The antibacterial agent triclosan has demonstrated antiplaque and antigingivitis activity in several clinical studies. Retention of antiplaque agents is of significance for their clinical effect. Triclosan has a relatively rapid clearance from the oral cavity, and attempts have been made to increase its oral retention. In the present clinical antiplaque study, it was found that 0.5% copolymer polyvinyl-methylether maleic acid (PVM-MA) or 0.5% zinc citrate, which are both added to commercial products, inhibited plaque formation to a similar degree when used in combination with 0.3% triclosan, 1.5% sodium lauryl sulfate (SL.S) and diluted propylene glycol (PG) in water (18). Plaque inhibition was significantly improved compared to a placebo solution. It was shown that these results could not be explained by an increase in antibacterial activity or by a change in the critical micellar concentration. The effect of the same solutions on SLS-induced inflammation on skin was also tested. It was seen that the triclosan/ zinc citrate solution and the control (triclosan/ethanol) decreased the inflammatory response, whereas the solutions containing triclosan in either propylene glycol (PG) or copolymer/PG did not exhibit any anti-inflammatory capacity.

译文

在一些临床研究中,抗菌剂三氯生已显示出抗牙菌斑和抗牙龈炎的活性。保留抗噬菌斑剂对其临床效果具有重要意义。三氯生与口腔的清除相对较快,并已尝试增加其口腔保留。在目前的临床抗噬菌斑研究中,发现0.5% 共聚物聚乙烯-甲基醚马来酸 (PVM-MA) 或0.5% 柠檬酸锌,两者都添加到商业产品中,当与0.3% 三氯生组合使用时,抑制噬菌斑形成的程度相似,在水中1.5% 十二烷基硫酸钠 (S L.S) 和稀释的丙二醇 (PG) (18)。与安慰剂溶液相比,斑块抑制作用明显改善。结果表明,这些结果不能用抗菌活性的增加或临界胶束浓度的变化来解释。还测试了相同溶液对SLS诱导的皮肤炎症的影响。可以看出,三氯生/柠檬酸锌溶液和对照 (三氯生/乙醇) 降低了炎症反应,而在丙二醇 (PG) 或共聚物/PG中含有三氯生的溶液没有表现出任何抗炎能力。

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