Clinical efficacy of a new cetylpyridinium chloride-hyaluronic acid-based mouthrinse compared to chlorhexidine and placebo mouthrinses-A 21-day randomized clinical trial

© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..

OBJECTIVE: To compare the effectiveness of a novel cetylpyridinium chloride (CPC)-hyaluronic acid (HA)-based mouthrinse with chlorhexidine (CHX) and placebo mouthrinses in preventing plaque and gingivitis. The secondary outcomes were calculus, extrinsic stains, oral malodour and occurrence of adverse events.

METHODS: A 21-day randomized, double-blind, three-arm parallel study with random allocation of young dental students to any of the three mouthrinse groups. Thorough prophylaxis was done at baseline followed by a baseline examination for oral malodour, extrinsic stains, calculus, gingivitis and plaque by a single examiner. All the subjects used the allocated mouthrinse twice daily for 21 days and were examined again at the end of the experimental period. They were also interviewed for adverse events. Change in the scores of clinical indices was calculated and compared between the groups.

RESULTS: A total of 75 subjects were included and completed the experiment. There was a significant difference for change in plaque index scores between the groups (P = .015); subjects in the placebo group experienced higher levels of plaque accumulation than the other groups. Teeth staining increased in the CHX (P < .001) and placebo groups (P = .002), but not in CPC-HA users (P = .573). No significant differences were found between the three experimental groups for change in the gingival index (P = .08), calculus scores (P = .494), oral malodour (P = .870) and reporting of adverse events (P = .249).

CONCLUSIONS: CPC-HA and CHX had similar effectiveness in preventing plaque accumulation, while no differences were observed between the mouthrinses for preventing gingivitis. Dental staining was caused by CHX and the placebo mouthrinses but not by CPC-HA mouthrinse.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

International journal of dental hygiene - 18(2020), 1 vom: 09. Feb., Seite 116-123

Sprache:

Englisch

Beteiligte Personen:

Tadakamadla, Santosh Kumar [VerfasserIn]
Bharathwaj, Venkata V [VerfasserIn]
Duraiswamy, Prabu [VerfasserIn]
Sforza, Chiarella [VerfasserIn]
Tartaglia, Gianluca M [VerfasserIn]

Links:

Volltext

Themen:

9004-61-9
Adverse effects
Anti-Infective Agents, Local
CUB7JI0JV3
Cetylpyridinium
Cetylpyridinium chloride
Chlorhexidine
Hyaluronic Acid
Hyaluronic acid
Journal Article
Mouthrinse
Mouthwashes
R4KO0DY52L
Randomized Controlled Trial
Therapeutic use

Anmerkungen:

Date Completed 09.01.2020

Date Revised 09.01.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/idh.12413

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM298897792