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使用含无酒精精油的漱口水对牙菌斑和牙龈炎进行长期管理:一项为期6个月的随机临床试验。

Long-term management of plaque and gingivitis using an alcohol-free essential oil containing mouthrinse: a 6-month randomized clinical trial.

作者信息

Cortelli Sheila Cavalca, Cortelli José Roberto, Shang Hongyan, McGuire James A, Charles Christine A

机构信息

Nucleus of Periodontal Research, University of Taubaté (UNITAU), São Paulo, Brazil.

出版信息

Am J Dent. 2013 Jun;26(3):149-55.

PMID:23986962
Abstract

PURPOSE

This 6-month, examiner-blind, single center, randomized, parallel group, controlled clinical trial compared the antiplaque/antigingivitis effects of an alcohol-free EO mouthrinse (LISTERINE Zero) to a negative control (5% flavored, colored hydroalcohol) and to an alcohol-free CPC-containing mouthrinse (Colgate Plax).

METHODS

337 gingivitis subjects were clinically examined to determine Modified Gingival Index (MGI) and Plaque Index (PI) at baseline, 3 and 6 months. The primary efficacy variables were mean MGI and mean PI at 6 months (statistically analyzed by ANCOVA). After professional dental prophylaxis, subjects were randomly assigned to 6-month twice daily unsupervised use of alcohol-free EO, alcohol-free CPC or a negative control rinse, in conjunction with normal brushing and flossing. Safety was monitored throughout the study.

RESULTS

311 subjects completed the study. After 6 months of use, EO significantly reduced plaque (31.6%) and gingivitis (24.0%) compared to negative control. At 6 months, CPC also significantly reduced plaque (6.4%) and gingivitis (4.4%) compared to negative control. EO provided a 26.9% decrease in plaque and a 20.5% decrease in gingivitis compared to CPC (P < 0.001). All rinses were well tolerated. The alcohol-free EO mouthrinse demonstrated superior efficacy in reducing plaque and gingivitis over 6 months compared to both negative control and alcohol-free CPC mouthrinse.

摘要

目的

这项为期6个月、检查者盲法、单中心、随机、平行组对照临床试验,比较了不含酒精的精油漱口水(李施德林零度)与阴性对照(5%加味、染色的含醇溶液)以及不含酒精的含西吡氯铵漱口水(高露洁全效护理漱口水)的抗牙菌斑/抗牙龈炎效果。

方法

对337名牙龈炎患者进行临床检查,在基线、3个月和6个月时测定改良牙龈指数(MGI)和菌斑指数(PI)。主要疗效变量为6个月时的平均MGI和平均PI(通过协方差分析进行统计学分析)。在进行专业牙齿洁治后,受试者被随机分配,在6个月内每天两次在无人监督的情况下使用不含酒精的精油漱口水、不含酒精的西吡氯铵漱口水或阴性对照漱口水,同时正常刷牙和使用牙线。在整个研究过程中监测安全性。

结果

311名受试者完成了研究。使用6个月后,与阴性对照相比,精油漱口水显著减少了牙菌斑(31.6%)和牙龈炎(24.0%)。在6个月时,与阴性对照相比,西吡氯铵漱口水也显著减少了牙菌斑(6.4%)和牙龈炎(4.4%)。与西吡氯铵漱口水相比,精油漱口水使牙菌斑减少了26.9%,牙龈炎减少了20.5%(P < 0.001)。所有漱口水耐受性良好。与阴性对照和不含酒精的西吡氯铵漱口水相比,不含酒精的精油漱口水在6个月内减少牙菌斑和牙龈炎方面显示出卓越的疗效。

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