Abstract
BackgroundThis study aimed to analyze the efficacy of an anti-calculus mouth rinse and its possible adverse effects on the mucosa and teeth.Material and MethodsThis randomized double-blind placebo-controlled clinical trial included 40 patients with treated and managed periodontal disease, all with a history of rapid calculus formation. Patients used a pyrophosphate-based test mouth rinse (B) or a placebo (A). A range of parameters were measured for: saliva (saliva flow, pH and chemical composition); calculus (Volpe-Manhold [V-M] index, weight, and volume); adverse effects on mucosa and teeth; and the patients’ subjective perceptive of mouth rinse efficacy.ResultsThe test mouth rinse B produced reductions in urea, uric acid, and phosphorous, calcium, saliva flow, and increases in pH. V-M index and calculus weight decreased after using the test mouth rinse. Calculus volume decreased with both mouth rinses. No changes to the mucosa or teeth were observed. Patients perceived that the test mouth rinse was more effective.ConclusionsThe test/B and placebo mouth rinses both modified certain parameters in saliva composition, particularly reductions in urea, uric acid, and phosphorous. Calcium tended to increase after using the test-B mouth rinse. The results did not demonstrate the anticalculus efficacy of the pyrophosphate-based mouth rinse or positive effects on saliva flow or composition. This field requires further research, as no product has been developed that prevents calculus formation completely. Key words:Dental calculus, anticalculus mouth rinse, Volpe Manhold index.
Highlights
Dental calculus is the consequence of the mineralization of bacterial plaque, which compromises oral health as it increases the accumulation of plaque and bacterial toxins and impedes their removal due to the surface roughness it produces
Calcium tended to increase after using the test-B mouth rinse
The results did not demonstrate the anticalculus efficacy of the pyrophosphate-based mouth rinse or positive effects on saliva flow or composition
Summary
Dental calculus is the consequence of the mineralization of bacterial plaque, which compromises oral health as it increases the accumulation of plaque and bacterial toxins and impedes their removal due to the surface roughness it produces. One group of individuals are known as ‘rapid calculus formers’ who, in spite of maintaining good plaque control, need frequent visits to the dentist to manage the rapid formation of supragingival calculus [1] To deal with this problem, a large range of products have been marketed in recent years (mouth rinses, toothpastes, chewing gums, etc.). In rapid calculus formers these products are not enough to deal with the problem These patients continue to require frequent visits to the dentist to maintain adequate oral health. The main aim of this study was to evaluate the magnitude of calculus formation after using a pyrophosphate-based anticalculus mouth rinse in order to assess its efficacy and possible adverse effects on the mucosa and teeth. Patients perceived that the test mouth rinse was more effective
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