Yıl: 2020 Cilt: 23 Sayı: 1 Sayfa Aralığı: 22 - 31 Metin Dili: İngilizce DOI: 10.7126/cumudj.624523 İndeks Tarihi: 17-12-2020

INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY

Öz:
Objectives: The purpose of this study is to compare the clinical, antibacterialand microbiological effects of the non-fluoride and fluoride toothpastes.Materials and Methods: In this study eighty children (3 to 12 years old)were randomly divided into four groups and followed for four weeks. Thefirst and second groups (40 children, 6-12 years) used different fluoridecontaining toothpastes; the third and fourth groups (40 children, 3-5 years)used non-fluoride toothpastes. The halitosis score, plaque index, gingivalindex, bleeding index, buffering capacities, Mutans Streptococci, Lactobacilliand yeast counts were recorded on 1st day, 7th day, 15th day and 30th day. Thefirst and second groups; the third and fourth groups were compared with eachother. Data were analyzed statistically by using Mann Whitney U tests,Wilcoxon Sign Test, Fisher Freeman Halton Exact Test and Mc Nemar Testwith a significance level of p<0.05.Results: Statistically significant association was not found in the mean scoresof halitosis, gingival index,plaque index, bleeding index, buffering capacity,Mutans Streptococci, Lactobacilli and yeast (p>0.05), between groupson thefirst day. All four toothpastes produced statistically significant reductionsfrom 1st day to 30th days in scores of halitosis, plaque index, gingival index,bleeding index and buffering capacity (p<0.01; p<0.05), within groups.Statistically significant reductions were found according to in MutansStreptococci, counts from 1st day to 30th day for group I, II and III (p<0.05);but was not found statistically significant changes in Group IV on the 30thdays (p>0.05).Conclusions: All tested toothpastes proved to be safe and significantlyeffective clinical and microbiological features.
Anahtar Kelime:

Farklı Diş Macunlarının Klinik ve Mikrobiyolojik Etkilerinin İncelenmesi: In Vivo Çalışma

Öz:
Amaç: Bu çalışmanın amacı, fluor içeren ve içermeyen diş macunlarının klinik, antibakteriyel ve mikrobiyolojik etkilerini karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışmada 3-12 yaş arası 80 çocuk dört gruba ayrıldı ve dört hafta boyunca takip edildi. Birinci ve ikinci gruplar (40 çocuk, 6-12 yaş) farklı fluorlu diş macunları kullandı; üçüncü ve dördüncü gruplar (40 çocuk, 3-5 yaş) fluor içermeyen diş macunları kullandılar. Ağız kokusu skoru, plak indeksi, gingival indeks, kanama indeksi, tamponlama kapasiteleri, Mutans Streptokokları, Lactobacilli ve maya sayıları 1., 7., 15. ve 30. günde kaydedildi. Birinci ve ikinci grup; üçüncü ve dördüncü gruplar birbirleriyle karşılaştırıldı. Veriler istatistiksel olarak Mann Whitney U testi, Wilcoxon Sign Testi, Fisher Freeman Halton Exact Testi ve Mc Nemar Testi kullanılarak p<0,05 anlamlılık düzeyinde analiz edildi. Bulgular: İlk gün; gruplar arasında, ağız kokusu, gingival indeks, plak indeksi, kanama indeksi, tamponlama kapasitesi, S Mutans, Lactobacilli ve maya ortalamaları arasında istatistiksel olarak anlamlı ilişki bulunmadı (p>0,05). Dört diş macununun her biri, gruplar arasında, 1. günden 30. güne ağız kokusu, plak indeksi, gingival indeks, kanama indeksi ve tamponlama kapasitesi skorlarında istatistiksel olarak anlamlı azalma sağlamıştır (p<0,01; p<0,05). Grup I, II ve III’te; S. Mutans değerleri 1. günden 30. güne kadar istatistiksel olarak azalma gösterirken (p<0,05); Grup IV’te 30. günde istatisiksel olarak anlamlı bir değişiklik izlenmemiştir (p>0,05). Sonuç: Test edilen tüm diş macunları güvenli ve anlamlı derecede etkili klinik ve mikrobiyolojik özellikler göstermiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
  • 1. Socransky SS, Haffajee AD. Periodontal microbial ecology. Periodontol 2000 2005;38:135-187.
