International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE 5 ( September-October, 2023 ) > List of Articles

ABSTRACT

Development and Evaluation of Two Sugar-free Herbal Lollipops against Streptococcus mutans: An In Vivo Study

Nikita S Nerkar, Gagandeep Lamba, Kavita Hotwani, Purva Chowdhari, Prabhat Singh, Devendra I Nagpal

Keywords : Antimicrobial efficacy, Herbal product, Streptococcus mutans, Triphala

Citation Information : Nerkar NS, Lamba G, Hotwani K, Chowdhari P, Singh P, Nagpal DI. Development and Evaluation of Two Sugar-free Herbal Lollipops against Streptococcus mutans: An In Vivo Study. Int J Clin Pediatr Dent 2023; 16 (5):780-785.

DOI: 10.5005/jp-journals-10005-2668

License: CC BY-NC 4.0

Published Online: 10-11-2023

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


Abstract

Introduction: Dental caries is a significant global public health concern in children. Streptococcus mutans (S. mutans) has a significant role in the initiation and progression of dental caries. In Ayurveda, many plants are utilized to prevent caries. Licorice (mulethi), also known as Glycyrrhiza glabra and triphala are the major elements in Ayurveda with several medicinal properties. Triphala extract efficiently reduces the development of plaque on the tooth surface. Lollipops have the ability to self-clean and are effective saliva stimulators. Therefore, the objective of the current study was to evaluate the antibacterial efficacy of licorice and triphala lollipops against S. mutans. Aim: To compare and evaluate the antimicrobial efficacy of licorice and triphala lollipops on S. mutans count in children aged 4–8 years. Materials and methods: A total of three groups were made group I triphala, group II licorice, and group III placebo (sugar-free) lollipops. Children were screened at the baseline, and those who met the inclusion criteria were enrolled in the research after their parents submitted informed consent. Saliva samples were obtained in the early morning on an empty stomach. Then each child was offered a lollipop and saliva samples were carried out on all the follow-up days, that is, 7, 14, and 21. The palatability of lollipops among children was assessed by using a 5-point Likert scale. Results: By using multiple comparisons—Tukey's test, statistically significant difference was found between the triphala lollipop and licorice group (p = 0.0001), the triphala lollipop and placebo group (p = 0.0001), and between the licorice lollipop and placebo group (p = 0.0001) against S. mutans count. Conclusion: Both licorice and triphala lollipops had an antimicrobial effect on S. mutans count. Licorice lollipops had an enhanced antimicrobial effect compared to triphala lollipops.


