International journal of dental hygiene最新文献

Aim: To consolidate clinical and scientific evidence and develop personalised recommendations for the optimal use of interdental devices, addressing the diverse needs of patients with varying oral health conditions based on the outcomes of an expert meeting.

Material and methods: A round table meeting was convened, gathering nine qualified experts from various European countries, including clinicians and researchers. Through tailored pre-formulated questions and facilitated group discussions, well-defined clinical recommendations and considerations for future research were developed, addressing general guidelines and specific interdental hygiene recommendations alongside potential barriers to implementation.

Results: General advice emphasises toothbrushing with fluoride toothpaste and integrating interdental cleaning into daily routines. Depending on early clinical signs and symptoms of caries and periodontal disease, interdental cleaning should become a consistent part of daily care. In general, interdental brushes are the preferred option. However, specific recommendations address conditions such as gingivitis, periodontitis, dental implants, caries, removable prostheses and orthodontic treatments. Recommendations also highlight various age groups, emphasising personalised approaches and prioritising interdental cleaning based on clinical indicators. In addition to the clinical situation, individual preferences and dexterity should be considered. For example, non-wired interdental cleaning devices may be more suitable for novice users, while an oral irrigator may be recommended for those with limited dexterity-for example, older adults or patients with special needs.

Discussion and conclusion: Barriers to implementing interdental cleaning recommendations must be explored to provide practical solutions for the general population and dental care professionals. Strategies should include developing easily translatable educational content endorsed by professional societies to raise awareness, promoting behaviour change, tailoring care to individual needs, improving product usability, managing costs and addressing discomfort. It is also essential to align recommendations within the dental profession and prioritise interdental care in clinical practice, emphasising evidence-based guidelines and collaborative education efforts to ensure effective interdental hygiene practices are adopted.

Background: The pursuit of whiter teeth has led to the innovation of various colour enhancement products, including toothpaste formulations containing blue covarine. This systematic review and meta-analysis assesses their efficacy and safety.

Objectives: To evaluate the efficacy of blue covarine-containing toothpaste in colour enhancement and its safety.

Methods: We conducted a comprehensive search of databases such as PubMed, Scholar, Web of Science, and Cochrane Reviews, from inception until march 25, 2023. Eligible studies involved human participants using toothpaste with blue covarine and reported on its efficacy and safety in tooth colour perception altering. the JBI critical appraisal tools were used to assess the risk of bias.

Results: The meta-analysis synthesised data from several studies that measured tooth colour improvement and perception of tooth colour. Results showed significant improvement in tooth colour and perceived brightness in individuals using blue covarine toothpaste compared to placebo or other methods. Subgroup analyses revealed consistent results across varying study designs, sample sizes, and follow-up durations. However, limitations such as study heterogeneity and small sample sizes were noted.

Conclusions: Toothpaste containing blue covarine is effective for tooth colour perception altering and can be recommended as a non-invasive option by dental professionals, taking into account individual baseline tooth colour and oral health. While promising, the long-term safety and effects of such toothpaste warrant further research. Dental professionals should personalise treatment recommendations and prioritise patient education to optimise outcomes. Future research should focus on long-term impacts, different formulations, and larger diverse samples to fully elucidate the safety and efficacy profiles.

Objective: The aim of this systematic review was to critically assess and synthesise the current scientific evidence of the potential impact of diabetes mellitus (DM) on treatment outcomes in periodontitis patients following NSPT, incorporating recent advancements in meta-analytical techniques.

Methods: To identify eligible studies meeting this aim, a comprehensive search was conducted in MEDLINE-PubMed and Cochrane-CENTRAL from their inception until April 2024. The inclusion criterion for suitable studies was the availability of data for a group of patients with solely periodontitis and a group with both DM and periodontitis. Study parameters needed to include probing pocket depth (PPD) and clinical attachment level (CAL) as the primary outcomes of interest. As secondary study parameters, gingival indices, plaque indices, and gingival recession were considered. Data from all included studies were presented descriptively, and a meta-analysis was conducted when quantitative methods were feasible.

