Effect of Bael, Cinnamon and Neem Extract Mouthwashes on Dental Plaque, Gingival Health and Salivary pH among adults residing in a hostel in Chennai, India – A triple blinded, randomized controlled trial
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Abstract
Aim: To assess and compare the effect of mouthwash containing 0.3% Aegle marmelos (Bael) leaves extract with other herbal mouthwashes containing 0.3% Cinnamomum zeylanicum (Cinnamon) barks extract and 0.3% Azadirachta indica (Neem) leaves extract and with 0. 2% chlorhexidine mouthwash on dental plaque, gingival health and salivary p H among adults.
Materials and Methods: A triple blinded randomized controlled trial with concurrent parallel study design was carried out. Around, 48 young adults were randomly allotted to four groups - Group A (Chlorhexidine), Group B (Cinnamon), Group C (Bael) and Group D ( Neem) by simple randomization technique. They were advised to rinse with 10 ml of their respected mouthwashes twice daily for 1 minute for a period of 28 days. The dental plaque score and gingival inflammation score were recorded using Plaque index and Gingival index at the baseline, 15th day, 22nd day and 29th day. Statistical analysis were done using ANOVA and repeated measure ANOVA for the plaque and gingival scores and Paired sample t test for p H
Results: Mouthwashes containing Bael, Neem and Chlorhexidine showed a stastistically significant reduction in the plaque levels at the end of second week (mean difference from baseline to 2nd week = 0. 158, 0. 100 and 0. 108 respectively with p value < 0. 05). However, at all the time points considered in the study, Bael was more effective in reducing the gingivitis.
Conclusion: Bael extract mouthwash is as effective as the gold standard Chlorhexidine mouthwash in reducing the plaque and gingivitis and opens new perspectives for its use
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