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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sodium fluoride solution | Active Comparator | children will rinse with sodium fluoride solution mouth rinse (0.2%). |
|
| guava leaves | Active Comparator | children will rinse with guava leaves aqueous extract mouth rinse (0.5%). |
|
| pomegranate peel | Active Comparator | children will rinse with pomegranate peel aqueous extract mouth rinse (0.5%). |
|
| Control | Placebo Comparator | children will rinse with distilled water |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sodium fluoride solution | Drug | sodium fluoride solution mouth rinse (0.2%). |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Gingival health | gingival index score from 0 to 3, where 0 normal gingiva and 3 severe inflammation | 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 | baseline , after 7 days and after 15 days |
| streptococcus mutans and lactobacilli count | calculate the counts of streptococcus mutans and lactobacilli | baseline , after 7 days and after 15 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of dentistry Suez canal university | Ismailia | Egypt |
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| ID | Term |
|---|---|
| D005882 | Gingival Diseases |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| guava leaves aqueous extract |
| Drug |
guava leaves aqueous extract mouth rinse (0.5%) |
|
| pomegranate peel aqueous extrac | Drug | pomegranate peel aqueous extract mouth rinse (0.5%). |
|
| Distilled water | Other | placebo distilled water |
|