User menu

Accès à distance ? S'identifier sur le proxy UCLouvain

Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review.

Primary tabs

Figuero, Elena Nóbrega, Diego F García-Gargallo, María Tenuta, Livia M A Herrera, David Carvalho, Joana Christina [UCL]

AIM: To report the evidence on the effect of mechanical and/or chemical plaque control in the simultaneous management of gingivitis and caries. MATERIAL AND METHODS: A protocol was designed to identify randomized (RCTs) and controlled (CCTs) clinical trials, cohort studies and prospective case series (PCS), with at least 6 months of follow-up, reporting on plaque, gingivitis and caries. Relevant information was extracted from full papers, including quality and risk of bias. Meta-analyses were performed whenever possible. RESULTS: After the screening of 1,373 titles, 15 RCTs, 10 CCTs and 2 PCS were included. Low to moderate evidence support that combined professional and self-performed mechanical plaque control significantly reduces standardized plaque index [n = 4; weighted mean difference (WMD) = 1.294; 95% CI (0.445; 2.144); p = 0.003] and gingivitis scores [n = 4; WMD = 1.728; 95% CI (0.631; 2.825); p = 0.002]. The addition of fluoride to mechanical plaque control is relevant for caries management [n = 5; WMD = 1.159; 95% CI (0.145; 2.172); p = 0.025] while chlorhexidine rinses are relevant for gingivitis. CONCLUSION: Mechanical plaque control procedures are effective in reducing plaque and gingivitis. The addition of fluoride to mechanical plaque control is significant for caries management. Chlorhexidine rinse has a positive effect on gingivitis and inconclusive role in caries.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2017
Language Anglais
Journal information "Journal of Clinical Periodontology" - Vol. 44, no.Suppl 18, p. S116-S134 (2017)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing, Inc. ((United States) Malden, MA)
issn 0303-6979
e-issn 1600-051X
Publication status Publié
Affiliations UCL - SSS/IRSS - Institut de recherche santé et société
UCL - (SLuc) Service de dentisterie conservatrice et d'endodontie
Links
  1. Andlaw R J, Tucker G J, A dentifrice containing 0.8 per cent sodium monofluorophosphatein an aluminium oxide trihydrate base. A 3-year clinical trial, 10.1038/sj.bdj.4803474
  2. Angelopoulou Matina V, Kavvadia Katerina, Taoufik Konstantina, Oulis Constantine J, Comparative clinical study testing the effectiveness of school based oral health education using experiential learning or traditional lecturing in 10 year-old children, 10.1186/s12903-015-0036-4
  3. Ashley F P, Sainsbury R H, The effect of a school-based plaque control programme on caries and gingivitis. A 3-year study in 11 to 14-year-old girls, 10.1038/sj.bdj.4804533
  4. Axelsson Per, Lindhe Jan, The effect of a preventive programme on dental plaque, gingivitis and caries in schoolchildren. Results after one and two years, 10.1111/j.1600-051x.1974.tb01248.x
  5. Axelsson Per, Lindhe Jan, Effect of fluoride on gingivitis and dental caries in a preventive program based on plaque control, 10.1111/j.1600-0528.1975.tb00300.x
  6. Axelsson P., Lindhe J., The Effect of a Plaque Control Program on Gingivitis and Dental Caries in Schoolchildren, 10.1177/002203457705600308011
  7. Axelsson Per, Lindhe Jan, Effect of oral hygiene instruction and professional toothcleaning on caries and gingivitis in schoolchildren, 10.1111/j.1600-0528.1981.tb00340.x
