Cohen R E, Ciancio S G, Mather M L, Curro F A
Department of Periodontology, School of Dental Medicine, State University of New York at Buffalo.
Clin Prev Dent. 1991 Sep-Oct;13(5):20-4.
The purpose of this study was to compare the effects of a topical 5% vitamin E gel, a placebo gel and chlorhexidine on established and developing plaque and periodontal disease in 48 adult subjects. Baseline data included Plaque Index, Gingival Index and periodontal probing depth. All data were collected by a single calibrated examiner using a double-blind methodology. One group of subjects applied 12 mL of a vitamin E-containing gel delivering 800 mg of alpha-tocopherol, another applied 12 mL of a placebo gel, and the final group rinsed with 0.5 oz of 0.12% chlorhexidine gluconate. After two weeks, the clinical data were again recorded, and two quadrants were randomly selected and treated by root planing and scaling, with data collection repeated after both 4 and 6 weeks. Our results indicated that no significant effects upon plaque or gingivitis were obtainable in either the placebo or the vitamin E groups. However, use of 0.12% chlorhexidine significantly reduced plaque. These results do not support the use of vitamin E as a topical chemotherapeutic agent for the control of gingivitis or periodontal disease.
本研究的目的是比较局部应用5%维生素E凝胶、安慰剂凝胶和氯己定对48名成年受试者已形成和正在发展的牙菌斑及牙周疾病的影响。基线数据包括菌斑指数、牙龈指数和牙周探诊深度。所有数据均由一名经过校准的检查者采用双盲方法收集。一组受试者应用12毫升含维生素E的凝胶,其中含有800毫克α-生育酚,另一组应用12毫升安慰剂凝胶,最后一组用0.5盎司0.12%的葡萄糖酸氯己定漱口。两周后,再次记录临床数据,随机选择两个象限进行根面平整和刮治,并在4周和6周后重复收集数据。我们的结果表明,安慰剂组和维生素E组对牙菌斑或牙龈炎均未产生显著影响。然而,使用0.12%的氯己定可显著减少牙菌斑。这些结果不支持将维生素E用作控制牙龈炎或牙周疾病的局部化疗药物。