Effect of Mouthrinses prepared by Sterilized Water-Generating Device on the Control of Periodontal Disease

살균수 발생장치에 의해 생성된 양치용액이 치주질환에 미치는 효과

  • Lee, Ji-Hyun (Department of periodontology, College of dentistry, Yonsei University) ;
  • Yun, Jeong-Ho (Department of periodontology, College of dentistry, Yonsei University) ;
  • Choi, Seong-Ho (Department of periodontology, College of dentistry, Yonsei University, Brain Korea 21 project for Medical Science) ;
  • Cho, Kyoo-Sung (Department of periodontology, College of dentistry, Yonsei University, Brain Korea 21 project for Medical Science)
  • 이지현 (연세대학교 치과대학 치주과학 교실, 치주조직 재생연구소) ;
  • 윤정호 (연세대학교 치과대학 치주과학 교실, 치주조직 재생연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학 교실, 치주조직 재생연구소, BK21 의과학 사업단) ;
  • 조규성 (연세대학교 치과대학 치주과학 교실, 치주조직 재생연구소, BK21 의과학 사업단)
  • Published : 2004.09.30

Abstract

The aim of this study was to evaluate the clinical efficacy of mouthrinses prepared by sterilized water-generating $device(Purister^{(R)})$ on the control of gingivitis and incipient periodontitis when it was used as a adjunctives to the mechanical plaque control. 40 healthy patients with gingivitis or incipient periodontitis were divided into two groups. Patients in the experimental group use mouthrinses prepared by sterilized water-generating $device(Purister^{(R)})$ after tooth brushing while patients in the control group do only tooth brushing for plaque control. All patients received scaling and tooth brushing instruction. 1 week after scaling was set as baseline. Probing pocket depth, clinical attachment level, and bleeding on probing were scored at baseline, 4 weeks. Gingival index and plaque index were scored at baseline, 2 weeks, and 4 weeks. The results were as follows: 1. In the experimental group, gingival index, plaque index, probing pocket depth, and clinical attachment level showed statistically significant decrease, but in the control group, significant increase(p<0.05). 2. There was no significant difference between the experimental and the control group in bleeding on probing, but significant decrease in the experimental group and Significant increase in the control group In a time-dependent manner(p <0.05). From these results, it can be concluded that regular use of mouthrinses prepared by sterilized water-generating $device(Purister^{(R)})$ as adjunctives of mechanical plaque control, may be effective to prevent and treat gingivitis and incipient periodontitis.