  8. Axelsson Per, Lindhe Jan, Waseby Jan, The effect of various plaque control measures on gingivitis and caries in schoolchildren, 10.1111/j.1600-0528.1976.tb00990.x
  9. Axelsson Susanna, Söder Birgitta, Nordenram Gunilla, Petersson Lars, Dahlgren Helena, Norlund Anders, Källestål Carina, Mejàre Ingegerd, Lingström Peter, Lagerlöf Folke, Holm Anna‐Karin, Twetman Svante, Effect of combined caries‐preventive methods: a systematic review of controlled clinical trials, 10.1080/00016350410006842
  10. Carvalho J.C., Caries Process on Occlusal Surfaces: Evolving Evidence and Understanding, 10.1159/000356307
  11. Carvalho Joana Christina, Mestrinho Heliana Dantas, Diagnosing non-cavitated lesions in epidemiological studies: practical and scientific considerations, 10.1590/s1806-83242013005000036
  12. Chambrone LA, Chambrone L, Results of a 20-year oral hygiene and prevention programme on caries and periodontal disease in children attended at a private periodontal practice : Long-term plaque control in children, 10.1111/j.1601-5037.2010.00455.x
  13. Chapple Iain L. C., Van der Weijden Fridus, Doerfer Christof, Herrera David, Shapira Lior, Polak David, Madianos Phoebus, Louropoulou Anna, Machtei Eli, Donos Nikos, Greenwell Henry, Van Winkelhoff Ari J., Eren Kuru Bahar, Arweiler Nicole, Teughels Wim, Aimetti Mario, Molina Ana, Montero Eduardo, Graziani Filippo, Primary prevention of periodontitis: managing gingivitis, 10.1111/jcpe.12366
  14. DerSimonian Rebecca, Laird Nan, Meta-analysis in clinical trials, 10.1016/0197-2456(86)90046-2
  15. Egger M., Smith G. D., meta-analysis bias in location and selection of studies, 10.1136/bmj.316.7124.61
  16. Ekstrand K.R., Kuzmina I.N., Kuzmina E., Christiansen M.E.C., Two and a Half–Year Outcome of Caries– Preventive Programs Offered to Groups of Children in the Solntsevsky District of Moscow, 10.1159/000016564
  17. Ekstrand K.R., Poulsen J.E., Hede B., Twetman S., Qvist V., Ellwood R.P., A Randomized Clinical Trial of the Anti-Caries Efficacy of 5,000 Compared to 1,450 ppm Fluoridated Toothpaste on Root Caries Lesions in Elderly Disabled Nursing Home Residents, 10.1159/000348581
  18. Emilson Claes Goran, Axelsson Per, Kallenberg Lena, Effect of mechanical and chemical plaque control measures on oral microflora in schoolchildren, 10.1111/j.1600-0528.1982.tb01333.x
  19. Fejerskov, Dental Caries. The Disease and its Clinical Management, 7 (2015)
  20. Fejerskov Ole, Thylstrup Anders, Larsen Mogens Joost, Rational Use of Fluorides in Caries Prevention : A Concept Based on Possible Cariostatic Mechanisms, 10.3109/00016358109162285
  21. Fischman Stuart L., English James A., Albino Judith E., Bissell G. Donald, Greenberg Jerrold S., Juliano Daniel B., O'shea Robert M., Slakter Malcolm J., A Comprehensive Caries Control Program—Design and Evaluation of the Clinical Trial, 10.1177/00220345770560032501
  22. Graziani Filippo, Figuero Elena, Herrera David, Systematic review of quality of reporting, outcome measurements and methods to study efficacy of preventive and therapeutic approaches to peri-implant diseases, 10.1111/j.1600-051x.2011.01832.x
  23. Gunsolley John C., A meta-analysis of six-month studies of antiplaque and antigingivitis agents, 10.14219/jada.archive.2006.0110
