Comparative Evaluation of Efficacy of Hiora, Terminalia Chebula and Chlorhexidine as Mouth Wash on Dental Plaque

Abstract

Introduction: Dental caries and periodontal diseases, the two arch criminals of oral cavity, are essentially caused by the microorganisms present in dental plaque. Aim and objectives: Evaluate the relative effectiveness of Chlorhexidine, Hiora, and T. chebula mouth rinses on plaque reduction. Materials and method: The present study was a randomized controlled crossover clinical trial. It was designed to evaluate and compare the efficacy of different mouth wash. Data obtained in relation to different assessing parameters at different phases of present study was subjected to statistical analysis using paired t-test. Results: Chlorhexidine was more effective in reducing dental plaque compare to other mouthwashes. Conclusion: Chlorhexidine shows better results compare to its herbal alternative but Hiora and Terminalia chebula mouthwash due to its natural ingredients has no reported side-effects and further studies with varied concentrations, different parameters and larger sample size are to be carried out to assess their efficacy of herbal mouthwash.

Antibacterial Efficacy of Hiora: An Ayurvedic Mouthwash in Children

“…The primary drawbacks associated with mouth rinses containing alcohol include oral pain, a burning sensation, challenges in usage for individuals with oral sensitivity, and the potential risk of unintentional alcohol ingestion [10]. Therefore, an optimal chemical antiplaque agent for routine use in children should not disrupt natural biological processes in the mouth, be gentle on the oral mucosa, exhibit low toxicity if accidentally swallowed, and be free of both sugar and alcohol [11].…”

“…where active ingredients like sodium fluoride and xylitol may impact its antimicrobial activity and, consequently, its clinical effectiveness. [11] Xylitol is also recognized for its anti-cariogenic or therapeutic properties, [12,13] with reported effects including the reduction of salivary mutans streptococci, plaque formation, gingivitis development, and plaque acidogenicity [14]. Subramaniam et al (2011) conducted in vitro studies indicating that fluoride and xylitol demonstrate an additional inhibitory impact on the growth of Streptococcus sobrinus and the acid formation of both Streptococcus sobrinus and Streptococcus mutans [13].…”