Results: Screening of the 3574 papers resulted in 32 eligible publications, which reported 30 unique studies. Meta-analyses showed no differences of means in incremental changes from baseline to post-NSPT between the DM and non-diabetics (NDM) groups for CAL and PPD. Moreover, the secondary outcomes also revealed no significant differences regarding the response to therapy. Based on the Trial Sequential Analysis (TSA) of these meta-analyses, the effect was found to be conclusive and reliable, indicating that additional data are unlikely to alter the summary effect.

Conclusion: Based on the evidence profile, it can be stated with moderate certainty that the difference in treatment outcomes of periodontitis patients following NSPT between the DM and NDM groups is insignificant.

Objective: The purpose of this randomized clinical trial was to assess the efficacy of gingival massage therapy with Aloe vera gel and sidr honey and to find out the difference in their efficacies, in reducing clinical parameters in gingival inflammation.

Method: Participants with gingivitis were selected in this randomised clinical trial (RCT). Scaling and root debridement (SRD) was performed and baseline plaque index (PI), gingival index (GI) and bleeding on probing (BOP) were recorded and participants were randomly allocated into three groups. Group A: SRD and gingival massage (GM) with Aloe vera gel, Group B: SRD and GM with Sidr honey and Group C: SRD only. On the 30th day all clinical parameters were re-evaluated.

Results: Gingival massage therapy with both interventions showed improvement in all clinical parameters, when used as an adjunct to non-surgical periodontal therapy. Aloe vera versus control showed improvements in PI (-0.57) and GI (-0.32); honey versus control in PI (-0.68) and GI (-0.63) and Aloe vera versus honey in PI (0.11) and GI (-0.57). BOP was also reduced in all three groups.

Conclusion: This ClinicalTrial showed that gingival massage therapy with Aloe vera gel and sidr honey was effective in reducing plaque index, gingival index and bleeding on probing when used as adjuncts in patients with gingivitis. However, group B was more effective when compared with group A and group C. Future RCTs will further evaluate the synergistic effects of these adjuncts in periodontal treatments.

Trial registration: ClinicalTrials.gov identifier: NCT05231096.

Background: Among the several antiseptic mouthwashes, chlorhexidine is considered the gold standard owing to its better antigingivitis and antiplaque benefits; yet, its usage is restricted due to noteworthy adverse effects leading to an increasing demand for herbal alternatives that are natural, and have fewer side effects. The objective of the study was to assess the short-term effect of 30% Ocimum basilicum (OB) and 0.2% Chlorhexidine (CHX) mouthwashes on gingival health and plaque control when used as an adjunct to toothbrushing in patients with plaque-induced gingivitis.

Methodology: A parallel-arm, double-blinded, randomised controlled trial was conducted among 70 adult patients. The participants were randomly assigned to two groups: 30% OB mouthwash group (n = 35) and 0.2% CHX mouthwash group (n = 35) by the lottery method. Both participants and the examiner were blinded throughout the study period. The gingival index, plaque index and adverse effects were recorded at baseline, 7th and 21st day. Unpaired t-tests and repeated measures ANOVA tests were utilised to compare the mean gingival and plaque scores between the groups.

Results: Both groups exhibited a gradual and significant reduction in both gingival and plaque scores from baseline to days 7 and 21 (p < 0.001). However, the CHX group showed a significant reduction in GI (0.48 ± 0.18) and PI (0.59 ± 0.14) from baseline to 21 days, respectively when compared to the OB group GI (0.72 ± 0.22) and PI (0.77 ± 0.19).

Conclusion: OB mouthwash demonstrated non-inferiority in anti-gingivitis and anti-plaque properties compared to CHX mouthwash, suggesting its potential suitability as an alternative to CHX when used alongside mechanical plaque control measures in the management of gingivitis.

Trial registration: ClinicalTrials.gov identifier: CTRI/2022/07/044104.

Objective: This study aimed to identify the variables associated with full-text access rates in studies published in Periodontology and Implantology.

