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 Table of Contents  
ORIGINAL ARTICLE
Year : 2020  |  Volume : 5  |  Issue : 2  |  Page : 3-4

Effectiveness of an indigenous paste in reducing plaque and gingivitis in patients with Mild-to-Moderate Gingivitis – A randomized controlled trial


Department of Public Health Dentistry, ACPM Dental College, Dhule, Maharashtra, India

Date of Submission14-Oct-2020
Date of Acceptance17-Nov-2020
Date of Web Publication29-Jan-2021

Correspondence Address:
Dr. Karina S Chachlani
Department of Public Health Dentistry, ACPM Dental College, Dhule, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmo.ijmo_2_20

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  Abstract 


Background: Dental plaque has been known to be a reservoir of microorganisms and is considered as an etiological factor in the development of gingivitis and periodontal diseases. The aim is to evaluate the in vivo efficacy of a homemade indigenous paste using natural ingredients on plaque accumulation and gingivitis among adults at baseline, 7th day, 14th day, and 21st day. Materials and Methods: The present study is a randomized controlled trial and consisted of 30 participants of the age group 18–40 years. Participants were randomly divided into two groups of 15 each. Group A (indigenous paste group) and Group B (control group) participants were given oral hygiene instructions and were demonstrated a modified bass brushing technique. Data were collected using plaque index (PlI) and gingival index (GI) for both the groups at baseline, 7th day, 14th day, and 21st day. Results: The mean PlI scores and GI scores gradually decreased in both the groups on subsequent follow-ups. Conclusion: The present study showed a significant reduction in plaque in the indigenous paste group.

Keywords: Gingivitis, indigenous paste, plaque


How to cite this article:
Chachlani KS, Dodamani AS, Vishwakarma PY, Mali GV, Jain VM, Agrawal A. Effectiveness of an indigenous paste in reducing plaque and gingivitis in patients with Mild-to-Moderate Gingivitis – A randomized controlled trial. Int J Med Oral Res 2020;5:3-4

How to cite this URL:
Chachlani KS, Dodamani AS, Vishwakarma PY, Mali GV, Jain VM, Agrawal A. Effectiveness of an indigenous paste in reducing plaque and gingivitis in patients with Mild-to-Moderate Gingivitis – A randomized controlled trial. Int J Med Oral Res [serial online] 2020 [cited 2021 Feb 25];5:3-4. Available from: http://www.ijmorweb.com/text.asp?2020/5/2/3/308274




  Introduction Top


The oral cavity has been described as “the window to general health.”[1] It is the focal point for the interaction of the body with the external environment. Dental plaque has been known to be a reservoir of microorganisms and is considered as an etiological factor in the development of gingivitis and periodontal diseases.[2],[3] Periodontal diseases are affecting all dentate animals.[2],[4],[5] Studies have been conducted to investigate the role and efficiency of the locally injected Vitamin C in the treatment of persistent gingival inflammation which was found to be effective in reducing the inflammation.[6] A study conducted to evaluate the treatment effect of an antioxidant–essential oil gel on patients with generalized gingivitis showed that it is an effective means of reducing inflammation.[7],[8],[9],[10] Therefore, a paste that can be applied topically or taken orally in the form of smoothie prepared at home using natural ingredients beneficial for oral health can act as an adjunct to daily mechanical oral hygiene practices. Hence, the present study was conducted to evaluate the effectiveness of a homemade indigenous paste or smoothie in reduction of plaque accumulation and gingivitis among adults.

Materials and Methods

The present study was a randomized controlled trial to evaluate the in vivo efficacy of a homemade indigenous paste using natural ingredients on plaque accumulation and gingivitis. The present study consisted of 30 participants of the age group 18–40 years. Participants were randomly divided into two groups of 15 each by lottery method. Written voluntary informed consent was obtained from the participants. Group A (indigenous paste group) was made to apply the paste on gingiva and teeth and massage it for at least 2 min for a period of 21 days twice a day after brushing and instructed to leave the paste in the mouth for at least 10 min after application. Group B (control group) was given oral hygiene instructions. Beforehand, scaling was performed for both the groups. Participants from both the groups were demonstrated and Data were collected using plaque index (PlI) (Loe, 1967) and gingival index (GI) (Loe H and Silness J, 1963) for both the groups at baseline, 7th day, 14th day, and 21st day. The ingredients used for the preparation of a 100 ml paste were medium-sized banana, ½ cup green tea, ½ cup plain yogurt, 1 tbspn of ghee, 1 tbspn of fermented cod liver oil, and 1 tbspn coconut oil.


