Citation Information :
Vanishree B, Gangadharaiah C, Kajjari S, Sundararajan BV, Kansar N. Comparative Evaluation of the Effect of Alum and Herbal Mouthrinses on Plaque Inhibition in Children: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2021; 14 (5):610-615.
Background: Gram-positive and gram-negative bacteria that compose oral biofilms produce many metabolites that induce the formation of dental plaque. Dental plaque is the main factor for the initiation and progression of oral diseases. Plaque preventive measures like mechanical or chemical approaches can be used in combination with this.
Aims and objectives: A study was done to compare and evaluate the effects of 0.02 M alum mouthrinse, herbal mouthrinse, and saline on plaque inhibition in children.
Materials and methods: Sixty healthy children of age-group 9–12 years were included in the study and divided into 3 groups of 20 each: group I: alum containing mouthwash (0.02 M), group II: saline, and group III: herbal mouthwash, rinsing two times daily for 30 days. Plaque index scores were recorded from each individual on the 1st, 15th, and 30th day.
Results: Alum group (group I) showed a highly significant reduction of plaque at 1st, 15th, and 30th day when comparison to herbal group (group III) and saline group (group II).
Conclusion: Ingredients in the alum group (group I) were effective in plaque inhibition, it may serve as an alternative antimicrobial mouthwash. Further long-term study with a large population group is recommended to determine the efficacy of alum-containing mouthwash and herbal (Hi-ora) mouthwash in improving oral health status.
Anandan S, Nagappa. KG. Saliva-the magical fluid of the oral cavity. JIAPHD 2013;11(1):44–56.
Loesche WJ. Role of Streptococcus mutans in human dental decay. Microbiol Rev 1986;50(4):353–380. DOI: 10.1128/mr.50.4.353-380.1986.
Nyavad B, Fejerskov O. Development, structure and pH of dental plaque. In: Textbook of clinical cariology Thylstrup A, Fejerskov O, ed., Copenhagen: Munksgaard; 1994. pp. 89–110.
Nayak SS, Ankola AV. Effectiveness of mouthrinse formulated from ethanol extract of Terminalia chebula fruit on salivary Streptococcus mutans among 12-15 years old school children of Belgaum City: a randomized field trial. J Indian Soc Pedod Prev Dent 2012;30(3):231–236. DOI: 10.4103/0970-4388.105016.
Molhotra R, Grover V, Kapoor A. Comparison of the effectiveness of a commercially available herbal mouth rinse with chlorhexidine gluconate at clinical and patient level. J Indian Soc Peridonto 2011;15(4):349–352. DOI: 10.4103/0972-124X.925672.
Alam A, Pravez N, Yadav S, et al. Comparative evaluation of heral mouth rinse, herbal tooth paste gel and chlorhexidine mouth rinse for cariogenic bacteria. Contin J Pharmacol Toxicol Res 2008;2:19–26.
Parwani SR, Parwani RN, Chitnis PJ, et al. Comparative evaluation of anti-plaque efficacy of herbal and 0.2% chlorhexidine gluonate mouthwash in a 4-day plaque re-growth study. J Indian Soc Peridonto 2013;17(1):72–77. DOI: 10.4103/0972-124X.1074787.
Iqbal K, Asmat M. Role of different ingredients of tooth pastes and mouthwashes in oral health. JPDA 2011;20:163–168.
Shetty PR, Shetty SB, Kamat SS, et al. Comparison of the antigingivitis and antiplaque efficacy of the herboral (herbal extract) mouthwash with chlorhexidine and listerine mouthwashes: a clinical study. Pakistan Oral Dent J 2013;33(1):76–81.
Newman T, Klokkevold C. Carranza's clinical periodontology. 11th ed., Elsevier; 2013. pp. 1214–1219.
Putt MS, Kleber CJ, Smith CE. Evaluation of an alum containing mouth wash in children for plaque and gingivitis inhibition during 4 weeks of supervised use. Pediatr Dent 1996;18(2):139–144.
Rupesh S, Winner JJ, Nayak UA, et al. Comparative evaluation of an alum containing mouth wash and a saturated saline rinse on the salivary levels of Streptococcus mutans. J Indian Soc Pedod Prev Dent 2010;28(3):138–144.
Olmez A, Can H, Ayhan H, et al. Effect of an alum containing mouthrinse in children for plaque and salivary levels of selected oral microflora. J Clin Pediatr Dent 1998;22(4):335–340.
Mourughan K, Suryakanth MP. Evalution of alum containing mouth wash for inhibition of salivary S. mutans levels in children: a controlled clinical trial. J Indian Soc Pedod Prev Dent 2004;22(3):100–105.
Gultz J, Kaim JM, Deleo J, et al. An in vivo comparison of the antimicrobial activities of three mouth rinses. J Clin Dent 1998;9(2):43–45.
Nagappan N, John J. Antimicrobial efficacy of herbal and chlorhexidine mouthrinse - a systemic review. JDMS 2012;2(4):5–10.
Available from: http://www.en.m.wikipedia.org/wiki/Hiora.
Adams DS. Lab math: A hand book of measurements, calculation, and other quantitative skills for use at the bench, ch. 4. The Forsyth Institute; 2003. p. 101.
Adams DS. Making solutions from hydrated compound. CSH Protoc 2008. pdb.ip54. DOI: 10.1101/pdb.ip54.
Shetty S, Pillai S, Sridharan S, et al. Comparative efficacy of chlorhexidine and herbal mouth rinse in patients with gingival inflammation – a clinical and microbiology study. Asian J Pharmaceut Technol Innovat 2013;1:1–8.
Siddeshappa ST, Bhatnagar S, Yeltiwar RK, et al. Comparative evaluation of antiplaque and antigingivitis effects of an herbal and chlorine dioxide mouthwashes: a clinicomicrobiological study. Indian J Dent Res 2018;29(1):34–40. DOI: 10.4103/ijdr.IJDR_391_16.
Al-Bayaty FH, Al-koubaisi AH. Effect of mouth wash extracted from Salvadora persica (Miswak) on dental plaque formation: a clinical trial. J Nat Prod Med Mat 2010;4(14):1446–1454.
Bajaj N, Tando S. The effect of triphala and chlorhexidine mouthwash on dental plaque, gingival inflammation and microbial growth. Int J Ayurveda Res 2011;2(1):29–36. DOI: 10.4103/0974-7788.83188.
Aspalli S, Shetty VS, Devarathnamma MV, et al. Evaluation of antiplaque and antigingivitis effect of herbal mouthwash in treatment of plaque induced gingivitis; a randomized clinical trial. J Indian Soc Period 2014;18(1):48–52. DOI: 10.4103/0972-124X.128208.
Putt MS, Kleber CJ. Effect of pH, concentration, and treatment time of aluminium solution on acids dissolution of enamel. J Dent Res 1986;65(11):1356–1358. DOI: 10.1177/00220345860650111601.
Kleber CJ, Putt MS. Investigation of the effects of aluminium mouth rinses on rat dental caries and plaque. Caries Res 1995;29(3):237–242. DOI: 10.1159/000262075.