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在实验性牙龈炎模型中比较0.06%、0.12%和0.2%洗必泰对牙菌斑、出血及副作用的影响:一项平行组、双盲随机临床试验。

Comparing the effect of 0.06% -, 0.12% and 0.2% Chlorhexidine on plaque, bleeding and side effects in an experimental gingivitis model: a parallel group, double masked randomized clinical trial.

作者信息

Haydari Maliha, Bardakci Ayse Gul, Koldsland Odd Carsten, Aass Anne Merete, Sandvik Leiv, Preus Hans R

机构信息

Department of Periodontology, Institute of Clinical Odontology, Faculty of Dentistry, University of Oslo, Oslo, Norway.

出版信息

BMC Oral Health. 2017 Aug 18;17(1):118. doi: 10.1186/s12903-017-0400-7.

Abstract

BACKGROUND

Chlorhexidine is the gold standard of dental plaque prevention. The aim of the present study was to compare the plaque and gingivitis inhibiting effect of commercial products containing 0.2%, 0.12% and 0.06% chlorhexidine in a modified experimental gingivitis model.

METHODS

In three groups of healthy volunteers, experimental gingivitis was induced and monitored over 21 days and simultaneously treated with the commercial solutions containing 0.2%, 0.12% and 0.06% chlorhexidine. The maxillary right quadrant of each individual received mouthwash only, whereas the maxillary left quadrant was subject to both rinsing and mechanical oral hygiene. Compliance and side effects were monitored at days 7, 14, and 21. Plaque and gingivitis scores were obtained at baseline and day 21.

RESULTS

The commercial mouthwash containing 0.2% chlorhexidine resulted in statistically significantly lower plaque scores than the 0.12 and 0.06% mouthwashes after 21 days use, whereas no statistically significant difference was found between the effects of the two latter.

CONCLUSION

A commercially available mouthwash containing 0.2% chlorhexidine had statistically significant better effect in preventing dental plaque than the 0.12% and 0.06% solutions.

TRIAL REGISTRATION

ClinicalTrials.gov NCT02911766 . Registration date: September 9th 2016.

摘要

背景

洗必泰是预防牙菌斑的金标准。本研究的目的是在改良的实验性牙龈炎模型中比较含有0.2%、0.12%和0.06%洗必泰的商业产品对牙菌斑和牙龈炎的抑制作用。

方法

在三组健康志愿者中诱导实验性牙龈炎并监测21天,同时用含有0.2%、0.12%和0.06%洗必泰的商业溶液进行治疗。每个个体的右上颌象限仅接受漱口水,而左上颌象限则进行冲洗和机械口腔卫生护理。在第7天、14天和21天监测依从性和副作用。在基线和第21天获得牙菌斑和牙龈炎评分。

结果

使用21天后,含有0.2%洗必泰的商业漱口水的牙菌斑评分在统计学上显著低于含有0.12%和0.06%洗必泰的漱口水,而后者两者的效果之间未发现统计学上的显著差异。

结论

含有0.2%洗必泰的市售漱口水在预防牙菌斑方面的效果在统计学上显著优于含有0.12%和0.06%洗必泰的溶液。

试验注册

ClinicalTrials.gov NCT02911766。注册日期:2016年9月9日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8c6/5562977/8647ef3b1491/12903_2017_400_Fig1_HTML.jpg

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