A randomized, double-blind clinical study to assess the antiplaque and antigingivitis efficacy of Aloe vera mouth rinse

Bathini Chandrahas, Avula Jayakumar, Anumala Naveen, Kalakonda Butchibabu, Pathakota Krishnanjaneya Reddy, Tupili Muralikrishna, Bathini Chandrahas, Avula Jayakumar, Anumala Naveen, Kalakonda Butchibabu, Pathakota Krishnanjaneya Reddy, Tupili Muralikrishna

Abstract

Aims: To evaluate the efficacy of Aloe Vera mouth rinse on experimental plaque accumulation and gingivitis.

Materials and methods: In this randomized, controlled, and double-blind study, a total of 148 systemically healthy subjects were screened in the age group of 18-25 years. Finally, 120 subjects were requested to abstain from oral hygiene (tooth brushing) for 14 days and used a specially fabricated plaque guard. Following cessation of tooth brushing in the specified area, the subjects were randomly divided into Group A (test group) who received 100% Aloe vera, Group B (negative control group) who received placebo (distilled water), and Group C (positive control group) who received 0.2% chlorhexidine. The rinse regimen began on the 15(th) day and continued for 7 days. Plaque accumulation was assessed by Plaque Index (PI) and gingivitis was assessed by Modified Gingival Index (MGI) and Bleeding Index (BI) at baseline (0), 7(th), 14(th), and 22(nd) days.

Results: There was statistically significant decrease in PI, MGI, and BI scores after the rinse regimen began in both Group A (test group) and Group C (chlorhexidine) compared with Group B. Mouth wash containing Aloe vera showed significant reduction of plaque and gingivitis but when compared with chlorhexidine the effect was less significant.

Conclusion: Aloe vera mouthwash can be an effective antiplaque agent and with appropriate refinements in taste and shelf life can be an affordable herbal substitute for chlorhexidine.

Keywords: Aloe vera; chlorhexidine; gingivitis; plaque; plaque guard.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Experimental design
Figure 2
Figure 2
Plaque guard
Figure 3
Figure 3
Group A: Experimental area on 14th day
Figure 4
Figure 4
Group C: Experimental area on 14th day
Figure 5
Figure 5
Group A: Experimental area on 22nd day
Figure 6
Figure 6
Group C: Experimental area on 22nd day
Figure 7
Figure 7
Comparison of mean Plaque index scores mean Plaque index
Figure 8
Figure 8
Comparison of mean modified gingival index scores
Figure 9
Figure 9
Comparison of mean BI scores

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