fa مقایسه اثر بالینی دو دهانشویه ی ایرانی و خارجی حاوی کلرهگزیدین و سدیم فلوراید بر میزان برداشت پلاک دندانی مواد دندانی Dental materiall مطالعه اصیل original article <p class="MsoNormal" dir="rtl" style="unicode-bidi: embed direction: rtl"><b><span b="" lang="AR-SA" style="font-family: ">سابقه و هدف:</span></b><span b="" lang="AR-SA" style="font-family: "> کلرهگزیدین تا کنون بعنوان استاندارد طلایی برای برداشت پلاک دندانی بروش شیمیایی شناخته شده. در این مطالعه اثرات آنتی پلاک دو دهانشویه</span><span dir="ltr" lang="X-NONE" new="" roman="" style="font-family: " times=""> Kin &ndash; Gingival </span><span b="" lang="AR-SA" style="font-family: ">ساخت کمپانی</span><span dir="ltr" lang="X-NONE" new="" roman="" style="font-family: " times=""> kin </span><span b="" lang="AR-SA" style="font-family: ">اسپانیا و&nbsp; دهانشویه</span><span dir="ltr" lang="X-NONE" new="" roman="" style="font-family: " times=""> Epimax </span><span b="" lang="AR-SA" style="font-family: ">ساخت شرکت عماد داروی ایران که هر دو حاوی مقادیر یکسان کلرهگزیدین % 12/0&nbsp; و سدیم فلوراید %05/0 می باشند بررسی شده است.</span><span dir="ltr" lang="AR-SA" new="" roman="" style="font-family: " times=""> </span><span b="" lang="AR-SA" style="font-family: "><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" dir="rtl" style="unicode-bidi: embed direction: rtl"><b><span b="" lang="AR-SA" style="font-family: ">مواد و روش‌ها:</span></b><span b="" lang="AR-SA" style="font-family: "> در این پژوهش که از نوع کارآزمایی بالینی از&nbsp; نوع</span><span dir="ltr" lang="X-NONE" new="" roman="" style="font-family: " times=""> cross-over </span><span b="" lang="AR-SA" style="font-family: ">بود،&nbsp; تعداد 14 نفر انتخاب شدند و در دو گروه 7 نفری قرارگرفتند در طول تحقیق هیچ روش کنترل پلاک دیگری استفاده نشد. قبل از مصرف دهانشویه شاخص پلاک به حداقل رسید و نحوه استفاده دهانشویه آموزش داده شد. گروه اول ابتدا&nbsp; دهانشویه ایرانی بمدت یک هفته استفاده کردند و پس از 10 روز استراحت و به حداقل رساندن مجدد پلاک بمدت یک هفته از دهانشویه خارجی استفاده کردند. گروه دوم به همان شیوه ابتدا&nbsp; دهانشویه خارجی بعد دهانشویه ایرانی استفاده کردند. سپس نتایج پژوهش با استفاده از آزمون تی زوجی مورد ارزیابی قرارگرفت.</span><span dir="ltr" lang="AR-SA" new="" roman="" style="font-family: " times=""> </span><span b="" lang="AR-SA" style="font-family: "><!--stripped--><!--stripped--></span></p> <p class="MsoNormal" dir="rtl" style="unicode-bidi: embed direction: rtl"><b><span b="" lang="AR-SA" style="font-family: ">یافته ها:</span></b><span b="" lang="AR-SA" style="font-family: "> میانگین شاخص پلاک در کل دهان، فک پایین و ناحیه خلفی هنگام استفاده از دهان شویه&nbsp; خارجی به طور معناداری کمتر از دهان شویه ایرانی بود</span><span b="" font-size:="" lang="AR-SA" style="font-family: ">. </span><span b="" font-size:="" lang="FA" style="font-family: ">(05/0></span><span dir="ltr" style="font-size: 10pt">P</span><span b="" font-size:="" lang="FA" style="font-family: ">)</span><span b="" font-size:="" lang="FA" style="font-family: ">&nbsp;</span><span b="" lang="AR-SA" style="font-family: ">در فک بالا و ناحیه قدامی بین دو دهانشویه اختلاف معنادار وجود نداشت. </span><span b="" lang="FA" style="font-family: ">(2/0></span><span dir="ltr">P</span><span b="" lang="FA" style="font-family: ">)</span><span b="" lang="AR-SA" style="font-family: "> میانگین شاخص پلاک دهان شویه ایرانی بین فک بالا و پایین تفاوت معنادار نداشت </span><span b="" lang="FA" style="font-family: ">(54/0= </span><span dir="ltr">P</span><span b="" lang="FA" style="font-family: ">)</span><span b="" lang="FA" style="font-family: ">&nbsp;</span><span b="" lang="AR-SA" style="font-family: ">ولی در ناحیه قدامی به طور معناداری، کمتر از ناحیه خلفی بود</span><span b="" font-size:="" lang="FA" style="font-family: ">(003/0= </span><span dir="ltr" style="font-size: 10pt">P</span><span b="" font-size:="" lang="FA" style="font-family: ">)</span><span b="" font-size:="" lang="FA" style="font-family: ">&nbsp;</span><span b="" lang="AR-SA" style="font-family: ">میانگین شاخص پلاک دهان شویه خارجی بین فک بالا و پایین تفاوت معنادار نداشت </span><span b="" lang="FA" style="font-family: ">(32/0= </span><span dir="ltr">P</span><span b="" lang="FA" style="font-family: ">)</span><span b="" lang="AR-SA" style="font-family: "> ولی در ناحیه قدامی به طور معناداری کمتر از ناحیه خلفی بود. </span><span b="" lang="FA" style="font-family: ">(002/0= </span><span dir="ltr">p</span><span b="" lang="FA" style="font-family: ">)</span><span b="" lang="FA" style="font-family: ">&nbsp;</span><span b="" lang="AR-SA" style="font-family: "><!--stripped--><!--stripped--></span></p> <p align="right"></p> <p class="MsoNormal" dir="rtl" style="unicode-bidi: embed direction: rtl"><b><span b="" lang="AR-SA" style="font-family: ">نتیجه‌گیری</span></b><span b="" lang="AR-SA" style="font-family: ">: دهانشویه خارجی نسبت به دهانشویه ایرانی، در خلف فک پایین&nbsp; اثر بهتری در برداشت پلاک داشت. هم دهانشویه ایرانی و هم خارجی اثر بهتری روی ناحیه قدامی نسبت به خلفی داشتند ولی هیچکدام از دو دهانشویه تفاوتی در اثرگذاری روی فک بالا و پایین نداشتند.