Prasad Monika, Patthi Basavaraj, Singla Ashish, Gupta Ritu, Jankiram Chandrasheker, Kumar Jishnu Krishna, Vashishtha Vaibhav, Malhi Ravneet
Tutor, Department of Public Health Dentistry, D.J College of Dental Sciences & Research , Ghaziabad, India .
Professor and Head, Department of Public Health Dentistry, D.J College of Dental Sciences & Research , Ghaziabad, India .
J Clin Diagn Res. 2016 May;10(5):ZE01-7. doi: 10.7860/JCDR/2016/16960.7708. Epub 2016 May 1.
Dental plaque is the major etiological factor associated with the development of gingivitis. Hence, maintenance of oral hygiene is very essential.
To systematically review the literature on the effects of a post toothbrushing rinsing on plaque and parameters of gingival inflammation.
A literature review was performed in PubMed Central and Cochrane library, embase, google scholar were searched up to February 2015 to identify appropriate studies. The primary outcome measure was plaque and gingival inflammation reduction.
Out of the total 56 titles appeared, 08articles fulfilled the criteria and were selected for the review. One article which was hand searched and one article which was through e-mail was included. A statistically significant reduction in overall plaque and gingivitis was noted when different mouth rinses were compared to the control (p<0.05). It was seen that chlorhexidine is the best antiplaque and antigingivitis agent but due to its side effects after continuous use, was not indicated for long term use. Probiotic was superior to chlorhexidine in terms of reduction of gingival inflammation.
There are relatively few studies evaluating the association between post toothbrushing rinsing and gingivitis. A clear effect was observed, indicating that different mouthrinses (chlorhexidine, probiotic, herbal, essential oil mouthrinse) when used as an adjunct to mechanical means of oral hygiene, provides an additional benefit with regard to plaque and gingivitis reduction as compared to a placebo or control.
牙菌斑是与牙龈炎发展相关的主要病因。因此，保持口腔卫生非常重要。
系统回顾关于刷牙后漱口对牙菌斑和牙龈炎症参数影响的文献。
在PubMed Central和Cochrane图书馆进行文献综述，截至2015年2月检索了Embase、谷歌学术以确定合适的研究。主要观察指标是牙菌斑减少和牙龈炎症减轻。
在总共出现的56篇标题中，有8篇文章符合标准并被选入综述。包括一篇手工检索的文章和一篇通过电子邮件获取的文章。与对照组相比，使用不同漱口水时，总体牙菌斑和牙龈炎有统计学显著减少（p<0.05）。可见洗必泰是最佳的抗牙菌斑和抗牙龈炎药物，但由于连续使用后的副作用，不建议长期使用。在减轻牙龈炎症方面，益生菌优于洗必泰。
评估刷牙后漱口与牙龈炎之间关联的研究相对较少。观察到明显效果，表明不同漱口水（洗必泰、益生菌、草药、精油漱口水）作为口腔卫生机械方法的辅助手段，与安慰剂或对照组相比，在减少牙菌斑和牙龈炎方面提供了额外益处。
