Gingival Inflammatory Indices and Dental Stain Index after Using Aloe Vera-Green Tea Mouthwash, Matrica Mouthwash, or 0.2% Chlorhexidine Mouthwash Compared with Placebo in Patients with Gingival Inflammation

Abstract

Introduction: The purpose of this study was to evaluate and compare the effects of composition of aloe vera-green tea, matrica, and chlorhexidine on gingival inflammatory indices and dental stain index. Materials & Methods: In this double-blinded placebo-controlled clinical trial, anti-inflammatory, anti-plaque formation, and dental staining effects of two herbal mouthwashes, including aloe vera-green tea and matrica in comparison with chlorhexidine in 60 patients with plaque induced gingivitis referring to Isfahan University of Medical Sciences, School of Dentistry were evaluated. The indices evaluated in this study were plaque index (Silness and Loe), gingival index (Loe and Silness), bleeding on probing index (Ainamo and Bay) and dental stain index (Lobene stain index). They were evaluated on the first day of using mouthwashes and two weeks later. The obtained data were analyzed using SPSS software version 22. One-way ANOVA, Tukey post hoc, and paired t and Chi-square tests (α=0.05) were used as appropriate. Results: There was no significant difference between the four groups in terms of the mean values of plaque index, gingival index, BOP index, and stain index before the application of mouthwash. However, after mouthwash application, the mean values of indices were significantly different between the four groups. Aloe vera-green tea and chlorhexidine mouthwashes reduced plaque index, gingival index, and bleeding on probing index significantly and there was no significant difference between these two mouthwashes (P>0.05). The effect of matrica mouthwash on plaque index and gingival index was significantly lower than aloe vera-green tea and chlorhexidine (P<0.05). The mean reduction in BOP index was not significantly different between the aloe vera-green tea, chlorhexidine, and matrica groups. Regarding dental stain index, both herbal mouthwashes caused significantly lower dental stain in comparison with chlorhexidine (P<0.05). Conclusion: The results of the present study show that aloe vera-green tea mouthwash may be an effective mouthwash owing to its antiplaque and anti-inflammatory properties and may be an ideal substitute for chlorhexidine. Clinical Trial: The clinical trial code: IR.MUI.REC.1395.3.573

Efficacy of Chamomile Mouthwash on Clinical And Serum Inflammatory Parameters in Relation to Chlorhexidine in Chronic Gingivitis Patients

“…Chamazulene, another MTC constituent, has been shown to substantially protect against lipid peroxidation [24]. These observations are consistent with other researchers' findings, on the effects of matrica mouthwash on bacterial plaque and gingival inflammation, which found that this mouthwash has a major impact on plaque accumulation, bleeding on probing, and gingival inflammation [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25].In the treatment of chronic gingivitis, a related process could be found in the effect of 0.12 % CHX mouthwash after scaling and polishing, leading to a reduction in clinical periodontal parameters such as PI, GI, and BOP compared to scaling and polishing alone [26]. The decline may be due to CHX mouthwash's positive effect on plaque formation by its antibacterial activity, which greatly decreases and controls gingival inflammation in patients with poor oral hygiene [27].The results showed no significant difference in the mean values of gingival indices between the chlorhexidine and chamomile as mouthwashes [19].…”

The efficacy of herbal medicine on gingival and periodontal diseases: a review

“…Yaghini et al (13) reported that aloe vera-green tea and matrica (containing chamomile extract) mouthwashes had positive effects on gingival indices. They concluded that the therapeutic effects of aloe vera-green tea mouthwash were close to those of CHX; however, the potency of matrica was reported to be lower than the other mouthwashes.…”

“…Therefore, aloe veragreen tea mouthwash can be a proper alternative to CHX due to its anti-inflammatory and antiplaque properties and absence of adverse effects; however, matrica was not a suitable option. (13) Kamath et al (14) reported that aloe vera and tea tree oil mouthwashes can decrease plaque, gingivitis, and oral Streptococcus mutans count in school-aged children between 8 to 14 years. The efficacy of aloe vera and tea tree oil mouthwashes was as high as that of CHX; however, CHX had better substantivity against salivary Streptococcus mutans count.…”

Preparation of Mouthwash Using Red Tea and Its Antimicrobial and Antioxidant Activity

“…Zone of inhibition was found to increase with increase in concentration of the mouthwash. Since both gram positive as well as gram negative bacteria are found to be sensitive against red tea, it can be an efficient source for deriving those compounds [49].…”