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含氟化亚锡牙膏、独特牙刷及氯化十六烷基吡啶漱口水的新型口腔护理方案的抗牙菌斑和抗牙龈炎效果:一项随机临床试验

ANTIPLAQUE AND ANTIGINGIVITIS EFFECTS OF A NOVEL ORAL CARE REGIMEN FEATURING STANNOUS FLUORIDE TOOTHPASTE, A UNIQUE TOOTHBRUSH, AND CETYLPYRIDINIUM CHLORIDE MOUTHWASH: A RANDOMIZED CLINICAL TRIAL.

作者信息

Ayad Farid, Hetata Maha, Ahmed Rabab, Okai Takahide, Govindaraju Gokul, Mateo Luis R, Ryan Maria, García-Godoy Bayardo

机构信息

FAR Oral and Systemic Health Consulting, Inc., Costa Mesa, California, United States.

Colgate-Palmolive Technology Center, Piscataway, New Jersey, United States.

出版信息

J Evid Based Dent Pract. 2025 Jun;25(2):102123. doi: 10.1016/j.jebdp.2025.102123. Epub 2025 Feb 12.

DOI:10.1016/j.jebdp.2025.102123
PMID:40335199
Abstract

BACKGROUND

Antibacterial ingredients for oral care products are typically measured through single product forms. This study assessed the overall health outcome of using multiple forms: a stabilized stannous fluoride toothpaste, an enhanced cetylpyridinium chloride mouthwash and a unique toothbrush to deliver antibacterial performance.

METHODS

A 12-week, single-center, phase III, masked, 2-arm, parallel-group, randomized controlled trial was conducted to assess the reduction of established dental plaque and gingivitis with a novel antibacterial oral regimen comprised of 0.454% stannous fluoride toothpaste stabilized with nitrate and phosphates, 0.075% cetylpyridinium chloride and 0.28% zinc lactate mouthwash, and rapid foaming manual toothbrush compared to a nonantibacterial commercially available regimen of toothpaste containing 0.76% sodium monofluorophosphate, no mouthwash, and commercially available manual toothbrush to represent standard toothbrushing practices.

RESULTS

Adherence to this novel oral care regimen provided significant reduction in plaque and gingivitis compared to the control starting at 1 week (P < .01) and continuing over 12 weeks (P < .001) across all plaque and gingival score indices. At week 1, participants in the Antibacterial Regimen Group showed 15 times more plaque reduction than control (P < .001). After 3 weeks of regimen adherence, 100% of Antibacterial Regimen participants had improved gingival index scores compared to baseline.

CONCLUSIONS

Within the limitations of the study, the results showed statistically significantly reduced gingival inflammation and improved plaque control from 1 week continuing through 12 weeks of adherence to this novel oral care regimen compared to standard toothbrushing practices.

摘要

背景

口腔护理产品中的抗菌成分通常通过单一产品形式进行测量。本研究评估了使用多种形式产品的整体健康效果:一种稳定的氟化亚锡牙膏、一种强化的西吡氯铵漱口水和一种具有抗菌性能的独特牙刷。

方法

进行了一项为期12周、单中心、III期、双盲、双臂、平行组、随机对照试验,以评估一种新型抗菌口腔护理方案对已形成的牙菌斑和牙龈炎的减少效果。该方案包括用硝酸盐和磷酸盐稳定的0.454%氟化亚锡牙膏、0.075%西吡氯铵和0.28%乳酸锌漱口水,以及快速发泡手动牙刷;与之相比的对照是一种不含漱口水、含有0.76%单氟磷酸钠的市售非抗菌牙膏和市售手动牙刷,后者代表标准刷牙方法。

结果

与对照组相比,坚持使用这种新型口腔护理方案从第1周开始就能显著减少牙菌斑和牙龈炎(P<0.01),并在12周内持续保持(P<0.001),在所有牙菌斑和牙龈评分指标上均是如此。在第1周,抗菌方案组的参与者牙菌斑减少量比对照组多15倍(P<0.001)。在坚持该方案3周后,100%的抗菌方案参与者的牙龈指数得分与基线相比有所改善。

结论

在本研究的局限性范围内,结果显示,与标准刷牙方法相比,坚持使用这种新型口腔护理方案1周后至12周内,牙龈炎症在统计学上显著减轻,牙菌斑控制得到改善。

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ANTIPLAQUE AND ANTIGINGIVITIS EFFECTS OF A NOVEL ORAL CARE REGIMEN FEATURING STANNOUS FLUORIDE TOOTHPASTE, A UNIQUE TOOTHBRUSH, AND CETYLPYRIDINIUM CHLORIDE MOUTHWASH: A RANDOMIZED CLINICAL TRIAL.含氟化亚锡牙膏、独特牙刷及氯化十六烷基吡啶漱口水的新型口腔护理方案的抗牙菌斑和抗牙龈炎效果:一项随机临床试验
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