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67% sodium bicarbonate toothpaste can improve periodontal health in patients with gingivitis: study
The clinical use of 67% sodium bicarbonate toothpaste can improve periodontal health in patients with gingivitis according to a recent study published in the Journal of Evidence-Based Dental Practice.
Previous studies demonstrated a dose-dependent efficacy of sodium bicarbonate when added to dentifrices for the mechanical control of dental biofilm. The present systematic review and meta-analysis aimed to evaluate the efficacy of a 67% sodium bicarbonate-based toothpaste for gingival health parameters improvement in subjects with gingivitis.
An electronic search on MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) was performed using a combination of keywords, followed by a hand search on pertinent Journals. Randomized controlled trials (RCTs) and prospective comparative studies in the English language were included. There was no publication date and language restriction. The data regarding gingival, bleeding, and plaque index was extracted from the selected studies. Included studies underwent risk-of-bias assessment. When at least 3 studies reporting the same outcome were found, a meta‐analysis was undertaken, to estimate the combined effect. Trial Sequential Analysis (TSA) was also performed to evaluate the power of the meta-analysis for primary outcomes.
The Results of the study are:
- The search strategy yielded 83 articles. After the screening, 7 RCTs were included. Three were at high risk, one at moderate risk, and 3 at low risk of bias.
- Significant improvement of the gingival index, bleeding index, and plaque index was observed in patients using 67% sodium bicarbonate toothpaste as compared with control subjects.
- TSA showed sufficient power for modified Gingival index and bleeding scores.
Thus, the clinical use of 67% sodium bicarbonate toothpaste can improve periodontal health in patients with gingivitis.
Reference:
Silvio taschieri, margherita tumedei, luca francetti, stefano corbella, massimo del fabbro. Efficacy of 67% sodium bicarbonate toothpaste for plaque and gingivitis control: a systematic review and meta-analysis, Journal of Evidence-Based Dental Practice, Volume 22, Issue 2,2022,101709,ISSN 1532-3382,https://doi.org/10.1016/j.jebdp.2022.101709.
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751