Objectives: Aim of our study was to assess the expression of salivary Interleukin 1-beta (IL-1β) and clinical periodontal parameters in naswar users and non-users (controls).
Methods: Eighty four individuals (forty-two naswar users and forty-two controls) were included in the study which was conducted between August 2017 and May 2018. Salivary IL-1β levels, plaque index (PI), bleeding on probing (BOP), probing depth (PD) and clinical attachment loss (CAL) was assessed in all the participants.
Results: PD of 4mm (p<0.05), PD of 5-6mm (p<0.05), CAL (p<0.001) and levels of salivary IL1β (p<0.05) were significantly higher among naswar users as compared to controls while PI, BOP and number of missing teeth showed no significant difference among the two groups (p>0.05).
Conclusion: Periodontal inflammatory conditions were worse and salivary IL-1β levels were elevated in naswar users as compared to controls.
doi: https://doi.org/10.12669/pjms.35.3.10
How to cite this:Abbasi ZA, Hadi NI, Zubairi AM, Hosein M. Salivary Interleukin 1-beta levels and clinical periodontal parameters in habitual naswar users and non-users. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.10
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: To determine whether oil-pulling with sesame or coconut oil yields a better result in reducing Streptococcus mutans count compared to conventional chlorhexidine mouthwashes.
Methods: Multiple databases were used to search for articles up to and including August 2019. Studies which reported use of oil-pulling and chlorhexidine mouthwashes to reduce Streptococcus mutans bacterial count were analyzed procedurally. Studies that fulfilled the inclusion criteria were then undertaken for qualitative and quantitative analysis.
Results: Five studies were included in this analysis, which used oil-pulling (test group) and chlorhexidine mouthwash (control group). The follow-up period ranged from 14 to 30 days. The oil used in oil-pulling group were either sesame or coconut oil. Quantitative analysis showed a significant reduction in oral Streptococcus mutans count with oil-pulling as compared to chlorhexidine mouthwash at follow-up (Q value = 6.61, DF = 4, I2 = 39.50%).
Conclusion: Use of oil-pulling showed better result in reducing cariogenic bacterial count as compared to the gold standard chlorhexidine mouthwashes. More clinical trials, evaluating additional oral hygiene parameters, would further validate the effects of oil-pulling on the oral cavity. Clinicians may advise their patients to use oil-pulling instead of chlorhexidine mouthwashes, as it is safe, cost-effective, and easily available.
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