Evidence-based control of plaque and gingivitis
Evidence-based control of plaque and gingivitis
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DOI：
10.1034/j.1600-051x.30.s5.5.x
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发表时间：
2003-01-01
影响因子：
6.7
通讯作者：
Santos, A
中科院分区：
文献类型：
--
作者：
Santos, A
大多数成年人刷牙和牙线使用不当，经常需要不断的教育和/或强化。细菌通常会留下机械的口腔健康程序，化疗药物可能有一个关键的作用，作为日常家庭护理的替代品。迄今为止，两种抗菌漱口水已经获得ADA验收印章：Peridex（R）“（Zila Pharmaceuticals，Phoenix，AZ，USA; CHX，氯己定）和Listerine（R）”（Pfizer Consumer Healthcare，莫里斯平原，NJ，USA;精油（EO）漱口水）。CHX对牙齿和组织表面有很强的亲和力，但会导致牙齿和舌头上的棕色染色。患者还必须等到所有牙膏痕迹被清除后再用CHX冲洗。长期使用EO漱口水在微生物学上是安全的，未观察到龈上菌斑的细菌组成发生变化，也未发现抗菌素耐药性的证据。许多试验已经证明了CHX和EO漱口水的长期减少牙菌斑和牙龈炎的特性。这些研究清楚地表明，这些药物具有持久的疗效，可以进入难以到达的地区。
Most adults brush and floss inadequately, and constant education and/or reinforcement is often required. Bacteria are usually left behind with mechanical oral health routines, and chemotherapeutic agents may have a key role as adjuncts to daily home-care. To date, two antiseptic mouthwashes have received the ADA Seal of Acceptance: Peridex(R) ' (Zila Pharmaceuticals, Phoenix, AZ, USA; CHX, chlorhexidine) and Listerine(R) ' (Pfizer Consumer Healthcare, Morris Plains, NJ, USA; essential oil (EO) mouthwash). CHX has a strong affinity for tooth and tissue surfaces, but can cause brown staining on the teeth and tongue. Patients must also wait until all traces of toothpaste are removed before rinsing with CHX. Longterm use of an EO mouthwash is microbiologically safe, with no changes observed in the bacterial composition of supragingival plaque, and no evidence of antimicrobial resistance. A number of trials have demonstrated the long-term plaque- and gingivitis-reducing properties of both CHX and EO mouthwashes. These studies clearly demonstrate that these agents have lasting efficacy, and can access hard-to-reach areas.