Rosin Michael, Kramer Axel, Bradtke Detlef, Richter Gerrit, Kocher Thomas
Department of Operative Dentistry, Periodontology, and Paediatric Dentistry, School of Dentistry, University of Greifswald, Germany.
J Clin Periodontol. 2002 Dec;29(12):1086-91. doi: 10.1034/j.1600-051x.2002.291207.x.
The aim of the study was to compare the gingival health benefits of a thiocyanate/carbamide peroxide toothpaste to that of a triclosan toothpaste in home use.
The study was a two-centre, randomised, double-blind, parallel-group clinical trial, and consisted of a 2-week pre-experimental phase, followed by an experimental period of 6 months. A total of 140 healthy male and female volunteers (70 per group) who had at least 20 natural teeth with no probing depths greater than 5 mm and a mean gingival index (GI) of 1 or more at screening were admitted to the study. The two products were the test toothpaste (RCP) containing 0.5% SCN- (rhodanide), carbamide peroxide (equivalent 0.1% H2O2), and 1450 p.p.m. fluoride, and a control toothpaste (Colgate Total) containing 0.3% triclosan, 2.0% polyvinyl methyl ether maleic acid (PVM/MA), and 1450 p.p.m. fluoride (Triclosan). In the pre-experimental phase, all subjects used a fluoride toothpaste. Plaque (Turesky et al. 1970) and gingivitis (Löe & Silness 1963) were scored prior to beginning the pre-experimental phase, at baseline, and after 6 weeks and 3 and 6 months.
In both the RCP and the Triclosan group, gingival health improved significantly between baseline and the following examinations. Plaque scores decreased significantly between baseline and 6 months in both groups. There were, however, no significant differences between the groups for either gingival index or plaque index.
To conclude, this study seems to verify that in normal home use, a toothpaste containing a combination of thiocyanate and carbamide peroxide is as effective in reducing gingival inflammation and supragingival plaque formation as a benchmark control product.
本研究旨在比较硫氰酸盐/过氧化脲牙膏与三氯生牙膏在家庭使用中对牙龈健康的益处。
本研究为一项双中心、随机、双盲、平行组临床试验,包括为期2周的实验前期,随后是6个月的实验期。共有140名健康男女志愿者(每组70人)入选本研究,这些志愿者在筛选时至少有20颗天然牙,探诊深度不超过5mm,平均牙龈指数(GI)为1或更高。两种产品分别为测试牙膏(RCP),其含有0.5%硫氰酸盐(硫氰化物)、过氧化脲(相当于0.1%过氧化氢)和1450ppm氟化物;以及对照牙膏(高露洁全效牙膏),其含有0.3%三氯生、2.0%聚乙烯甲醚马来酸(PVM/MA)和1450ppm氟化物(三氯生)。在实验前期,所有受试者使用含氟牙膏。在实验前期开始前、基线时、6周后以及3个月和6个月后对菌斑(Turesky等人,1970年)和牙龈炎(Löe和Silness,1963年)进行评分。
在RCP组和三氯生组中,从基线到后续检查期间牙龈健康均有显著改善。两组在基线到6个月期间菌斑评分均显著降低。然而,两组之间在牙龈指数或菌斑指数方面均无显著差异。
总之,本研究似乎证实,在正常家庭使用中,含有硫氰酸盐和过氧化脲组合的牙膏在减少牙龈炎症和龈上菌斑形成方面与基准对照产品一样有效。