Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

Rezaei, Sahra; Rezaei, Korosh; Mahboubi, Mohaddese; Jarahzadeh, Mohammad Hossein; Momeni, Ehsan; Bagherinasab, Mostafa; Targhi, Mehrdad Gaffari; Memarzadeh, Mohammad Reza

doi:10.4103/0972-124x.194269

Cited by 32 publications

(23 citation statements)

References 42 publications

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“…The use of chlorhexidine gluconate solution, which is a gold standard antiseptic agent, is indeed proven to have high antibacterial, antiviral and antifungal activity with a broad spectrum (Depaola & Spolarich, 2007;Nicolosi et al, 2014). Although the use of chlorhexidine has been proven to be safe, but it has side effects of mucosal irritation and desquamation and causes dry mouth (Azimi et al, 2016;Nicolosi et al, 2014;Potting et al, 2006;Rezaei et al, 2016). This is in line with this study which showed that there was a worsening of the oral mucosa of patients with ETT which was signed by worsening humidity in the lips, gingiva and mucosa subscales.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit

Anggraeni¹,

Hayati²,

Nuraeni³

2020

Belitung Nurs J

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Background: Oral infections can be a potential source of infection resulting in a variety of systemic diseases, especially in intubated patients in an Intensive Care Unit (ICU). Endotracheal tube (ETT) of the intubated patient’s mouth can be an entry point and place of bacteria colonization that causes ventilator-associated pneumonia which is one of the causes of the patient’s death in ICU. Nurses as caregivers have an important role in providing oral care intervention to maintain oral health and prevent the infection.Objective: This study aimed to analyze the effect of oral care intervention on oral health status of intubated patients in the ICU. Methods: This was a pre-experimental study with one group pre-test post-test design. A consecutive sampling was used to select 18 intubated patients in the ICU of Al Islam hospital in Bandung. Oral health status was evaluated by Beck Oral Assessment Scale (BOAS). Descriptive analysis was used for the univariate analysis and t-test was used for bivariate analysis. Results: The results showed that oral health scores before and after intervention were 11.94 and 13.28 (p=.004). The BOAS subscales had a significant worsening of the lips, gingiva, oral mucosa and saliva (p<.05), while there was an improvement in teeth subscale after oral care intervention (p<.001).Conclusion: The results suggested that the oral health status of intubated patients had worsened, despite routinely oral care intervention using chlorhexidine gluconate. Mucosa care may become an essential part of the oral care intervention for intubated patients. Therefore, additional topical agent is needed to maintain the moisture of the mucosal membrane, so that the oral health status of intubated patients will be better.

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Section: Discussionmentioning

confidence: 99%

The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit

Anggraeni¹,

Hayati²,

Nuraeni³

2020

Belitung Nurs J

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“…Given the anti-inflammatory and anti-oxidant properties of SP, its extracts can have an important role in preventing the onset and progression of periodontal disease, as stated in the current study. The majority of the studies discussed in this study observed the clinical therapeutic effect of SP on gingival or periodontal inflammation and health in terms of gingival status and plaque accumulation ( Table 4 ) [ 3 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ]. In these inquiries, SP was introduced in the form of mouthwashes [ 75 , 77 , 78 , 79 , 81 , 82 , 83 ], toothpastes/dentifrices [ 80 , 85 , 86 ], chewing/brushing sticks [ 3 , 76 , 84 , 87 ] or periodontal films [ 88 ].…”

Section: Modes Of Action Of Salvadora Persica As Potential Adjuncts During Periodontal Therapy and In Periodontitis-asmentioning

confidence: 99%

“…The majority of the studies discussed in this study observed the clinical therapeutic effect of SP on gingival or periodontal inflammation and health in terms of gingival status and plaque accumulation ( Table 4 ) [ 3 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ]. In these inquiries, SP was introduced in the form of mouthwashes [ 75 , 77 , 78 , 79 , 81 , 82 , 83 ], toothpastes/dentifrices [ 80 , 85 , 86 ], chewing/brushing sticks [ 3 , 76 , 84 , 87 ] or periodontal films [ 88 ]. Moreover, SP was applied in several concentrations as a pure SP product [ 3 , 76 , 78 , 80 , 84 , 86 , 87 ] or in combination with other herbal elements [ 75 , 77 , 79 , 81 , 82 , 83 , 85 ].…”

Section: Modes Of Action Of Salvadora Persica As Potential Adjuncts During Periodontal Therapy and In Periodontitis-asmentioning

confidence: 99%

Salvadora persica: Nature’s Gift for Periodontal Health

Mekhemar

Geib²,

Kumar

et al. 2021

Antioxidants

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Salvadora persica (SP) extract, displays very valuable biotherapeutic capacities such as antimicrobial, antioxidant, antiparasitic and anti-inflammatory effects. Numerous investigations have studied the pharmacologic actions of SP in oral disease therapies but its promising outcomes in periodontal health and treatment are not yet entirely described. The current study has been planned to analyze the reported effects of SP as a support to periodontal therapy to indorse regeneration and healing. In consort with clinical trials, in vitro investigations show the advantageous outcomes of SP adjunctive to periodontal treatment. Yet, comprehensive supplementary preclinical and clinical investigations at molecular and cellular levels are indispensable to reveal the exact therapeutic mechanisms of SP and its elements for periodontal health and therapy.

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“…The GI was scored and calculated according to Loe and Sillness. [ 6 7 8 ] The overall average gave the final GI score.…”

Section: Ethodologymentioning

confidence: 99%

Comparative evaluation of antiplaque efficacy between essential oils with alcohol-based and chlorhexidine with nonalcohol-based mouthrinses

Kulkarni

Singh

Jalaluddin

et al. 2017

J Int Soc Prevent Communit Dent

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Aim and Objectives:The aim of this study is to compare the antiplaque efficacy of alcohol-based mouthwash with essential oils and nonalcohol-based chlorhexidine mouthrinse in 4 days plaque re-formation study.Materials and Methods:The current research paper is double-blinded, parallel designed clinical trial that was conducted in the Department of Periodontics and Oral Implantology, Kalinga Institute of Dental Sciences, Bhubaneswar. This included ninety dental students of Bachelor of Dental Surgery curriculum (in the age range from 20 to 24 years) Professional cleaning with scaling and polishing was carried out to acquire a zero plaque and gingival index (GI) for all ninety patients at baseline. Ninety patients were randomly divided into three groups with thirty patients in each group named as Group A, B, and C, respectively. Two commercially available mouthrinses, one containing alcohol (labeled as Solution (A) and one without alcohol (labeled as Solution (B) were placed in identical bottles and distributed to Group A and Group B patients. Whereas, the Group C patientswere instructed to use warm saline mouth rinse. The statistical analysis was performed using the Statistical Package for the Social Sciences software (Version 18).Results:Essential oils with an alcohol-based and chlorhexidine (CHX) alcohol-free mouthrinse (0.2%) groups compared to normal saline showed significant reductions in GI and PI scores.(P < 0.0001).Conclusion:The antiplaque efficacy of both alcohol-based mouthwash with essential oils and nonalcohol based CHX mouthwash were found to be equally effective in 4 days of plaque re-formation.

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Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

Cited by 32 publications

References 42 publications

The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit

The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit

Salvadora persica: Nature’s Gift for Periodontal Health

Comparative evaluation of antiplaque efficacy between essential oils with alcohol-based and chlorhexidine with nonalcohol-based mouthrinses

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