  24. Hamp Sven-Erik, Johansson Lars-Åke, Dental prophylaxis for youths in their late teens I. Clinical effect of different preventive regimes on oral hygiene, gingivitis and dental caries, 10.1111/j.1600-051x.1982.tb01219.x
  25. Hamp Sven-Erik, Johansson Lars-Åke, Karlsson Rolf, Clinical effects of preventive regimens for young people in their early and middle teens in relation to previous experience with dental prevention, 10.3109/00016358409035247
  26. Hamp S.-E., Lindhe J., Fornell J., Johansson L.-A., Karlsson R., Effect of a field program based on systematic plaque control on caries and gingivitis in schoolchildren after 3 years, 10.1111/j.1600-0528.1978.tb01112.x
  27. Hayes Martina, Topical agents for root caries prevention, 10.1038/sj.ebd.6401074
  28. Higgins, Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (2011)
  29. Higgins J. P T, Measuring inconsistency in meta-analyses, 10.1136/bmj.327.7414.557
  30. Horowitz, Journal of the Canadian Dental Association, 46, 43 (1980)
  31. Horowitz Alice M., Suomi John D., Peterson John K., Lyman Beverly A., EFFECTS OF SUPERVISED DAILY DENTAL PLAQUE REMOVAL BY CHILDREN: II. 24 MONTHS' RESULTS, 10.1111/j.1752-7325.1977.tb02897.x
  32. Horowitz Alice M., Suomi John D., Peterson John K., Voglesong Ronald H., Mathews Barbara L., Effects of Supervised Daily Dental Plaque Removal by Children: First-Year Results, 10.1111/j.1752-7325.1976.tb02596.x
  33. Johansen, Scandinavian Journal of Dental Research, 83, 288 (1975)
  34. Kjaerheim Vibeke, Fehr Frithjof R., Poulsen Sven, Two-year study on the effect of professional toothcleaning on schoolchildren in Oppegard, Norway, 10.1111/j.1600-0528.1980.tb01318.x
  35. Klimek Joachim, Prinz Helge, Hellwig Elmar, Ahrens Gunther, Effect of a preventive program based on professional toothcleaning and fluoride application on caries and gingivitis, 10.1111/j.1600-0528.1985.tb00459.x
  36. Kumar S., Tadakamadla J., Johnson N.W., Effect of Toothbrushing Frequency on Incidence and Increment of Dental Caries : A Systematic Review and Meta-Analysis, 10.1177/0022034516655315
  37. Lang N. P., Hotz P., Graf H., Geering A. H., Saxer U. P., Sturzenberger O. P., Meckel A. H., Effects of supervised chlorhexidine mouthrinses in children. : A longitudinal clinical trial, 10.1111/j.1600-0765.1982.tb01135.x
  38. Lindhe Jan, Axelsson Per, The effect of controlled oral hygiene and topical fluoride application on caries and gingivitis in Swedish schoolchildren, 10.1111/j.1600-0528.1973.tb01056.x
  39. Lindhe J., Axelsson P., Tollskog G., Effect of proper oral hygiene on gingivitis and dental caries in Swedish schoolchildren, 10.1111/j.1600-0528.1975.tb00299.x
  40. Marinho, Cochrane Database of Systematic Reviews, CD002278 (2003)
  41. Mbawalla Hawa, Masalu Joyce Rose, Masatu Melkory, Åstrøm Anne Nordrehaug, Changes in adolescents' oral health status following oral health promotion activities in Tanzania, 10.3109/00016357.2012.680907
  42. Mejàre Ingegerd A., Klingberg Gunilla, Mowafi Frida K., Stecksén-Blicks Christina, Twetman Svante H. A., Tranæus Sofia H., A Systematic Map of Systematic Reviews in Pediatric Dentistry—What Do We Really Know?, 10.1371/journal.pone.0117537
  43. Melsen Birte, Agerbaek Nina, Effect of an instructional motivation program on oral health in Danish adolescents after 1 and 2 years, 10.1111/j.1600-0528.1980.tb01260.x
