6. Studies with a gingival inflammation outcome not included in meta‐analyses.
Time | Study ID | Comparison | Index | CHX mean (SD) | Control mean (SD) | Total n | Notes |
4 to 6 weeks | Anauate‐Netto 2014 | CHX 0.12% vs placebo | PBS | 0.9 (0.6) | 0.7 (0.4) | 40 | Did not report GI. Quote: "..no statistically significant differences were detected among groups" |
7 to 12 weeks | Anderson 1997 | CHX 0.12% vs placebo | GI | 0.345 | 0.895 | 28 | Reported mean GI by surface + SD. No overall SD. We calculated overall mean. Quote: "The means of the …gingival indices did not show any significant differences (P<0.05) 1 or 2 months after baseline. However there were significant differences (P<0.05) in the changes recorded at 30 and 60 days at all sites in…..the experimental group" |
de la Rosa 1888b | CHX 0.12% vs placebo | PMGI severity (mean score of all sites graded) | 0.1413 | 0.2902 | 92 | Did not report GI or a SD. Quote: "..the effect of the chlorhexidine rinse on the occurrence and severity of gingivitis amounted to a 51% reduction of the disease compared to the placebo rinse…differences were statistically significant" | |
de la Rosa 1988a | CHX 0.12% vs placebo | PMGI severity (mean score of all sites graded) | 0.2892 | 0.4526 | 99 | Did not report GI or a SD. Quote: "..the gingivitis reductions were 34% and 36% for occurrence and severity respectively…differences were statistically significant" | |
Eaton 1997 | CHX 0.12% vs placebo | mGI | 0.42 (0.383) | 0.55 (0.382) | 98 | Did not report GI. Quote: "..the pooled mean mGI score improved by 25% from 0.56 at baseline to 0.42 at 12 weeks in the ChD (CHX) group but showed no change (0.54 to 0.55) in the placebo group" | |
Ferretti 1987 | CHX 0.12% vs placebo | PMGI | 0.8 | 1.94 | 33 | Did not report GI and SD depicted in graph but not reported. Quote: "Significant reductions in …gingivitis scores were seen on days 33 (P<0.0001) and 60… (P<0.001) for those patients using chlorhexidine rinse" | |
Segreto 1986 | 0.2% vs 0.12% vs placebo | GI | 0.4112/0.3640 | 0.5039 | 454 | Did not report a SD. Quote: "Gingivitis severity by the GI method was… significantly lower at 3 months for both chlorhexidine groups compared to the placebo group. Differences ranged from 28‐46% and averaged 37% for the 0.12% group. Differences ranged from 18‐40% for the 0.20% group and averaged 29%" | |
Weitz 1992 | CHX 0.12% vs placebo | GI | 1.69 | 1.86 | 36 | Did not report a SD. Quote: "…the active (CHX) groups had significantly lower… gingivitis scores than the respective control groups. Overall, the active group had a 10.27% reduction in the gingival index…compared to insignificant changes in the control groups" | |
6 months | Fine 1985 | CHX+OH vs OH | Not clear. Quote: "a gingival inflammation Index" | NR | NR | 83 | Outcomes reported in graphs which are difficult to decipher. Quote: "Whilst there was a general improvement in all… groups of patients, no one group was statistically significantly different from the other…" |
Hoffmann 2001 | CHX 0.1%, CHX 0.06%, CHX 0.06%+F vs control | GI | Median 0.15/0.29/0.34 | Median 0.45 | 58 | No SD. At 3 months "..only the 0.1% CHX was different from the control". At 6 months "…the 0.1% CHX showed significant differences…in the GI…when compared to the 0.06% CHX/F" (P = 0.043) | |
Overholser 1990 | CHX 0.12% vs control | mGI | 0.81 (SE 0.065) | 1.166 (SE 0.063) | 83 | Did not report a SD. Quote: "PX (CHX) inhibited gingivitis development by 26.8% (P<0.001) at 3 months and by 30.5% (P<0.001) at 6 months, compared to the control" |
CHX = chlorhexidine; F = fluoride; NR = not reported; OH = oral hygiene; SD = standard deviation; SE = standard error.
Total n is the number of participants analysed in the study arms relevant to the review.
PBS (Papillary Bleeding Score, Loesche 1979) is measured on a 0‐5 increasing scale.
GI (Gingival Index, Löe 1967; Löe and Silness 1963) is measured on a 0‐3 increasing scale.
PMGI (Papillary Marginal Gingivitis Index, de la Rosa and Sturzenberger 1976) is measured on a 0‐3 increasing scale.
mGI (modified Gingival Index, Lobene 1986) is measured on a 0‐4 increasing scale.