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一种草本牙膏在牙周炎活动期治疗中的疗效:一项临床研究。

Efficacy of a Herbal Toothpaste During Active Periodontal Treatment: A Clinical Study.

作者信息

Vajrabhaya La-Ongthong, Benjasupattananan Supranee, Sappayatosok Kraisorn, Dechosilpa Vittawin, Korsuwannawong Suwanna, Sirikururat Papatpong

机构信息

College of Dental Medicine, Rangsit University, Pathumthani 12000, Thailand.

Research Office, Faculty of Dentistry, Mahidol University, Bangkok 10400, Thailand.

出版信息

Dent J (Basel). 2024 Nov 22;12(12):378. doi: 10.3390/dj12120378.

DOI:10.3390/dj12120378
PMID:39727435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11674587/
Abstract

This study investigated the efficacy of a herbal toothpaste containing (test group) compared with a sodium bicarbonate toothpaste (active control group) and a standard toothpaste (benchmark group) on periodontitis treatment outcomes. Fifty-four periodontitis patients were randomly allocated into three groups. The patients received mechanical instrumentation and instruction on oral hygiene using a toothbrush with the toothpastes and dental floss. The patients were evaluated at baseline (T0), week 4 (T1), and week 12 (T2) after complete scaling and root planing. During the visits, the plaque score (PS), bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL) were assessed and analyzed. The comparison groups had similar PS and BOP means at baseline. At T1 and T2, both scores were reduced; however, there was no significant difference in PS among the three groups. A significant reduction in BOP among the groups was observed ( < 0.01) at T1. The PDs in all groups were significantly reduced after treatment. The CAL reduction was greater in the test group compared with the benchmark and the active control group. Furthermore, there was no significant difference in the mean CAL among time points in the benchmark and the active control groups. The herbal toothpaste containing significantly decreased gingival inflammation, PD, and CAL over the standard and active control toothpaste in periodontitis patients during active periodontal treatment.

摘要

本研究调查了一种含[具体成分]的草本牙膏(试验组)与碳酸氢钠牙膏(阳性对照组)和标准牙膏(基准组)相比,在牙周炎治疗效果方面的功效。54名牙周炎患者被随机分为三组。患者接受了机械器械治疗,并接受了使用牙膏和牙线的牙刷进行口腔卫生指导。在完成龈下刮治和根面平整后的基线期(T0)、第4周(T1)和第12周(T2)对患者进行评估。在就诊期间,评估并分析了菌斑评分(PS)、探诊出血(BOP)、探诊深度(PD)和临床附着水平(CAL)。各比较组在基线时的PS和BOP平均值相似。在T1和T2时,两项评分均降低;然而,三组之间的PS没有显著差异。在T1时观察到各组间BOP有显著降低(<0.01)。治疗后所有组的PD均显著降低。试验组的CAL降低幅度大于基准组和阳性对照组。此外,基准组和阳性对照组在各时间点的平均CAL没有显著差异。在积极的牙周治疗期间,含[具体成分]的草本牙膏与标准牙膏和阳性对照牙膏相比,能显著降低牙周炎患者的牙龈炎症、PD和CAL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a439/11674587/c257039b3f44/dentistry-12-00378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a439/11674587/c257039b3f44/dentistry-12-00378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a439/11674587/c257039b3f44/dentistry-12-00378-g001.jpg

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本文引用的文献

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Topical Agents in Biofilm Disaggregation: A Systematic Review and Meta-Analysis.生物膜分解中的局部用药:系统评价与荟萃分析
J Clin Med. 2024 Apr 10;13(8):2179. doi: 10.3390/jcm13082179.
2
The efficiency of natural wound healing and bacterial biofilm inhibition of Aloe vera and Sodium Chloride toothpaste preparation.库拉索芦荟和氯化钠牙膏制剂对自然伤口愈合和细菌生物膜抑制的效率。
BMC Complement Med Ther. 2022 Mar 12;22(1):66. doi: 10.1186/s12906-022-03548-7.
3
Clinical Efficacy of Aloe Vera Toothpaste on Periodontal Parameters of Patients with Gingivitis-A Randomized, Controlled, Single-masked Clinical Trial.
临床疗效芦荟牙膏对牙周参数的牙龈炎患者随机对照单盲临床试验。
J Contemp Dent Pract. 2021 Mar 1;22(3):242-247.
4
Effectiveness of herbal oral care products in reducing dental plaque & gingivitis - a systematic review and meta-analysis.草药口腔护理产品在减少牙菌斑和牙龈炎方面的有效性——系统评价和荟萃分析。
BMC Complement Med Ther. 2020 Feb 11;20(1):43. doi: 10.1186/s12906-020-2812-1.
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Efficacy of aloe vera mouthwash versus chlorhexidine on plaque and gingivitis: A systematic review.芦荟漱口水与洗必泰对菌斑和牙龈炎疗效的系统评价。
Int J Dent Hyg. 2020 Feb;18(1):44-51. doi: 10.1111/idh.12393. Epub 2019 Mar 25.
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Antiplaque, Antifungal Effectiveness of Aloevera Among Intellectually Disabled Adolescents: Pilot Study.芦荟对智障青少年的防菌斑、抗真菌效果:初步研究
Pediatr Dent. 2017 Nov 1;39(7):434-438.
7
Patient self-care of periodontal pocket infections.牙周袋感染的患者自我护理。
Periodontol 2000. 2018 Feb;76(1):164-179. doi: 10.1111/prd.12152. Epub 2017 Dec 1.
8
How Natural Product Research has Contributed to Oral Care Product Development? A Critical View.天然产物研究如何推动口腔护理产品的发展?批判性观点。
Pharm Res. 2016 Jun;33(6):1311-7. doi: 10.1007/s11095-016-1905-5. Epub 2016 Mar 14.
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Effectiveness of a miswak extract-containing toothpaste on gingival inflammation: a randomized clinical trial.含牙刷草提取物牙膏对牙龈炎症的疗效:一项随机临床试验。
Int J Dent Hyg. 2017 Aug;15(3):195-202. doi: 10.1111/idh.12195. Epub 2015 Dec 22.
10
Effects of herbal and non-herbal toothpastes on plaque and gingivitis: A clinical comparative study.草本牙膏与非草本牙膏对牙菌斑和牙龈炎的影响:一项临床对比研究。
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