Asaad Nour, Laflouf Mohannad
Department of Pediatric Dentistry, Damascus University, Faculty of Dentistry, Damascus, SYR.
Cureus. 2022 Jul 15;14(7):e26874. doi: 10.7759/cureus.26874. eCollection 2022 Jul.
Background This study was designed to evaluate the effect of apple cider vinegar (ACV) 5% and mechanical plaque removal with a manual toothbrush on dental plaque and gingivitis. The objective was to study available, natural, and inexpensive ways to improve oral health status among the studied group. Materials and methods A randomized clinical trial was performed on 50 children with cerebral palsy aged from three to six years. Participants were divided into two groups (n=25, apple cider vinegar, manual brushing without toothpaste). Plaque accumulation and gingival status were evaluated using Turesky of the Quigley-Hein plaque index (TQHPI) and modified gingival index (MGI) seven times: pre-intervention baseline (T0), post-intervention at one month (T1), two months (T2), three months (T3), four months (T4), five months (T5), six months (T6). Results Plaque accumulation and gingivitis decreased significantly for the ACV group between T0 and T6 (p<0.05) and demonstrated significantly lower plaque accumulation and gingivitis compared to the manual brushing group (p<0.05) at T5 and T6. The manual brushing group showed decreasing in TQHPI between T0 and T3, then TQHPI increased significantly (p<0.05) at T4, T5, and T6. Conclusions To sum up, this in vitro study has demonstrated the possibility of using apple cider vinegar to reduce plaque and gingivitis. In addition, without additives, apple cider vinegar has both mechanical and chemical effects on dental plaque, and it may be a natural, available, inexpensive, and harmless substance that can improve the quality of oral care for difficult groups of children and people with special needs. Unlike toothbrushes, especially electric toothbrushes, they are effective, but they may be expensive and not available to all children.
背景 本研究旨在评估5%的苹果醋（ACV）以及使用手动牙刷机械清除牙菌斑对牙菌斑和牙龈炎的影响。目的是研究在研究组中改善口腔健康状况的可行、天然且廉价的方法。材料与方法 对50名3至6岁的脑瘫儿童进行了一项随机临床试验。参与者被分为两组（n = 25，苹果醋组、不使用牙膏的手动刷牙组）。使用Quigley - Hein菌斑指数的Turesky（TQHPI）和改良牙龈指数（MGI）对牙菌斑堆积和牙龈状况进行了7次评估：干预前基线（T0）、干预后1个月（T1）、2个月（T2）、3个月（T3）、4个月（T4）、5个月（T5）、6个月（T6）。结果 ACV组在T0至T6之间牙菌斑堆积和牙龈炎显著减少（p<0.05），并且在T5和T6时与手动刷牙组相比，牙菌斑堆积和牙龈炎显著更低（p<0.05）。手动刷牙组在T0至T3之间TQHPI下降，然后在T4、T5和T6时TQHPI显著增加（p<0.05）。结论 综上所述，这项体外研究证明了使用苹果醋减少牙菌斑和牙龈炎的可能性。此外，无添加剂的苹果醋对牙菌斑具有机械和化学作用，它可能是一种天然、可行、廉价且无害的物质，可改善特殊需求儿童和人群的口腔护理质量。与牙刷不同，尤其是电动牙刷，它们有效，但可能昂贵且并非所有儿童都能使用。
