sodium-bicarbonate and Gingival-Diseases

The use of a periodontal home care regime has been found to induce erosive gingival lesions in some individuals. The purpose of this study was to determine which of the chemical or physical components of the technique might be responsible for the changes observed. Ten normotensive subjects were assigned to two groups. Group I subjects used a dentifrice consisting either of sodium bicarbonate and 3% hydrogen peroxide or 3% hydrogen peroxide alone; the dentifrice was removed with a 5 M NaCl irrigating solution. Group II subjects used the same dentifrices as Group I subjects, but distilled water was used as irrigant instead of 5 M NaCl. Erosive lesions of gingiva developed in all six subjects in Group I using the soda-paste dentifrice and 5 M NaCl irrigant; however, no lesions were found in Group II subjects. The use of a saturated NaCl irrigating solution appears to be injurious to gingiva, possibly as a result of the markedly hypertonic solution dehydrating the epithelium.

Topics: Adult; Bicarbonates; Dentifrices; Female; Gingival Diseases; Humans; Hydrogen Peroxide; Male; Middle Aged; Periodontal Diseases; Random Allocation; Sodium; Sodium Bicarbonate; Sodium Chloride

Topics: Bicarbonates; Female; Gingival Diseases; Humans; Hydrogen Peroxide; Middle Aged; Oral Hygiene; Sodium; Sodium Bicarbonate; Sodium Chloride

Three cases of self-inflicted gingival injuries resulting from the improper use of the Keyes technique are presented. The profession must assume responsibility for studies to determine the safety of the methods of application of the hydrogen peroxide, salt and baking soda mixtures and disseminate this information for the public interest.

Topics: Bicarbonates; Female; Gingival Diseases; Humans; Hydrogen Peroxide; Male; Middle Aged; Necrosis; Oral Hygiene; Periodontal Diseases; Sodium; Sodium Bicarbonate

Topics: Bicarbonates; Dental Plaque; Dental Prophylaxis; Gingiva; Gingival Diseases; Humans; Sodium Bicarbonate; Tooth Abrasion; Tooth Discoloration