  • 2. Tanzer JM, Livingston J, Thompson AM. The microbiology of primary dental caries in humans. J Dent Educ 2001;65:1028-1037.
  • 3. Al-Ghamdi F, Jari N, Al-Yafi D, Redwan S, Gogandy B, Othman H. Toothbrushing behavior and its prevalence versus Miswak usage among the dental students of the faculty of dentistry at King Abdulaziz University. Int Dent J Stud Res 2015;2:49-56.
  • 4. Barnes VM, Richter R, DeVizio W. Comparison of the short-term antiplaque/antibacterial efficacy of two commercial dentifrices. J Clin Dent 2010;21:101-104.
  • 5. Lima CV, Cury JA, Vale GC, Lima MD, Moura LFAD, Moura MS. Total Fluoride Intake by Children from a Tropical Brazilian City. Caries Res 2015;49:640–646.
  • 6. Ellepola AN, Khan ZU, Chandy R, Philip L. A comparison of the antifungal activity of herbal toothpastes against other brands of toothpastes on clinical isolates of Candida albicans and Candida dubliniensis. Med Prin Pract 2011;20:112-117.
  • 7. Yigit N, Aktas E, Ayyildiz A. Antifungal activity of toothpastes against oral Candida isolates. J Mycol Med 2008;18:141-146.
  • 8. Almas AK, Almas K. Miswak (Salvadora Persica chewing stick) and its role in oral health: an update. J Pak Dent Assoc 2013;22:255-264.
  • 9. Twetman S. Treatment protocols: nonfluoride managementof the caries disease process and available diagnostics. Dent Clin North Am. 2010; 54:527-540.
  • 10. Wong MCM, Clarkson J, Glenny AM, Lo ECM, Marinho VCC, Tsang BWK, Walsh T, Worthington HV. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res 2011;90:573-579.
  • 11. Patil S, Venkataraghavan K, Anantharaj A, Patil SH. Comparison of two commercially available toothpastes on the salivary Streptococcus Mutans count in urban preschool children: An in vivo study. Int Dent SA 2010;12:72-82.
  • 12. Walsh T, Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010;20: CD007868.
  • 13.Basch CH, Hammond R, Guinta A, Rajan S, Basch CE. Advertising of Toothpaste in Parenting Magazines. J Community Health 2013;38:911–914.
  • 14. Prasad KV, Sohani R, Tikare S, Yelamalli M, Rajesh G, Javali SB. Anti-plaque efficacy of two commercially available dentifrices. J Indian Assoc Public Health Dent 2009;1:12-17.
  • 15. Flisfisch S, Meyer J, Meurman JH, Waltimo T. Effects of fluorides on Candida albicans. Oral Dis 2008;14:296-301.
  • 16. Do LG, Spencer AJ: Risk-benefit balance in the use of fluoride among young children. J Dent Res 2007;86:723–728.
  • 17. Mustafa M, AlJeaidi Z, Al Aajam WH, Dafaalla Mohammed KA. Study of Caries Prevalence among Miswak and Non-Miswak Users: A Prospective Study. J Contemp Dent Pract 2016;17:926-929.
  • 18. Guidelines on the use of fluoride in children: EAPD policy document. Eur Arch Dent 2009;10:129-135.
  • 19. Lobo PL, de Carvalho CB, Fonseca SG, de Castro RS, Monteiro AJ, Fonteles MC, Fonteles CS. Sodium fluoride and chlorhexidine effect in the inhibition of mutans streptococci in children with dental caries: a randomized, double-blind clinical trial. Oral Microbiol Immunol 2008;23:486-491.
