products of the 2% CHX aqueous solution alone and as ointment base of calcium hydroxide paste.
Authors: E Escamilla-García; A G Alcázar-Pizaña; J C Segoviano-Ramírez; C Del Angel-Mosqueda; A P López-Lozano; E Cárdenas-Estrada; M A De La Garza-Ramos; C E Medina-De La Garza; M Márquez Journal: Int J Microbiol Date: 2017-05-04