Department of Dental Research Cell, Dr. D Y Patil Dental College and Hospital, Dr. D Y Patil Vidyapeeth, Pune 411018, India.
Scientist-D, ICMR-National Institute of Epidemiology, Chennai, India.
Can J Dent Hyg. 2024 Jun 1;58(2):120-134. eCollection 2024 Jun.
Numerous clinical trials and systematic reviews have investigated the effectiveness of both herbal and conventional oral care approaches to reducing plaque and gingivitis. However, their findings vary and are inconsistent. Thus, the objective of this umbrella review is to compile data from systematic reviews and provide an overview of the effects of herbal oral care products on tooth plaque and gingivitis.
A comprehensive search of the literature was performed in 6 databases for systematic reviews with or without meta-analyses, published up to 30 May 2023, without any language restrictions. Only clinical trials comparing herbal oral care products (in the form of mouthrinse or toothpaste) against standard oral care products or placebo were considered.
Some herbal oral care products, particularly in the form of mouthrinses, have a similar level of positive effect on plaque and gingivitis reduction and, thus, can be used as an adjunct to traditional dentifrices. However, the shorter duration of trials (<4 weeks) and reported publication bias in the clinical trials mean that these findings must be interpreted with caution.
To accurately determine the impact of various herbal extracts on periodontal health, well-designed, long-term, and controlled trials that adhere to standardized protocols must be carried out.
许多临床试验和系统评价研究了草药和传统口腔护理方法在减少菌斑和牙龈炎方面的有效性。然而，它们的发现存在差异且不一致。因此，本伞状评价的目的是从系统评价中汇编数据，并概述草药口腔护理产品对牙菌斑和牙龈炎的影响。
对 6 个数据库中的系统评价进行了全面检索，这些系统评价无论是否进行了荟萃分析，其发表时间均截至 2023 年 5 月 30 日，无任何语言限制。仅考虑了将草药口腔护理产品（漱口水或牙膏形式）与标准口腔护理产品或安慰剂进行比较的临床试验。
一些草药口腔护理产品，特别是漱口水形式，对减少菌斑和牙龈炎具有相似的积极效果，因此可以作为传统牙膏的辅助手段。然而，临床试验的持续时间较短（<4 周）以及报告的发表偏倚意味着必须谨慎解释这些发现。
为了准确确定各种草药提取物对牙周健康的影响，必须进行设计良好、长期且对照的临床试验，并遵循标准化方案。