  • 20. Lynch RJM, Navada R, Walia R. Low-levels of fluoride in plaque and saliva and their effect on the demineralisation and remineralisation of enamel; role of fluoride toothpastes. Int Dent J 2004;54:304-309.
  • 21. Pandit S, Kim JE, Jung KH, Chang KW, Jeon JG. Effect of sodium fluoride on the virulence factors and composition of Streptococcus Mutans biofilms. Arch Oral Biol2011;56:643-649.
  • 22. Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med 2010;24:8- 18.
  • 23. Ericsson Y. Clinical investigations of the salivary buffering action. Acta Odontol Scand 1959;17:131- 165.
  • 24. Dumas ER, Engelman EE, Venell JA. In-vitro antibacterial comparison of dentifrices claiming antigingivitis and gum-healing properties. Oral Heath Prev Dent 2007;12:243-246.
  • 25. American Academy of Paediatric Dentistry: Guideline on fluoride therapy. 2018;40:250-253.
  • 26. Santos APP, Nadanovsky P, Oliveira BH. A systematic review and meta-analysis of the effects of fluoride toothpaste on the prevention of dental caries in the primary dentition of preschool children. Community Dent Oral Epidemiol 2013;41:1-12.
  • 27. Patil PS, Pujar P, Subbareddy VV. Effect of different oral hygiene measures on oral malodor in children aged 7-15 years. J Indian Soc Pedod Prev Dent 2015;33:218-222.
  • 28.Cagetti MG, Strohmenger L, Basile V, Abati S, Mastroberardino S, Campus G. Effect of a toothpaste containing triclosan, cetypridinium chloride, and essential oils on gingival status in schoolchildren: A randomized clinical pilot study. Quintessence Int 2015;46:437-445.
  • 29. Magnusson K, Petersson LG, Birkhed D. Effect of dentifrices with antimicrobial agents on mutans streptococci in saliva and approximal dental plaque in orthodontic patients. Oral Health Prev Dent 2007;5:223-227.
  • 30.Carvalho FG, Negrini Tde C, Sacramento LV, Hebling J, Spolidorio DM, Duque C. The in-vitro antimicrobial activity of natural infant fluoride-free toothpastes on oral micro-organisms. J Dent Child (Chic) 2011;78:3-8.
  • 31. Malhotra R, Singla S, Shashikiran ND. Comparison of antimicrobial activity of child formula dentifrices at different concentrations: An in-vitro study. Int J Clin Paediatr Dent 2017,10:131-135
  • 32.Randall JP, Seow WK, Walsh LJ. Antibacterial activity of fluoride compounds and herbal toothpastes ob Streptococcus mutans; an in-vitro study. Aust Dent J 2015;60:368- 374.
  • 33. Andruskeviciene V, Milciuviene S, Bendoraitiene E, Saldunaite K, Vasiliauskiene I, Slabsinskiene E et al. Oral health status and effectiveness of caries prevention programme in kindergartens in Kaunas city (Lithuania). Oral Health Prev Dent 2008;6:343–348.
  • 34. Whittle JG, Whitehead HF, Bishop CM. A randomised control trial of oral health education provided by a health visitor to parents of pre-school children. Community Dent Health 2008;25:28–32.
  • 35. Fan X, Li X, Wan H, Hu D, Zhang YP, Volpe AR et al. Clinical investigation of the anticaries efficacy of a 1.14% sodium monofluorophosphate (smfp) calcium carbonate-based dentifrice: a two-year caries clinical trial on children in China. J Clin Dent 2008;19:134– 137.
  • 36.Jackson RJ, Newman HN, Smart GJ, Stokes E, Hogan JI, Brown C et al. The effects of a supervised toothbrushing programme on the caries increment of primary school children, initially aged 5–6 years. Caries Res 2005;39:108–115.
