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番石榴和维生素 C 补充剂对实验性牙龈炎的影响:一项随机临床试验。

Effect of guava and vitamin C supplementation on experimental gingivitis: A randomized clinical trial.

机构信息

Department of Periodontology, Padjadjaran State University, Bandung, Indonesia.

Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands.

出版信息

J Clin Periodontol. 2018 Aug;45(8):959-967. doi: 10.1111/jcpe.12922. Epub 2018 Jun 21.

Abstract

OBJECTIVE

To study the effect of guava and synthetic vitamin C on the development of gingival inflammation during experimental gingivitis.

MATERIAL AND METHODS

Participants were randomly assigned to three groups supplemented daily with either 200 g guava, 200 mg synthetic vitamin C or water. The study included a 14 days pre-experimental period with oral hygiene instructions, scaling, prophylaxis and supplementation. Thereafter, experiment gingivitis was initiated, while continuing supplementation. At baseline, Day 7 and Day 14 of experimental gingivitis, Plaque Index (PlI) and Gingival Index (GI) were assessed. During the entire study, dietary fruit/vegetables intake was minimal.

RESULTS

PlI increased in guava, vitamin C and control group (ΔPlI: 1.30, 1.61 and 1.79, respectively). However, the guava group developed significantly less plaque compared to the control group. The GI increase in both guava and vitamin C group was significantly less than the increase in the control group (ΔGI: 0.10, 0.24 and 0.87, respectively).

CONCLUSION

In a population of young nonsmoking adults, consumption of either 200 g guava/day or 200 mg synthetic vitamin C/day, prior to and during the oral hygiene abstention period, has a preventive effect on the development of experimental gingivitis as compared to the control group that developed the usual amount of experimental gingivitis.

摘要

目的

研究番石榴和合成维生素 C 对实验性牙龈炎发展过程中牙龈炎症的影响。

材料和方法

参与者被随机分为三组,每天分别补充 200 克番石榴、200 毫克合成维生素 C 或水。研究包括 14 天的预实验期,期间进行口腔卫生指导、洁治、预防和补充。此后,在继续补充的同时,开始进行实验性牙龈炎。在基线、实验性牙龈炎第 7 天和第 14 天,评估菌斑指数(PlI)和牙龈指数(GI)。在整个研究过程中,饮食中的水果/蔬菜摄入量很少。

结果

番石榴、维生素 C 和对照组的 PlI 均增加(ΔPlI:分别为 1.30、1.61 和 1.79)。然而,与对照组相比,番石榴组的菌斑明显减少。番石榴组和维生素 C 组的 GI 增加均显著低于对照组(ΔGI:分别为 0.10、0.24 和 0.87)。

结论

在年轻非吸烟成年人中,在口腔卫生不注意期间,每天食用 200 克番石榴或 200 毫克合成维生素 C,可预防实验性牙龈炎的发生,与对照组相比,后者发生了通常数量的实验性牙龈炎。

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