Evidence map›Paper›PMID 39638702›Full record

Trial reportInternational dental journal2025

Encapsulated Chlorhexidine Gel Use in Adolescents Undergoing Orthodontic Treatment: A Randomised Trial.

Esdras de Campos França, Alexandre Fortes Drummond, Karina Imaculada Rosa Teixeira, Ricardo Reis Oliveira, Ricardo Orlando, Ruben Dario Sinisterra, Maria Esperanza Cortés

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Esdras de Campos FrançaRestorative Dentistry Department, Dentistry Faculty, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Alexandre Fortes DrummondOrthodontics and Odontopediatric Department, Dentistry Faculty, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Karina Imaculada Rosa TeixeiraFaculdade Arnaldo Jansen, Brasil Dentistry Faculty, Rua Vitório Marçola, Belo Horizonte, Minas Gerais, Brazil.
Ricardo Reis OliveiraRestorative Dentistry Department, Dentistry Faculty, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Ricardo OrlandoDepartment of Chemistry, Universidade Federal de Minas Gerais, ICEX, Belo Horizonte, Minas Gerais, Brazil.
Ruben Dario SinisterraDepartment of Chemistry, Universidade Federal de Minas Gerais, ICEX, Belo Horizonte, Minas Gerais, Brazil.
Maria Esperanza CortésRestorative Dentistry Department, Dentistry Faculty, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. Electronic address: mecortes@ufmg.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe majority of orthodontic patients present with plaquebiofilm and related manifestations in the early stages of active fixed orthodontic appliance use.

aimsTo evaluate the effects of a slow-delivery chlorhexidine:beta-cyclodextrin (Cx:β-Cd) gel compared with those of free Cx free formulations on clinical parameters in patients undergoing treatment with fixed orthodontic appliances.

methodsPatients aged 12-18 years received prophylaxis and scaling and were randomised to treatment groups in a double-blinded manner. They were treated with Cx:β-Cd, Cx, or placebo gel for 15 or 30 days. Bleeding on probing and the visible plaque index were recorded, and gingival crevicular fluid samples were collected for the assessment of cytokine expression.

resultsAt 15 days, the Cx:β-Cd group exhibited significantly less BOP than did the Cx and control groups (P < 0.001; n = 116). At 15 days, notable decreases in tumour necrosis factor-α and interferon-γ expression, as well as a substantial increase in interleukin-10 expression, were observed in the Cx:β-Cd and Cx groups relative to the control group (P < 0.05). The molecular encapsulation gel resulted in greater saliva Cx concentrations than did the free Cx gel released concentrations of 800 ng g

conclusionCx:β-Cd gel is effective for the slow delivery of Cx, improving the gingival health of adolescents undergoing orthodontic treatment. CLINICAL RELEVANCE: A single application of encapsulated Cx gel, was a more effective antiseptic than a free Cx application in fixed orthodontice appliance wearers.

Indexed as

Anti-Infective Agents, LocalChlorhexidineDental PlaqueOrthodontic Appliances, FixedAdolescentbeta-CyclodextrinsChildCytokinesDental Plaque IndexDouble-Blind MethodFemaleGelsGingival Crevicular FluidHumansMaleSalivaAnti-Infective Agents, Localbeta-CyclodextrinsChlorhexidineCytokinesGelsAntisepticChlorhexidineDental plaqueGingivitisInflammationOrthodontic appliance

Identifiers

PMID39638702
PMCPMC11976607

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.