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益生菌、氯己定漱口水和油拔疗法对10至12岁学童牙菌斑积聚和牙龈炎症影响的效果比较:一项随机对照试验

Comparison of the Effectiveness of Probiotic, Chlorhexidine-based Mouthwashes, and Oil Pulling Therapy on Plaque Accumulation and Gingival Inflammation in 10- to 12-year-old Schoolchildren: A Randomized Controlled Trial.

作者信息

Kandaswamy Saravana K, Sharath Asokan, Priya Pr Geetha

机构信息

Postgraduate Student, Department of Pedodontics and Preventive Dentistry, K.S.R. Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India.

Professor and Head, Department of Pedodontics, K.S.R. Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India.

出版信息

Int J Clin Pediatr Dent. 2018 Mar-Apr;11(2):66-70. doi: 10.5005/jp-journals-10005-1487. Epub 2018 Apr 1.

DOI:10.5005/jp-journals-10005-1487
PMID:29991855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6034046/
Abstract

INTRODUCTION

The use of a mouthwash augments mechanical removal of plaque by brushing and flossing and helps maintain oral health through its antiplaque and antibacterial chemical properties.

AIM

To evaluate the effectiveness of a probiotic mouthwash, sesame oil pulling therapy, and chlorhexidine-based mouth-wash on plaque accumulation and gingival inflammation in schoolchildren aged 10 to 12 years.

MATERIALS AND METHODS

The randomized controlled trial included 45 healthy schoolchildren aged 10 to 12 years and studying in Government High School, Tiruchengode, Tamil Nadu, India. The participants were randomly divided into three groups, I, II, and III, with 15 children in each group as follows: group I: probiotic mouthwash; group II: chlorhexidine mouthwash; and group III: sesame oil. Baseline scores of plaque index (PI) and modified gingival index (GI) were recorded followed by a full mouth oral prophylaxis. The designated mouth rinses were distributed to the respective groups and they were instructed to rinse once daily. Their parents supervised the children during the use of mouthwash. On the 15th and 30th day, the children were subjected to the same clinical measurements. Children's acceptance of their plaque control method was assessed using a modified facial image scale.

RESULTS

Intragroup comparisons for both the GI and PI scores were statistically significant (p ≤ 0.001) in all the three groups. Difference in the GI scores between the 15th and 30th day was statistically significant for chlorhexidine group alone (p = 0.024). Intergroup comparisons between the three groups were not statistically significant.

CONCLUSION

Probiotic mouthwash, chlorhexidine mouthwash, and sesame oil were equally effective in reducing plaque and in improving the gingival status of children. The difference between the gingival scores on the 15th and 30th day was statistically significant in the chlorhexidine group. Kandaswamy SK, Sharath A, Priya PRG. Comparison of the Effectiveness of Probiotic, Chlorhexidine-based Mouthwashes, and Oil Pulling Therapy on Plaque Accumulation and Gingival Inflammation in 10- to 12-year-old Schoolchildren: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2018;11(2):66-70.

摘要

引言

使用漱口水可增强刷牙和使用牙线对牙菌斑的机械清除作用,并通过其抗牙菌斑和抗菌化学特性来帮助维持口腔健康。

目的

评估益生菌漱口水、芝麻油拔油疗法和洗必泰漱口水对10至12岁学龄儿童牙菌斑积聚和牙龈炎症的效果。

材料与方法

这项随机对照试验纳入了45名年龄在10至12岁、就读于印度泰米尔纳德邦蒂鲁琴戈德政府高中的健康学龄儿童。参与者被随机分为三组,即第一组、第二组和第三组,每组15名儿童,分组如下:第一组:益生菌漱口水;第二组:洗必泰漱口水;第三组:芝麻油。记录牙菌斑指数(PI)和改良牙龈指数(GI)的基线分数,然后进行全口口腔预防治疗。将指定的漱口水分发给相应组,并指导他们每天漱口一次。孩子们使用漱口水期间,其父母进行监督。在第15天和第30天,对孩子们进行相同的临床测量。使用改良面部图像量表评估孩子们对其牙菌斑控制方法的接受程度。

结果

所有三组的GI和PI分数组内比较均具有统计学意义(p≤0.001)。仅洗必泰组在第15天和第30天之间的GI分数差异具有统计学意义(p = 0.024)。三组之间的组间比较无统计学意义。

结论

益生菌漱口水、洗必泰漱口水和芝麻油在减少牙菌斑和改善儿童牙龈状况方面同样有效。洗必泰组在第15天和第30天的牙龈分数差异具有统计学意义。坎达斯瓦米·SK、沙拉特·A、普里娅·PRG。益生菌、洗必泰漱口水和拔油疗法对10至12岁学龄儿童牙菌斑积聚和牙龈炎症效果的比较:一项随机对照试验。《国际临床儿科牙科学杂志》2018年;11(2):66 - 70。

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