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A randomised double-blind placebo-controlled study on the effects of a herbal toothpaste on gingival bleeding, oral hygiene and microbial variables

Authors:

S Jayashankar ,

Department of Oral Medicine and Periodontology, Division of Microbiology, University of Peradeniya, LK
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GJ Panagoda,

Department of Oral Medicine and Periodontology, Division of Microbiology, University of Peradeniya, LK
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EAPD Amaratunga,

Department of Oral Pathology, Faculty of Dental Sciences, University of Peradeniya, LK
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K Perera,

Department of Engineering Mathematics, Faculty of Engineering, University of Peradeniya, LK
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PS Rajapakse

Department of Oral Medicine and Periodontology, Division of Microbiology, University of Peradeniya, LK
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Abstract

Introduction Different systems of traditional medicine of the Indian subcontinent, have used Acacia chundra Willd, Adhatoda vasica Nees., Mimusops elengi L., Piper nigrum L., Pongamia pinnata L. Pirerre, Quercus infectoria Olivier., Syzygium aromaticum L., Terminalia chebula Retz., Zingiber officinale Roscoe., individually or in combinations, to cure oral diseases. Objective To investigate the oral hygiene and gingival health benefits of toothpaste formulated with a mixture of the above herbs (15% w/w).

Methods Sixty participants (test n=30, control n=30, mean age 23.6±2.25 vs 23.9±3.2 years) who fulfilled the selection criteria and had similar plaque (1.734±0.29 vs 1.771±0.33) and percentage of sites with gingival bleeding (19.6±7 vs 20.7±8) were studied in a double blind randomised clinical trial. Brushing instructions to all and a scaling for those with calculus were provided two weeks before baseline examination. One ml of resting saliva was collected to ascertain anaerobic (SAnB) and aerobic (SAB) bacterial counts, plaque index (PI), percentage sites with bleeding on probing (BOP) and pocket depth (PD) (at 6 sites/tooth) were recorded at baseline, followed by home use of the allocated toothpaste (test or placebo) twice a day for 12 weeks. Measurements were repeated at 4, 8, and 12 weeks.

Results PI, BOP and SAnB decreased significantly in the test group at 4, 8, and 12 weeks compared to baseline measurements (Wilcoxon-Signed Rank Test, p<0.01). There was no statistically significant improvement in PI, BOP, and SAnB in the placebo group.

Conclusions Our study indicates the beneficial effects of this herbal toothpaste (Sudantha®) on oral hygiene and gingival health variables when compared with the placebo. Further clinical trials using patients with gingivitis are necessary to confirm the therapeutic benefits of this herbal toothpaste.

Index words: herbal toothpaste; oral hygiene; plaque; gingivitis; randomized clinical trial

DOI: 10.4038/cmj.v56i1.2887

Ceylon Medical Journal 2011; 56: 5-9

DOI: https://doi.org/10.4038/cmj.v56i1.2887
How to Cite: Jayashankar, S., Panagoda, G., Amaratunga, E., Perera, K. and Rajapakse, P., 2011. A randomised double-blind placebo-controlled study on the effects of a herbal toothpaste on gingival bleeding, oral hygiene and microbial variables. Ceylon Medical Journal, 56(1), pp.5–9. DOI: http://doi.org/10.4038/cmj.v56i1.2887
Published on 28 Mar 2011.
Peer Reviewed

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