Plaque and gingivitis in the elderly: a randomized, single‐blind clinical trial on the outcome of intensified mechanical or antibacterial oral hygiene measures

Schiffner, Ulrich; Bähr, Mathias; Effenberger, Susanne

doi:10.1111/j.1600-051x.2007.01150.x

Cited by 26 publications

(23 citation statements)

References 26 publications

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“…, Schiffner et al. ), two with unclear risk (out of eight) (Johansen et al. , Mauriello & Bader ), and one with high risk (out of 75) (Lang et al.…”

Section: Discussionmentioning

confidence: 99%

“…consideration, as 82 of the 87 included papers reported positive results for the tested product, and only five did not show positive findings. If we consider the "independency of the study" risk of bias of the five studies reporting no positive results, two were qualified with low risk (out of the four with that qualification) (Wolff et al 1989, Schiffner et al 2007, two with unclear risk (out of eight) (Johansen et al 1975, Mauriello & Bader 1988, and one with high risk (out of 75) (Lang et al 1982).…”

Section: D+l Subtotalmentioning

confidence: 99%

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Efficacy of adjunctive anti‐plaque chemical agents in managing gingivitis: a systematic review and meta‐analysis

Serrano

Escribano

Roldán

et al. 2015

J Clinic Periodontology

136

187

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of adjunctive antiplaque chemical agents in managing gingivitis: a systematic review and meta-analysis. J Clin Periodontol 2015; 42 (Suppl. 16): S106-S138. doi: 10.1111/jcpe.12331. AbstractAim: The aim of this systematic review was to evaluate the efficacy of anti-plaque chemical formulations for managing gingivitis, in 6-month, home-use, randomised clinical trials (RCTs). Material and Methods: A protocol was designed, including inclusion and exclusion criteria to identify RCTs assessing gingival and/or bleeding indices. Electronic and hand-searches identified relevant papers, which were screened and evaluated for inclusion. Full-papers were retrieved and relevant information was extracted (also plaque indices), including quality and risk of bias. Mean treatment effects were calculated to obtain weighted mean differences (WMD) and 95% confidence intervals. Results: After the process of screening and selection, 87 articles with 133 comparisons, were included in the review. The additional effects of the tested products were statistically significant in terms of L€ oe & Silness gingival index (46 comparisons, WMD À0.217), modified gingival index (n = 23, À0.415), gingivitis severity index (n = 26, À14.939%) or bleeding index (n = 23, À7.626%), with significant heterogeneity. For plaque, additional effects were found for Turesky (66 studies, WMD À0.475), Silness & L€ oe (n = 26, À0.109), and plaque severity (n = 12, À23.4%) indices, with significant heterogeneity. (Beals et al. 2000); limited use of interdental cleaning (Lang et al. 1995, Stewart et al. 1997, MacGregor et al. 1998); tendency to return to baseline plaque levels in patients instructed in oral hygiene procedures (Stewart et al. 1997) or in patients enrolled in oral hygiene studies (Emilson & Fornell 1976, Lie & Enersen 1986, Yates et al. 1993, Claydon et al. 1996, Rosling et al. 1997; lack of mechanical control of other oral biofilms different from dental plaque (Quirynen et al. 1995, Greenstein 2002, 2004.The adjunctive use of chemical plaque control may be required in those subjects who are not able to effectively remove supragingival biofilms by the sole use of mechanical procedures which, in addition, reduce the amount of biofilm and disrupt its structure. There is a general consensus that plaque inhibitory and antiplaque activities of a given formulation must be proven in long-term (at least 6 months), home-use, randomised clinical trials (RCT), together with the evidence of its safety, primarily shown by the lack of relevant side effects. In these studies, the use of the tested formulations should be adjunctive to mechanical plaque control. The characteristics of this type of trial, in order to obtain valid conclusions, has been approved (Council of Dental Therapeutics 1986), and include double blindness, presence of a control group, a minimum duration of 6 months, a microbiological evaluation, and the selection of a representative population.Based on the previous information, the present systematic review was focused on those studies providing ...

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“…, Schiffner et al. ), two with unclear risk (out of eight) (Johansen et al. , Mauriello & Bader ), and one with high risk (out of 75) (Lang et al.…”

Section: Discussionmentioning

confidence: 99%

Section: D+l Subtotalmentioning

confidence: 99%

Efficacy of adjunctive anti‐plaque chemical agents in managing gingivitis: a systematic review and meta‐analysis

Serrano

Escribano

Roldán

et al. 2015

J Clinic Periodontology

136

187

View full text Add to dashboard Cite

show abstract

“…Earlier intervention studies have shown that the use of fluoride, antimicrobial agents or an electric toothbrush can prevent dental caries and/or improve periodontal condition among older people. On the other hand, there are also longitudinal oral health intervention studies where no essential long‐term effect of an intervention regimen has been observed.…”

Section: Introductionmentioning

confidence: 99%

Oral health intervention among community‐dwelling older people: a randomised 2‐year intervention study

et al. 2013

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“…Though daily plaque removal is considered to be important for oral health [1], [2], representative studies indicate this goal is not achieved by most patients. Approximately 90% of German adults suffer from gingivitis and 30%–70% from periodontitis [3].…”

Section: Introductionmentioning

confidence: 99%

Improving Oral Hygiene Skills by Computer-Based Training: A Randomized Controlled Comparison of the Modified Bass and the Fones Techniques

et al. 2012

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BackgroundGingivitis and other plaque-associated diseases have a high prevalence in western communities even though the majority of adults report daily oral hygiene. This indicates a lack of oral hygiene skills. Currently, there is no clear evidence as to which brushing technique would bring about the best oral hygiene skills. While the modified Bass technique is often recommended by dentists and in textbooks, the Fones technique is often recommended in patient brochures. Still, standardized comparisons of the effectiveness of teaching these techniques are lacking.Methodology/Principal FindingsIn a final sample of n = 56 students, this multidisciplinary, randomized, examiner-blinded, controlled study compared the effects of parallel and standardized interactive computer presentations teaching either the Fones or the modified Bass technique. A control group was taught the basics of tooth brushing alone. Oral hygiene skills (remaining plaque after thorough oral hygiene) and gingivitis were assessed at baseline and 6, 12, and 28 weeks after the intervention. We found a significant group×time interaction for gingivitis (F(4/102) = 3.267; p = 0.016; ε = 0.957; η2 = 0.114) and a significant main effect of group for oral hygiene skills (F(2/51) = 7.088; p = 0.002; η2 = 0.218). Fones was superior to Bass; Bass did not differ from the control group. Group differences were most prominent after 6 and 12 weeks.Conclusions/SignificanceThe present trial indicates an advantage of teaching the Fones as compared to the modified Bass technique with respect to oral hygiene skills and gingivitis. Future studies are needed to analyze whether the disadvantage of teaching the Bass technique observed here is restricted to the teaching method employed.Trial RegistrationGerman Clinical Trials Register DRKS00003488

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Plaque and gingivitis in the elderly: a randomized, single‐blind clinical trial on the outcome of intensified mechanical or antibacterial oral hygiene measures

Cited by 26 publications

References 26 publications

Efficacy of adjunctive anti‐plaque chemical agents in managing gingivitis: a systematic review and meta‐analysis

Efficacy of adjunctive anti‐plaque chemical agents in managing gingivitis: a systematic review and meta‐analysis

Oral health intervention among community‐dwelling older people: a randomised 2‐year intervention study

Improving Oral Hygiene Skills by Computer-Based Training: A Randomized Controlled Comparison of the Modified Bass and the Fones Techniques

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