Thay thế Chlorhexidine bằng dầu dừa trong hỗ trợ điều trị viêm nướu do mảng bám – từ chủ nghĩa kinh nghiệm đến y học bằng chứng=Substituting Chlorhexidine with coconut oil in the supportive treatment of plaque induced gingivitis: from empiricism to evidence-based medicine

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Tác giả: Đức Quỳnh Trang Nguyễn, Thị Phương Thảo Nguyễn, Thị Thanh Hoàng Nguyễn, Văn Minh Nguyễn

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.380-386

Bộ sưu tập: Metadata

ID: 478056

Thêm vào giỏ

Nghiên cứu được thực hiện nhằm đánh giá hiệu quả của liệu pháp súc miệng bằng dầu dừa so với Chlorhexidine (CHX) trong hỗ trợ điều trị viêm nướu do mảng bám. Đối tượng và phương pháp nghiên cứu: Nghiên cứu ngẫu nhiên không đối chứng trên 60 bệnh nhân viêm nướu do mảng bám tại phòng khám Răng Hàm Mặt – Bệnh viện Trường Đại Học Y Dược Huế. Bệnh nhân được hướng dẫn vệ sinh răng miệng, cạo cao và đánh bóng răng. Sau đó, ch ọn mẫu ngẫu nhiên đơn và chia thành 2 nhóm đối chứng: nhóm sử dụng dung dịch súc miệng chứa CHX 0.12% (nhóm 1 - chứng) và nhóm sử dụng dầu dừa súc miệng (nhóm 2 - thử nghiệm) và đánh giá kết quả sau 7 (T1) và 14 ngày (T2). Kết quả: Tại các lần tái khám, chỉ số mảng bám (PlI), tỷ lệ phần trăm chảy máu nướu (%BOP), chỉ số vệ sinh răng miệng đơn giản (OHI –S) và chỉ số nướu (GI) ở cả hai nhóm đều cải thiện so với trước điều trị (T0), đồng thời không ghi nhận sự khác biệt kết quả giữa hai nhóm (p>
0.05), ngoại trừ chỉ số nướu (GI) ở nhóm sử dụng dầu dừa súc miệng ở thời điểm T2 giảm đáng kể so với nhóm sử dụng CHX (p<
0.05). Kết luận: Hiệu quả điều trị của dầu dừa tương đương với CHX trong hỗ điều trị viêm nướu do mảng bám. Như vậy, dầu dừa là vật liệu tự nhiên, an toàn, dễ tìm kiếm cũng như đạt được hiệu quả kinh tế, có thể thay thế CHX trong hỗ trợ điều trị viêm nướu do mảng bám.The study evaluated the efficacy of coconut oil mouth rinsing compared to Chlorhexidine (CHX) in the supportive treatment of plaque-induced gingivitis. Subjects and Methods: A randomized controlled trial was conducted on 60 patients diagnosed with plaque-induced gingivitis, who visited the Dental Clinic at Hue University of Medicine and Pharmacy Hospital. Patients were instructed in oral hygiene, underwent scaling, and polishing. The sample was then randomly divided into two groups: one using a 0.12% CHX mouth rinse (Group 1 - control) and the other using coconut oil for rinsing (Group 2 - experimental). The results were evaluated after 7 (T1) and 14 days (T2). Results: At follow-up visits, plaque index (PlI), percentage of bleeding on probing (%BOP), simplified oral hygiene index (OHI-S), and gingival index (GI) in both groups improved compared to the values prior to treatment (T0), with no significant difference between the two groups (p>
0.05), except for the gingival index (GI) in the coconut oil group at T2, which significantly decreased compared to the CHX group (p<
0.05). Conclusion: The effect of coconut oil is comparable to CHX in the supportive treatment of plaque-induced gingivitis. Taken together, coconut oil is a natural, safe, and easily accessible material that is cost-effective and can subsitute CHX in the supportive treatment of plaque-induced gingivitis.

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