Saikia Ankita M, Sivasubramanian Abirami, Muthu M S, Ganesh Akila, Chandrasekaran Krithika, Kirubakaran Richard
Department of Pediatric and Preventive Dentistry, Centre for Early Childhood Caries Research (CECCRe), Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (SRIHER) (Deemed to be University), Chennai, Tamil Nadu, India.
Department of Public Health Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.
Int J Clin Pediatr Dent. 2024 Apr;17(Suppl 1):S100-S111. doi: 10.5005/jp-journals-10005-2805.
The primary aim of this study was to evaluate the effectiveness of herbal mouthrinses (HMR) on caries prevention in children and adolescents. In addition, this systematic review assessed its effectiveness in remineralization of white spot lesions, reduction of halitosis, and improving gingival and periodontal health in orthodontic patients and patients with special healthcare needs (SHCN). A comprehensive bibliographic search was conducted in PubMed, Cochrane Central, EMBASE, AMED, ProQuest, CINAHL, AYUSH, Digital Helpline for Ayurveda Research Articles (DHARA), and Clinical Trial Gov databases. A total of 3,918 titles were identified during the initial search. Of these, 32 studies were selected for quality assessment. A total of 5,038 participants from 10 countries were thus included in this review, with 22 (66.7%) studies conducted in India. All included studies were published between 2004 and 2021. Included studies investigated the effect of HMR on caries increments, which record decayed, missing, filled (DMF) [International Caries Detection and Assessment System (ICDAS)], decayed, missing, filled teeth/surfaces (DMFT/S), and incipient caries. Changes in bacterial count ( and ) and alterations in levels of from saliva or plaque samples were also reported. The effect of HMR on gingival and plaque indices among adolescents undergoing orthodontic treatment and children with SHCN was reported in two studies. The variance in the HMR formula across studies, short follow-up period, and limiting grade of evidence do not allow for conclusive evidence of the efficacy of HMR. This warrants high-quality randomized controlled trials (RCTs) with longer intervention periods involving children under 6 years to yield more conclusive results.
Saikia AM, Sivasubramanian A, MS M, Herbal Mouthrinses for Prevention of Dental Caries in Children and Adolescents: A Systematic Review. Int J Clin Pediatr Dent 2024;17(S-1):S100-S111.
本研究的主要目的是评估草本漱口水（HMR）对儿童和青少年预防龋齿的有效性。此外，本系统评价评估了其在正畸患者和有特殊医疗需求（SHCN）的患者中对白斑病变再矿化、减少口臭以及改善牙龈和牙周健康的有效性。在PubMed、Cochrane Central、EMBASE、AMED、ProQuest、CINAHL、AYUSH、阿育吠陀研究文章数字热线（DHARA）和临床试验.gov数据库中进行了全面的文献检索。在初步检索中总共识别出3918个标题。其中，32项研究被选作质量评估。本评价共纳入了来自10个国家的5038名参与者，其中22项（66.7%）研究在印度进行。所有纳入研究均发表于2004年至2021年之间。纳入研究调查了HMR对龋齿增量的影响，龋齿增量记录为龋坏、缺失、充填（DMF）[国际龋病检测与评估系统（ICDAS）]、龋坏、缺失、充填牙/面（DMFT/S）和早期龋。还报告了唾液或菌斑样本中细菌计数（和）的变化以及水平的改变。两项研究报告了HMR对接受正畸治疗的青少年和有SHCN的儿童的牙龈和菌斑指数的影响。各研究中HMR配方的差异、随访期短以及证据等级有限，无法得出HMR疗效的确凿证据。这需要开展高质量的随机对照试验（RCT），对6岁以下儿童进行更长干预期的研究，以得出更确凿的结果。
Saikia AM, Sivasubramanian A, MS M, 用于预防儿童和青少年龋齿的草本漱口水：一项系统评价。《国际临床儿科牙科学杂志》2024；17（S - 1）：SIOO - S111。
