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草药牙膏与非草药牙膏对年轻成年人口腔健康维护的比较评估

Comparative Evaluation of Herbal Versus Non-herbal Dentifrice in Maintaining Oral Health of Young Adults.

作者信息

Kk Shivlingesh, Gangwar Chanchal, Sharma Swati, Kalsi Rupali, Asthana Garima, Gupta Vineeta

机构信息

Department of Public Health Dentistry, Institute of Dental Sciences, Bareilly, IND.

Department of Public Health Dentistry, School of Dental Sciences, Sharda University, Noida, IND.

出版信息

Cureus. 2024 Jul 25;16(7):e65331. doi: 10.7759/cureus.65331. eCollection 2024 Jul.

Abstract

BACKGROUND

Dental plaque may be attributed as a precursor to various oral health problems like dental caries, periodontal disease, halitosis, etc. With an ever-increasing awareness about the adverse effects of chemical formulations, emphasis is now being laid on the usage of herbal ingredients, as they are safer for long-term use in addition to their medicinal benefits.

AIM

The present study aims to assess the anti-plaque and anti-inflammatory efficacy of herbal toothpaste compared to synthetic toothpaste among 20-40-year-old patients in Bareilly, Uttar Pradesh.

METHODOLOGY

In this study, 130 subjects aged between 20 and 40 years with poor oral hygiene status and signs of gingival inflammation corresponding with chronic marginal gingivitis were selected. Subjects in Group 1 were prescribed herbal toothpaste (KUDOS Ayurveda), whereas patients in Group 2 were administered non-herbal toothpaste. Clinical parameters of gingival health specifically gingival index (GI), patient hygiene performance (PHP), and approximate plaque index (API) were recorded at baseline, 14 days, 28 days, and 42 days. Chi-square test, student-independent t-test, and paired t-test were performed to find significant differences in various variables between the two groups at different follow-up visits.

RESULTS

At the end of the study, a significant reduction in GI and API scores was obtained, along with increased PHP scores. The p-value was set at 0.05, and the power of the study was set at 0.95. There was a statistically significant reduction (p < 0.05) in GI and API and an improvement in PHP scores at various time intervals in Group 1 as compared to Group 2.  Conclusion: Regular application of herbal extract dentifrices for 42 days provided a significant reduction of dental plaque and improvement in overall gingival health without any adverse effects. This instilled motivation in the patients to uphold proper oral hygiene. Hence, herbal dentifrices could be prescribed as an adjunct to periodontal therapy in the maintenance phase.

摘要

背景

牙菌斑可能是导致各种口腔健康问题的先兆,如龋齿、牙周疾病、口臭等。随着人们对化学制剂不良影响的认识不断提高,现在越来越强调使用草药成分,因为它们除了具有药用价值外,长期使用更安全。

目的

本研究旨在评估在北方邦巴雷利地区20至40岁患者中,草药牙膏与合成牙膏相比的抗牙菌斑和抗炎功效。

方法

本研究选取了130名年龄在20至40岁之间、口腔卫生状况差且有与慢性边缘性牙龈炎相符的牙龈炎症迹象的受试者。第1组受试者使用草药牙膏(KUDOS阿育吠陀牙膏),而第2组患者使用非草药牙膏。在基线、第14天、第28天和第42天记录牙龈健康的临床参数,特别是牙龈指数(GI)、患者口腔卫生表现(PHP)和近似菌斑指数(API)。进行卡方检验、独立样本t检验和配对t检验,以发现两组在不同随访时间的各种变量之间的显著差异。

结果

在研究结束时,GI和API评分显著降低,同时PHP评分升高。设定p值为0.05,研究效能设定为0.95。与第2组相比,第1组在各个时间间隔的GI和API均有统计学显著降低(p < 0.05),PHP评分有所改善。结论:连续42天定期使用草药提取物牙膏可显著减少牙菌斑并改善整体牙龈健康,且无任何不良反应。这激发了患者保持良好口腔卫生的积极性。因此,草药牙膏可作为维持期牙周治疗的辅助用药。

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