Evaluation of the Efficacy Of 0.2% Chlorhexidine versus Herbal Oral Rinse on Plaque Induced Gingivitis- A Randomized Clinical Trail

Abstract

Background: Supragingival plaque control is fundamental to the prevention and management of periodontal diseases. However significant proportions of all individuals fail to practice a high standard of plaque removal. The adjunctive use of chemicals would, therefore appear a way of overcoming deficiencies in mechanical tooth cleaning habits. This prospective, randomized positively controlled clinical trial was designed to evaluate the short-term clinical effects of a Herbal mouthwash in the reduction of plaque and gingival inflammation in subjects with gingivitis.Methods: Fifty subjects, 20 to 40 years of age diagnosed with chronic generalized gingivitis were selected and randomly divided into two groups: Group 1 -Chlorhexidine mouthwash, Group 2 -Herbal mouthwash. Clinical evaluation was undertaken using the gingival index, the plaque index and bleeding on probing at baseline, 1 weeks, 2 weeks and 4 weeks. Results:Both chlorhexidine and herbal mouthwash showed a significant reduction in Plaque and gingival index scores from baseline to 1st week, 2nd week and at 4th week. However, the improvement in plaque and gingival index scores were better in chlorhexidine group than herbal mouthwash. Both mouthwashes were found to be equally effective in reducing bleeding on probing. Conclusions:Unlike chlorhexidine mouthwash, herbal mouthwash was not associated with any discoloration of teeth or unpleasant taste and was effective in reducing plaque accumulation and gingival inflammation. However, Chlorhexidine still remains a gold standard in reducing plaque, gingivitis and bleeding on probing.

Comparison in Benefits of Herbal Mouthwashes With Chlorhexidine Mouthwash: A Review

“…Herbal mouthwash becomes more popular they work without alcohol, artificial preservatives, flavor, or colors [5]. As it contains natural herbs that have natural cleansing and healing property to teeth and gums.…”

“…Some of the herbs that are used in mouthwashes are clove, which is traditionally used for oral health because of their antiseptic, antibacterial, and antiviral property, peppermint which gives cooling effect to the mouth, plantain has ability for speed wound healing and many of the herbs contains anti-microbial, anti-inflammatory, antioxidants, antiseptic properties such as neem, clove, triphala with combination of amalaki, haritaki, vibhitaki, tulsi, celery, licorice, oak tree, bakula, katha, spearmint, turmeric, and Aloe vera. [5].…”

“…Mouthwashes are an antiseptic solution which is used to reduce the microbial load in the oral cavity. Mouth rinses have the ability to deliver the therapeutic effect all over the tooth surface including interproximal areas in which even toothpastes are not much effective [5]. Even though, chlorhexidine mouthwash is more effective in plaque control, it cannot be used for long duration because some of its unpleasant side-effects after long duration usage pays more attention toward herbal drugs.…”

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

“…Presence of tannin which is present to an extent of 30-40 % may have induced cytotoxic action on the cell membranes of the microorganism. A study done by Gautam Biswas et al 21 showed a significant reduction in Plaque scores from baseline to 1 st week, 2 nd week and at 4 th week in both chlorhexidine and herbal mouthwash. But the improvement in plaque index scores were found better in Chlorhexidine group compare to herbal mouthwash group.…”

Antifungal and antibacterial activities of polyherbal toothpaste against oral pathogens, In vitro

“…There are a number of polyherbal toothpastes playing an important role in dental prophylaxis and improvement of oral health [ 31 ]. In a study conducted by Sekar and Zulhilmi Abdullah, S. aureus was reported as the most sensitive species to polyherbal toothpaste with an inhibition zone of 10-15 mm, followed by E. coli (9-12 mm), Bacillus cereus (7-12 mm), and Pseudomonas aeruginosa (9-11 mm) [ 22 ].…”