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J Clin Periodontol. 2017 Mar;44 Suppl 18:S116-S134. doi: 10.1111/jcpe.12674.

Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review.

Author information

1
ETEP (Etiology and Therapy of Periodontal Diseases) Research Group, University Complutense, Madrid, Spain.
2
Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
3
Faculty of Medicine and Dentistry, Catholic University of Louvain, Brussels, Belgium.

Abstract

AIM:

To report the evidence on the effect of mechanical and/or chemical plaque control in the simultaneous management of gingivitis and caries.

MATERIAL AND METHODS:

A protocol was designed to identify randomized (RCTs) and controlled (CCTs) clinical trials, cohort studies and prospective case series (PCS), with at least 6 months of follow-up, reporting on plaque, gingivitis and caries. Relevant information was extracted from full papers, including quality and risk of bias. Meta-analyses were performed whenever possible.

RESULTS:

After the screening of 1,373 titles, 15 RCTs, 10 CCTs and 2 PCS were included. Low to moderate evidence support that combined professional and self-performed mechanical plaque control significantly reduces standardized plaque index [n = 4; weighted mean difference (WMD) = 1.294; 95% CI (0.445; 2.144); p = 0.003] and gingivitis scores [n = 4; WMD = 1.728; 95% CI (0.631; 2.825); p = 0.002]. The addition of fluoride to mechanical plaque control is relevant for caries management [n = 5; WMD = 1.159; 95% CI (0.145; 2.172); p = 0.025] while chlorhexidine rinses are relevant for gingivitis.

CONCLUSION:

Mechanical plaque control procedures are effective in reducing plaque and gingivitis. The addition of fluoride to mechanical plaque control is significant for caries management. Chlorhexidine rinse has a positive effect on gingivitis and inconclusive role in caries.

KEYWORDS:

DMF ; caries; chemical plaque control; gingival index; gingivitis; mechanical plaque control; meta-analyses; plaque index; systematic review

PMID:
28266113
DOI:
10.1111/jcpe.12674
[Indexed for MEDLINE]

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