An analogical study of two mouth rinses on plaque and gingivitis among school children aged 12-15 years in Jamshedpur, Jharkhand, India

  • Pareshnath Chakraborthy Post-Graduate Student, Department of Orthodontics and Dentofacial Orthopaedics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand
  • Archana Kumari Post-Graduate Student, Department of Orthodontics and Dentofacial Orthopaedics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand
  • Anushree Prasad Post-Graduate Student, Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand
  • Pratheeth G Post-Graduate Student, Department of Oral Medicine and Radiology, C.K.S.Theja Institute of Dental Sciences, Tirupathi, Andhra Pradesh
  • Spoorthi Sri Resident Doctor, Hyderabad, Andhra Pradesh
  • Krishnamurthy K Professor and Head, Department of Orthodontics and Dentofacial Orthopaedics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand
Keywords: Plaque, gingivitis, Chlorhexidine, mouth wash, NaF

Abstract

Context and Background: Mechanical methods are known for prevention and control of periodontal diseases since long. It is important to consider these procedures too yet they are labor-intensive and difficult for many patients. Based upon this consideration and aiming to make dental plaque control more accessible to a significant proportion of population, less labor-intensive methods are highly desirable. Consequently, efforts have been made to utilize chemical agents in conjunction with or even instead of mechanical plaque control procedures and have been tested by incorporating them into mouthwashes.

Methods: Using a double blind randomized controlled clinical trial, 60 subjects aged 12-15 years were grouped into 3 groups: CHX; CHX+NaF; and Placebo. In each one of the 3 groups, the subjects discontinued all oral hygiene measures and continued with the experimental set-up randomly assigned. Levels of gingivitis and plaque scores were assessed at baseline and at the end of 1and 3 months by using Silness and Loe Plaque Index and Loe and Silness Gingival Index.

Results: The effectiveness of CHX+NaF mouth rinse is superior with regard to inhibition of plaque and gingivitis scores as compared to CHX alone. For CHX+NaF, mean reduction was 1.37854 whereas for CHX, it was 1.18486 for plaque score between baseline and 3 months. For gingivitis score, the mean reduction was 1.0516 for CHX+NaF whereas 1.0659 for CHX between baseline and 3 months.

Conclusion: Chlorhexidine in combination with active ingredient Sodium Fluoride inhibit the plaque and gingivitis more effectively as compared to Chlorhexidine alone. This combination along with the well-established effect of fluoride in the prevention of caries is an important contribution to dental public health.

Downloads

Download data is not yet available.

References

Loe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontal 1965;36:177-187.

Antonio Bascones, Sergio Morante, Leopoldo Mateos, Montserrat Mata, Jorge Poblet. Influence of Additional Active Ingredient on the Effectiveness s of Non-Alcoholic Chlorhexidine Mouthwashes: A Randomized controlled trial. J Periodontal 2005;76:1469-1475.

Carlos Alfredo Franco Neto, Clarissa Cavalcanti Fatturi Parolo, Cassiano Kuchenbecker Rosing, Marisa Maltz. Comparative analysis of the effect of two CHX mouthrinse on plaque accumulation and gingival bleeding. Braz Oral Res 2008;22:1806-8342.

Lang N. Antissepticos e antibioticos em Periodontia. In : lindhe , j.(ed) Tratado de Periodontologia Clinica. 2nd ed. Guanabara Koogan, Rio de Janeiro. 1992; pg.no.270-284.

Page RC. Review of the guidelines for acceptance of chemo therapeutic Product the control of supra-gingival dental plaque and gingivitis. J Dent Res 1989;68:1640-1644.

Baker K. Mouthrinses in the prevention and treatment of periodontal disease. Curr Opin Periodontal 1993;3:89-96.

Mandol ID. Antimicrobial mouthrinses: Overview and Update. J Am Dent Assoc 1994;125:25-105.

Rosa OPS, Rocha RSS. Clorexidina e carie dentaria. CECADE News 1993;1:1-24.

Arweiler NB, Boehnke N, Sculean A, Hellwig E, Auschill TM. Difference in efficacy of two commercial 0.2% chlorhexidine mouthrinse solutions: A 4 day plaque re-growth study. J Clin Periodontal 2006;33:334-336.

Joyston Benchal S , Hernaman N. Effect on Plaque and gingival bleeding of a chlorhexidine Fluoride mouth rinse. J Dent Res 1991;70:682.

Joyston- Bechal S, Herhaman N. Effect of a Mouthrinse containing chlohexidine and fluoride on plaque and gingival bleeding. J Clin Periodontal 1993;20:49-53.

Goloman HM, Cohen DW. Periodontal therapy. 5th ed. Mosby CO: Saint Louis ; 1973; pg.no.251-

Jenkins S, Addy M, Newcombe R. Evaluation of a mouth rinse containing chlorhexidine and fluoride as adjunct to oral hygiene. J Clin Periodontal 1993;20:20-25.

Emilson CG. Potential efficacy of chlorhexidine against mutans streptococci and human dental caries. J Dent Res 1994;73:682-691.

Spets-Happonen S, Luoma H, Forss H, Dentala J, Alaluusua S, Juoma AR, et al. Effects of a chlorhexidine-fluoride-Strontium rinsing program on caries, gingivitis and some salivary bacteria among Finnish school children. Scand J Dent Res 1991;99:130-138.

Twetman S, Peterson LG. Efficacy of chlorhexidine and chlorhexidine-fluoride varnish mixture to decrease inter-dental levels of mutans streptococci. Caries Res 1997;31:361-365.

Wennstorm JC. Mouth rinses in “experimental gingivitis†studies. J Clin Periodontal 1988;15:511-516.

Jayaprakash K, Veeresha K, Hiremath SS. A comparative Study of two mouth rinses on plaque and gingivitis in school children in age group of 13-16 years in Bangalore city. J Indian Soc Pedod Prevent Dent 2007;25:126-129.

Published
2016-06-03
How to Cite
1.
Chakraborthy P, Kumari A, Prasad A, G P, Sri S, K K. An analogical study of two mouth rinses on plaque and gingivitis among school children aged 12-15 years in Jamshedpur, Jharkhand, India. AMS [Internet]. 3Jun.2016 [cited 14Nov.2024];2(8):121-3. Available from: https://asdpub.com/index.php/ams/article/view/296
Section
Original Articles

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.