Ef fi cacy of Dental Floss and Chlorhexidine Mouth Rinse as an Adjunct to Toothbrushing in Removing Plaque and Gingival Inflammation – A Three Way Cross Over Trial

Arora,; Tangade, Pradeep; Tirth, Amit; Pal, Samudranil; Tandon,

doi:10.7860/jcdr/2014/8807.4943

Cited by 21 publications

(22 citation statements)

References 16 publications

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“…However, in the absence of such a program, ineffective use of dental floss could explain the failure to keep the dentition periodontitis‐free in this US population of older adults with low dental care attendance. There is only weak scientific evidence for the efficacy of dental floss in plaque control and managing gingivitis , the condition that preceded periodontitis.…”

Section: Discussionmentioning

confidence: 99%

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

Eke¹,

Liang²,

Borgnakke³

et al. 2016

Periodontology 2000

255

220

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The older adult population is growing rapidly in the USA and it is expected that by 2040 the number of adults ≥ 65 years of age will have increased by about 50%. With the growth of this subpopulation, oral health status, and periodontal status in particular, becomes important in the quest to maintain an adequate quality of life. Poor oral health can have a major impact, leading to tooth loss, pain and discomfort, and may prevent older adults from chewing food properly, often leading to poor nutrition. Periodontitis is monitored in the USA at the national level as part of the Healthy People 2020 initiative. In this report, we provide estimates of the overall burden of periodontitis among adults ≥ 65 years of age and after stratification according to sociodemographic factors, modifiable risk factors (such as smoking status), the presence of other systemic conditions (such as diabetes) and access to dental care. We also estimated the burden of periodontitis within this age group at the state and local levels. Data from the National Health and Nutrition Examination Survey 2009/2010 and 2011/2012 cycles were analyzed. Periodontal measures from both survey cycles were based on a full-mouth periodontal examination. Nineteen per cent of adults in this subpopulation were edentulous. The mean age was 73 years, 7% were current smokers, 8% lived below the 100% Federal Poverty Level and < 40% had seen a dentist in the past year. Almost two-thirds (62.3%) had one or more sites with ≥ 5 mm of clinical attachment loss and almost half had at least one site with probing pocket depth of ≥ 4 mm. We estimated the lowest prevalence of periodontitis in Utah (62.3%) and New Hampshire (62.6%) and the highest in New Mexico, Hawaii, and the District of Columbia each with a prevalence of higher than 70%. Overall, periodontitis is highly prevalent in this subpopulation, with two-thirds of dentate older adults affected at any geographic level. These findings provide an opportunity to determine how the overall health-care management of older adults should consider the improvement of their oral health conditions. Many older adults do not have dental insurance and are also likely to have some chronic conditions, which can adversely affect their oral health.

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Section: Discussionmentioning

confidence: 99%

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

Eke¹,

Liang²,

Borgnakke³

et al. 2016

Periodontology 2000

255

220

View full text Add to dashboard Cite

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“…Mouthwash has been recommended being a regular adjunct along with mechanical therapy to maintain oral health. [ 24 ] Among the mouthwashes, CHX is considered to be the gold standard and is part of the part of the periodontal treatment regimen. [ 25 ] However, CHX is known to have various side effects ranging from minor effects such as alteration in patient taste sensation and staining of teeth to certain less common effects such as mucosal erosion or parotid swelling.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of the efficacy of a herbal mouthwash and chlorhexidine mouthwash on select periodontal pathogens: An in vitro and ex vivo study

Pathan¹,

Bhat

Joshi

2017

J Indian Soc Periodontol

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Background:Several herbal mouthwash and herbal extracts have been tested in vitro and in vivo in search of a suitable adjunct to mechanical therapy for long-term use. In this study, we aimed to look at the antimicrobial effect of the herbal mouthwash and chlorhexidine (CHX) mouthwash on select organisms in in vitro test and an ex vivo model.Materials and Methods:The antimicrobial effects were determined against standard strains of bacteria that are involved in different stages of periodontal diseases. The in vitro tests included determination of minimum inhibitory concentration (MIC) using broth dilution and agar diffusion. In the ex vivo part of the study supragingival dental plaque were obtained from 20 periodontally healthy adult volunteers. Descriptive analysis was done for the entire quantitative and qualitative variable recorded.Results:The MIC by broth dilution method found no statistically significant difference between the mouthwashes. The agar dilution method showed CHX was more effective as compared to the herbal mouthwash against standard strains of Streptococcus mutans, Streptococcus sanguinis, and Aggregatibacter actinomycetemcomitans. However, no difference was observed between the mouthwashes for Porphyromonas, Pseudomonas aeruginosa, and Fusobacterium nucleatum. The ex vivo results conclude that none of the selected mouthwashes were statistically significantly different from each other.Conclusion:In the present study, CHX showed higher levels of antimicrobial action than the herbal mouthwash against bacterial species. The results reinforce the earlier findings that the in vitro testing is sensitive to methods and due diligence is needed when extrapolating the data for further use. However, long-term use and in vivo effectiveness against the periopathogens need to be tested in well-planned clinical trials.

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“…Second, the patients were young, within the range 18‐35 years, and had a good level of oral hygiene. The patients were mostly medical and dental students, who would be more aware of oral health care . Therefore, generalizing the results is difficult, and it would be mandatory to plan further studies enrolling patients from the general population.…”

Section: Discussionmentioning

confidence: 99%

“…Chlorhexidine‐based mouth rinses (CM) are widely used and have proved to be potent antiseptics . In combination with brushing, CM are effective in controlling plaque and gingivitis . Moreover, the use of CM is recommended, especially in periodontitis‐affected patients and after oral and periodontal surgeries…”

Section: Introductionmentioning

confidence: 99%