Year : 2022

Volume : Volume 13

Issue : Issue 1

Address for correspondence :
: Dr. Md Abu Nafe
abunafe13@gmail.com

Abstract

Background: Chlorhexidine is considered as the most standard material of choice for mouthwashes and mouth rinses. However, there are some adverse effects associated with chlorhexidine. These adverse effects include bitter taste, brownish stains over the teeth, and mucosa and erosion of the oral mucosa. To reduce these adverse effects, herbal alternatives as mouth rinses have been introduced. Probiotics are the natural food products which have ability to modulate the bacterial environment of the oral cavity. By utilizing these properties of probiotics, they can be used to control the dental plaque and periodontal diseases. Aim: This study aims to carry out comparative evaluation of the efficacy of chlorhexidine, herbal, and probiotic mouth rinses in chronic periodontitis. Material and Methods: The patients were randomly divided into four groups: Group A – Placebo mouthwash (distilled water), Group B – Chlorhexidine mouthwash 0.12%, Group C – Herbal oral rinse (consists of Piper betle [Nagavalli], Bhibhitaka [Terminalia bellerica], and Pilu [Salvadora persica] commonly known as Meswak, Gandharpura Tailum, Yavani, Ela, and Peppermint Satva), and Group D – Probiotic mouth rinse (Sporlac Plus [Sanzyme Ltd. India] + distilled water). The subjects were assessed by recording the clinical parameters – plaque index (PI) (Silness and Loe, 1964), and oral hygiene index-simplified (OHI-S) (Green and Vermillion), and pocket depth –Russell’s index. The clinical and microbiological parameters were recorded at baseline and were repeated after the 1st week, 2nd week, 3rd week, and 4th week. Results: It was found that there was a non-significant difference in findings in Group A at 1 week, 2 weeks, 3 weeks, and 4 weeks. However, there was a significant difference in findings of Group B, Group C, and Group D at 1 week, 2 weeks, 3 weeks, and 4 weeks. There was marked improvement in the OHI-S, PI, and GI scores in Groups B, C, and D. Then, there was intergroup analysis of the mean values of OHI-S, PI, and GI in Groups A, B, C, and D at 1 week, 2 weeks, 3 weeks, and 4 weeks. It was found that there was a significant difference between findings of Group A and Group B, Group A and Group C, and Group A and Group D. There was no significant difference between the f indings of Group B, Group C, and Group D. Conclusion: The herbal mouth rinse and probiotics mouth rinses are equally effective as compared to chlorhexidine in chronic periodontitis. Therefore, they can be used as alternatives to the chlorhexidine mouthwashes in chronic periodontitis

Keywords: Chlorhexidine, Herbal mouth rinse, Probiotics, Chronic periodontics.