Blok, R.H.C. (2019) Het gebruik van oliën als mondspoelmiddel in de tandheelkunde, een literatuuronderzoek: Een vergelijking tussen etherische oliën, ‘oil pulling’ en chloorhexidine. thesis, Dentistry.
Full text available on request.Abstract
Mouth diseases like caries, gingivitis and periodontitis are common diseases seen in oral health care. These diseases form a health risk for the patients. Therefore the prevention of these diseases are a priority, this could be done by disruption of the plaque (biofilm). An alternative to mechanical cleaning of the dentition is the use of mouthwash. Chlorhexidine is the current golden standard of mouthwashes, but also comes with disadvantageous side effects. Therefore an alternative mouthwash is important, essential oil mouthwash or oil pulling could be an potential effective alternative. In this systematic literature review is investigated how essential oil mouthwash and oil pulling compare to chlorhexidine, and if they form a good alternative for patients with an objection for using chlorhexidine mouthwash. Relevant research about EO and OP were found in 21 articles. The effect of mouthwashes on oral health was expressed in the following parameters: bleeding on probing, gingival bleeding of Saxton and Oudera, pocket depth (PD), the plaque index modified by Turesky (normal model and regrowth model), the plaque index of Silness en Löe, the gingiva index of Silness and Löe (GI-s), the modified gingiva index and the bacterial load. Statistical significant reduction was found for PD (p=0.03), PI-t (p=0.04)(regrowth of the plaque) and GI-s (p<0,0001) when EO was used compared to the control group. Other parameters were not statistically significant when EO mouthwash and OP were used. These results were compared to a pair of systematic reviews on chlorhexidine. The result of GI-s compared to the results of CHX when EO was used. However the results for PI-t were lower for EO, while an improvement of PD was seen in comparison to CHX. An anti-inflammatory effect could be an underlying mechanism. More investigation of EO is necessary to confirm this. To conclude, CHX is still the best choice for an effective mouthwash.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Slot, dr. J.W.A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Nov 2021 08:38 |
| Last Modified: | 24 Nov 2021 08:38 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2859 |
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