<!--stripped--><!--stripped--></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">&nbsp;</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">Background and aim: Chlorhexidine is the most effective substance for chemical removal of dental plaque and is recognized as a golden standard regarding anti-plaque efficacy. The present study aimed to evaluate and compare the anti-plaque efficacy of Kin - Gingival and Epimax mouthwashes. Both these mouthwashes contain the same amount of 0.12% chlorhexidine and 0.05% sodium fluoride.</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">&nbsp;</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">Materials & Methods</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><font face="Calibri"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin">This intervention - experimental study </span><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Arial mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-bidi">involved </span><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin">14 participants. Plaque indices were minimized and the participants were instructed on how to use the mouthwash (10cc of mouthwash, every 12 hours for 60 seconds). Afterwards, the subjects were divided into two groups of seven. The study involved no other plaque control method.</span></font></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">The first group initially used the Iranian mouthwash for a week. After 10 days of rest period and minimizing the plaque index again, they used the foreign mouthwash for a week.</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">The second group initially used the foreign mouthwash for a week. After 10 days of rest period and minimizing the plaque index again, they used the Iranian mouthwash for a week. The results were analyzed by paired-t test<span dir="rtl" lang="AR-SA"><font size="5">.</font></span></font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">&nbsp;</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">Results</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">The mean plaque indices of whole mouth (P=0.04), mandible (P=0.03) and the posterior region (P=0.006) after using the foreign mouthwash were significantly lower compared with the values after using the Iranian type<span dir="rtl" lang="AR-SA"><font size="5">. </font></span>There was no significant difference between the two mouthwashes in maxilla (P=0.12) and the anterior region (P=0.29). The mean plaque indices related to the Iranian mouthwash were not significantly different between<span dir="rtl" lang="AR-SA"><span style="mso-spacerun: yes"><font size="5">&nbsp;</font></span></span>the upper and lower jaws (P=0.54), but the mean plaque index was significantly lower in the anterior region compared with the posterior region (P=0.003). The mean plaque indices related to the foreign mouthwash were not significantly different between<span dir="rtl" lang="AR-SA"><span style="mso-spacerun: yes"><font size="5">&nbsp;</font></span></span>the upper and lower jaws (P=0.32), but the mean plaque index was significantly lower in the anterior region compared with the posterior region (P=0.002).</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">&nbsp;</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">Conclusion</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">Overall, the foreign mouthwash was more efficient in plaque removal in the posterior mandible compared with the Iranian mouthwash. Both Iranian and foreign mouthwashes were more efficient in the anterior region, whereas they showed no difference in their impacts between the upper and lower jaws.</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> <p align="left" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150%"><span style="color: black line-height: 150% font-size: 14pt mso-bidi-font-family: Calibri mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-theme-font: minor-latin mso-bidi-theme-font: minor-latin"><font face="Calibri">&nbsp;</font></span></p> <p align="left"><font face="Times New Roman" size="3">&nbsp;</font></p> پلاک دندانی, برداشت پلاک, دهان شویه, فلوراید و کلرهگزیدین Dental plaque index, Mouthwashes, Fluoride, Chlorhexidine 11 15 http://jrds.ir/browse.php?a_code=A-10-866-1&slc_lang=fa&sid=1 V Esfahanian وحید اصفهانیان 10031947532846009465 10031947532846009465 No SHZ Farhad شیرین زهرا فرهاد 10031947532846009466 10031947532846009466 No S Nasirian سینا نصیریان 10031947532846009467 10031947532846009467 No J Memarian جعفر معماریان jafarmemaryan@yahoo.co.uk 10031947532846009468 10031947532846009468 Yes