To evaluate the clinical effectiveness of mouthwash containing pomegranate peel extract and chlorhexidine mouthwash on bleeding on brushing and counting of streptococcus mutans among a group of Egyptian children with permanent dentition.

To evaluate the clinical effectiveness of mouthwash containing pomegranate peel extract and chlorhexidine mouthwash on bleeding on brushing and counting of streptococcus mutans among a group of Egyptian children with permanent dentition.

PICO:

Population (P): Children with full permanent dentition. Intervention (I): Pomegranates peel extract. Comparator (C): Chlorhexidine.

Outcome(O):

Primary outcome: Bleeding on brushing, criteria:Asking patient, unit:Binary. Secondary outcome:Counting streptococcus mutans, criteria: Agar plate, unit: CFUs/mL

Inclusion Criteria:

• children aged 12-15 years old.
• Cooperative children.
• Both genders.
• Medically free.

Exclusion Criteria:

• Children undergoing orthodontic treatment.
• Children using any other oral hygiene aid other than routine teeth brushing.
• Children with known history of allergy to any mouth rinse or drug.
• Parents unable to give informed consent.