Dental plaque is a major problem in the field of oral and dental health and its prevention is more important to avoid dental caries and gingival diseases. Mouth washes are very useful in the reduction of microbial plaque and gingival inflammation. Sodium fluoride mouth wash is one of the ways that prevent dental plaque. Recently, using herbal products are efficient in decreasing dental plaque. Pomegranate peels and Guava leaves extracts are an essential medicinal plant with various pharmacological properties. Aim of study: To evaluate and compare the efficiency of different mouth rinses (sodium fluoride mouth rinse, guava leaves aqueous extract and pomegranate aqueous extract) on dental plaque in children, clinically by measuring gingival and plaque indices scores and microbiologically by measuring of streptococcus mutans and lactobacillus. Materials and methods: forty apparently healthy and cooperative children were selected from the Outpatient Dental Clinic of Pediatric dentistry Department, Faculty of Dentistry, Suez Canal University. Children were randomly divided into three groups as follows: Group (I):10 children will rinse with sodium fluoride, Group (II): 10 children will rinse with guava leaves aqueous extract and Group (III):10 children will rinse with pomegranate peels aqueous extract. Group (IV):10 children will rinse with water (control group). Instructions for oral hygiene and using mouth wash will be demonstrated for every child. Clinical and microbiological examinations will be done firstly at day one before using any type of examined mouthwashes (0-base line), then clinical and microbiological follow up will be done after 7 and 15 days of using different mouthwash for each group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
40
sodium fluoride solution mouth rinse (0.2%).
guava leaves aqueous extract mouth rinse (0.5%)
pomegranate peel aqueous extract mouth rinse (0.5%).
placebo distilled water
faculty of dentistry Suez canal university
Ismailia, Egypt
Gingival health
gingival index score from 0 to 3, where 0 normal gingiva and 3 severe inflammation
Time frame: baseline , after 7 days and after 15 days
plaque accumulation and pocket depth
plaque index score from 0 to 3, where 0 no plaque and 3 abundance of soft matter within gingival pocket
Time frame: baseline , after 7 days and after 15 days
streptococcus mutans and lactobacilli count
calculate the counts of streptococcus mutans and lactobacilli
Time frame: baseline , after 7 days and after 15 days
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