Comparative Efficacy of Four Fruit Extract Mouthrinses on Gingivitis in Orthodontic Patients : A Randomised Clinical Trial
Asmita Kharche *
Department of Orthodontics, Dr. D. Y. Patil Vidyapeeth, Pune, India.
Swapnil Kurhade
Department of Prosthodontics, Dr. D. Y. Patil Vidyapeeth, Pune, India.
Priyadarshini Sarkate
Department of Oral Pathology and Microbiology, Yogita Dental College and Hospital, Khed, India.
Mugdha khond
Department of Public Health Dentistry, Yogita Dental College & Hospital, Khed, India.
Ganesh Kotalwar
Department of Orthodontics, Nanded Rural Dental College and Research Center, Nanded, India.
Akshay Gelda
Department of Conservative Dentistry and Endodontics, Aditya dental College, Beed, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: To evaluate the efficacy and antimicrobial properties of four herbal mouthrinses on orthodontic patients with gingivitis
Methods and Materials: A total of 60 individuals with fixed orthodontic therapy with established gingivitis were enrolled in this study. Well Diffusion method was used to formulate mouthrinses of freshly prepared fruit extracts from Punica granatum (Pomegranate), Vaccinium macrocarpon (cranberry), Morinda Citrofilia L. (Noni) and Psidium guajava L. (Guava) and distilled water as control. The Plaque and Gingival Index scores were taken into consideration for assessing the effectiveness of mouthrinses against gingivitis.
Results: ANOVA test showed significant difference between the groups for PI and GI score (p<0.05). The Post Hoc analysis shows the plaque and gingival index scores were significantly reduced in Group A ,Group B , Group C and Group D than Group E whereas no significant difference exist in the mean PI and GI scores of Group A,B,C and D (p>0.005).
Conclusion: All the tested mouthrinses from fruit extract were equally effective in reducing gingivitis in individuals with fixed orthodontic theraoy suggesting that phytotherapeutic agents may be used in the future to inhibit oral microbial growth.
Keywords: phytotherapeutic agent, dental plaque, gingivitis, orthodontic appliances