Does adjunction of Melaleuca alternifolia to periodontal treatment protocol improve clinical outcome?

Abstract

Objective To assess the evidence on possible clinical periodontal benefits of tea tree oil (TTO) as an adjunct in the management of periodontal disease.Methodology Systematic research was carried out using ResearchGate, PubMed and Cochrane library databases. Specific terms with applied Boolean operators and truncators completed. A total of seven papers met the criteria and were critically appraised using the Critical Appraisal Skills Programme (CASP).Results This literature review (LR) includes: two papers with TTO gel, one paper looked at TTO subgingival film application, two papers discussed mouthwash and two were systematic reviews. Appraised papers addressed TTO properties in clinical outcomes and summarised these into tables.Conclusion Further longitudinal and high Hierarchy of Evidence (HoE) studies are required. The clinical methodologies periodically present uncertainty in results due to a wide range of TTO applications, delivery protocols, and the duration of interventions.

Efficacy of Locally Delivered Tea Tree Oil Gel as an Adjunct to Non-surgical Periodontal Management; A Randomized Controlled Clinical Trial

“…Therefore, this clearly explains the improvement of clinical parameters in our study. [17,18] Variable forms of TTO were used for the treatment of gingivitis and periodontitis that includes toothpaste (0.5%), gels (2.5%, 5%), and solutions (0.2%, 1.5%) [19] .…”