The importance of daily care in prevention and treatment periodontal inflammation in adolescents

Т В Закиров ,Е В Брусницына ,Е С Иощенко ,Ю В Димитрова

doi:10.33925/1683-3759-2020-25-4-343-348

Т В Закиров , Е В Брусницына + Show 2 more

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https://doi.org/10.33925/1683-3759-2020-25-4-343-348

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Journal: Parodontologiya	Publication Date: Dec 19, 2020
License type: cc-by

Affiliation: Ural State Medical University

Abstract

Relevance. Changes were assessed in the clinical and laboratory parameters of the oral cavity in adolescents with plaqueinduced gingivitis when using toothpaste with 67% sodium bicarbonate.Materials and methods. Use of toothpaste with 67% sodium bicarbonate in 23 patients aged 16-19 years with plaque-induced gingivitis was investigated in a prospective randomized uncontrolled study. Questionnaire survey was performed. OHI-S, tongue coating index, PMA index, SBI were used to evaluate the condition of the oral cavity. Tooth shade was determined according to Bleachedguide 3D-Master and short-chain fatty acids in saliva were detected by chromatography.Results. One month use of the toothpaste revealed a significant improvement of oral hygiene by 24.56%, enamel brightening by 22.07%, decrease in the PMA index from 34.78 ± 7.89 to 22.96 ± 8.02, decrease in the sulcus bleeding index (SBI) from 1.57 ± 0.87 to 0.96 ± 0.81. Assessment of saliva short-chain fatty acids (SCFAs) detected reduction of functional activity and number of commensal and pathogenic anaerobic microorganisms and restoration of normal microbiota. At the baseline, acetic acid amounted to 0.426 ± 0.078, propionic acid – 0.086 ± 0.019, butyric acid – 0.025 ± 0.005 mg/g. After the use of the toothpaste, the level of acetic and butyric acids insignificantly changed, to 0.625 ± 0.090 and 0.058 ± 0.098 mg/g respectively. According to the questionnaire survey (on a 1 to 5 scale), the score of consumer-perceived properties of toothpaste with 67% sodium bicarbonate was 4.1 ± 1.0 for taste and 4.5 ± 0.8 for cleaning properties.Conclusion. Investigation of clinical and laboratory parameters of the oral cavity in adolescents with plaque-induced gingivitis in use of toothpaste with 67% sodium bicarbonate showed that the toothpaste has good cleaning, anti-inflammatory, brightening and hemostatic properties. Biochemical analysis of saliva demonstrated recovery of normal values for short-chain fatty acids.

Highlights

One month use of the toothpaste revealed a significant improvement of oral hygiene by 24.56%, enamel brightening by 22.07%, decrease in the PMA index from 34.78 ± 7.89 to 22.96 ± 8.02, decrease in the sulcus bleeding index (SBI) from
Investigation of clinical and laboratory parameters of the oral cavity in adolescents with plaque-induced gingivitis in use of toothpaste with 67% sodium bicarbonate showed that the toothpaste has good cleaning, anti-inflammatory, brightening and hemostatic properties
ВЫВОДЫ Проведенное исследование показало значительный клинический эффект использования зубной пасты с 67% бикарбонатом натрия у подростков с катаральным гингивитом

Summary

Introduction

Цель исследования – оценка влияния противовоспалительной зубной пасты с 67% бикарбонатом натрия на состояние пародонта и микробиоценоз полости рта у подростков с катаральным гингивитом. План лечения катарального гингивита всех участников исследования был следующим: – обучение гигиене с контролируемой чисткой; – стоматологическое обследование; – проведение профессиональной гигиены; – использование зубной пасты с 67% бикарбонатом натрия в течение четырех недель дважды в день без дополнительных средств с использованием мануальной зубной щетки средней степени жесткости. Рассчитывали также относительные содержания уксусной, пропионовой и масляной кислот по формуле: отношение абсолютного количества каждой кислоты к их общей сумме.

Results

Conclusion