Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial

Abstract This study aimed to evaluate the anti-plaque and anti-gingivitis effects of two mouthwashes containing cetylpyridinium chloride (CPC), in comparison to negative control mouthwash. One hundred and twenty subjects were randomly assigned to study groups: test (0.075% CPC and 0.28% zinc lactate), positive control (0.07% CPC) and negative control mouthwash without CPC. All volunteers were examined by a calibrated examiner for the Quigley-Hein Plaque Index (Turesky modification) and Löe-Silness Gingival Index (GI). Gingival severity was also measured by the percentage of sites with positive gingival bleeding. During six weeks, oral hygiene consisted of brushing twice daily with a toothbrush and toothpaste and rising with their assigned mouthwash. Plaque and gingival parameters were assessed at baseline, after four and six weeks of product use. Statistical analyses were performed separately for plaque and gingival indices, by ANOVA, paired t-test and ANCOVA (α < 0.05). After 4 and 6 weeks, all mouthwashes groups presented statistically significant reductions in plaque and gingival parameters as compared to baseline. In comparison to the positive control, the test group presented additional reductions in dental plaque of 19.8% and 16.8%, after 4 and 6 weeks, respectively. For GI, the additional reductions in the test group were 9.7% and 14.3%, at 4 and 6 weeks, respectively. The test group showed additional reduction of 35.3% and 54.5% in the gingival severity, at week 4 and 6, respectively. It is concluded that the mouthwash containing CPC and zinc lactate presents significant anti-plaque and anti-gingivitis effects as compared to positive and negative control mouthwashes.

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Main Authors: RÖSING,Cassiano Kuchenbecker, CAVAGNI,Juliano, GAIO,Eduardo José, MUNIZ,Francisco Wilker Mustafa Gomes, RANZAN,Nicolle, OBALLE,Harry Juan Rivera, FRIEDRICH,Stephanie Anagnostopoulos, SEVERO,Raísa Maldonado, STEWART,Bernal, ZHANG,Yun Po
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica - SBPqO 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100245
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spelling oai:scielo:S1806-832420170001002452017-06-29Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trialRÖSING,Cassiano KuchenbeckerCAVAGNI,JulianoGAIO,Eduardo JoséMUNIZ,Francisco Wilker Mustafa GomesRANZAN,NicolleOBALLE,Harry Juan RiveraFRIEDRICH,Stephanie AnagnostopoulosSEVERO,Raísa MaldonadoSTEWART,BernalZHANG,Yun Po Mouthwashes Cetylpyridinium Periodontal Index Treatment Outcome Abstract This study aimed to evaluate the anti-plaque and anti-gingivitis effects of two mouthwashes containing cetylpyridinium chloride (CPC), in comparison to negative control mouthwash. One hundred and twenty subjects were randomly assigned to study groups: test (0.075% CPC and 0.28% zinc lactate), positive control (0.07% CPC) and negative control mouthwash without CPC. All volunteers were examined by a calibrated examiner for the Quigley-Hein Plaque Index (Turesky modification) and Löe-Silness Gingival Index (GI). Gingival severity was also measured by the percentage of sites with positive gingival bleeding. During six weeks, oral hygiene consisted of brushing twice daily with a toothbrush and toothpaste and rising with their assigned mouthwash. Plaque and gingival parameters were assessed at baseline, after four and six weeks of product use. Statistical analyses were performed separately for plaque and gingival indices, by ANOVA, paired t-test and ANCOVA (α < 0.05). After 4 and 6 weeks, all mouthwashes groups presented statistically significant reductions in plaque and gingival parameters as compared to baseline. In comparison to the positive control, the test group presented additional reductions in dental plaque of 19.8% and 16.8%, after 4 and 6 weeks, respectively. For GI, the additional reductions in the test group were 9.7% and 14.3%, at 4 and 6 weeks, respectively. The test group showed additional reduction of 35.3% and 54.5% in the gingival severity, at week 4 and 6, respectively. It is concluded that the mouthwash containing CPC and zinc lactate presents significant anti-plaque and anti-gingivitis effects as compared to positive and negative control mouthwashes.info:eu-repo/semantics/openAccessSociedade Brasileira de Pesquisa Odontológica - SBPqOBrazilian Oral Research v.31 20172017-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100245en10.1590/1807-3107bor-2017.vol31.0047
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language English
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author RÖSING,Cassiano Kuchenbecker
CAVAGNI,Juliano
GAIO,Eduardo José
MUNIZ,Francisco Wilker Mustafa Gomes
RANZAN,Nicolle
OBALLE,Harry Juan Rivera
FRIEDRICH,Stephanie Anagnostopoulos
SEVERO,Raísa Maldonado
STEWART,Bernal
ZHANG,Yun Po
spellingShingle RÖSING,Cassiano Kuchenbecker
CAVAGNI,Juliano
GAIO,Eduardo José
MUNIZ,Francisco Wilker Mustafa Gomes
RANZAN,Nicolle
OBALLE,Harry Juan Rivera
FRIEDRICH,Stephanie Anagnostopoulos
SEVERO,Raísa Maldonado
STEWART,Bernal
ZHANG,Yun Po
Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
author_facet RÖSING,Cassiano Kuchenbecker
CAVAGNI,Juliano
GAIO,Eduardo José
MUNIZ,Francisco Wilker Mustafa Gomes
RANZAN,Nicolle
OBALLE,Harry Juan Rivera
FRIEDRICH,Stephanie Anagnostopoulos
SEVERO,Raísa Maldonado
STEWART,Bernal
ZHANG,Yun Po
author_sort RÖSING,Cassiano Kuchenbecker
title Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
title_short Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
title_full Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
title_fullStr Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
title_full_unstemmed Efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
title_sort efficacy of two mouthwashes with cetylpyridinium chloride: a controlled randomized clinical trial
description Abstract This study aimed to evaluate the anti-plaque and anti-gingivitis effects of two mouthwashes containing cetylpyridinium chloride (CPC), in comparison to negative control mouthwash. One hundred and twenty subjects were randomly assigned to study groups: test (0.075% CPC and 0.28% zinc lactate), positive control (0.07% CPC) and negative control mouthwash without CPC. All volunteers were examined by a calibrated examiner for the Quigley-Hein Plaque Index (Turesky modification) and Löe-Silness Gingival Index (GI). Gingival severity was also measured by the percentage of sites with positive gingival bleeding. During six weeks, oral hygiene consisted of brushing twice daily with a toothbrush and toothpaste and rising with their assigned mouthwash. Plaque and gingival parameters were assessed at baseline, after four and six weeks of product use. Statistical analyses were performed separately for plaque and gingival indices, by ANOVA, paired t-test and ANCOVA (α < 0.05). After 4 and 6 weeks, all mouthwashes groups presented statistically significant reductions in plaque and gingival parameters as compared to baseline. In comparison to the positive control, the test group presented additional reductions in dental plaque of 19.8% and 16.8%, after 4 and 6 weeks, respectively. For GI, the additional reductions in the test group were 9.7% and 14.3%, at 4 and 6 weeks, respectively. The test group showed additional reduction of 35.3% and 54.5% in the gingival severity, at week 4 and 6, respectively. It is concluded that the mouthwash containing CPC and zinc lactate presents significant anti-plaque and anti-gingivitis effects as compared to positive and negative control mouthwashes.
publisher Sociedade Brasileira de Pesquisa Odontológica - SBPqO
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100245
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