没食子口含液对牙周临床指标及口气的影响  

Effect of oral rinse with Turkish gall on the clinical periodontal parameters and halitosis

作　　者：安悦邦[1] 和璐[1] 孟焕新[1] 刘婷婷[1] 闫风华[1] 

机构地区：[1]北京大学口腔医学院.口腔医院牙周科,北京100081

出　　处：《北京大学学报（医学版）》2011年第1期22-25,共4页Journal of Peking University:Health Sciences

基　　金："十一五"国家科技支撑计划(2007BAZ18B02)资助~~

摘　　要：目的:评价使用没食子口含液对牙周临床指标和口气的影响。方法:采用随机对照单盲试验的方法,选择2008年10月至2009年9月就诊于北京大学口腔医院牙周科门诊的菌斑性龈炎或轻、中度慢性牙周炎患者70例,随机分为仅使用没食子口含液口含2周的试验组和没有任何辅助用药的对照组,两组在基线时都接受了相同的口腔卫生指导,基线及2周时分别测定并记录口气指标[包括感官值(organoleptic score,OS)、口腔挥发性硫化物(volatile su lphur compounds,VSCs)水平、舌苔面积(area of tongue coating,Ta)、舌苔厚度(th ickness of tongue coating,Tt)]和牙周指标[包括菌斑指数(p laque index,P lI)、探诊深度(prob ing depth,PD)、牙龈出血指数(b leed ing index,B I)和色素指数(stain ing index,SI)]。结果:2周后,两组牙周临床指标除了SI外都有显著改善(P<0.001),且试验组治疗后P lI的改善程度明显优于对照组,差异有统计学意义(P<0.05);2周后试验组的OS值和Tt以及对照组的OS值均降低(P<0.05),虽然试验组的口腔VSCs降低程度、OS值和Tt的改善程度有高于对照组的趋势,但差异并无统计学意义(P>0.05)。结论:对于未治疗的菌斑性龈炎及轻、中度慢性牙周炎患者,没食子口含液有显著的菌斑抑制作用,但在改善口气方面较单纯刷牙不具有优势。Objective： To assess the effect of traditional Chinese medicine,oral rinse of Turkish gall（extracts from Turkish gall） on periodontal and halitosis parameters.Methods： This single-blinded randomized controlled trial recruited 70 patients with gingivitis or mild to moderate chronic periodontitis.All the patients received the same professional oral hygiene instruction and using toothbrush and fluoride-only paste with same brand and size dispatched by the investigator from baseline to the end.The tested group by oral rinse of Turkish gall on the base of conventional oral hygiene,and control group with conventional oral hygiene only,were assigned randomly at baseline.Then periodontal parameters including Plaque index（PlI）,Bleeding index（BI）,Probing depth（PD） and Staining index（SI）,halitosis index including volatile sulphur compounds（VSCs） by Halimeter,organoleptic score（OS）,area of tongue coating（Ta）,thickness of tongue coating（Tt）,were measured at baseline and two-weeks after.Results： After two weeks,all the periodontal parameters except for SI were significantly improved within each group（P0.001）.As compared to those in control group,the patients in tested group only exhibited significant improvement of PlI after two-week-use of oral rinse of Turkish gall（P0.05）.Though values of OS and Tt in tested group,OS only in control group,decreased significantly（P0.05） respectively after two weeks,there were no statistical difference on the improvement of halitosis parameters.Conclusion： For untreated patients with gingivitis and periodontitis,oral rinse of Turkish gall displayed significant inhibition of dental plaque,while no predominated effect on halitosis when compared to correct conventional plaque control methods.

关 键 词：没食子 牙周疾病 口臭 

分 类 号：R781.9[医药卫生—口腔医学]