Abstract
Polyphenols are plant secondary products with health-promoting properties against
various degenerative or infectious diseases, and thus may help in the prevention of
oral diseases. The aim
of the present systematic review was to investigate polyphenols as a possible adjuvant
in inhibiting dental biofilm formation, which is an important precondition for the
most prevalent oral
disease – caries and periodontitis. A literature search was conducted using the databases
PubMed, CENTRAL and Scopus. Only studies with oral healthy participants and plaque
level as outcome
were included. Data search and extraction was conducted by two authors independently.
Of the 211 initially identified studies, only six met all inclusion criteria. Meta-analysis
was
performed with five studies using the random effect model. Treatment with polyphenols
reduced the plaque level in comparison to a negative control, but not significantly.
Strong evidence of
heterogeneity was observed. The diversity and complexity of polyphenols and their
preparation need to be considered. There is no clear evidence that clinical use of
polyphenols can prevent
dental biofilm formation. Additional research with more and larger randomized controlled
trials are required.
Key words
polyphenols - dental plaque - preventive dentistry - medicinal plants
