The impact of structured plaque control for patients with gingival manifestations of oral lichen planus: a randomized controlled study

Stone, Simon; Heasman, P. A.; Staines, Konrad; McCracken, Giles

doi:10.1111/jcpe.12385

Cited by 29 publications

(40 citation statements)

References 30 publications

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“…The 14-item version of the OHIP was used, showing to be reliable and responsive to the clinical changes. 21 The cost-effectiveness of such structured plaque control intervention was previously reported. However, the participants felt the sonic toothbrush was cleaning their teeth better and judged brushing more comfortable than those using the soft toothbrush did.…”

Section: Manual Brush (N = 16)mentioning

confidence: 97%

“…8 Up to now, data concerning home oral care in OLP patients are scarce. 21 Sonic toothbrush generates high-amplitude and high-frequency bristle motion, creating a gentle dynamic cleaning action that drives fluid forces along the gum-line and is capable of dislodging dental plaque in hard-to-reach areas. 21 Sonic toothbrush generates high-amplitude and high-frequency bristle motion, creating a gentle dynamic cleaning action that drives fluid forces along the gum-line and is capable of dislodging dental plaque in hard-to-reach areas.…”

Section: Introductionmentioning

confidence: 99%

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Effect of sonic versus manual supervised toothbrushing on both clinical and biochemical profiles of patients with desquamative gingivitis associated with oral lichen planus: A randomized controlled trial

Bianco

Romano

Maggiora

et al. 2018

Int J Dental Hygiene

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Objectives The aim of this randomized, parallel‐design, clinical trial was to investigate the effectiveness of an intensive plaque control programme with sonic versus manual toothbrushing on clinical outcomes and gingival crevicular fluid (GCF) levels of matrix metalloproteinases (MMP) in desquamative gingivitis (DG) patients. Methods A total of 32 patients affected by DG secondary to oral lichen planus (OLP) were consecutively recruited and randomly assigned to a test (n = 16) and control (n = 16) group. Both groups were enrolled in an intensive control programme comprising supragingival scaling and polishing, and brush‐specific instructions for a period of 8 weeks. The treatment of interest (test) was the use of a sonic‐powered toothbrush, and the standard treatment (control) was the utilization of a soft‐bristle manual toothbrush for twice‐daily home oral hygiene procedures. Periodontal parameters, patient‐centred outcomes, MMP‐1 and MMP‐9 GCF levels were evaluated at baseline and 8 weeks after starting the programme. Results The plaque control programme resulted in statistically significant reduction in periodontal parameters with consequent improvement in the clinical features, painful symptoms and severity of DG lesions in both groups (all P < 0.001). When a sonic toothbrush was used, there was a more significant decrease in clinical indices, mucosal disease scores and GCF levels of MMP‐1 and MMP‐9. Conclusions This clinical trial reported the effectiveness of a combined protocol based on professional oral hygiene and supervised toothbrushing in OLP patients with DG. The daily use of a sonic toothbrush would seem to perform better in the short term.

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Section: Manual Brush (N = 16)mentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Effect of sonic versus manual supervised toothbrushing on both clinical and biochemical profiles of patients with desquamative gingivitis associated with oral lichen planus: A randomized controlled trial

Bianco

Romano

Maggiora

et al. 2018

Int J Dental Hygiene

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“…Such lesions may be manifestations of a systemic condition or may be localized to the oral cavity . Although these lesions are not caused by the dental plaque biofilm, the severity of the clinical manifestations often depends on plaque accumulation and subsequent gingival inflammation …”

Section: Case Definitions For Periodontal Health and Gingivitismentioning

confidence: 99%

“…25 Although these lesions are not caused by the dental plaque biofilm, the severity of the clinical manifestations often depends on plaque accumulation and subsequent gingival inflammation. 26 The proposed classification considers those conditions listed in Table 2.…”

