Gingivitis and plaque prevention using three commercially available dentifrices: A comparative clinical and microbiological randomized control parallel study

Abstract

Aim:The aim of the study was to compare the clinical and microbiological efficacy of Group I-delmopinol dentifrice, Group II-chlorhexidine, and Group III-triclosan-containing regularly used control dentifrice on plaque formation and gingivitis.Materials and Methods:A total of 45 healthy volunteer students fulfilling the inclusion criteria are recruited for this randomized control parallel study. All the individuals were randomly assigned into 3 groups depending on the dentifrice prescribed. After the selection of individuals, thorough scaling and polishing were performed for all the individuals, and in a 4 days' washout period, they were refrained from regular oral hygiene maintenance and 0.9% NaCl (normal saline) rinse was prescribed to obtain plaque regrowth. Microbiological morphotypes were assessed using darkfield microscope.Statistical Analysis:The data were analyzed using the SPSS-software 19.00 program. The intragroup comparison of clinical parameters was done using Kruskal–Wallis ANOVA test, and intergroup comparison was done by Mann–Whitney U-test. The intragroup comparison of clinical parameters including modified staining index, the supragingival microbiota such as cocci, bacilli, and spirochetes scores was done at various study intervals using one-way ANOVA, and intergroup comparison was done using Tukey's multiple post hoc test.Results:The results showed that statistically significant correlation between Group II and Group III at 15 and 30 days and between Group I and Group II at 30 days with cocci and bacilli but not spirochetes.Conclusion:Group II showed better plaque and gingivitis reduction compared to other active groups. To validate the results of the present study, further long-term studies with larger sample size and evaluation using known and proven study designs on gingivitis patients are needed.

Self-reported oral status and habits related to oral care in adult Poles: A questionnaire study

“…be removed mechanically by regularly applying a toothbrush, optimally twice a day, and cleaning the interdental spaces. Electric brushes with oscillating-rotating motion reduce the plaque by 7-57.9%, gingival inflammation by [17][18][19].8% and bleeding of gingiva by 85.2% more effectively compared to manual brushes. 9,10 The best results in reduction of plaque and gingivitis are demonstrated by electric toothbrushes with oscillating-rotating-pulsating action (working in a 3D system).…”

“…11 In order to remove plaque from interdental spaces, it is recommended to regularly use dental floss or interdental brushes. However, the effectiveness of dental floss in the removal of plaque from interdental spaces may be very low (15)(16)(17)(18)(19).4%), depending on the patient's manual skills. 12 Without proper instruction, its use does not reduce the occurrence of caries on interproximal surfaces of teeth.…”

“…16 The most effective compound used in mouthwash solutions is definitely chlorhexidine, which has anti-plaque (inhibits plaque development) and anti-inflammatory properties. 17,18 It should not be used for more than 2 weeks due to local side effects (discoloration of teeth, fillings, prosthetic restorations, and mucosal membrane, as well as taste disorders and exfoliation of mucosal membrane epithelium). Such antiseptics also include plaque inhibitors that slow the growth of bacterial plaque: triclosan with a copolymer, essential oils, and aminofluorides in the form of toothpastes, gels and rinses.…”

Effects of Active Oxygen Toothpaste in Supragingival Biofilm Reduction: A Randomized Controlled Clinical Trial

“…Therefore, the selection of toothpastes with superior plaque removal properties may be fundamental for the maintenance of patients' oral health. Other studies have reported that regrowth of dental plaque can be arrested by proper oral hygiene techniques [21, 22]. To the best of the authors' knowledge, the present study addresses a critical gap in knowledge because it represents the first instance where a parallel and double-blinded randomized clinical trial is conducted to assess the antiplaque and antigingivitis efficacies of toothpastes containing oxygen and lactoferrin as active ingredients, together in the same toothpaste composite, against dental plaque regrowth and improvement of GI and PI scores.…”

Efeito anti-placa de bochechos no crescimento de placa bacteriana supra-gengival: um ensaio clínico aleatório

“…A CHX foi utilizada como controlo positivo devido à sua capacidade de reduzir a placa bacteriana em 0,2% 6,13 e devido às suas propriedades antibacterianas. Em vários estudos já publicados a CHX também foi utilizada como controlo positivo pelas mesmas razões.…”