单独的赫西丁和赫西丁与刷毛在减少斑块效果上没有表现出差异:为期2周的随机临床试验
Jedtanut Thussananutiyakul1, Pholthanik Lertchawalitanon1, Piboon Rungtanakiat1
1Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
International journal of dental hygiene
|December 7, 2025
概括
这项研究发现,与单独使用CHX相比,0.12%的赫西丁 (CHX) 口水在与刷牙一起使用时没有提供额外的斑块抑制益处. 这两种方法都有效地减少了斑块和牙炎,但刷牙显示牙炎症的减少更大.
科学领域:
- 口腔健康 口腔健康
- 牙周病学 牙周病学
- 临床试验 临床试验
背景情况:
- 控制斑块和牙炎对于保持口腔卫生至关重要.
- 0.12% 赫西丁 (CHX) 口水是一种常见的抗菌剂,用于牙科护理.
- 了解CHX口水与无机械清洗的比较疗效对于治疗指南很重要.
研究的目的:
- 为了比较0.12%赫西丁 (CHX) 单独与与刷牙结合的口水在控制斑块和牙炎方面的疗效.
- 评估CHX口水对斑块指数 (PI) 和牙指数 (GI) 的影响.
主要方法:
- 一个随机的,检查者盲目的,分口临床试验与30名参与者进行.
- 参与者接受了初步的缩放和抛光,随后是为期2周的不刷牙期.
- 然后将牙抛光,参与者每天两次用0.12%的CHX冲洗2周,在分配的非刷牙侧面,而另一侧则用CHX刷牙.
- 斑块和牙指数是由一个盲人调查员评估的.
主要成果:
- 2周后,不刷牙和刷牙两侧的PI和GI与基线相比显著减少 (p < 0.001).
- 刷牙侧面的牙指数下降显著更大 (p = 0.016).
- 单独使用CHX口水和与刷牙干预相结合的CHX之间没有观察到减少斑块指数的显著差异 (p = 0.091).
结论:
- 单独使用0.12%的赫西丁口水在抑制斑块形成方面,与与机械斑块控制一起使用时一样有效.
- 虽然这两种干预措施都减少了牙炎,但机械清洁与CHX相结合显示,牙炎症的减少略大.
- 这些发现表明,单独使用CHX口水可以在特定情况下成为有效的斑块控制策略.
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