Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran.
School of Dentistry, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Biomed Res Int. 2022 Aug 2;2022:8856025. doi: 10.1155/2022/8856025. eCollection 2022.
Herbal and chemical products are used for oral care and biofilm treatment and also have been reported to be controversial in the massive trials conducted in this regard. The present review is aimed at evaluating the potential of relevant herbal and chemical products and comparing their outcomes to conventional oral care products and summarizing the current state of evidence of the antibiofilm properties of different products by evaluating studies from the past eleven years. Chlorhexidine gluconate (CHX), essential oils (EOs), and acetylpyridinium chloride were, respectively, the most commonly studied agents in the included studies. As confirmed by all systematic reviews, CHX and EO significantly control the plaque formation and gingival indices. Fluoride is another interesting reagent in oral care products that has shown promising results of oral health improvement, but the evidence quality needs to be refined. The synergy between natural plants and chemical products should be targeted in the future to accede to the formation of new, efficient, and healthy anticaries strategies. Moreover, to discover their biofilm-interfering or biofilm-inhibiting activities, effective clinical trials are needed. In this review article, therapeutic applications of herbal/chemical materials in oral biofilm infections are discussed in recent years (2010-2022).
草药和化学产品用于口腔护理和生物膜处理,并且在这方面进行的大规模试验也被报道存在争议。本综述旨在评估相关草药和化学产品的潜力,并将其结果与常规口腔护理产品进行比较,通过评估过去十一年的研究来总结不同产品抗生物膜特性的现有证据状况。葡萄糖酸氯己定(CHX)、精油(EO)和氯化十六烷基吡啶分别是纳入研究中最常研究的药物。所有系统评价都证实,CHX 和 EO 可显著控制菌斑形成和牙龈指数。氟化物是口腔护理产品中另一种有趣的试剂,它在改善口腔健康方面显示出了有希望的结果,但证据质量需要进一步完善。未来应针对天然植物和化学产品之间的协同作用,制定新的、有效的、健康的防龋策略。此外,还需要进行有效的临床试验来发现它们的抗生物膜或抑制生物膜活性。在本文综述中,讨论了近年来(2010-2022 年)草药/化学材料在口腔生物膜感染中的治疗应用。