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J Periodontal Implant Sci.  2017 Jun;47(3):134-142. 10.5051/jpis.2017.47.3.134.

The antiplaque and bleeding control effects of a cetylpyridinium chloride and tranexamic acid mouth rinse in patients with gingivitis

Affiliations
  • 1Department of Periodontology, Kyungpook National University School of Dentistry, Daegu, Korea. periokyg@knu.ac.kr
  • 2Department of Biochemistry, Kyungpook National University School of Dentistry, Daegu, Korea.
  • 3Department of Periodontology, Research Institute for Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.

Abstract

PURPOSE
This study aimed to evaluate the effects of a cetylpyridinium chloride (CPC) and tranexamic acid (TXA) mouth rinse on patients with gingivitis.
METHODS
This randomized, placebo-controlled, double-blind, parallel-group, clinical trial included 45 healthy adults with gingivitis, who were randomized into 2 groups. The experimental group used a 0.05% CPC and 0.05% TXA mouth rinse, and the control group used a placebo mouth rinse. The following clinical indices were assessed at baseline, at 3 weeks, and at 6 weeks: the Turesky-Quigley-Hein plaque index (QHI), the Löe-Silness gingival index (GI), and bleeding on marginal probing (BOMP). The subjects used the mouth rinse during the experimental period for 20 seconds, 4-5 times daily (10 mL each time).
RESULTS
There were no significant differences in the clinical indices between the groups at baseline. In the experimental group (CPC+TXA), a statistically significant improvement was evident in the QHI, GI, and BOMP at 3 and 6 weeks. These results were similar to those observed in the control group at 3 and 6 weeks, although the change in BOMP was not statistically significant in that group. At 6 weeks, the experimental group had a significantly lower mean score for the QHI than the control group.
CONCLUSIONS
This study demonstrated that a CPC and TXA mouth rinse exhibited significant antiplaque and anti-gingivitis efficacy, and had a positive effect on bleeding control when used daily for 6 weeks.

Keyword

Cetylpyridinium; Dental plaque index; Prevention mouthrinse; Tranexamic acid

MeSH Terms

Adult
Cetylpyridinium*
Dental Plaque Index
Gingivitis*
Hemorrhage*
Humans
Mouth*
Periodontal Index
Tranexamic Acid*
Cetylpyridinium
Tranexamic Acid
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