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冻干益生菌对牙龈状况和牙菌斑抑制的影响:一项随机、双盲、平行研究。

Effect of Freeze Dried Powdered Probiotics on Gingival Status and Plaque Inhibition: A Randomized, Double-blind, Parallel Study.

作者信息

Yousuf Asif, Sidiq Mohsin, Ganta Shravani, Nagaraj Anup, Vishnani Preeti, Jan Iram

机构信息

Department of Public Health Dentistry, Government Dental College, Srinagar, Jammu and Kashmir, India.

Department of Pedodontics and Preventive Dentistry, Government Dental College, Srinagar, Jammu and Kashmir, India.

出版信息

Contemp Clin Dent. 2017 Jan-Mar;8(1):116-121. doi: 10.4103/ccd.ccd_836_16.

Abstract

OBJECTIVE

The study aimed to evaluate the effectiveness of freeze dried powdered probiotics on gingival status and plaque inhibition among 12-15-year-old schoolchildren.

MATERIALS AND METHODS

This randomized controlled trial was conducted among 12-15-year-old schoolchildren in Jaipur. Commercially available freeze dried probiotics containing , , and (Prowel, Alkem Laboratories), lactic acid bacillus only (Sporolac, Sangyo), and a placebo powder calcium carbonate 250 g (Calcium Sandoz, Novartis) were assigned to two intervention groups and a placebo group each comprising 11 schoolchildren. All subjects were instructed to mix the powder in 30 ml of water and swish once daily for 3 min, for 3 weeks. Periodontal clinical parameters were assessed by examining the subjects for Turesky-Gilmore-Glickman plaque index (PI) (Modification of Quigley-Hein PI) and gingival index at baseline, 7 day, 14 day, and 21 day.

RESULTS

For both the probiotic groups, a statistically significant reduction ( < 0.05) in gingival status and plaque inhibition was recorded up to 2 week of probiotic ingestion. However, no significant difference was observed in the placebo group.

CONCLUSION

The use of probiotic mouth rinses improves the oral health in children by significantly reducing the plaque and gingival scores. Further studies are warranted to prove or refute the long-term effects, means of administering probiotics and the dosages needed to achieve different preventive or therapeutic purposes.

摘要

目的

本研究旨在评估冻干益生菌对12至15岁学龄儿童牙龈状况和牙菌斑抑制的效果。

材料与方法

本随机对照试验在斋浦尔12至15岁的学龄儿童中进行。将市售的含有嗜酸乳杆菌、双歧杆菌、干酪乳杆菌和植物乳杆菌的冻干益生菌(普柔,阿尔肯实验室)、仅含乳酸杆菌的产品(乐托尔,三共株式会社)以及安慰剂粉末碳酸钙250克(碳酸钙山德士,诺华公司)分别分配到两个干预组和一个安慰剂组,每组11名学童。所有受试者均被指示将粉末与30毫升水混合,每天漱口一次,持续3分钟,共3周。在基线、第7天、第14天和第21天,通过检查受试者的图尔斯基 - 吉尔摩 - 格利克曼菌斑指数(PI)(奎格利 - 海因菌斑指数的改良版)和牙龈指数来评估牙周临床参数。

结果

在摄入益生菌的前2周内,两个益生菌组的牙龈状况和牙菌斑抑制均有统计学显著降低(P<0.05)。然而,安慰剂组未观察到显著差异。

结论

使用益生菌漱口水可通过显著降低菌斑和牙龈评分来改善儿童口腔健康。需要进一步研究来证实或反驳其长期效果、益生菌的给药方式以及实现不同预防或治疗目的所需的剂量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ca/5426143/1b0af9db9ae4/CCD-8-116-g001.jpg

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