Salt and peroxide compared with conventional oral hygiene. I. Clinical results.
Salt and peroxide compared with conventional oral hygiene. I. Clinical results.
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盐和过氧化物与传统口腔卫生相比。
DOI：
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发表时间：
1987
期刊：
影响因子：
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通讯作者：
C. Bandt
中科院分区：
文献类型：
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作者：
B. Pihlstrom;Larry F. Wolff;M. Bashar Bakdash;Erwin M. Schaffer;James R. Jensen;Dorothee M. Aeppli;C. Bandt
这项为期2年的纵向研究的目的是：比较患者使用碳酸氢钠，过氧化氢和氯化钠（S/P）的临床效果，以使用传统的口腔卫生方法，并调查使用相差显微镜教学有效的口腔卫生的激励作用。最初，对972名受试者进行了牙周炎体征筛查。从这些，347与早期至中度牙周炎被选中，每个人都被随机分配到四个家庭治疗方案后，刮治和根面平整。四种治疗方案包括：传统的口腔卫生程序，传统的口腔卫生程序加牙龈下微生物形式的口腔卫生动机，S/P口腔卫生，和S/P口腔卫生加牙龈下微生物形式的口腔卫生动机相衬示范。在基线、8个月、16个月和24个月记录牙菌斑、出血、牙龈炎症、探诊深度和临床附着水平。受试者被召回，以加强口腔卫生和牙周预防在不同的时间间隔。根据疾病的严重程度、索引部位的位置和依从性对数据进行分析。结果表明，传统的口腔卫生程序和S/P方案是有效的，在减少疾病的临床症状时，结合专业护理。两种方案的临床有效性没有差异，并且有利于出于激励目的显微镜观察龈下菌斑的趋势在统计学上不显着。
The purposes of this 2-year longitudinal study were to: compare the clinical effectiveness of patient applied sodium bicarbonate, hydrogen peroxide, and sodium chloride (S/P) to the use of conventional oral hygiene methods and to investigate the motivational effect of using phase-contrast microscopy in teaching effective oral hygiene. Initially, 972 subjects were screened for signs of periodontitis. From these, 347 with early to moderate periodontitis were selected and each was randomly assigned to one of four home treatment regimens after scaling and root planing. The four treatment regimens included: conventional oral hygiene procedures, conventional oral hygiene procedures plus phase-contrast demonstration of subgingival microbial forms for oral hygiene motivation, S/P oral hygiene, and S/P oral hygiene plus phase-contrast demonstration of subgingival microbial forms for oral hygiene motivation. Plaque, bleeding, gingival inflammation, probing depth, and clinical attachment level were recorded at baseline, 8, 16, and 24 months. Subjects were recalled for reinforcement of oral hygiene and periodontal prophylaxis at various intervals. Data were analyzed based on disease severity, location of index sites and compliance. The results indicated that both conventional oral hygiene procedures and the S/P regimen were effective in reducing clinical signs of disease when combined with professional care. There were no differences between the two regimens in clinical effectiveness and trends favoring microscopic viewing of subgingival plaque for motivational purposes were not statistically significant.