Open AccessThe importance of daily care in prevention and treatment periodontal inflammation in adolescents
Author(s) -
Т. В. Закиров,
Е. В. Брусницына,
Е. С. Иощенко,
Ю. В. Димитрова
Publication year - 2020
Publication title -
parodontologiâ
Language(s) - English
Resource type - Journals
eISSN - 1726-7269
pISSN - 1683-3759
DOI - 10.33925/1683-3759-2020-25-4-343-348
Subject(s) - toothpaste , sodium bicarbonate , saliva , medicine , gingivitis , acetic acid , dentistry , gingival sulcus , oral hygiene , food science , chemistry , biochemistry
Relevance . Changes were assessed in the clinical and laboratory parameters of the oral cavity in adolescents with plaqueinduced gingivitis when using toothpaste with 67% sodium bicarbonate. Materials and methods . Use of toothpaste with 67% sodium bicarbonate in 23 patients aged 16-19 years with plaque-induced gingivitis was investigated in a prospective randomized uncontrolled study. Questionnaire survey was performed. OHI-S, tongue coating index, PMA index, SBI were used to evaluate the condition of the oral cavity. Tooth shade was determined according to Bleachedguide 3D-Master and short-chain fatty acids in saliva were detected by chromatography. Results . One month use of the toothpaste revealed a significant improvement of oral hygiene by 24.56%, enamel brightening by 22.07%, decrease in the PMA index from 34.78 ± 7.89 to 22.96 ± 8.02, decrease in the sulcus bleeding index (SBI) from 1.57 ± 0.87 to 0.96 ± 0.81. Assessment of saliva short-chain fatty acids (SCFAs) detected reduction of functional activity and number of commensal and pathogenic anaerobic microorganisms and restoration of normal microbiota. At the baseline, acetic acid amounted to 0.426 ± 0.078, propionic acid – 0.086 ± 0.019, butyric acid – 0.025 ± 0.005 mg/g. After the use of the toothpaste, the level of acetic and butyric acids insignificantly changed, to 0.625 ± 0.090 and 0.058 ± 0.098 mg/g respectively. According to the questionnaire survey (on a 1 to 5 scale), the score of consumer-perceived properties of toothpaste with 67% sodium bicarbonate was 4.1 ± 1.0 for taste and 4.5 ± 0.8 for cleaning properties. Conclusion . Investigation of clinical and laboratory parameters of the oral cavity in adolescents with plaque-induced gingivitis in use of toothpaste with 67% sodium bicarbonate showed that the toothpaste has good cleaning, anti-inflammatory, brightening and hemostatic properties. Biochemical analysis of saliva demonstrated recovery of normal values for short-chain fatty acids.