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高浓度碳酸氢钠牙膏的抗菌斑作用与个体抛光技术和菌斑质量无关,对菌斑形成和牙龈炎症均有效果。

The anti-plaque effect of high concentration sodium bicarbonate dentifrice on plaque formation and gingival inflammation, irrespective to individual polishing technique and plaque quality.

机构信息

Department of Periodontology, Institute of Clinical Odontology, Faculty of Dentistry of Oslo, POB 1109, Blindern, Oslo, Norway.

出版信息

BMC Oral Health. 2023 May 11;23(1):281. doi: 10.1186/s12903-023-03005-y.

DOI:10.1186/s12903-023-03005-y
PMID:37170260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176866/
Abstract

AIM

To assess the anti-plaque effect of a high concentration sodium bicarbonate dentifrice on plaque formation, and gingivitis, as compared to a control toothpaste, irrespective of individual brushing technique and plaque quality.

METHODS

The experimental gingivitis model, with a split-mouth design was used to assess the anti-plaque effect of a high concentration sodium bicarbonate dentifrice on plaque formation. By producing individual fitted trays, the toothpaste was applied in the test quadrant and a control dentifrice in the contralateral. The participants used the individual fitted trays for 1 min every morning and evening, for 21 days. In this period, the participants was only allowed to brush the teeth in the opposite jaw, as usual. Twenty healthy individuals successfully completed the study.

RESULTS

At 21 days, there was no statistically significant difference between test quadrant and control quadrant with regard to plaque indices, gingival index and number of bleeding sites.

CONCLUSION

This study demonstrated that the high concentration sodium bicarbonate dentifrice used did not produce statistically significant anti-plaque effect compared to the control dentifrice, in terms of Plaque- and Gingival Indices, number of bleeding sites or by Quigely and Hein, the Turesky modification Plaque Index, irrespective of brushing technique and individual plaque quality.

TRIAL REGISTRATION

Regional Committee for Medical Research and Ethics, South-East Norway in 2021 (REK.2021/370116).

CLINICAL TRIAL REGISTRATION

NCT05441371 (First registered 09/06/2022, First posted 01/07/2022) ( http://www.

CLINICALTRIALS

gov ). (Retrospectively registered).

摘要

目的

评估高浓度碳酸氢钠牙膏对牙菌斑形成和牙龈炎的抗菌斑效果,而不考虑个体刷牙技术和菌斑质量。

方法

采用分口设计的实验性龈炎模型评估高浓度碳酸氢钠牙膏对牙菌斑形成的抗菌斑效果。通过制作个体适配托盘,在试验象限中应用牙膏,在对侧使用对照牙膏。参与者每天早晚使用个体适配托盘各 1 分钟,共 21 天。在此期间,参与者仅允许在相对的下颌刷牙,如往常一样。20 名健康个体成功完成了这项研究。

结果

在第 21 天,试验象限和对照象限的菌斑指数、牙龈指数和出血部位数量之间没有统计学上的显著差异。

结论

本研究表明,与对照牙膏相比,使用的高浓度碳酸氢钠牙膏在菌斑和牙龈指数、出血部位数量或 Quigley 和 Hein、Turesky 改良菌斑指数方面没有产生统计学上显著的抗菌斑效果,无论刷牙技术和个体菌斑质量如何。

试验注册

2021 年,挪威东南部地区医学研究和伦理委员会(REK.2021/370116)。

临床试验注册

NCT05441371(首次注册 2022 年 6 月 9 日,首次发布 2022 年 7 月 1 日)(http://www.clinicaltrials.gov)。(回顾性注册)。

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本文引用的文献

1
EFFICACY OF 67% SODIUM BICARBONATE TOOTHPASTE FOR PLAQUE AND GINGIVITIS CONTROL: A SYSTEMATIC REVIEW AND META-ANALYSIS.67% 碳酸氢钠牙膏控制菌斑和牙龈炎的疗效:系统评价和荟萃分析。
J Evid Based Dent Pract. 2022 Jun;22(2):101709. doi: 10.1016/j.jebdp.2022.101709. Epub 2022 Feb 26.
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Efficacy of adjunctive anti-plaque chemical agents in managing gingivitis: A systematic review and network meta-analyses.辅助性抗菌斑化学制剂治疗牙龈炎的疗效:系统评价和网络荟萃分析。
J Clin Periodontol. 2019 Jul;46(7):723-739. doi: 10.1111/jcpe.13127. Epub 2019 May 31.
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Randomized Clinical Dose-Response Study to Evaluate Plaque Removal by Three Experimental Sodium Bicarbonate Toothpastes Using a Single Brushing Model.
采用单刷牙模型评估三种实验性碳酸氢钠牙膏去除牙菌斑的随机临床剂量反应研究。
J Clin Dent. 2018 Dec;29(4):75-80.
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Efficacy and Tolerability of Sodium Bicarbonate Toothpaste in Subjects with Gingivitis: A 6-Month Randomized Controlled Study.碳酸氢钠牙膏对牙龈炎患者的疗效和耐受性:一项为期6个月的随机对照研究。
Oral Health Prev Dent. 2018;16(5):401-407. doi: 10.3290/j.ohpd.a41362.
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Dental plaque-induced gingival conditions.牙菌斑引起的牙龈状况。
J Clin Periodontol. 2018 Jun;45 Suppl 20:S17-S27. doi: 10.1111/jcpe.12937.
6
Effect of baking soda in dentifrices on plaque removal.牙粉中使用小苏打的功效对牙菌斑的去除。
J Am Dent Assoc. 2017 Nov;148(11S):S4-S9. doi: 10.1016/j.adaj.2017.09.004.
7
Natural history of periodontitis: Disease progression and tooth loss over 40 years.牙周炎的自然史:40 多年的疾病进展和牙齿丧失。
J Clin Periodontol. 2017 Dec;44(12):1182-1191. doi: 10.1111/jcpe.12782. Epub 2017 Sep 22.
8
A randomized controlled trial evaluating the efficacy of a 67% sodium bicarbonate toothpaste on gingivitis.一项评估 67% 碳酸氢钠牙膏对牙龈炎疗效的随机对照试验。
Int J Dent Hyg. 2017 Nov;15(4):e35-e41. doi: 10.1111/idh.12229. Epub 2016 May 22.
9
Physical disruption of oral biofilms by sodium bicarbonate: an in vitro study.碳酸氢钠对口腔生物膜的物理破坏作用:一项体外研究。
Int J Dent Hyg. 2016 Aug;14(3):209-14. doi: 10.1111/idh.12162. Epub 2015 Jul 21.
10
Comparing three toothpastes in controlling plaque and gingivitis: A 6-month clinical study.比较三种牙膏在控制牙菌斑和牙龈炎方面的效果:一项为期6个月的临床研究。
Am J Dent. 2015 Apr;28(2):68-74.