Oral Health and Dental Management

Anti-plaque effi cacy of herbal mouthwashes as compared to synthetic mouthwashes in orthodontic patients: A randomized controlled trial

39^th Asia-Pacific Dental and Oral Care Congress

October 26-28, 2017 Osaka, Japan

Fayez Hussain Niazi, Abdullah Kamran, Tayyab Raza Fraz and Mervyn Hosein

Dar Al Uloom University, KSA
Liaquat College of Medicine and Dentistry, Pakistan
University of Karachi, Pakistan
Ziauddin University, Pakistan

Posters & Accepted Abstracts: Oral Health Dent Manag

Abstract:

Aim: Th e present study compared the antiplaque eff ects of two herbal mouthwashes (Salvadora persica and Azadirachta indica) with two synthetic types (chlorhexidine (CHX) and cetylpyridinium (CPC)). Method: In this double-blind, randomized controlled trial 100 patients undergoing orthodontic treatment were fi rst scaled and polished for baseline zero plaque score. In the fi rst phase, they were given oral hygiene education and provided a standard tooth paste to be used twice daily for a period of three weeks. In the second phase, following scaling and polishing, they were randomly allocated to use one of the four types of mouthwashes (A=chlorhexidine, B=cetylpyridinium, C=extracts of Salvadora persica miswak and D=extracts of Azadirachta indica miswak) along with previously instructed tooth brushing protocols for a further period of three weeks. Plaque accumulation was scored according to modifi ed bonded bracket plaque index; at the start, aft er tooth brush-paste trial and at the end of mouthwash trial. Paired t-test was used for comparison of pre and post plaque index in all groups. Comparison analysis of mean diff erence of post plaque index between and within groups was performed by one way multivariate analysis of variance MANOVA and post hoc Tukey test. Results: A total of 80 participants completed the study, among them 17 were male and 63 were female. Th ere was signifi cant reduction in mean plaque scores aft er using mouthwashes in all the 4 groups at follow-up when compared to fi rst plaque score (p=0.009). A statistically signifi cant (p=0.016) reduction (of plaque score) was found in group C (Salvadora persica) when compared with the CHX group. Group D (Azadirachta indica) also had higher reduction when compared with CHX and CPC but it was not statistically signifi cant (p=0.092 and p=0.292). However, no signifi cant diff erence was seen between CHX group and CPC group with respect to mean reduction in plaque scores (p=0.934). Conclusion: Both types of miswak derived mouthwashes can be a good substitute for synthetic types and can be recommended, especially for patients on orthodontic treatment, as safer, cost eff ective and well tolerated mouthwashes.