Al-Kholani Abdulwahab I
Associate Professor, Department of Restorative, College of Dentistry, Sana'a University, Sana'a, Republic of Yemen.
Dent Res J (Isfahan). 2011 Spring;8(2):57-63.
Bacteria in dental plaque are one of the main factors causing periodontal disease. The aim was to evaluate and compare the effectiveness of antimicrobial dentifrices with herbal extracts and conventional toothpaste with no antimicrobial action for improvement of oral hygiene and reduction of gingival inflammation.
48 volunteers with chronic marginal gingivitis were randomly divided into three groups. Groups 1 and 2 received herbal extract dentifrices. Group 3 used a conventional dentifrice. Subjects were asked to use the allocated dentifrice, three times a day, for 42 days. Values of Patient Hygiene Performance, Approximal Plaque, Gingival, and Sulcular Bleeding indices were assessed at baseline, after 14, 28 and 42 days. Data were analyzed by Student's t-test (α = 0.05).
Oral hygiene (tooth brushing with dentifrices for 42 days) led to a significant decrease in plaque accumulation on smooth (by 61.2% and 57.2 in herbal test groups 1 and 2, respectively) and approximal (by 57.4 and 52.8% in herbal test groups 1 and 2, respectively) tooth surfaces, reduction of gingival inflammation (by 68.0 and 70.6% in herbal test groups 1 and 2, respectively) and gingival sulcus bleeding (by 79.5 and 81.2% in herbal test groups 1 and 2, respectively). Final indices values in both herbal test groups were significantly (P <60; 0.001) lower compared to those at baseline and those after 42 days in the conventional group.
Continuous application of herbal tooth paste provided significant improvement of oral hygiene level in patients with gingivitis.
牙菌斑中的细菌是导致牙周疾病的主要因素之一。目的是评估和比较含草药提取物的抗菌牙膏与无抗菌作用的传统牙膏在改善口腔卫生和减轻牙龈炎症方面的效果。
48名患有慢性边缘性牙龈炎的志愿者被随机分为三组。第1组和第2组使用含草药提取物的牙膏。第3组使用传统牙膏。要求受试者每天使用分配的牙膏三次,持续42天。在基线、14天、28天和42天后评估患者卫生表现、邻面菌斑、牙龈和龈沟出血指数的值。数据采用学生t检验进行分析(α = 0.05)。
口腔卫生(使用牙膏刷牙42天)导致光滑牙面(第1组和第2组草药测试组分别减少61.2%和57.2%)和邻面(第1组和第2组草药测试组分别减少57.4%和52.8%)的菌斑积聚显著减少,牙龈炎症减轻(第1组和第2组草药测试组分别减少68.0%和70.6%),龈沟出血减少(第1组和第2组草药测试组分别减少79.5%和81.2%)。两个草药测试组的最终指数值与基线时相比以及与传统组42天后的值相比均显著(P < 0.001)更低。
持续使用草药牙膏可显著改善牙龈炎患者的口腔卫生水平。