Ramesh Manumanthu-Venkata, Kumar Puvvadi-Gopala-Krishna-Naveen, Allamaprabhu C R, Kumar Nerella-Narendra, Yasmeen Syed-Amtu, Praveen Gadde, Lakshmi Thorreti-Venkata-Sandhya
Reader, Department of Public Health Dentistry, Vishnu Dental College, Bhimavaram - 534202, Andhra Pradesh, India.
Professor, Department of Public Health Dentistry, Faculty of Dental Sciences, IMS, BHU, Varanasi, Uttar Pradesh, India.
J Clin Exp Dent. 2020 Mar 1;12(3):e227-e234. doi: 10.4317/jced.56333. eCollection 2020 Mar.
Bio-film formation is a natural process in the oral environment, but needs to be controlled through regular brushing in order to prevent the development of caries and periodontal diseases.
A wide variety of dentifrices of complementary and alternative medicinal systems are available in the market which claims superior plaque control. A randomized controlled double-blinded concurrent parallel clinical trial was conducted with the objective to evaluate and compare the clinical effectiveness of three commercially available dentifrices of complementary and alternative medicine systems with that of a placebo dentifrice on Gingival Index (GI) and Plaque Index (PI) scores after 15, 30, 45 and 60 days of usage among 80 adults aged 35-44 years.
The mean GI scores reduced by 29.19 %, 22.28 %, 32.43 % and 10.33 % in the herbal dentifrice, homeopathic dentifrice, conventional dentifrice, and placebo dentifrice groups by the end of the study period. Highest reduction of 33.5% and 34.87 % in PI scores were seen in the herbal and conventional dentifrice. This reduction was statistically significant (=0.001).
The herbal dentifrice tested in the present study has demonstrated anti-gingivitis and anti-plaque efficiency equivocal to the conventional dentifrice. The homeopathic dentifrice was as good as a placebo. CAM dentifrices, Homeopathic dentifrice, plaque, gingivitis, tooth brushing.
生物膜形成是口腔环境中的一个自然过程，但需要通过定期刷牙来控制，以预防龋齿和牙周疾病的发生。
市场上有各种各样声称具有卓越牙菌斑控制效果的补充和替代医学系统的牙膏。进行了一项随机对照双盲同期平行临床试验，目的是评估和比较三种市售的补充和替代医学系统牙膏与一种安慰剂牙膏在80名35 - 44岁成年人使用15、30、45和60天后对牙龈指数（GI）和菌斑指数（PI）评分的临床效果。
在研究期结束时，草药牙膏组、顺势疗法牙膏组、传统牙膏组和安慰剂牙膏组的平均GI评分分别降低了29.19%、22.28%、32.43%和10.33%。草药牙膏和传统牙膏的PI评分降幅最高，分别为33.5%和34.87%。这种降幅具有统计学意义（=0.001）。
本研究中测试的草药牙膏已证明具有与传统牙膏相当的抗牙龈炎和抗牙菌斑效果。顺势疗法牙膏与安慰剂效果相当。补充和替代医学牙膏、顺势疗法牙膏、牙菌斑、牙龈炎、刷牙。
