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Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review
Author(s) -
Figuero Elena,
Nóbrega Diego F.,
GarcíaGargallo María,
Tenuta Livia M. A.,
Herrera David,
Carvalho Joana C.
Publication year - 2017
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12674
Subject(s) - gingivitis , medicine , dentistry , chlorhexidine , randomized controlled trial , dental plaque
Aim To report the evidence on the effect of mechanical and/or chemical plaque control in the simultaneous management of gingivitis and caries. Material and Methods A protocol was designed to identify randomized ( RCT s) and controlled ( CCT s) clinical trials, cohort studies and prospective case series ( PCS ), with at least 6 months of follow‐up, reporting on plaque, gingivitis and caries. Relevant information was extracted from full papers, including quality and risk of bias. Meta‐analyses were performed whenever possible. Results After the screening of 1,373 titles, 15 RCT s, 10 CCT s and 2 PCS were included. Low to moderate evidence support that combined professional and self‐performed mechanical plaque control significantly reduces standardized plaque index [ n = 4; weighted mean difference ( WMD ) = 1.294; 95% CI (0.445; 2.144); p = 0.003] and gingivitis scores [ n = 4; WMD = 1.728; 95% CI (0.631; 2.825); p = 0.002]. The addition of fluoride to mechanical plaque control is relevant for caries management [ n = 5; WMD = 1.159; 95% CI (0.145; 2.172); p = 0.025] while chlorhexidine rinses are relevant for gingivitis. Conclusion Mechanical plaque control procedures are effective in reducing plaque and gingivitis. The addition of fluoride to mechanical plaque control is significant for caries management. Chlorhexidine rinse has a positive effect on gingivitis and inconclusive role in caries.