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Published on: May 9, 2022
Antiplaque and antigingivitis toothpastes
Mariano Sanz1, Jorge Serrano, Margarita Iniesta
1Etiology and Therapy of Periodontal Diseases Research Group, Faculty of Odontology, University Complutense, Madrid, Spain.
Toothpastes clean teeth and deliver therapeutic benefits, with active ingredients like stannous fluoride targeting plaque. Long-term clinical trials evaluate these antiplaque agents for oral health prevention.
Area of Science:
- Oral hygiene and preventative dentistry.
- Pharmacology of dental preparations.
- Microbiology of oral biofilms.
Background:
- Toothpastes, or dentifrices, evolved from simple cleaning agents to sophisticated delivery systems for therapeutic compounds.
- Modern toothpastes aim to enhance mechanical cleaning and provide antimicrobial or anti-inflammatory effects.
- Active ingredients in toothpastes are crucial for chemical plaque control and overall oral health.
Purpose of the Study:
- To review the scientific evidence for common antiplaque agents in toothpaste formulations.
- To emphasize findings from 6-month clinical trials and meta-analyses.
- To highlight the role of dentifrices in preventing bacterial biofilm formation.
Main Methods:
- Review of scientific literature focusing on antiplaque agents in dentifrices.
- Emphasis on evidence from randomized clinical trials of at least 6 months' duration.
- Inclusion of systematic reviews and meta-analyses of relevant studies.
Main Results:
- Various active agents, including enzymes, triclosan, chlorhexidine, cetylpyridinium chloride, and metal salts (e.g., stannous fluoride), have demonstrated antiplaque activity.
- Long-term studies (≥6 months) are critical for evaluating the efficacy of these agents.
- Dentifrices are effective vehicles for delivering oral health preventive measures via toothbrushing.
Conclusions:
- Active ingredients in toothpastes play a significant role in chemical plaque control.
- Long-term use of therapeutic toothpastes is indicated for preventing bacterial biofilm, particularly for gingivitis and periodontal maintenance patients.
- Dentifrices are ideal for delivering preventive oral health agents due to their frequent use with toothbrushing.
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