  Results Top


[Graph 1] shows a comparison of PlI among the study and control groups. The intergroup comparison was done using independent t-test. The plaque score difference between Group A and Group B was −0.13 on the 7th day (P = 0.061), −0.26 on the 14th day (P = 0.001), and −0.41 on the 21st day (P = 0.001). Overall, the comparison of PlI among Group A and Group B was statistically significant on the 14th and 21st days. [Graph 2] shows a comparison of GI among the study and control groups. The intergroup comparison was done using independent t-test. The GI score difference between Group A and Group B was −0.10 on the 7th day (P = 0.513), −0.16 on the 14th day (P = 0.288), and −0.18 on the 21st day (P = 0.206). Overall, the comparison of GI among Group A and Group B was not statistically significant.




  Discussion Top


In the present study, it was seen that the mean PlI and GI scores gradually decreased in both the groups on subsequent follow-ups. A review of available literature has revealed that no similar studies have been conducted to assess the effectiveness of such paste on gingivitis. A study conducted by Singh et al.[2] to evaluate the efficacy of green tea mouthwash on gingivitis showed that there was a statistically significant reduction in the PlI scores and GI scores in the green tea mouthwash group. In the present study, on intergroup comparison, it was seen that there was a statistically significant difference in PlI scores between the two groups on the 14th and 21st days. A review of available literature has revealed that no similar studies have been conducted to assess the effectiveness of such smoothie/paste on gingivitis. On intergroup comparison, it was seen that there was no statistically significant difference in GI scores between the two groups at baseline, 7th day, 14th day, and 21st day.


  Conclusion Top


The smoothie used in the present study has shown some effect in the reduction of plaque accumulation and gingival inflammation in patients with mild-to-moderate gingivitis.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Gurenlian JR. The role of dental plaque biofilm in oral health. Am Dent Hyg Assoc 2007;81:116.  Back to cited text no. 1
    
2.
Singh O, Reddy VK, Pradhan D, Sharma L. Comparative evaluation of green tea and chlorhexidine mouthwashes on gingivitis: A randomized controlled trial. J Indian Assoc Public Health Dent 2019;17:269.  Back to cited text no. 2
  [Full text]  
3.
Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr 2004;7:201-26.  Back to cited text no. 3
    
4.
Kumar KS, Bhowmik D, Duraivel S, Umadevi M. Traditional and medicinal uses of banana. J Pharmacogn Phytochem 2012;1:51-63.  Back to cited text no. 4
    
5.
Chalke S, Zope S, Suragimath G, Varma S, Abbayya K, Kale V. Effect of coconut oil pulling on plaque-induced gingivitis: A prospective clinical study. Int J Green Pharm 2017;11:750-5.  Back to cited text no. 5
    
6.
Skoczek-Rubińska A, Bajerska J, Menclewicz K. Effects of fruit and vegetables intake in periodontal diseases: A systematic review. Dent Med Probl 2018;5:431-9.  Back to cited text no. 6
    
7.
Lee HJ, Kim SJ, Park YS, Ko J, Cho HJ. Association between semi-solid yogurt intake and periodontitis in Korean adults. J Periodontal Implant Sci 2019;49:206-14.  Back to cited text no. 7
    
8.
Janakiram C, Venkitachalam R, Fontelo P, Iafolla TJ, Dye BA. Effectiveness of herbal oral care products in reducing dental plaque & gingivitis – A systematic review and meta-analysis. BMC Complement Altern Med Ther 2020;20:1-2.  Back to cited text no. 8
    
9.
Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38:610-6.  Back to cited text no. 9
    
10.
Shin AR, Nam SH. The effects of various mouthwashes on the oral environment change for oral health care. Biomed Res 2018;29:1724-9.  Back to cited text no. 10
    




 

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