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J Int Soc Prev Community Dent. 2021 Apr 15;11(2):138-143. doi: 10.4103/jispcd.JISPCD_371_20. eCollection 2021.

Assessment of the Plaque-Induced Gingivitis Patient With and Without Hyaluronic acid and Xylitol Toothpaste.

Journal of International Society of Preventive & Community Dentistry

Haider J Talib, Hussein A Mousa, Athraa A Mahmood

Affiliations

  1. Department of Periodontal Dentistry, College of Dentistry, Mustansiriyah University, Baghdad, Iraq.

PMID: 34036074 PMCID: PMC8118052 DOI: 10.4103/jispcd.JISPCD_371_20

Abstract

CONTEXT: The traditional manner of treatment of periodontal tissue inflammation includes giving information about the problem to the patient, oral motivation, and mechanical scaling and root planning (SRP).

AIMS: We aimed at estimating the effect of using toothpaste with hyaluronic acid (Hyaluronan, HA) and xylitol (HAX) as a therapeutic agent in the treatment of plaque-induced gingivitis.

MATERIALS AND METHODS: Sixty male patients who were in the age group of 20 to 35 years participated in this study. All of them endured 4 appointments, who suffered plaque-induced gingivitis, they distributed into 2 groups depending on the toothpaste variety: group 1 (G1): made up of 30 patients who consume toothpaste that contains HAX, while group 2 (G2): made up of 30 patients who consume toothpaste without HAX (placebo type). Clinical periodontal parameters (CPPs) for all of them were recorded, once at the beginning of the treatment besides four times throughout the treatment at weekly interims during all visits.

RESULTS: The means of plaque indices (PLI) and gingival indices (GI) decreased along with the sessions for both groups, where the initial means of PLI and GI (baseline) were 2.55 ± 0.14, 2.33 ± 0.15 for the G1, and 2.57 ± 0.13, 2.34 ± 0.16 for G2, respectively; whereas the least means shown at the fourth visit were 0.39 ± 0.05, 0.30 ± 0.06 for G1, and 0.71 ± 0.07, 0.61 ± 0.05 for G2, respectively. There was a reduction in the mean percent of bleeding on probing (BOP) score 1 for all visits in both groups. Finally, an intragroup comparison among dissimilar visits and intergroup comparisons for each visit showed highly significant differences at a

CONCLUSIONS: Using toothpaste with or without HAX can decrease gingival inflammation; it can result in a higher improvement in the periodontal status of patients than toothpaste without HAX.

Copyright: © 2021 Journal of International Society of Preventive and Community Dentistry.

Keywords: Clinical periodontal parameters; gingivitis; hyaluronic acid; xylitol

Conflict of interest statement

There are no conflicts of interest.

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