Section: How Do We Classify Non-dental Plaque-induced Gingival Conditmentioning

confidence: 99%

Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions

Chapple

Mealey

Dyke³

et al. 2018

J Clinic Periodontology

434

383

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Periodontal health is defined by absence of clinically detectable inflammation. There is a biological level of immune surveillance that is consistent with clinical gingival health and homeostasis. Clinical gingival health may be found in a periodontium that is intact, i.e. without clinical attachment loss or bone loss, and on a reduced periodontium in either a non-periodontitis patient (e.g. in patients with some form of gingival recession or following crown lengthening surgery) or in a patient with a history of periodontitis who is currently periodontally stable. Clinical gingival health can be restored following treatment of gingivitis and periodontitis. However, the treated and stable periodontitis patient with current gingival health remains at increased risk of recurrent periodontitis, and accordingly, must be closely monitored. Two broad categories of gingival diseases include non-dental plaque biofilm-induced gingival diseases and dental plaque-induced gingivitis. Non-dental plaque biofilm-induced gingival diseases include a variety of conditions that are not caused by plaque and usually do not resolve following plaque removal. Such lesions may be manifestations of a systemic condition or may be localized to the oral cavity. Dental plaque-induced gingivitis has a variety of clinical signs and symptoms, and both local predisposing factors and systemic modifying factors can affect its extent, severity, and progression. Dental plaque-induced gingivitis may arise on an intact periodontium or on a reduced periodontium in either a non-periodontitis patient or in a currently stable "periodontitis patient" i.e. successfully treated, in whom clinical inflammation has been eliminated (or substantially reduced). A periodontitis patient with gingival inflammation remains a periodontitis patient (Figure 1), and comprehensive risk assessment and management are imperative to ensure early prevention and/or treatment of recurrent/progressive periodontitis. Precision dental medicine defines a patient-centered approach to care, and therefore, creates differences in the way in which a "case" of gingival health or gingivitis is defined for clinical practice as opposed to epidemiologically in population prevalence surveys. Thus, case definitions of gingival health and gingivitis are presented for both purposes. While gingival health and gingivitis have many clinical features, case definitions are primarily predicated on presence or absence of bleeding on probing. Here we classify gingival health and gingival diseases/conditions, along with a summary table of diagnostic features for defining health and gingivitis in various clinical situations.

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“…Nevertheless, very little evidence exists on the effectiveness of plaque control in OLP management because available data are mainly provided by case reports, case series and cohort studies (Guiglia et al, 2007;Holmstrup, Schiotz, & Westergaard, 1990;Lopez-Jornet & Camacho-Alonso, 2010;Salgado et al, 2013;Scattarella, Petruzzi, Ballini, Grassi, & Nardi, 2011). In 2015, Stone et al published a randomized controlled trial that demonstrated positive effects of plaque reduction in patients with gingival manifestation of OLP, with significant improvement in quality of life and in disease severity score (Stone, Heasman, Staines, & McCracken, 2015). In this trial, patients were supplied with a sonic-powered toothbrush.…”

mentioning

confidence: 99%

Effects of oral healthcare motivation in patients with gingival oral lichen planus: A randomized controlled trial

et al. 2019

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Objectives The role of dental plaque in gingival lesions caused by oral lichen planus has not been fully defined. The aim of this clinical trial was to evaluate the effects of oral healthcare motivation on clinical variables in patients with gingival oral lichen planus. Material and Methods Oral lichen planus patients with symptomatic gingival lesions were randomized in control and intervention groups. The intervention group was instructed to effectively remove bacterial biofilm from dental surfaces, while controls did not receive any advice. The outcome variables were as follows: quality of life (OHIP‐14), pain, plaque index and clinical severity of the disease (Escudier index). Outcome variables were assessed at 0, 4 and 20 weeks and analysed using an ANOVA model for factorial design. Results Data from 60 patients were collected. Regression analysis showed a significant positive trend of OHIP‐14, plaque index and Escudier index in the intervention group compared to controls (p < 0.05). Pain did not prove significantly different (p = 0.408). Conclusions Plaque control improved both OHIP‐14 and gingival lesion clinical severity. Oral hygienists should be involved in the multidisciplinary management of patients affected by oral lichen planus with gingival lesions.

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The impact of structured plaque control for patients with gingival manifestations of oral lichen planus: a randomized controlled study

Abstract: A structured plaque control intervention was effective in improving the oral health-related quality of life and clinically observed gingival lesions. This study provides evidence to include intensive plaque control within patients' initial and on-going management.

Cited by 29 publications

References 30 publications

Effect of sonic versus manual supervised toothbrushing on both clinical and biochemical profiles of patients with desquamative gingivitis associated with oral lichen planus: A randomized controlled trial

Effect of sonic versus manual supervised toothbrushing on both clinical and biochemical profiles of patients with desquamative gingivitis associated with oral lichen planus: A randomized controlled trial

Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions

Effects of oral healthcare motivation in patients with gingival oral lichen planus: A randomized controlled trial

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