Volume 43, Issue 3 (10-2019)
Research in Medicine 2019, 43(3): 124-129 |
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Faculty of Dentistry,Tehran Medical Sciences,Islamic Azad University , n_esfahanizadeh@yahoo.com
Abstract: (3735 Views)
Backgrond:Due to limitations in mechanical plaque control methods, using chemical methods, such as
mouthwashes, are used more increasingly and side effects of chemical mouthwashes have resulted in more
use of herbal maouthwashes. Considering introduction of silica herbal mouthwash to the market and the
manufacturer’s claim that it is be successful in removing more plaque, we decided to compare the effects of
chlorhexidine mouthwashes and silica herbal mouthwash in patients with gentivitis.
Materials and Methods: A single blind, randomized, clinical trial and cross over was conducted on 60
participants with gingivitis (mean age: 27/42 ± 1/93). First, scaling and prophylaxis were done for all the
people. Four weeks after scaling, plaque index, gingival inflammation, and dental stain were recorded and
then the patients randomly were given chlorhexidine and silica and they were asked to use the mouthwashes
for two weeks. Then, all patients were examined and clinical parameters were recorded. Once again, scaling
and prophylaxis were conducted in all patients and they were asked to use their regular methods for oral
hygiene for four weeks (wash out). After this period, the second mouthwash was administered for two weeks
and the same parameters were recorded. Changes in three indexes were examined using Mann-U-Whitney and
Wilcoxon tests.
Results: Changes of gingival inflammation in people who used chlorhexidine mouthwash was 0/41 and 0/38
in those who used silica. The results of Mann-U-Whitney test showed that this difference was statistically
significant (p <0/02). Also, the amount of dental plaque in people who used chlorhexidine mouthwash was
0/61 and 0/41 in silica group and the difference was found to be statistically significant (p <0/01). Moreover,
the changes of pigment’s severity and extent in chlorhexidine group were 1/49 and 39.1, respectively, and the
difference was statistically significant (p <0/001).
Conclusion: It seems that Chlorhexidine staining extent was more than that of silica, but its effect on plaque
control and gingivitis index was higher than that for silica; however, patients were more satisfied with silica
copared with Chlorhexidine.
mouthwashes, are used more increasingly and side effects of chemical mouthwashes have resulted in more
use of herbal maouthwashes. Considering introduction of silica herbal mouthwash to the market and the
manufacturer’s claim that it is be successful in removing more plaque, we decided to compare the effects of
chlorhexidine mouthwashes and silica herbal mouthwash in patients with gentivitis.
Materials and Methods: A single blind, randomized, clinical trial and cross over was conducted on 60
participants with gingivitis (mean age: 27/42 ± 1/93). First, scaling and prophylaxis were done for all the
people. Four weeks after scaling, plaque index, gingival inflammation, and dental stain were recorded and
then the patients randomly were given chlorhexidine and silica and they were asked to use the mouthwashes
for two weeks. Then, all patients were examined and clinical parameters were recorded. Once again, scaling
and prophylaxis were conducted in all patients and they were asked to use their regular methods for oral
hygiene for four weeks (wash out). After this period, the second mouthwash was administered for two weeks
and the same parameters were recorded. Changes in three indexes were examined using Mann-U-Whitney and
Wilcoxon tests.
Results: Changes of gingival inflammation in people who used chlorhexidine mouthwash was 0/41 and 0/38
in those who used silica. The results of Mann-U-Whitney test showed that this difference was statistically
significant (p <0/02). Also, the amount of dental plaque in people who used chlorhexidine mouthwash was
0/61 and 0/41 in silica group and the difference was found to be statistically significant (p <0/01). Moreover,
the changes of pigment’s severity and extent in chlorhexidine group were 1/49 and 39.1, respectively, and the
difference was statistically significant (p <0/001).
Conclusion: It seems that Chlorhexidine staining extent was more than that of silica, but its effect on plaque
control and gingivitis index was higher than that for silica; however, patients were more satisfied with silica
copared with Chlorhexidine.
Type of Study: Original |
Subject:
dentistry
Received: 2019/01/2 | Accepted: 2019/05/18 | Published: 2019/09/17
Received: 2019/01/2 | Accepted: 2019/05/18 | Published: 2019/09/17
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