The plaque reducing efficacy of oil pulling with sesame oil: a randomized-controlled clinical study.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Investigations Pub Date : 2025-01-09 DOI:10.1007/s00784-024-06134-y

Christine Zürcher, Kristian Vukoje, Eva Maria Kleiner, Sophie Martina Kuster, Lisa Katharina Jäger-Larcher, Ingrid Heller, Sigrun Eick, Markus Nagl, Ines Kapferer-Seebacher

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Abstract

Objectives: To compare the plaque reducing efficacy of oil pulling with sesame oil compared to distilled water in a randomized, controlled, examiner-blinded parallel group study.

Materials and methods: Forty probands without advanced periodontal disease of the University Hospital for Restorative Dentistry and Periodontology, Medical University of Innsbruck (Austria) were randomized allocated to test- (sesame oil) or control group (distilled water) and asked to pull daily in the morning for eight weeks with their allotted fluid for 15 min. Rustogi Modified Navy Plaque Index (RMNPI) and gingival bleeding index were assessed at baseline and after four and eight weeks. Plaque samples underwent microbiological analysis.

Results: Pulling with sesame oil was significantly more effective in reducing full mouth RMNPI compared to distilled water after eight weeks (median reduction 18.98% versus 10.49%; p = 0.023), and was most pronounced in anterior, buccal, and lingual subscales. On approximal surfaces, significantly higher plaque reduction was found in the test group after four (24.07% versus 14.29%) and eight weeks (16.00% versus 5.36%) of intervention (p < 0.05). No significant changes in gingival index and mirobiological analysis could be detected.

Conclusion: Plaque reduction was statistically significantly higher with oil pulling than with distilled water, however, a study bias cannot be ruled out. Further high-quality trials are needed to understand the mechanisms and effectiveness of oil pulling, to finally clarify the evidence.

Clinical relevance: Oil pulling may be recommended as an adjuvant to mechanical dental cleaning. Individuals with keratosis may experience adverse effects.

Trial registration: ClinicalTrials.gov NCT06327841.

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芝麻油拔牙减少斑块的疗效：一项随机对照临床研究。

目的：在一项随机、对照、检查者盲法平行组研究中，比较芝麻油和蒸馏水在减少斑块方面的效果。材料与方法：选取奥地利因斯布鲁克医科大学口腔修复与牙周病大学医院无进展牙周病的先证患者40例，随机分为实验组（芝麻油组）和对照组（蒸馏水组），连续8周每天早晨用分配的液体拔牙15分钟。在基线、4周和8周后评估Rustogi改良海军菌斑指数（RMNPI）和牙龈出血指数。菌斑样本进行微生物学分析。结果：与蒸馏水相比，芝麻油在8周后降低满口RMNPI方面显着更有效(中位数降低18.98%对10.49%；P = 0.023)，且在前、颊和舌亚鳞中最为明显。经过4周（24.07% vs . 14.29%）和8周（16.00% vs . 5.36%）干预后，试验组在近似表面上的斑块减少率显著提高(p)。结论：油拔牙的斑块减少率显著高于蒸馏水，但不能排除研究偏倚。需要进一步的高质量试验来了解油拔的机制和有效性，最终澄清证据。临床意义：油拔法可作为机械洁牙的辅助方法。角化症患者可能会出现不良反应。试验注册：ClinicalTrials.gov NCT06327841。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Oral Investigations 医学-牙科与口腔外科

CiteScore

6.30

自引率

5.90%

发文量

484

审稿时长

3 months

期刊介绍： The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.