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ORIGINAL ARTICLE
Year : 2011  |  Volume : 1  |  Issue : 1  |  Page : 31-35

The efficacy of antiseptic mouth rinses in comparison with dental floss in controlling interproximal gingivitis


1 Department of Community Dentistry, Sree Siddhartha Dental College, Tumkur, Karnataka, India
2 Department of Community Dentistry,Hasanamba Dental College, Hassan, Karnataka, India
3 Department of Community Dentistry,College of Dental Sciences, Davangere, Karnataka, India
4 Department of Paedodontics, College of Dental Sciences, Davangere, Karnataka, India

Correspondence Address:
H Mythri
Department of Community Dentistry, Sree Siddhartha Dental College, Tumkur, Karnataka - 572 107
India
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Source of Support: Colgate Palmolive India Ltd. (Grant no. 735911 dated 19/6/2009), Conflict of Interest: None


DOI: 10.4103/2231-0762.86385

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Objectives : Maintaining good oral hygiene is important to combat periodontal diseases. The use of tooth brush alone does not serve the purpose, especially in inaccessible areas like proximal embrasures, which demand the use of some adjuncts like proximal cleaning aids. Hence, the objective of this study was to compare the clinical efficacy of two antimicrobial mouth rinses (Cool mint Listerine and 0.2% Chlorhexidine gluconate) with dental floss in reducing interproximal gingivitis and dental plaque in an unsupervised condition. Materials and Methods : A randomized, controlled, single-blind (observer), parallel-group clinical trial in accordance with the ADA guidelines was conducted for a period of 6 months. Four index age groups (12, 15, 35-44, and 65-74 years) were divided into four groups, i.e., brushing, brushing and flossing, brushing and rinsing with Listerine, and brushing and rinsing with Chlorhexidine, so that each group comprised 40 subjects. Interproximal gingivitis and dental plaque were assessed using Modified Gingival Index, Turesky-Gilmore-Glickman modified Quigley-Hein Plaque Index and Gingival Bleeding Index. Analysis of variance (ANOVA) was used for multiple group comparisons, followed by Tukey's post hoc for group-wise comparisons. Results : Chlorhexidine and Listerine showed significant reduction in plaque and gingivitis level compared to others, the activity of Chlorhexidine being more significant. Conclusions : The level of interproximal gingivitis control efficacy provided by the Listerine and Chlorhexidine was "at least as good as" that provided by the dental floss. Hence, they can be recommended for the patients with gingivitis as an adjunctive to the usual home care routine.


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