International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE 1 ( January-February, 2023 ) > List of Articles

ORIGINAL RESEARCH

Characterization of Cocoa Bean Husk Extract Particles and its Comparison as a Mouthrinse with Different Vehicles in Children aged 7–12 Years

Sabahath Kibriya, Ila Srinivasan, Jyothsna V Setty, S Anu, Bisma S Khan

Keywords : Chocolate mouthwash, Cocoa bean husk extract mouthwash, Salivary pH, Sodium fluoride, Streptococcus mutans

Citation Information : Kibriya S, Srinivasan I, Setty JV, Anu S, Khan BS. Characterization of Cocoa Bean Husk Extract Particles and its Comparison as a Mouthrinse with Different Vehicles in Children aged 7–12 Years. Int J Clin Pediatr Dent 2023; 16 (1):54-59.

DOI: 10.5005/jp-journals-10005-2494

License: CC BY-NC 4.0

Published Online: 22-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: Assessing the efficacy of cocoa bean husk extract (CBHE) particles with different vehicles as a mouthrinse in children aged 7–12 years in comparison to chlorhexidine (CHX) and sodium fluoride (NaF) mouthrinse. Materials and methods: A total of 80 children aged 7–12 years residing at a residential school/orphanage in Bengaluru city were selected and randomly allocated into five groups—group I: 0.1% CBHE with distilled water (DW); group II: 0.1% CBHE with Ringer's lactate (RL); group III: 0.12% CHX; group IV: 0.1% CBHE with normal saline (NS); and group V: 0.05% NaF. A Simplified Oral Hygiene Index (OHI-S) was recorded, salivary pH was assessed, and unstimulated saliva samples were collected at baseline (BL) after 30 minutes of rinsing on day 7 and day 14. These saliva samples were subjected to microbiological analysis, and all the data from five groups at four different time intervals was tabulated and statistically evaluated. Results: Nearly 0.1% CBHE with NS as vehicle showed maximum antibacterial properties among all the groups at all time intervals. The addition of RL to CBHE provided better anti-plaque efficacy than 0.1% CBHE with DW and 0.12% CHX mouthwash. All three combinations of 0.1% CBHE and 0.12% CHX mouthwash proved to be better anti-plaque agents than 0.05% NaF. Improving the preparation of CBHE mouthwash by using NS, RL, and with the addition of saccharin sodium also improved the patient's compliance. Conclusion: Thus, preparing chocolate/CBHE mouthwash with NS or RL instead of plain DW increased the salivary pH, anti-plaque efficacy, and antibacterial property by reducing Streptococcus mutans growth. Clinical significance: Cocoa bean husk extract (CBHE) mouthwash is a better anticariogenic and nonalcoholic mouthwash compared to CHX and NaF, which can be safely used in children as a routine oral rinse and also for those with gingivitis and high-risk of caries.


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