Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients : evidence-based recommendations for clinicians
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/106478 |
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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Haas, Alex NogueiraPannuti, Cláudio MendesAndrade, Ana Karina Pinto deEscobar, Elaine CristinaAlmeida, Eliete Rodrigues deCosta, Fernando OliveiraCortelli, José RobertoCortelli, Sheila CavalcaRode, Sigmar de MelloPedrazzi, ViniciusOppermann, Rui Vicente2014-11-08T02:13:07Z20141806-8324http://hdl.handle.net/10183/106478000936581Properly 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.application/pdfengBrazilian oral research. São Paulo. Vol. 28, nesp (July 2014), p. 1-8Antissépticos bucaisBiofilmesGengiviteOrtodontiaMouthwashesBiofilmsGingivitisOrthodontic appliancesMouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients : evidence-based recommendations for cliniciansinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000936581.pdf000936581.pdfTexto completo (inglês)application/pdf1503263http://www.lume.ufrgs.br/bitstream/10183/106478/1/000936581.pdf7ea2a41bf77ae081a12840d3c4944978MD51TEXT000936581.pdf.txt000936581.pdf.txtExtracted Texttext/plain35005http://www.lume.ufrgs.br/bitstream/10183/106478/2/000936581.pdf.txtb0c160d05d97a7cfc8409865076e5963MD52THUMBNAIL000936581.pdf.jpg000936581.pdf.jpgGenerated Thumbnailimage/jpeg1826http://www.lume.ufrgs.br/bitstream/10183/106478/3/000936581.pdf.jpg3ad374afdc5018c08f19363e7254a366MD5310183/1064782018-10-19 10:35:28.058oai:www.lume.ufrgs.br:10183/106478Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-19T13:35:28Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.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 Antissépticos bucais Biofilmes Gengivite Ortodontia 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, Cláudio 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, Cláudio 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, Cláudio 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 |
Antissépticos bucais Biofilmes Gengivite Ortodontia |
topic |
Antissépticos bucais Biofilmes Gengivite Ortodontia Mouthwashes Biofilms Gingivitis Orthodontic appliances |
dc.subject.eng.fl_str_mv |
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 |
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2014-11-08T02:13:07Z |
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2014 |
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publishedVersion |
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dc.relation.ispartof.pt_BR.fl_str_mv |
Brazilian oral research. São Paulo. Vol. 28, nesp (July 2014), p. 1-8 |
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