Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

Detalhes bibliográficos
Autor(a) principal: HAAS,Alex Nogueira
Data de Publicação: 2014
Outros Autores: PANNUTI,Claudio Mendes, ANDRADE,Ana Karina Pinto de, ESCOBAR,Elaine Cristina, ALMEIDA,Eliete Rodrigues de, COSTA,Fernando Oliveira, CORTELLI,José Roberto, CORTELLI,Sheila Cavalca, RODE,Sigmar de Mello, PEDRAZZI,Vinicius, OPPERMANN,Rui Vicente
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Oral Research
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200400
Resumo: Properly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.
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spelling Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for cliniciansMouthwashesBiofilmsGingivitisOrthodontic AppliancesProperly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200400Brazilian Oral Research v.28 n.spe 2014reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107BOR-2014.vol28.0021info:eu-repo/semantics/openAccessHAAS,Alex NogueiraPANNUTI,Claudio MendesANDRADE,Ana Karina Pinto deESCOBAR,Elaine CristinaALMEIDA,Eliete Rodrigues deCOSTA,Fernando OliveiraCORTELLI,José RobertoCORTELLI,Sheila CavalcaRODE,Sigmar de MelloPEDRAZZI,ViniciusOPPERMANN,Rui Vicenteeng2018-09-17T00:00:00Zoai:scielo:S1806-83242014000200400Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2018-09-17T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false
dc.title.none.fl_str_mv Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
title Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
spellingShingle Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
HAAS,Alex Nogueira
Mouthwashes
Biofilms
Gingivitis
Orthodontic Appliances
title_short Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
title_full Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
title_fullStr Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
title_full_unstemmed Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
title_sort Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians
author HAAS,Alex Nogueira
author_facet HAAS,Alex Nogueira
PANNUTI,Claudio Mendes
ANDRADE,Ana Karina Pinto de
ESCOBAR,Elaine Cristina
ALMEIDA,Eliete Rodrigues de
COSTA,Fernando Oliveira
CORTELLI,José Roberto
CORTELLI,Sheila Cavalca
RODE,Sigmar de Mello
PEDRAZZI,Vinicius
OPPERMANN,Rui Vicente
author_role author
author2 PANNUTI,Claudio Mendes
ANDRADE,Ana Karina Pinto de
ESCOBAR,Elaine Cristina
ALMEIDA,Eliete Rodrigues de
COSTA,Fernando Oliveira
CORTELLI,José Roberto
CORTELLI,Sheila Cavalca
RODE,Sigmar de Mello
PEDRAZZI,Vinicius
OPPERMANN,Rui Vicente
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv HAAS,Alex Nogueira
PANNUTI,Claudio Mendes
ANDRADE,Ana Karina Pinto de
ESCOBAR,Elaine Cristina
ALMEIDA,Eliete Rodrigues de
COSTA,Fernando Oliveira
CORTELLI,José Roberto
CORTELLI,Sheila Cavalca
RODE,Sigmar de Mello
PEDRAZZI,Vinicius
OPPERMANN,Rui Vicente
dc.subject.por.fl_str_mv Mouthwashes
Biofilms
Gingivitis
Orthodontic Appliances
topic Mouthwashes
Biofilms
Gingivitis
Orthodontic Appliances
description Properly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200400
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200400
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1807-3107BOR-2014.vol28.0021
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
dc.source.none.fl_str_mv Brazilian Oral Research v.28 n.spe 2014
reponame:Brazilian Oral Research
instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron:SBPQO
instname_str Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron_str SBPQO
institution SBPQO
reponame_str Brazilian Oral Research
collection Brazilian Oral Research
repository.name.fl_str_mv Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
repository.mail.fl_str_mv pob@edu.usp.br||bor@sbpqo.org.br
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