Rasha Salah Abood, Firas Bashir Hashim Al-Taweel, Hadeel Mazin Akram, Hayder Raad Abdulbaqi
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引用次数: 0
Abstract
Background: Gingivitis is a reversible, dental biofilm-induced inflammation which is characterised by bleeding on probing (BOP) and oxidative stress in the gingival tissues. Matcha tea, a type of green tea with high antioxidant content, has been reported to enhance periodontal health, but its exact beneficial efficacy remains to be investigated.
Objective: This pilot-controlled trial aimed to investigate the influence of daily consumption of matcha tea on gingival status and salivary 8-hydroxy-deoxyguanosine (8-OHdG) concentration in localised gingivitis patients, as well as to determine the bleeding on probing (BOP) threshold that predicts for gingival health after intervention.
Methods: Twenty-seven adults with localised gingivitis (BOP >10% but ≤30%) drank matcha tea twice a day for 30 days while maintaining oral hygiene habits. Clinical parameters, including plaque index (PI) and BOP, as well as salivary 8-OHdG, were evaluated at baseline and post-intervention. After treatment, patients with BO 10% were reassigned as healthy, and those with BOP ≥10% as gingivitis. Regression and correlation analyses, including the Wilcoxon and Mann-Whitney test, ANCOVA, and receiver operating characteristics (ROC) curve, were performed to determine a BOP cut-off value that would predict gingival health.
Results: PI, BOP, and 8-OHdG were statistically significantly decreased in the entire cohort after 1 month. Patients reassigned as healthy underwent a greater reduction in PI (from 28.3 ± 7.5 to 17.5 ± 5.3), BOP (from 16.4 ± 5.0 to 5.6 ± 2.5) and 8-OHdG (from 6.9 ± 1.6 to 5.6 ± 1.8 ng/ml). In contrast, patients with gingivitis had statistically significant reductions in PI and BOP, but not in 8-OHdG. The mean BOP reduction was statistically significantly higher in healthy subjects. A ROC calculation revealed a BOP cut-off 18% at baseline, indicating a high likelihood of achieving gingival health following ingestion of the matcha tea (sensitivity = 0.92, specificity = 0.70).
Conclusion: Daily intake of matcha tea for 1 month improved gingival health and decreased oxidative stress markers in the localised gingivitis patients. A 18% baseline BOP predicted successful transition to gingival health after intervention. These results corroborate the adjuvant therapy of matcha tea in the treatment of gingivitis, and further large-scale randomised trials are recommended.
Source of funding: No external funding was received.
期刊介绍:
Clinicians, general practitioners, teachers, researchers, and public health administrators will find this journal an indispensable source of essential, timely information about scientific progress in the fields of oral health and the prevention of caries, periodontal diseases, oral mucosal diseases, and dental trauma. Central topics, including oral hygiene, oral epidemiology, oral health promotion, and public health issues, are covered in peer-reviewed articles such as clinical and basic science research reports; reviews; invited focus articles, commentaries, and guest editorials; and symposium, workshop, and conference proceedings.