Methods: A bibliometric analysis was performed by reviewing the 30 top-ranking journals in Dentistry, Oral Surgery and Medicine. Only journals with a number of text accesses were included. Independent variables analysed included publication date, first author's country, open access status, h-index, study design, and thematic focus. Multivariable Poisson regression with robust variance was used.

Results: A total of 3880 studies were included, revealing an access rate (number of views per month) of 83.68 ± 143.62. The journal's impact factor (rate ratio [RR]: 1.09; 95% confidence interval [95% CI]: 1.07-1.11) and being in the open access mode (RR: 1.78; 95% CI: 1.64-1.94) influenced the access rate. Moreover, studies from America (RR: 1.16; 95% CI: 1.02-1.31), Oceania (RR: 1.56; 95% CI: 1.23-1.98), and Europe (RR: 1.50; 95% CI: 1.33-1.69) had significantly higher access rates than those from Asia. Regarding study designs, randomised clinical trials (RCT) (RR: 1.70; 95% CI: 1.47-1.97) and literature reviews (non-systematic reviews [RR: 1.65; 95% CI: 1.27-2.14] and systematic reviews [RR: 1.78; 95% CI: 1.52-2.08]) exhibited greater access than in vitro/animal studies.

Conclusion: Access to articles in Periodontology is significantly linked to study design (RCTs and reviews), open access availability, and higher journal impact factors.

Objectives: The purpose of this study was to estimate the cost of Dental Infection Control (DIC) according to the standard protocol developed by the Korea Dental Association (KDA) and Centers for Disease Control and Prevention (CDC) to compare it with the DIC cost of some real dental practices in Korea.

Methods: Based on a standard protocol, we calculated the number of consumables, time required, and labor costs for DIC. Additionally, the costs incurred per patient per treatment were calculated for dental practice based on a survey questionnaire.

Results: The cost of DIC according to the standard protocol was higher than the average cost incurred by dental practices responding to this study. The highest cost of treatment was oral surgery (16,539 KRW, 13.75 USD) and treatments with descending order of costs incurred are, periodontal surgery, endodontic treatment, filling, scaling, examination, and intraoral radiography. For invasive procedures, the calculated cost is higher than that of other treatments, because of the need for surgical protective gear.

Conclusion: The DIC cost based on the standard protocol was higher than that incurred by the dental practice surveyed. DIC is essential for patients and dental staff, and to reduce the difference between the DIC cost incurred by dental practice and dental infection cost according to standard protocols, it is important for dental staff to have the right perception and an active attitude toward infection control. Additionally, a realistic and systematic policy for DIC should be established to enable dental practices to implement it effectively.

Background: Dentine hypersensitivity (DH) is a common oral condition. The management of DH has been challenging with various treatment options, including in-office and home care.

Objective: To evaluate the efficacy of hydroxyapatite-containing toothpaste for the reduction of DH pain compared to potassium nitrate-containing toothpaste in short-term use.

Methods: A randomised; non-blinded clinical study involved 39 participants in the age group range 18-51 years. The patients were randomly divided into two groups. The test group (n = 19) was provided with hydroxyapatite toothpaste, while the control group (n = 20) received potassium nitrate toothpaste. Volunteers were examined using an air blast as the stimulus. DH pain scores (Visual Analogue Scale [VAS] and Schiff) were recorded at baseline, 2 weeks and 4 weeks.

Results: Both toothpastes significantly relieved DH in response to air-blast stimulus (p < 0.001). The relief of sensitivity was efficacious after 2 and 4 weeks for both toothpastes. The efficacy of hydroxyapatite toothpaste was comparable to that of potassium nitrate toothpaste.

Conclusion: This study shows that hydroxyapatite in higher concentrations has a similar efficacy in relieving DH as potassium nitrate.

Clinical significance: DH affects the quality of life. The use of a desensitising toothpaste can relieve DH. However, there is no gold-standard management for DH. The outcome of this study supports the use of hydroxyapatite toothpaste for DH relief.