ABSTRACT
BACKGROUND: Plaque-associated gingivitis is a prevalent disease and research in its treatment using herbal agents must be encouraged to verify which would be a useful addition to the current range or chemotherapeutic treatment options. AIMS: The aim of this study was to evaluate the clinical effect of a mouth rinse containing 10% Anacardium occidentale (AO) Linn., a typical plant commonly found in the Northeast Region of Brazil, on the reduction of plaque and gingivitis in comparison to a gold-standard chemotherapeutic agent. MATERIALS AND METHODS: Thirty normosystemic adult volunteers of both genders, who had a minimum of twenty natural teeth, aging between 18 and 32 years, were enrolled in this crossover, controlled, examiner-blind clinical study. They were randomly allocated into three groups: 10% AO Linn. (n = 10); 0.12% chlorhexidine digluconate (CLX, n = 10); or placebo (PB, n = 10). All volunteers were instructed to brush their teeth with a fluoridated dentifrice two times a day (12/12 h) and to rinse for 1 min with one of the mouthwashes (AO, CLX, or PB) 30 min after tooth brushing for 1 month. Plaque index (PLI) and gingival bleeding index (BLI) were recorded on days 0 and 30. Nonparametric Kruskal-Wallis and Wilcoxon tests (α = 0.05) were performed to evaluate statistical differences among groups. RESULTS: There was a significant reduction (P < 0.05) on plaque and gingivitis at day 30 just in CLX ([PLI = 0.47 ± 0.16; -30%]; [BLI = 0.15 ± 0.09; -55.8%]) and AO ([PLI = 0.49 ± 0.21; -31%]; [BLI = 0.13 ± 0.10; -56.6%]) groups, but no statistically significant difference was observed among them (P > 0.05). CONCLUSION: Mouthwash containing 10% AO was effective as an antiplaque and antigingivitis agent, in a similar manner that 0.12% CLX.
Subject(s)
Anacardium , Anti-Infective Agents, Local/therapeutic use , Dental Plaque/drug therapy , Gingivitis/drug therapy , Mouthwashes/therapeutic use , Oils, Volatile/therapeutic use , Plant Oils/therapeutic use , Adolescent , Adult , Chlorhexidine/analogs & derivatives , Chlorhexidine/therapeutic use , Cross-Over Studies , Female , Humans , Male , Treatment OutcomeABSTRACT
El objetivo de este estudio, paralelo, doble ciego clínico, fue evaluar el efecto de un gel conteniendo extracto de aruera en 10% en la reducción del acúmulo de placa supragingival y gingivitis. Los sujetos de la investigación fueron distribuidos en grupo prueba (n=15 gel aruera) y grupo control (n=15 gel placebo). La cantidad de placa fue evaluada por medio del índice de placa de Turesky-Gilmore-Glickman (IPL), el grado de gingivitis por el índice gingival de Löe & Silness (IG) y el grado de inflamación por el índice de sangramiento gingival de Ainamo & Bay (ISG). Los participantes fueron orientados a cepillar los dientes con el gel tres veces al día, por treinta días. Hubo diferencia significativa para los tres índices evaluados en los grupos prueba y control de forma similar pasado los treinta dias. El gel de aruera en 10% asociado al control mecánico de placa no demostró efecto agregado en la reducción de placa bacteriana supragingival ni en gingivitis.
The aim of this randomized, parallel, double-blind clinical trial was to evaluate the effect of a gel containing 10% of myracrodruon urundeuva extract on the reduction of plaque and gingivitis. Subjects were randomly allocated into either the test group (n=15, test gel) or the control group (n=11, placebo gel). Plaque levels were measured using the Turesky-Gilmore-Glickman index (PLI) and gingivitis was evaluated through Gingival index of Löe & Silness (GI) and gingival bleeding index of Ainamo & Bay (GBI). Subjects were asked to brush their teeth with the gel, three times a day, for thirty days. There was a significant difference in all indexes for the both groups in a similar manner after the end of the trial. In conclusion, the gel containing 10% of myracrodruon urundeuva did not showed a additional effect on reduction of plaque and gingivitis.
ABSTRACT
A 45-year-old woman needing a Class V restoration in a mandibular molar without attached gingiva is presented. In an interdisciplinary intervention, transurgical restoration was accomplished, including flap surgery with a slight ostectomy and restoration with a bonding system and a resin composite. A 1-year clinical evaluation showed satisfactory marginal adaptation and restoration contour associated to gingival tissue health.