  44. Moher David, Hopewell Sally, Schulz Kenneth F., Montori Victor, Gøtzsche Peter C., Devereaux P.J., Elbourne Diana, Egger Matthias, Altman Douglas G., CONSORT 2010 explanation and elaboration: Updated guidelines for reporting parallel group randomised trials, 10.1016/j.ijsu.2011.10.001
  45. Murray John J., Shaw Linda, A 3-year clinical trial into the effect of fluoride content and toothpaste abrasivity on the caries inhibitory properties of a dentifrice, 10.1111/j.1600-0528.1980.tb01253.x
  46. Needleman Ian, Nibali Luigi, Di Iorio Anna, Professional mechanical plaque removal for prevention of periodontal diseases in adults - systematic review update, 10.1111/jcpe.12341
  47. Needleman Ian, Suvan Jean, Moles David R., Pimlott Jean, A systematic review of professional mechanical plaque removal for prevention of periodontal diseases, 10.1111/j.1600-051x.2005.00804.x
  48. Nyvad, Scandinavian Journal of Dental Research, 94, 281 (1986)
  49. Nyvad B., Machiulskiene V., Baelum V., Construct and Predictive Validity of Clinical Caries Diagnostic Criteria Assessing Lesion Activity, 10.1177/154405910308200208
  50. Palenstein Helderman W. H., Munck L., Mushendwa S., Hof M. A., Mrema F. G., Effect evaluation of an oral health education programme in primary schools in Tanzania, 10.1111/j.1600-0528.1997.tb00943.x
  51. Petersen Poul Erik, Evaluation of a dental preventive program for Danish chocolate workers, 10.1111/j.1600-0528.1989.tb00587.x
  52. Poklepovic, Cochrane Database of Systematic Reviews, 12, CD009857 (2013)
  53. Restrepo M, Bussaneli D G, Jeremias F, Cordeiro RCL, Raveli DB, Magalhães AC, Candolo C, Santos-Pinto L, Control of White Spot Lesions with Use of Fluoride Varnish or Chlorhexidine Gel During Orthodontic Treatment A Randomized Clinical Trial, 10.17796/1053-4628-40.4.274
  54. Richards Derek, Caries prevention - little evidence for use of chlorhexidine varnishes and gels, 10.1038/sj.ebd.6401091
  55. Riley, Cochrane Database of Systematic Reviews, 12, Cd004346 (2013)
  56. Sälzer Sonja, Slot Dagmar E., Van der Weijden Fridus A., Dörfer Christof E., Efficacy of inter-dental mechanical plaque control in managing gingivitis - a meta-review, 10.1111/jcpe.12363
  57. Sambunjak, Cochrane Database of Systematic Reviews, 12, CD008829 (2011)
  58. Sanz-Sánchez I., Ortiz-Vigón A., Sanz-Martín I., Figuero E., Sanz M., Effectiveness of Lateral Bone Augmentation on the Alveolar Crest Dimension : A Systematic Review and Meta-analysis, 10.1177/0022034515594780
  59. Serrano Jorge, Escribano Marta, Roldán Silvia, Martín Conchita, Herrera David, Efficacy of adjunctive anti-plaque chemical agents in managing gingivitis: a systematic review and meta-analysis, 10.1111/jcpe.12331
  60. Syrjälä Anna-Maija Hannele, Knuuttila Matti Lauri Edvard, Syrjälä Leena Kyllikki, Self-efficacy perceptions in oral health behavior, 10.1080/000163501300035661
  61. Tenuta Livia Maria Andaló, Cury Jaime Aparecido, Fluoride: its role in dentistry, 10.1590/s1806-83242010000500003
  62. Tenuta Livia M.A., Cury Jaime A., Laboratory and Human Studies to Estimate Anticaries Efficacy of Fluoride Toothpastes, Monographs in Oral Science (2013) ISBN:9783318022063 p.108-124, 10.1159/000350479
  63. Thylstrup, Quintessence International, 29, 594 (1998)
  64. Tobias A., Campbell M. J., Modelling influenza epidemics in the relation between black smoke and total mortality. A sensitivity analysis, 10.1136/jech.53.9.583
