Review of evidence based approaches to reduce "gingivitis"

Abstract

Background Practicing good oral hygiene is pivotal to achieving superior oral health and overall quality of life. Controlling the plaque biofilm build-up on tooth surface has been the keystone for prevention of gingival diseases for decades. As gingivitis is associated with a number of diseases including heart disease, a review of the treatment approaches is conducted to identify a comprehensive set of guidelines for consumers to achieve better oral health. Aim To systematically review the evidence based approaches and evaluate their effectiveness in reducing gingivitis. Methods A search for relevant articles was conducted on PubMed, Medline and Cochrane in May 2014. In addition, the search included articles from journals, research groups and organizations. Results Based on the reviews, powered brushing using Triclosan/copolymer tooth paste was found to have an advantage over manual, with rotation oscillation brushes were proficient in minimizing plaque and gingivitis. Use of Inter-dental brushes was more favourable than flossing alone. Hexiditine (0.14%) mouth rinse reduced more plaque compared to Chlorhexidine with no side effects. Conclusion A lifestyle that includes powered brushing using Triclosan based tooth paste, Hexidine mouth rinses after the meals and interdental tooth brushes instead of flossing will reduce gingivitis. Dental professionals need to educate patients on these approaches. Consumers should adopt the combination of these to achieve their health goals. Comprehensive policies aimed at providing fair access to dental care for all people is essential. Government may enact policies that promote cost effective early diagnosis, preventive care and, subsidize dental products that result in better oral health.