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Dentistry: Case Report Euro Dentistry 2017
September 20-21, 2017
25th Euro Dentistry Congress
September 20-21, 2017 Dublin, Ireland
Fayez Hussain Niazi, Dentistry: Case Report
Anti-plaque efficacy of herbal mouthwashes as compared to synthetic mouthwashes in orthodontic
patients: a randomized controlled trial
Fayez Hussain Niazi
Dar Al Uloom University, Saudi Arabia
Aim: The present study compares the antiplaque effects of two herbal mouthwashes ( Salvadora persica and Azadirachta indica) with
two synthetic types (Chlorhexidine and Cetylpyridinium ).
Design: In this double-blind, randomized controlled trial, 100 patients undergoing orthodontic treatment was first scaled and
polished for baseline zero plaque score. In the first 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 modified bonded bracket plaque index at the start, after 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 difference of post-plaque index between and within groups was performed by 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. There was significant reduction
in mean plaque scores after using mouthwashes in all the 4 groups at follow-up when compared to first plaque score (p=0.009). A
statistically significant (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
significant (p=0.092 and p=0.292). However, no significant difference 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 effective and well tolerated mouthwashes.