  • 37.Rong WS, Bian JY, Wang WJ, Wang JD. Effectiveness of an oral health education and caries prevention program in kindergartens in China. Community Dent Oral Epidemiol 2003;31:412–416.
  • 38. Schwarz E, Lo EC, Wong MC. Prevention of early childhood caries – results of a fluoride toothpaste demonstration trial on chinese preschool children after three years. J Public Health Dent 1998;58:12–18.
  • 39. You BJ, Jian WW, Sheng RW, Jun Q, Wa WC, Bartizek RD et al. Caries prevention in Chinese children with sodium fluoride dentifrice delivered through a kindergarten-based oral health program in China. J Clin Dent 2002;13:179–184.
  • 40. Davies GM, Worthington HV, Ellwood RP, Bentley EM, Blinkhorn AS, Taylor GO et al. A randomised controlled trial of the effectiveness of providing free fluoride toothpaste from the age of 12 months on reducing caries in 5–6 year old children. Community Dent Health 2002;19:131–136.
APA Koruyucu M, Birant S, Topcuoglu N, Kulekci G, Seymen F (2020). INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. , 22 - 31. 10.7126/cumudj.624523
Chicago Koruyucu Mine,Birant Sinem,Topcuoglu Nursen,Kulekci Guven,Seymen Figen INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. (2020): 22 - 31. 10.7126/cumudj.624523
MLA Koruyucu Mine,Birant Sinem,Topcuoglu Nursen,Kulekci Guven,Seymen Figen INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. , 2020, ss.22 - 31. 10.7126/cumudj.624523
AMA Koruyucu M,Birant S,Topcuoglu N,Kulekci G,Seymen F INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. . 2020; 22 - 31. 10.7126/cumudj.624523
Vancouver Koruyucu M,Birant S,Topcuoglu N,Kulekci G,Seymen F INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. . 2020; 22 - 31. 10.7126/cumudj.624523
IEEE Koruyucu M,Birant S,Topcuoglu N,Kulekci G,Seymen F "INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY." , ss.22 - 31, 2020. 10.7126/cumudj.624523
ISNAD Koruyucu, Mine vd. "INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY". (2020), 22-31. https://doi.org/10.7126/cumudj.624523
APA Koruyucu M, Birant S, Topcuoglu N, Kulekci G, Seymen F (2020). INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. Cumhuriyet Dental Journal , 23(1), 22 - 31. 10.7126/cumudj.624523
Chicago Koruyucu Mine,Birant Sinem,Topcuoglu Nursen,Kulekci Guven,Seymen Figen INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. Cumhuriyet Dental Journal 23, no.1 (2020): 22 - 31. 10.7126/cumudj.624523
MLA Koruyucu Mine,Birant Sinem,Topcuoglu Nursen,Kulekci Guven,Seymen Figen INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. Cumhuriyet Dental Journal , vol.23, no.1, 2020, ss.22 - 31. 10.7126/cumudj.624523
AMA Koruyucu M,Birant S,Topcuoglu N,Kulekci G,Seymen F INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. Cumhuriyet Dental Journal . 2020; 23(1): 22 - 31. 10.7126/cumudj.624523
Vancouver Koruyucu M,Birant S,Topcuoglu N,Kulekci G,Seymen F INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY. Cumhuriyet Dental Journal . 2020; 23(1): 22 - 31. 10.7126/cumudj.624523
IEEE Koruyucu M,Birant S,Topcuoglu N,Kulekci G,Seymen F "INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY." Cumhuriyet Dental Journal , 23, ss.22 - 31, 2020. 10.7126/cumudj.624523
ISNAD Koruyucu, Mine vd. "INVESTIGATION OF THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF DIFFERENT TOOTHPASTES: IN-VIVOSTUDY". Cumhuriyet Dental Journal 23/1 (2020), 22-31. https://doi.org/10.7126/cumudj.624523