Comparative Evaluation of Effects ofTriphala, Garlic Extracts, and Chlorhexidine Mouthwashes on SalivaryStreptococcus mutansCounts and Oral Hygiene Status

Abstract

Aims and objectivesTo determine and compare the effect of triphala, chlorhexidine gluconate, and garlic extract mouthwash on salivary Streptococcus mutans count and the oral hygiene status.Materials and methodsSixty children aged 9 to 12 years were randomly allocated into the study groups of triphala mouthwash, chlorhexidine mouthwash, garlic extracts mouth-wash, and distilled water mouthwash. Examination included decayed, missing, and filled teeth (dmft)/decayed, missing, filled surface (dmfs) and DMFT/DMFS, plaque index, and S. mutans count on days 1, 15, and 30.ResultsThe results were statistically analyzed using Friedman test, Wilcoxon signed rank, repeated-measures analysis of variance (ANOVA), paired t-test, one-way ANOVA, post hoc Tukey’s honestly significant different (HSD), Kruskal–Wallis test, and Mann-Whitney test; all calculations were done by MEDCALC software 14.0.0 version.DiscussionStreptococcus mutans count had significant reductions using different mouthwashes at 15 days, but the chlorhexidine group showed significant difference from the remaining three groups. Intergroup comparison for plaque index scores of triphala, chlorhexidine, and garlic groups was similar in preventing plaque build-up during the 15 days of mouthwash use.ConclusionAll the three mouthwashes containing triphala, chlorhexidine gluconate, and garlic were comparably efficient in reducing the salivary S. mutans count as well as in limiting plaque score; however, chlorhexidine was the most effective in this aspect. In comparison of the two natural ingredients, Triphala is more effective in its antimicrobial effect.How to cite this article: Padiyar B, Marwah N, Gupta S, Padiyar N. Comparative Evaluation of Effects of Triphala, Garlic Extracts, and Chlorhexidine Mouthwashes on Salivary Streptococcus mutans Counts and Oral Hygiene Status. Int J Clin Pediatr Dent 2018;11(4):299-306.

Effect of Listerine Mouthwash with Green Tea on the Inhibition of Streptococcus Mutans: A Microbiologic Study

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“…Dental caries is still considered a major health problem in many countries [1]. The condition is the result of an interaction between specific bacteria and diet on the one hand and the tooth surface plaque.…”

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“…Differences in pre-patent periods and effect of inoculation routes and trypanosome species on peak parastemia were evaluated using two way analysis of variance (ANOVA) with inoculation routes and parasite species as factors. Means that were significantly different were identified using Tukey’s HSD post hoc analysis[30]. Differences in rates of increase in T .…”

How can biophotonics help dentistry to avoid or minimize cross infection by SARS-CoV-2?

“…Due to the various factors that contribute to the formation of biofilm and the colonization of microorganisms in the oral cavity, the control of the biofilms in the oral cavity is considered a great challenge. As an alternative, chlorhexidine-based mouthwashes represent the most used chemical strategy for biofilm control [ 114 , [129] , [130] , [131] ]. Chlorhexidine has a large absorption spectrum, which acts on bacteria (Gram-positive and Gram-negative), yeasts, and virus.…”

“…In addition, this antimicrobial agent reduces 90% of bacteria for more than 7 hours [132] . However, several adverse effects are related to the continued use of chlorhexidine in the mouth, such as altered taste, discolored teeth, burning sensation [ 114 , 129 ], increased calculus formation and soft tissues discoloration [133] , [134] , [135] .…”