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  1. Peters MC, Tallman JA, Braun TM, et al. Mutans in pre-school children using a novel liquorice root extract lollipop: a pilot study. Eur Arch Paediatr Dent 2010;11(6):274–278. DOI: 10.1007/BF03262762
  2. Chou R, Cantor A, Zakher B, et al. Prevention of Dental Caries in Children Younger Than 5 Years Old: Systematic Review to Update the U.S. Preventive Services Task Force Recommendation [Internet]. Rockville (Maryland): Agency for Healthcare Research and Quality (US); 2014.
  3. Aas JA, Griffen AL, Dardis SR, et al. Bacteria of dental caries in primary and permanent teeth in children and young adults. J Clin Microbiol 2008;46(4):1407–1417. DOI: 10.1128/JCM.01410-07
  4. Aparna M, Hegde V. Evaluation of antimicrobial effectiveness of licorice and triphala mouthwashes against Streptococcus mutans. J Ayurveda Holist Med JAHM 2018;6(3):26–33.
  5. Chen X, Daliri EBM, Kim N, et al. Microbial etiology and prevention of dental caries: exploiting natural products to inhibit cariogenic biofilms. Pathogens 2020;9(7):569. DOI: 10.3390/pathogens9070569
  6. Carounanidy U, Satyanarayanan R, Velmurugan A. Use of an aqueous extract of Terminalia chebula as an anticaries agent: a clinical study. Indian J Dent Res 2007;18(4):152–156. DOI: 10.4103/0970-9290.35823
  7. Ramakrishna Y, Goda H, Baliga MS, et al. Decreasing cariogenic bacteria with a natural, alternative prevention therapy utilizing phytochemistry (plant extracts). J Clin Pediatr Dent 2011;36(1):55–63. DOI: 10.17796/jcpd.36.1.f485870h90174311
  8. Sankeshwari R, Ankola A, Bhat K, et al. Evaluation of physical parameters of novel licorice varnish versus fluoride and combination varnish: an in-vitro study. Acta Medica Acad 2018;47(2):176–185. DOI: 10.5644/ama2006-124.229
  9. Jain E, Pandey RK, Khanna R. Liquorice root extracts as potent cariostatic agents in pediatric practice. J Indian Soc Pedod Prev Dent 2013;31(3):146–152. DOI: 10.4103/0970-4388.117964
  10. Touyz LZG. Liquorice health check, oro-dental implications, and a case report. Case Rep Med 2009;2009:170735. DOI: 10.1155/2009/170735
  11. Srinagesh J, Krishnappa P, Somanna SN. Antibacterial efficacy of triphala against oral streptococci: an in vivo study. Indian J Dent Res 2012;23(5):696. DOI: 10.4103/0970-9290.107423
  12. Joshi VK, Joshi A, Dhiman KS. The ayurvedic pharmacopoeia of India, development and perspectives. J Ethnopharmacol 2017;197:32–38. DOI: 10.1016/j.jep.2016.07.030
  13. Prakash S, Shelke AU. Role of triphala in dentistry. J Indian Soc Periodontol 2014;18(2):132–135. DOI: 10.4103/0972-124X.131299
  14. Chawhuaveang DD, Yu OY, Yin IX, et al. Acquired salivary pellicle and oral diseases: a literature review. J Dent Sci 2021;16(1):523–529. DOI: 10.1016/j.jds.2020.10.007
  15. Chen Y, Agnello M, Dinis M, et al. Lollipop containing Glycyrrhiza uralensis extract reduces Streptococcus mutans colonization and maintains oral microbial diversity in Chinese preschool children. PLOS ONE 2019;14(8):e0221756. DOI: 10.1371/journal.pone.0221756
  16. Naiktari RS, Dharmadhikari C, Gurav AN, et al. Determining the antibacterial substantivity of Triphala mouthwash and comparing it with 0.2% chlorhexidine gluconate after a single oral rinse: a crossover clinical trial. J Indian Soc Periodontol 2018;22(6):498–502. DOI: 10.4103/jisp.jisp_265_18
  17. Renuka S, G PL, Malaiappan S. Review on effects of triphala in patients with periodontal disease. J Evol Med Dent Sci 2020;9(12):1000–1005. DOI: 10.14260/jemds/2020/215
  18. Shanbhag VK. Triphala in prevention of dental caries and as an antimicrobial in oral cavity- a review. Infect Disord Drug Targets 2015;15(2):89–97. DOI: 10.2174/1871526515666150513105009
  19. Mentes JC, Kang S, Spackman S, et al. Can a licorice lollipop decrease cariogenic bacteria in nursing home residents? Res Gerontol Nurs 2012;5(4):233–237. DOI: 10.3928/19404921-20120906-07
  20. Saxena S, Lakshminarayan N, Gudli S, et al. Anti bacterial efficacy of Terminalia Chebula, Terminalia Bellirica, Embilica Officinalis and triphala on salivary Streptococcus Mutans count – a linear randomized cross over trial. J Clin Diagn Res 2017;11(2):ZC47–ZC51. DOI: 10.7860/JCDR/2017/23558.9355
  21. Deshpande MA, Baliga S, Thosar N, et al. Evaluation of antibacterial efficacy of Triphala toothwipes on oral Streptococcus mutans count in intellectually disabled children. Spec Care Dentist 2021;41(5):619–625. DOI: 10.1111/scd.12597
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