Keywords

References

  1. Savitt Ed, Socransky SS : Distribution of certain subgingival microbial species in selected peri-odontal conditions. J Periodont Res. 1984;19:111
  2. Slingletary MM, Crawfold JJ, Simlson DM : Dark field microscopic monitoring of subgingival bac-teria during periodontal therapy. J Periodontol. 1982;53:671
  3. Listgarten MA, Levin S : Positive correlation between proportions of subgingival spirochetes and motile bacteria and susceptability of human subjects to periodontal deterioration. J Clin Periodontol. 1981;8:122
  4. Slots J : Subgingival microflora and periodontal disease. J Clin Periodontol. 1979;6:352
  5. Armitage GC : Relation between of subgingival spirochete and the severity of periodontal dis-ease. J Periodotol. 1982;53:550
  6. Strivastava RP, Walsh TF, Basu MK, Glenwright HB : Dark field microscopy of subgingival plaque microflora in Indian and English sub-jects. J Clin Periodotol. 1988;15:601
  7. Carranza FA : Clickman's Clinical Periodontology, 9th ed., W.B. Saunders, Philadelphia. 2002
  8. Brecx MC, Liechti T, Widmer J, Gehr P, Lang NP: Histological and clinical parameters of human gingiva following 3 weeks of chemical (chlorhexidine) or mechanical plaque control. J Clin Periodontol. 1989;16:150-5 https://doi.org/10.1111/j.1600-051X.1989.tb01632.x
  9. Ernst CP, Prockl K, Willershausen B : The effec-tiveness and side effects of 0.1% and 0.2% chlorhexidine mouthrinses : a clinical study Quintessence Int. 1998 ;29:443-8
  10. Whitaker EJ, Pham K, Feik D, Rams TE, Barnett ML, Pan P : Effect of an essential oil-containing antiseptic mouthrinse on induction of platelet aggregation by oral bacteria in vitro. J Clin Periodontol. 2000;27:370-3 https://doi.org/10.1034/j.1600-051x.2000.027005370.x
  11. Mengel R, Wissing E, Schmitz-Habben A, Flores-de-Jacoby L : Comparative study of plaque and gingivitis prevention by AmF/SnF2 and NaF. A clinical and microbiological 9-month study. J Clin Periodontol. 1996;23:372-8 https://doi.org/10.1111/j.1600-051X.1996.tb00560.x
  12. Paraskevas S, Danser MM, Timmerman MF, Van der Velden U, Van der Weijden GA : Effect of a combination of amine/stannous fluoride denti-frice and mouthrinse in periodontal maintenance patients. J Clin Periodontol. 2004 ;31:177-83 https://doi.org/10.1111/j.0303-6979.2004.00466.x
  13. Ito K, Nishida T, Murai S : Inhibitory effects of acid water prepared by an electrolysis appratus on early plaque formation of specimens of den-tine. J Clin Periodontol. 1996;23:471-476 https://doi.org/10.1111/j.1600-051X.1996.tb00577.x
  14. Freitas BL, Collaert B : Plaque removing effecacy of the pre-brushing rinse Plax. J Dent Res. 1964;35:424-429
  15. Balanyk T, Sharma N, Galustains J : Antiplaque efficacy of Plax prebrushing rinse. Plaque mass/area analysis. J Dent Res. 1991;70:869
  16. Okuda R, Sasazaki H : Electron microscopical study of bactericial actions of high oxidation potential water. J Japanese Conservative Dentistry. 1994;37: 755-765
  17. Shimada K, Ito K, Murai S : A comparison of the bactericidal effects and cytotoxic activity of three types of oxidizing water, prepared by electroly-sis, as chemical dental plaque control agents. Int J of Antimicrob Agents. 2000;15:49-53 https://doi.org/10.1016/S0924-8579(00)00120-5
  18. Quirynen M, Dekeyser C : The infludence of gingival inflammation, tooth type, and timing on the rate of plaque formation. J Periodontol. 1991;62:219-222 https://doi.org/10.1902/jop.1991.62.3.219
  19. Eakle WS, Ford C, Boyd RL : Depth of penetra-tion in periodontal pockets with oral irrigation, J Clin Periodontol. 1986;13:39-44
  20. Sanders PC, Linden GJ, Newman HN: The effect of a simplified mechanical oral hygiene plus supragingival irrigation with chlorhexidine or metronidazole on subgingival plaque. J Clin Periodontol. 1986;134: 237-42
  21. 조규성, 원미숙, 정현철, 정정학, 최성호, 채중규, 김종관 : 산화전위수 양치용액 사용이 만성 치주질환에 미치는 효과에 대한 연구. 대한치주과학회지. 1997;27:739-749
  22. Schaeken MJM, Van der Hoeven JS, Saxton CA, Cummins D : The effect of mouthrinses cotain-ing zinc and triclosan on plaque accumulation and development of gingivitis in a 3-week clini-cal test. J Clin Periodontol 1994;21:360-364 https://doi.org/10.1111/j.1600-051X.1994.tb00727.x
  23. Yeung S, Groenlund C, Chapple C, Kemm A, Spencer R, Gorssberg D, Newell P, Fitzpatrick J, Kelty E, Movert R : The effecacy of Decapinol mouthwash 2mg/mL in preventing gingivitis. Aust Dent J. 1995;40:220-225 https://doi.org/10.1111/j.1834-7819.1995.tb04798.x