Comparative evaluation of Multi-constituent herbal mouthwash with Chlorhexidine with and without Anti-Discolouration system in Gingivitis patients as an adjunct to scaling and root planing – A Randomized Clinical Study

Abstract

Introduction: Herbal mouthwashes are emerging concept as it shows minimal to no adverse effect.

Objectives: A new Aloe Vera containing multi-constituent mouthwash was compared to conventional mouthwashes to understand its efficacy as an adjunct to scaling and root planning.

Methods: Ninety participants having modified gingival index score >1 were included in the study. Groups included in the study were: Group A: Multi-constituent herbal mouthwash, Group B: Chlorhexidine Anti-discoloration system (ADS) mouthwash and Group C: Chlorhexidine mouthwash (CHX). At the beginning of the study the modified gingival index (MGI), Plaque Index (PI), Lobene stain scores and Patient Hygiene Performance (PHP) Index was recorded in order to assess the oral hygiene status of the subjects. The baseline scores were brought down near to 0 by scaling and polishing (Baseline). All clinical recordings would be performed at baseline, 5^th, 10^th day and 15^th day.

Results: Intragroup comparison showed highly statistically significant difference in all clinical parameters in group A, B and C except for PI in group B. Intergroup comparison showed best plaque control and least staining by group A followed by B and C. Modified gingival index was highly significant in intergroup comparison at 15 days with least inflammation in group A.

Conclusions: Results of current study indicated that the multiconstituent herbal mouthwash showed superior results in terms of plaque control, gingival inflammation and stain score compared to CHX with and without ADS in all the parameters.