Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy.
Dental hygienist in private practice, Pescara, Italy.
Can J Dent Hyg. 2020 Feb 1;54(1):26-31.
BACKGROUND: The use of medicated mouthwashes and gels in the home care maintenance of dental implants is controversial due to the possibility of residue deposition on the implant collar. The aim of this in vitro study was to analyse, by means of scanning electron microscopy (SEM), the amount of residues on dental implant collars treated with various commercial home dental care products. METHODS: Gel and mouthwash products were tested on 10 implants. The gels included sodium fluoride, amine fluoride, and sodium hyaluronate products. The mouthwashes tested contained triclosan, nimesulide, stannous fluoride, amine fluoride, and hexetidine-chlorobutanol. The SEM observations were performed at different magnifications in double modality SE (secondary electrons) and BSE (backscattered electrons) to qualitatively assess any residual products. The image quantitative analysis was performed by Image J software to assess areas occupied by residuals. All results were analysed by the same researcher with experience in electron microscopy. RESULTS: The fluoride-based gel products left wider areas occupied by residuals than the mouthwash products. In particular the fluoride-based and hyaluronate products left the highest amount of residues. Among mouthwashes, fluoride-based and triclosan products showed the highest amount of residuals deposition. DISCUSSION: Oral hygiene procedures and related professional products are fundamental to the prevention, treatment, and control of microorganisms. In the case of implants, mechanical and chemical plaque control strategies are even more important since the potentially harmful biofilm covers abiotic titanium surfaces. In situ fixture maintenance is crucial for dental implant therapy success. Correct recommendation of home care products for bacterial control is fundamental to the health of implants and their surrounding tissues. CONCLUSIONS: Data from this experimental study showed that home care commercial products in gel formulation, especially those containing fluoride, leave more residuals on titanium smooth surfaces than mouthwash products. The longer permanence of the products may lead to a more effective plaque control than other products.
背景:在口腔种植体的家庭护理中使用药物漱口水和凝胶存在争议,因为它们有可能在种植体颈部残留。本体外研究的目的是通过扫描电子显微镜(SEM)分析各种商业家用口腔护理产品处理后种植体颈部的残留物量。
方法:对 10 个种植体进行凝胶和漱口水产品测试。凝胶包括含氟化物、胺氟化物和透明质酸钠的产品。测试的漱口水包含三氯生、尼美舒利、氟化亚锡、胺氟化物和洗必泰-氯己定。在双模态 SE(二次电子)和 BSE(背散射电子)下以不同放大倍数进行 SEM 观察,以定性评估任何残留产物。使用 Image J 软件对图像进行定量分析,以评估残留物所占面积。所有结果均由具有电子显微镜经验的同一位研究人员进行分析。
结果:基于氟化物的凝胶产品比漱口水产品留下更大的残留区域。特别是基于氟化物和透明质酸钠的产品留下的残留物最多。在漱口水产品中,基于氟化物和三氯生的产品显示出最高的残留物沉积量。
讨论:口腔卫生程序和相关的专业产品对于预防、治疗和控制微生物至关重要。对于种植体而言,机械和化学菌斑控制策略更为重要,因为潜在的有害生物膜覆盖了非生物钛表面。原位固定器维护对于牙科种植体治疗的成功至关重要。正确推荐用于细菌控制的家庭护理产品对于植入物及其周围组织的健康至关重要。
结论:本实验研究的数据表明,凝胶制剂的家用护理产品,特别是含氟化物的产品,在钛光滑表面上留下的残留物比漱口水产品多。产品的持久性更长可能会比其他产品更有效地控制菌斑。
Cochrane Database Syst Rev. 2010-8-4
Acta Microbiol Immunol Hung. 2012-3
Can J Infect Dis Med Microbiol. 2025-6-22
Int J Environ Res Public Health. 2024-9-20
Methods Protoc. 2023-11-8
Microorganisms. 2023-10-13
Microorganisms. 2023-2-28
Microorganisms. 2023-1-26
J Funct Biomater. 2023-1-21
J Clin Periodontol. 2019-8-25
Materials (Basel). 2019-5-4
High Throughput. 2018-8-31
Oral Implantol (Rome). 2017-1-21
J Reprod Dev. 2018-2-27
APMIS. 2017-4