Antiplaque and antigingivitis efficacy of cetylpyridinium chloride with zinc lactate compared with essential oil mouthrinses: Randomized clinical trial.

Autor:	Langa GPJ, Cavagni J, Muniz FWMG, Oballe HJR, Friedrich SA, Nicolini AC, Thomé DP, Sossai LL, Rup AG, Malheiros Z, Stewart B, Kilpatrick L, Ryan M, Rösing CK
Jazyk:	angličtina
Zdroj:	Journal of the American Dental Association (1939) [J Am Dent Assoc] 2021 Feb; Vol. 152 (2), pp. 105-114. Date of Electronic Publication: 2020 Dec 24.
DOI:	10.1016/j.adaj.2020.09.021
Abstrakt:	Background: The authors of this study aimed to evaluate the clinical antiplaque and antigingivitis effects of 3 oral hygiene regimens: toothbrushing with standard fluoride toothpaste and manual toothbrush and using a mouthrinse containing cetylpyridinium chloride, zinc lactate, and fluoride (CPC + Zn + F) in an alcohol-free base; toothbrushing with standard fluoride toothpaste and manual toothbrush and using a mouthrinse containing essential oils (EO) in an alcohol-free base; and toothbrushing with manual toothbrush and standard fluoride toothpaste and manual toothbrush (control). Methods: The participants (N = 120) were randomly assigned to study groups and followed the assigned regimens twice daily for 6 weeks. The participants were examined by a calibrated examiner for the Quigley-Hein plaque index (Turesky modification) and Löe-Silness gingival index at baseline, week 4, and week 6. Statistical analyses were performed separately for plaque and gingival indexes by means of analysis of variance, paired t test, and analysis of covariance (α = 0.05). Results: At week 4, the CPC + Zn + F group presented additional reductions in dental plaque compared with EO and control groups of (21.4% [P < .001] and 31.4% [P < .001], respectively). After 6 weeks, these values were 26.7% (P < .001) and 44.8% (P < .001), respectively. For Löe-Silness gingival index, additional reduction in the CPC + Zn + F group compared with EO were 10.6% (P < .001) and 13.7% (P < .001) at 4 and 6 weeks, respectively. Compared with control, these reductions were 13.6% (P < .001) and 17.8% (P < .001), respectively. Conclusions: The regimen including a mouthrinse containing CPC + Zn + F presented higher antiplaque and antigingivitis effects than EO and control regimens. Practical Implications: A mouthrinse containing CPC + Zn + F is an effective protocol for the control of dental plaque and gingivitis. (Copyright © 2021 American Dental Association. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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