The aim of this study is to compare clinically and biochemically the effect of herbal mouthwashes containing German chamomile and pomegranate peel extracts individually and as a mixture to chlorohexidine mouthwash in the treatment of gingivitis. The response will be assessed clinically and by suitable biochemical parameters.
1. Ethical committee approval has been obtained from Ethics committee of Faculty of Medicine and Faculty of Dentistry, Alexandria University 2. All participants should agree to take part in this clinical study and will provide informed consent. 3. Sixty plaque induced gingivitis patients ,will be recruited from Faculty of Dentistry, Alexandria University. 4. The 60 participants will be randomly assigned into 5 groups. Group 1: Patients will be managed by scaling. Group 2: Patients will be managed by scaling and will use 0.12%% chlorohexidine mouthwash in a dose of 15 ml twice daily. Group 3: Patients will be managed by scaling and will use 5% chamomile extract mouthwash in a dose of 15 ml twice daily. Group 4: Patients will be managed by scaling and will use 5% pomegranate peel extract mouth wash in a dose of 15 ml twice daily. Group 5: Patients will be managed by scaling and will use a combination of 5% chamomile extract and pomegranate peel extract mouthwash in a dose of 15 ml twice daily. 5. All patients will be submitted to: * Full patient history and clinical examination. * Gingival index will be measured * Saliva samples will be obtained in order to conduct ELISA for the selected biomarkers. * Different mouthwashes will be provided to patients. 6. Statistical tests appropriate to the study design will be conducted to evaluate the significance of the results. 7. Results, conclusion, discussion and recommendations will be given.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
5% chamomile extract mouthwash in a dose of 15 ml twice daily.
5% pomegranate peel extract mouth wash in a dose of 15 ml twice daily.
Use a combination of 5% chamomile extract and pomegranate peel extract mouthwash in a dose of 15 ml twice daily.
Faculty of Pharmacy, Alexandria University
Alexandria, Egypt
Clinical assessment for the gingival index (GI)
The gingival index will measured before treatment, 7 days, and 15 days after treatment respectively.
Time frame: 15 days
Measurement of TNF-α saliva level
TNF-α saliva level will be measured before treatment, 7 days, and 15 days after treatment respectively.
Time frame: 15 days
Measurement of IL1β saliva level
IL1β saliva level will be measured before treatment, 7 days, and 15 days after treatment respectively.
Time frame: 15 days
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Patients will be managed by scaling
scaling and will use 0.12%% chlorohexidine mouthwash in a dose of 15 ml twice daily.