The efficacy of baking soda dentifrice in controlling plaque and gingivitis: A systematic review

Autor: Yasmin Kashmour, Cees Valkenburg, Angelique Dao, G.A. van der Weijden, Dagmar E. Slot
Přispěvatelé: Periodontology, Parodontologie (OII, ACTA)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Dental Hygiene, 17(2), 99-116. Wiley-Blackwell
International Journal of Dental Hygiene
Valkenburg, C, Kashmour, Y, Dao, A, van der Weijden, G A & Slot, D E 2019, ' The efficacy of baking soda dentifrice in controlling plaque and gingivitis: A systematic review ', International Journal of Dental Hygiene, vol. 17, no. 2, pp. 99-116 . https://doi.org/10.1111/idh.12390
ISSN: 1601-5037
1601-5029
DOI: 10.1111/idh.12390
Popis: Objective: To test the efficacy of a dentifrice containing baking soda (BS), compared with dentifrice without BS for controlling plaque and gingivitis.Materials and methods: MEDLINE‐PubMed and Cochrane‐CENTRAL were searched. The inclusion criteria were randomized controlled clinical trials including healthy participants aged 18 years or older. Studies were selected that compared the effect of toothbrushing with a dentifrice with and without BS on the clinical parameters of plaque and gingivitis. Data were extracted from the selected studies, and a meta‐analysis was performed.Results: The search retrieved 21 eligible publications. Among these papers, 43 comparisons were provided, with 23 involving a single‐use design and 20 being evaluations with a follow‐up. Negative controls were found, or positive controls for which various active ingredients had been used. The included studies showed a moderate overall potential risk of bias and considerable heterogeneity. The meta‐analysis of plaque scores from the single‐brushing experiments showed that BS dentifrice (BS‐DF) was associated with significantly better outcomes than the negative control dentifrices (DiffM −0.20; P < 0.0001; 95% CI: [−0.27; −0.12]) or the positive control dentifrices (DiffM −0.18; P < 0.0001; 95% CI: [−0.24; −0.12]). This finding was only confirmed in studies that used a follow‐up design as compared to a negative control (DiffM −0.19; P = 0.01; 95% CI: [−0.34; −0.04]). The indices of gingival bleeding also improved when the comparison was a negative control (DiffM −0.08; P = 0.02; 95% CI: [−0.16; −0.01] and (DiffM −0.13; P < 0.001; 95% CI: [−0.18; −0.08]. However, for the gingival index scores, the meta‐analysis did not reveal any significant differences.Conclusion: BS‐DF showed promising results with respect to plaque removal in single‐use studies. However, the finding was partially substantiated in follow‐up studies. Studies that assessed bleeding scores indicated that a small reduction can be expected from BS, relative to a control product.
Databáze: OpenAIRE
Externí odkaz: