Ripari Francesca, Filippone Federica, Zumbo Giulia, Covello Francesco, Zara Francesca, Vozza Iole
Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy.
Eur J Dent. 2020 Oct;14(4):558-565. doi: 10.1055/s-0040-1714194. Epub 2020 Sep 22.
The aim of the study was to evaluate the coconut oil pulling efficacy as adjuvant in reducing plaque formation and in treating plaque-induced gingivitis.
A sample of 20 patients was divided into two groups: a study and a control group. In the study group, coconut oil, in form of mouthwash, was administered to a sample of patients affected by gingivitis, aged between 18 and 35. The protocol established a daily application of the product for 30 days, where clinical parameters for plaque formation and gingivitis-plaque index (PI), bleeding index (BI)-will be evaluated during the recalls on a specific periodontal chart. The control group did not associate a coadjuvant to the normal daily oral health procedures and the same clinical parameters were evaluated at t0 and after 30 days (t1). The data were statistically analyzed using Student's -test, establishing the significance level as < 0.05.
PI and BI decreased in both groups, with a more relevant and significant drop in the study group, from a mean value of PI of 58.0 to 19.3 and a mean value of BI of 33.5 to 5.0. In the control group, the values decreased, respectively, from 53.9 to 29.1 for PI, and from 33.5 to 16.2. Furthermore, no significant side effect was reported during coconut oil pulling therapy.
The collected data showed significant and promising improvements in reducing plaque formation and gingivitis. However, further researches have to be performed to have more consistent and statistically significant data on larger samples and to fully understand the mechanisms of action and effectiveness.
本研究旨在评估椰子油拉吸法作为辅助手段在减少牙菌斑形成及治疗菌斑性牙龈炎方面的效果。
选取20名患者作为样本，分为两组：研究组和对照组。研究组中，将漱口水形式的椰子油应用于18至35岁患牙龈炎的患者样本。方案规定每日使用该产品，持续30天，在此期间，将在特定牙周检查表上的复诊时评估牙菌斑形成及牙龈炎 - 菌斑指数（PI）、出血指数（BI）等临床参数。对照组在日常口腔卫生程序中未使用辅助剂，在t0和30天后（t1）评估相同的临床参数。使用学生t检验对数据进行统计学分析，将显著性水平设定为<0.05。
两组的PI和BI均下降，研究组下降更为显著，PI平均值从58.0降至19.3，BI平均值从33.5降至5.0。对照组中，PI值分别从53.9降至29.1，BI值从33.5降至16.2。此外，在椰子油拉吸疗法期间未报告明显副作用。
收集的数据显示在减少牙菌斑形成和牙龈炎方面有显著且有前景的改善。然而，必须进行进一步研究，以获取关于更大样本的更一致且具有统计学意义的数据，并充分了解其作用机制和有效性。
