Literature DB >> 34221032

Effects of an oral hygiene regimen on progression of gingivitis/early periodontitis: A randomized controlled trial.

Avraham Zini1, Sigal Mazor1, Hans Timm2, Matthew L Barker3, Julie M Grender3, Robert W Gerlach3, Aaron R Biesbrock3.   

Abstract

Background: Periodontal disease continues to be prevalent globally, but little clinical research has been undertaken to evaluate the long-term benefits of a daily oral hygiene regimen on progression of gingivitis/early periodontitis. The objective of this study was to evaluate the effects of an oral hygiene regimen (OHR) on the periodontal health of adults in good general health with established gingivitis and early periodontitis over 24 months.
Methods: A randomized controlled trial was conducted in adults with established gingivitis, with isolated sites of probing pocket depth >4 mm. Study participants were randomized to the OHR (bioavailable stannous fluoride dentifrice, oscillating-rotating electric toothbrush, cetylpyridinium chloride rinse, and floss; P&G) or usual care products (sodium fluoride dentifrice and manual toothbrush; P&G) groups. At baseline and every 6 months, gingivitis and periodontal measures were assessed and a prophylaxis was conducted. The primary outcome was Gingival Bleeding Index-Bleeding Sites (GBI-BS). Analyses used ANCOVA at 5% significance levels.
Results: A total of 107 individuals were enrolled; 87 completed the study. Mean GBI-BS, Modified Gingival Index, and Probing Pocket Depth (PPD) scores were significantly lower at each visit for the OHR versus usual care group by 28% to 39%, 12% to 18%, and 6% to 13%, respectively (p≤ 0.0009). The magnitude of reduction in median number of ≥2 mm PPD loss events for OHR versus the usual care group at 24 months was 74%.
Conclusion: Long-term use of the OHR produced significant periodontal health improvements versus the usual care products.
Copyright ©2021 CDHA | ACHD.

Entities:  

Keywords:  cetylpyridinium chloride; dental floss; gingivitis; oral hygiene; periodontal diseases; stannous fluoride

Mesh:

Year:  2021        PMID: 34221032      PMCID: PMC8219070     

Source DB:  PubMed          Journal:  Can J Dent Hyg        ISSN: 1712-171X


  32 in total

1.  EXPERIMENTAL GINGIVITIS IN MAN.

Authors:  H LOE; E THEILADE; S B JENSEN
Journal:  J Periodontol       Date:  1965 May-Jun       Impact factor: 6.993

2.  Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases.

Authors:  Søren Jepsen; Juan Blanco; Wolfgang Buchalla; Joana C Carvalho; Thomas Dietrich; Christof Dörfer; Kenneth A Eaton; Elena Figuero; Jo E Frencken; Filippo Graziani; Susan M Higham; Thomas Kocher; Marisa Maltz; Alberto Ortiz-Vigon; Julian Schmoeckel; Anton Sculean; Livia M A Tenuta; Monique H van der Veen; Vita Machiulskiene
Journal:  J Clin Periodontol       Date:  2017-03       Impact factor: 8.728

3.  Oral hygiene regimens, plaque control, and gingival health: a two-month clinical trial with antimicrobial agents.

Authors:  Aaron R Biesbrock; Robert D Bartizek; Robert W Gerlach; Géza T Terézhalmy
Journal:  J Clin Dent       Date:  2007

4.  Principles in prevention of periodontal diseases: Consensus report of group 1 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases.

Authors:  Maurizio S Tonetti; Peter Eickholz; Bruno G Loos; Panos Papapanou; Ubele van der Velden; Gary Armitage; Philippe Bouchard; Renate Deinzer; Thomas Dietrich; Frances Hughes; Thomas Kocher; Niklaus P Lang; Rodrigo Lopez; Ian Needleman; Tim Newton; Luigi Nibali; Bernadette Pretzl; Christoph Ramseier; Ignacio Sanz-Sanchez; Ulrich Schlagenhauf; Jean E Suvan
Journal:  J Clin Periodontol       Date:  2015-04       Impact factor: 8.728

5.  Assessment of treatment responses to dental flossing in twins.

Authors:  Aaron Biesbrock; Patrick M A Corby; Robert Bartizek; Andrea L Corby; Mania Coelho; Simone Costa; Walter A G Bretz; Walter A Bretz
Journal:  J Periodontol       Date:  2006-08       Impact factor: 6.993

Review 6.  A network meta-analysis of interproximal oral hygiene methods in the reduction of clinical indices of inflammation.

Authors:  Georgios A Kotsakis; Qinshu Lian; Andreas L Ioannou; Bryan S Michalowicz; Mike T John; Haitao Chu
Journal:  J Periodontol       Date:  2018-05       Impact factor: 6.993

7.  Prevalence of periodontitis in adults in the United States: 2009 and 2010.

Authors:  P I Eke; B A Dye; L Wei; G O Thornton-Evans; R J Genco
Journal:  J Dent Res       Date:  2012-08-30       Impact factor: 6.116

8.  The clinical course of chronic periodontitis.

Authors:  Marc Schätzle; Harald Löe; Niklaus P Lang; Walter Bürgin; Age Anerud; Hans Boysen
Journal:  J Clin Periodontol       Date:  2004-12       Impact factor: 8.728

9.  Clinical course of chronic periodontitis. I. Role of gingivitis.

Authors:  Marc Schätzle; Harald Löe; Walter Bürgin; Age Anerud; Hans Boysen; Niklaus P Lang
Journal:  J Clin Periodontol       Date:  2003-10       Impact factor: 8.728

Review 10.  Motivating patients.

Authors:  Isobel M Madden
Journal:  Prim Dent J       Date:  2014-08
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