Cepeda BJA, Aradillas AGL, Sánchez VLO, Pozos GAJ

Language: Spanish
References: 21
Page: 306-313
PDF size: 305.39 Kb.

ABSTRACT

Introduction: Dental plaque is considered to be the main etiological factor in the development and progression of gingivitis. Oral care products such as toothpaste and mouthwash have commonly been recommended as an adjunct to mechanical periodontal therapy. Objective: To evaluate the efficacy of using a dentifrice containing 0.3% triclosan and 2.0% PVM/MA copolymer (Colgate Total 12^®) in combination with a 0.05% cetylpyridinium chloride mouthwash (Colgate Plax^®) in patients with chronic marginal gingivitis following scaling and root-planing therapy compared to a control group. Material and methods: A randomized double-blind controlled clinical study was performed on 50 systemically healthy patients diagnosed with chronic marginal gingivitis. These were divided into two groups: A (experimental) and B (control). The Löe and Silness gingival index and the Turesky modification of the Quigley-Hein plaque index were recorded at baseline and after 6 weeks (the duration of the study). Patients were treated with scaling and root-planning, and all received instructions on the proper use of the oral care products. Final measurements were taken at the end of the six-week assessment under the same conditions as those at the time of the baseline assessment. Results: There was no statistically significant difference between the baseline gingival and plaque indexes of the two groups (gingival index-group A: 2.58 ± 0.36 versus group B: 2.63 ± 0.36) (plaque index-group A: 2.92 ± 0.42 versus group B: 3.06 ± 0.34). However, there was a statistically significant improvement (p ‹ 0.0001) in the experimental group (A) compared to the control group (B) (final gingival index-group A: 1.48 ± 0.35 versus group B: 2.21 ± 0.30) (final plaque index-group A: 1.48 ± 0.64 versus group B: 2.38 ± 0.40). Conclusions: Scaling and root-planning therapy in combination with the use of a 0.3% triclosan and 2.0% PVM/MA copolymer toothpaste, a 0.05% cetylpyridinium chloride mouthwash, and providing tooth-brushing instructions effectively reduces the extent of gingival inflammation and the accumulation of plaque in patients with chronic marginal gingivitis.

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