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评价新型牙膏在减少 I 期和 II 期牙周炎维持治疗患者探诊深度方面的疗效:一项随机、双盲、阳性对照的临床试验。

Evaluating efficacy of a novel dentifrice in reducing probing depths in Stage I and II periodontitis maintenance patients: A randomized, double-blind, positive controlled clinical trial.

机构信息

School of Dentistry, Department of Periodontology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Department of Periodontics, University of Missouri-Kansas City, Kansas City, Missouri, USA.

出版信息

J Periodontol. 2021 Sep;92(9):1286-1294. doi: 10.1002/JPER.20-0721. Epub 2021 Feb 2.

Abstract

BACKGROUND

Compliance to periodontal maintenance therapy (PMT) is essential for long-term periodontal health. Between PMT visits, patients must maintain good oral hygiene. A dentifrice with demonstrable clinical benefits for use between PMT visits would be highly desirable. The aim of this clinical study was to investigate the effect of a novel dental gel on probing depths (PD) and inflammation when used as a home care dentifrice in Stage I and II periodontitis patients.

METHODS

This double-blind clinical study randomized 65 subjects with Stage I and II periodontitis to the novel dental gel containing 2.6% EDTA, and a commercially available anti-gingivitis dentifrice with 0.454% stannous fluoride. Primary endpoint was PD at 6 months for those sites with baseline PD ≥ 4 mm and secondary endpoints included whole mouth mean scores of modified gingival index (MGI), modified sulcus bleeding index (mSBI) and plaque index (PI). No SRP was performed at baseline.

RESULTS

Subjects using the novel dentifrice showed significant PD reductions of 1.18 mm (from 4.27 mm at baseline to 3.09 mm at 6 months) compared to 0.93 mm (from 4.23 mm at baseline to 3.30 mm at 6 months) shown for those using the positive control dentifrice. Difference between treatments at 6 months was 0.21 mm with P-value = 0.0126. Significant improvements in MGI (P = 0.0000), mSBI (P = 0.0000), and PI (P = 0.0102) were also observed in 6 months.

CONCLUSION

The novel dentifrice showed significant reductions in PD and gingival inflammation over 6 months solely as a home care dentifrice without baseline SRP in Stage I and II periodontitis maintenance patients.

摘要

背景

牙周维持治疗(PMT)的依从性对于长期的牙周健康至关重要。在 PMT 就诊之间,患者必须保持良好的口腔卫生。如果有一种在 PMT 就诊之间使用的牙膏具有明显的临床益处,那将是非常理想的。本临床研究旨在研究一种新型牙科凝胶在作为 I 期和 II 期牙周炎患者的家庭护理牙膏使用时对探测深度(PD)和炎症的影响。

方法

这项双盲临床研究将 65 名 I 期和 II 期牙周炎患者随机分为新型含 2.6%EDTA 的牙科凝胶组和市售含 0.454% 氟化亚锡的抗牙龈炎牙膏组。主要终点是基线 PD≥4mm 的部位在 6 个月时的 PD,次要终点包括改良牙龈指数(MGI)、改良龈沟出血指数(mSBI)和菌斑指数(PI)的全口平均评分。基线时未进行 SRP。

结果

使用新型牙膏的受试者 PD 显著降低 1.18mm(从基线时的 4.27mm 降至 6 个月时的 3.09mm),而使用阳性对照牙膏的受试者 PD 降低 0.93mm(从基线时的 4.23mm 降至 6 个月时的 3.30mm)。6 个月时两种治疗方法的差异为 0.21mm,P 值=0.0126。6 个月时 MGI(P=0.0000)、mSBI(P=0.0000)和 PI(P=0.0102)也显著改善。

结论

在 I 期和 II 期牙周炎维持患者中,新型牙膏在没有基线 SRP 的情况下,仅作为家庭护理牙膏使用 6 个月即可显著降低 PD 和牙龈炎症。

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