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| Title |
In Systemically Healthy Patients with Gingivitis, Mechanical Plaque Control with The Adjunctive Use of Essential Oils Containing Mouthrinses (MMEO) Reduced Plaque and Gingivitis Greater Than Mechanical Methods (MM) Alone |
| Clinical Question |
In healthy patients with gingivitis, does the adjunctive use of essential oils containing mouthrinses with mechanical methods reduce plaque and gingivitis more than mechanical methods alone? |
| Clinical Bottom Line |
The use of essential oils mouthrinse as an adjunctive to mechanical plaque removal provided statistically significantly greater odds of having healthy gingiva and in reducing plaque and gingivitis. This is supported by a meta- analysis of 29 randomized controlled trials (at least 6 month duration) in which use of essential oils containing mouth rinses and mechanical methods outperformed mechanical methods alone by a clinically significant margin. Furthermore, the use of an EO mouthrinse as an adjunct to mechanical methods is likely to be accepted by the average patient. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 26227646 | Araujo/2015 | Healthy patients with gingivitis >18 years. | Meta-Analysis | | Key results | When use of the adjunctive mouthrinse was studied, the percentage reductions in whole mouth mean gingivitis was 16.0 (95% CI, 11.3-20.7) and the percentage reductions in whole mouth mean plaque was 27.7 (95% CI, 22.4-32.9). At 6 months, at least 50% healthy sites were achieved in 44.8% of MMEO rinsing participants and in only14.4% of the MM participants. Also, at least 50% plaque-free sites were achieved in 36.9% of MMEO participants and 5.5% of MM participants. | |
| Evidence Search |
Meta-analysis[Title] AND mouthrinse [Title] AND gingivitis[Title] AND plaque[Title] |
Comments on
The Evidence |
Validity: this meta-analysis identified large number patients in many carefully designed randomized clinical trials.
Perspective: this meta analysis provides a reasonable approach for patient to maintain gingival health following mechanical methods. This meta-analysis has sufficient information about the patient level data and follow-up period.
|
| Applicability |
Based on this meta analysis in clinical practice, patients who do not brush or floss effectively and regularly may benefit from the use of a mouthrinse in reducing plaque and gingivitis. |
| Specialty/Discipline |
(Public Health) (Endodontics) (General Dentistry) (Orthodontics) (Periodontics) (Prosthodontics) (Restorative Dentistry) |
| Keywords |
Essential oil-containing mouthrinses, gingivitis, plaque, mechanical methods.
|
| ID# |
2944 |
| Date of submission: |
10/15/2015 |
| E-mail |
alharthi@uthscsa.edu |
| Author |
Shaimaa M. Al Harthi, DDS |
| Co-author(s) |
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| Co-author(s) e-mail |
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| Faculty mentor/Co-author |
David Lasho, DDS, MSD |
| Faculty mentor/Co-author e-mail |
LASHO@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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