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固定正畸患者牙龈炎应用 0.25%柠檬草油漱口液与 0.2%洗必泰漱口液的疗效比较

Comparative Evaluation of 0.25% Lemongrass Oil Mouthwash and 0.2% Chlorhexidine Mouthwash in Fixed Orthodontic Patients Suffering from Gingivitis.

机构信息

Consultant Orthodontist, SmileOracles Multispeciality Dental Clinic, Greater Kailash, New Delhi, India, Phone: +91 7503790982, e-mail:

Department of Oral and Maxillofacial Pathology and Microbiology, Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, India.

出版信息

J Contemp Dent Pract. 2023 Jun 1;24(6):396-402. doi: 10.5005/jp-journals-10024-3516.

DOI:10.5005/jp-journals-10024-3516
PMID:37534506
Abstract

AIM

The aim of this study is to compare the antiplaque and antigingivitis efficacy of 0.25% lemongrass oil mouthwash and 0.2% chlorhexidine mouthwash in patients undergoing fixed orthodontic treatment, who are suffering from gingivitis.

MATERIALS AND METHODS

A total of 60 patients undergoing fixed orthodontic treatment with mild-to-moderate gingivitis were selected for the study. The patients were randomly divided into three groups of twenty each, that is, group I: 0.25% lemongrass oil mouthwash ( = 20); group II: 0.2% chlorhexidine mouthwash ( = 20); and group III: oral prophylaxis ( = 20). Baseline gingival index (GI) and plaque index (PI) were accessed followed by oral prophylaxis was done and the PI score was set to zero for all the patients. Patients were asked to swish their mouth with their respective mouthwashes and brushing (twice daily), that is, morning and before bedtime for 21 days. The PI and GI scores were recorded for all three groups on the 14th and the 21st days. The Bonferroni test was used for multiple comparisons of mean differences among variables after the application of the analysis of variance (ANOVA) test for comparison within the groups.

RESULTS

A lower PI and the GI were found in the lemongrass oil mouthwash group by the 14th and the 21st days, respectively, a statistically significant difference ( < 0.001) compared to the chlorhexidine mouthwash group.

CONCLUSION

The findings of the current study suggested that 0.25% lemongrass oil mouthwash has the potential to be used as a natural or herbal alternative to chlorhexidine mouthwash.

CLINICAL SIGNIFICANCE

It can be suggested that 0.25% lemongrass oil mouthwash may be a good herbal alternative to mouthwash containing 0.2% chlorhexidine gluconate.

摘要

目的

本研究旨在比较 0.25%柠檬草油漱口水和 0.2%洗必泰漱口水在接受固定正畸治疗且患有牙龈炎的患者中的抗菌斑和抗牙龈炎效果。

材料和方法

共选择 60 名接受轻度至中度牙龈炎固定正畸治疗的患者进行本研究。患者随机分为三组,每组 20 名,即 I 组:0.25%柠檬草油漱口水(n=20);II 组:0.2%洗必泰漱口水(n=20);III 组:口腔预防(n=20)。记录基线牙龈指数(GI)和菌斑指数(PI),然后对所有患者进行口腔预防,将 PI 评分设为零。患者用各自的漱口水漱口并刷牙(每天早晚各一次),共 21 天。在第 14 天和第 21 天记录三组的 PI 和 GI 评分。应用方差分析(ANOVA)检验比较组内差异后,采用 Bonferroni 检验对变量间的均值差异进行多重比较。

结果

柠檬草油漱口水组在第 14 天和第 21 天的 PI 和 GI 均较低,与洗必泰漱口水组相比差异有统计学意义(<0.001)。

结论

本研究结果表明,0.25%柠檬草油漱口水具有替代洗必泰漱口水的潜力。

临床意义

可以认为 0.25%柠檬草油漱口水可能是一种替代含有 0.2%洗必泰葡萄糖酸盐的漱口水的良好草药选择。

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