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Effectiveness of a mouthrinse containing active ingredients in addition to chlorhexidine and triclosan compared with chlorhexidine and triclosan rinses on plaque, gingivitis, supragingival calculus and extrinsic staining
Author(s) -
Kumar S,
Patel S,
Tadakamadla J,
Tibdewal H,
Duraiswamy P,
Kulkarni S
Publication year - 2013
Publication title -
international journal of dental hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 38
eISSN - 1601-5037
pISSN - 1601-5029
DOI - 10.1111/j.1601-5037.2012.00560.x
Subject(s) - triclosan , gingivitis , chlorhexidine , medicine , dentistry , calculus (dental) , tooth discoloration , dental plaque , sodium fluoride , fluoride , chemistry , pathology , inorganic chemistry
Objectives To assess the effectiveness of three different mouthrinses – chlorhexidine, triclosan + sodium fluoride and chlorhexidine + triclosan + sodium fluoride + zinc chloride – on plaque, calculus, gingivitis and stains and to evaluate the occurrence of adverse effects with these three treatments. Methods Forty‐eight healthy subjects participated in a double‐blind, randomized, parallel experiment and were randomly allocated to any one of the three experimental mouthrinses: group A (0.2% chlorhexidine ( CHX ) gluconate), group B (0.03% triclosan + 0.025% sodium fluoride ( NaF ) + 12% ethyl alcohol) or group C (0.2% CHX + 0.3% triclosan + 0.3% NaF + 0.09% Z n chloride ( ZnCl 2 ). All the subjects were assessed for gingivitis, plaque, supragingival calculus and extrinsic stains at baseline and at the end of the 21‐day experimental period. Results There was a significant difference ( P = 0.046) in the effectiveness for the prevention of gingivitis and plaque, with subjects of group A and group C presenting least and highest gingival and plaque scores, respectively. Significant differences ( P = 0.03) were observed for the accumulation of supragingival calculus where the deposition of calculus in group A was nearly double that of the group B , and group B was most effective in the prevention of supragingival calculus. Highest deposition of extrinsic stains was in the group A followed by group C and group B . There was no significant difference between the three treatments for adverse events' occurrence. Conclusions CHX mouthrinse was most effective in controlling plaque and gingivitis but caused greatest deposition of extrinsic stains. Supragingival calculus deposition was least in triclosan + NaF group followed by CHX + triclosan + NaF + ZnCl 2 and CHX . More than half of the subjects reported adverse events during the experimental phase.