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印度达万盖雷市14 - 15岁学童中4%罗勒提取物牙膏、含氟牙膏和安慰剂牙膏对牙龈炎和牙菌斑疗效的比较评估——一项三盲随机临床试验

Comparative Evaluation of Efficacy of 4% Tulsi Extract (), Fluoridated and Placebo Dentifrices against Gingivitis and Plaque among 14-15 years School Children in Davangere City, India - A Triple Blinded Randomized Clinical Trial.

作者信息

Nadar Bhuvaneshwari Gangadharamurthy, Usha G V, Lakshminarayan Nagesh

机构信息

Department of Public Health Dentistry, Bapuji Dental College and Hospital, Bangalore, Karnataka, India.

Department of Public Health Dentistry, Dayanand Sagar Dental College and Hospital, Bangalore, Karnataka, India.

出版信息

Contemp Clin Dent. 2020 Jan-Mar;11(1):67-75. doi: 10.4103/ccd.ccd_109_19. Epub 2020 Jul 13.

Abstract

CONTEXT

Gingivitis is the most prevalent periodontal disease among adolescents. The most important factor associated with gingivitis is plaque accumulation. Mechanical plaque control through tooth brushing and mouth rinsing are the most commonly used preventive methods.

AIMS

This study aims to assess and compare the antiplaque and antigingivitis effect of 4% Tulsi leaf extract dentifrice, fluoridated and placebo dentifrice (PD) among 14-15-year-old school children in Davangere city.

MATERIALS AND METHODS

A triple blinded concurrent parallel trial. A sample of 84 participants with a baseline mean gingival index score of at least 1.0 and mean plaque index score of at least 1.5 were randomly selected. Participants were divided into three groups by block randomization and concealed random allocation method was used to distribute dentifrices. Postassessment of plaque and gingivitis was done on the 21 day.

STATISTICAL ANALYSIS USED

Wilcoxon signed rank test for within group comparison and Kruskal-Wallis ANOVA for intergroup comparison was used.

RESULTS

Significant reduction in the plaque and gingival scores between the groups was observed on the 21 day ( = 0.001). Maximum reduction in gingivitis ( = 0.001) and dental plaque ( = 0.01) was seen in 4% tulsi dentifrice group compared to PD.

CONCLUSION

Antiplaque and antigingivitis efficacy of 4% tulsi and commercially available fluoridated dentifrice remained the same after 21 days.

摘要

背景

牙龈炎是青少年中最普遍的牙周疾病。与牙龈炎相关的最重要因素是牙菌斑积聚。通过刷牙和漱口进行机械性牙菌斑控制是最常用的预防方法。

目的

本研究旨在评估并比较4% 罗勒叶提取物牙膏、含氟牙膏和安慰剂牙膏(PD)对达万盖尔市14 - 15岁学童的抗牙菌斑和抗牙龈炎效果。

材料与方法

一项三盲并行平行试验。随机选取84名基线平均牙龈指数评分至少为1.0且平均牙菌斑指数评分至少为1.5的参与者。通过区组随机化将参与者分为三组,并采用隐蔽随机分配方法分发牙膏。在第21天对牙菌斑和牙龈炎进行评估。

所用统计分析方法

组内比较采用Wilcoxon符号秩检验,组间比较采用Kruskal - Wallis方差分析。

结果

在第21天观察到各组之间牙菌斑和牙龈评分有显著降低(P = 0.001)。与安慰剂牙膏相比,4% 罗勒牙膏组的牙龈炎(P = 0.001)和牙菌斑(P = 0.01)减少最多。

结论

21天后,4% 罗勒牙膏和市售含氟牙膏的抗牙菌斑和抗牙龈炎功效相同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/107d/7580749/4cd26962ba2c/CCD-11-67-g001.jpg

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