  65. Tonetti Maurizio S., Eickholz Peter, Loos Bruno G., Papapanou Panos, van der Velden Ubele, Armitage Gary, Bouchard Philippe, Deinzer Renate, Dietrich Thomas, Hughes Frances, Kocher Thomas, Lang Niklaus P., Lopez Rodrigo, Needleman Ian, Newton Tim, Nibali Luigi, Pretzl Bernadette, Ramseier Christoph, Sanz-Sanchez Ignacio, Schlagenhauf Ulrich, Suvan Jean E., Principles in prevention of periodontal diseases : Consensus report of group 1 of the 11thEuropean Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases, 10.1111/jcpe.12368
  66. Twetman Svante, Antimicrobials in Future Caries Control?, 10.1159/000077758
  67. Van der Weijden Fridus A., Slot Dagmar E., Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review, 10.1111/jcpe.12359
  68. Walsh, Cochrane Database of Systematic Reviews, 4, CD008457 (2015)
  69. Wells , G. Shea , B. O'Connell , D. Peterson , J. Welch , V. Losos , M. Tugwell , P 2011 The Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses
  70. Wierichs R.J., Meyer-Lueckel H., Systematic Review on Noninvasive Treatment of Root Caries Lesions, 10.1177/0022034514557330
  71. Willershausen, European Journal of Medical Research, 6, 39 (2001)
  72. Zanin Luciane, Meneghim Marcelo, Assaf Andréa, Cortellazzi Karine, Pereira Antonio, Evaluation of an Educational Program for Children with High Risk of Caries, 10.17796/jcpd.31.4.e521842t26200h27
  73. Zickert Ingegerd, Lindvau Ann-Marie, Axelsson Per, Effect on caries and gingivitis of a preventive program based on oral hygiene measures and fluoride application, 10.1111/j.1600-0528.1982.tb00397.x
  74. Ainamo, International Dental Journal, 25, 229 (1975)
  75. Greene John G., Vermillion Jack R., The Simplified Oral Hygiene Index, 10.14219/jada.archive.1964.0034
  76. Grondahl, Swedish Dental Journal, 1, 45 (1977)
  77. Gülzow, Dtsch Zahnarztl Z, 44, 44 (1987)
  78. Lindhe, Compend Contin Educ Dent, 3, 421 (1982)
  79. Löe Harald, The Gingival Index, the Plaque Index and the Retention Index Systems, 10.1902/jop.1967.38.6_part2.610
  80. Löe Harald, Silness John, Periodontal Disease in Pregnancy I. Prevalence and Severity, 10.3109/00016356309011240
  81. Carvalho J.C., Ekstrand K.R., Thylstrup A., Dental Plaque and Caries on Occlusal Surfaces of First Permanent Molars in Relation to Stage of Eruption, 10.1177/00220345890680050401
  82. Klein Henry, Palmer Carroll E., Knutson John W., Studies on Dental Caries: I. Dental Status and Dental Needs of Elementary School Children, 10.2307/4582532
  83. Koch, Odontologisk Revy, 18, 1 (1967)
  84. Podshadley Arlon G., Haley John V., A Method for Evaluating Oral Hygiene Performance, 10.2307/4593265
  85. Lange, Deutsche Zahnärztliche Zeitschrift, 32, 44 (1977)
  86. Ramfjord Sigurd P., Indices for Prevalence and Incidence of Periodontal Disease, 10.1902/jop.1959.30.1.51
  87. Silness John, Löe Harald, Periodontal Disease in Pregnancy II. Correlation Between Oral Hygiene and Periodontal Condition, 10.3109/00016356408993968
  88. Suomi John D., Periodontal Disease and Oral Hygiene in an Institutionalized Population: Report of an Epidemiological Study, 10.1902/jop.1969.40.1.5
Bibliographic reference Figuero, Elena ; Nóbrega, Diego F ; García-Gargallo, María ; Tenuta, Livia M A ; Herrera, David ; et. al. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review.. In: Journal of Clinical Periodontology, Vol. 44, no.Suppl 18, p. S116-S134 (2017)
Permanent URL http://hdl.handle.net/2078.1/184043