HERBAL MOUTH RINSES AND MOUTHWASHES IN ORTHODONTIC CARE: A RAPID REVIEW
DOI:
https://doi.org/10.22159/ijap.2024.v16s2.01Keywords:
Herbal, Mouth rinse, Mouthwash, OrthodonticAbstract
In order to address the increasing demand for eco-friendly orthodontic care products, considering herbal-based-mouth rinses and mouthwashes are mandatory. The aim of this study is to analyze previous studies regarding herbal mouth rinses and mouthwashes that have been reported in daily orthodontic patients. The initial step was to develop a protocol with registration number PROSPERO (CRD4202230118). Databases PubMed, Cochrane, ProQuest, and Google Scholar were explored from 2010 to 2022. The studies included Randomized Controlled Trials (RCTs) that compared herbal mouth rinse and mouthwashes with chlorhexidine on their effectiveness to reduce dental plaque in orthodontic patients. Critical appraisal was performed using Joanna Briggs Institute’s Checklist for RCTs. Seven studies matched the inclusion criteria. Miswak, green tea, chamomile, and aloe vera were reported as herbal natural resources effective in reducing dental plaque. Despite being less effective than chlorhexidine, aloe vera still showed significant dental plaque reduction before and after application. Given the diverse clinical methodology and high risk of bias, further high-quality RCTs and quantitative synthesis are required to provide strong support for clinical decision-makers. These herbal-based mouth rinse and mouthwash ingredients showed potential for periodontal protection in orthodontic patients. The side effects of herbal-based mouth rinses and mouthwashes as orthodontic daily care were similar to chlorhexidine, albeit minimal.
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Haas AN, Pannuti CM, Andrade AK, Escobar EC, Almeida ER, Costa FO. Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians. Braz Oral Res. 2014;28:1-8. doi: 10.1590/1807-3107bor-2014.vol28.0021, PMID 25055220.
Ousehal L, Lazrak L, Es-said R, Hamdoune H, Elquars F, Khadija A. Evaluation of dental plaque control in patients wearing fixed orthodontic appliances: a clinical study. Int Orthod. 2011;9(1):140-55. doi: 10.1016/j.ortho.2010.12.013, PMID 21277846.
Sundararaj D, Venkatachalapathy S, Tandon A, Pereira A. Critical evaluation of incidence and prevalence of white spot lesions during fixed orthodontic appliance treatment: a meta-analysis. J Int Soc Prev Community Dent. 2015;5(6):433-9. doi: 10.4103/2231-0762.167719, PMID 26759794.
Chen Y, Wong RWK, McGrath C, Hagg U, Seneviratne CJ. Natural compounds containing mouth rinses in the management of dental plaque and gingivitis: a systematic review. Clin Oral Investig. 2014;18(1):1-16. doi: 10.1007/s00784-013-1033-0, PMID 23860901.
Papadopoulos MA, Gkiaouris I. A critical evaluation of meta-analyses in orthodontics. Am J Orthod Dentofacial Orthop. 2007;131(5):589-99. doi: 10.1016/j.ajodo.2006.04.030, PMID 17482077.
Bencze B, Temesfoi V, Das S, Papp H, Kaltenecker P, Kuczmog A. Development of a novel, entirely herbal-based mouthwash effective against common oral bacteria and SARS-CoV-2. BMC Complement Med Ther. 2023;23(1):138. doi: 10.1186/s12906-023-03956-3, PMID 37127611.
Ren X, Zhang Y, Xiang Y, Hu T, Cheng R, Cai H. The efficacy of mouthwashes on oral microorganisms and gingivitis in patients undergoing orthodontic treatment: a systematic review and meta-analysis. BMC Oral Health. 2023;23(1):204. doi: 10.1186/s12903-023-02920-4, PMID 37024817.
Nagalingam M, Vikramathithan M, Gandhi A, Rajeshkumar S. Evaluation of herbal and chemical-based mouthwash against oral pathogens. Drug Inven Today. 2019;11(1):147-51.
Silva AP, Gonçalves RS, Borges AF, Bedran Russo AK, Shinohara MS. Effectiveness of plant-derived proanthocyanidins on demineralization on enamel and dentin under artificial cariogenic challenge. J Appl Oral Sci. 2015;23(3):302-9. doi: 10.1590/1678-775720140304, PMID 26221925.
Cai H, Chen J, Panagodage Perera NK, Liang X. Effects of herbal mouthwashes on plaque and inflammation control for patients with gingivitis: a systematic review and meta-analysis of randomised controlled trials. Evid Based Complement Alternat Med. 2020;2020:2829854. doi: 10.1155/2020/2829854, PMID 32419797.
Farhadian N, Bidgoli M, Jafari F, Mahmoudzadeh M, Yaghobi M, Miresmaeili A. Comparison of an electric toothbrush, Persica and chlorhexidine mouthwashes on reduction of gingival enlargement in orthodontic patients: a randomised clinical trial. Oral Health Prev Dent. 2015;13(4):301-7. doi: 10.3290/j.ohpd.a33443, PMID 25610916.
Goes P, Dutra CS, Lisboa MRPP, Gondim DV, Leitao R, Brito GACC. Clinical efficacy of a 1% matricaria chamomile L. Mouthwash and 0.12% chlorhexidine for gingivitis control in patients undergoing orthodontic treatment with fixed appliances. J Oral Sci. 2016;58(4):569-74. doi: 10.2334/josnusd.16-0280, PMID 28025442.
Raju R, Divya A, Rajendran G. Analogous assay between green tea mouthwash, Listerine mouthwash and chlorhexidine mouthwash in plaque reduction, on orthodontic patients: a randomized cross. Inter J Community Med. 2017;4(5):1429-35. doi: 10.18203/2394-6040.
Yeturu SK, Acharya S, Urala AS, Pentapati KC. Effect of Aloe vera, chlorine dioxide, and chlorhexidine mouth rinses on plaque and gingivitis: a randomized controlled trial. J Oral Biol Craniofac Res. 2016;6(1):54-8. doi: 10.1016/j.jobcr.2015.08.008, PMID 26937371.
Niazi FH, Kamran MA, Naseem M, AlShahrani I, Fraz TR, Hosein M. Anti-plaque efficacy of herbal mouthwashes compared to synthetic mouthwashes in patients undergoing orthodontic treatment: a randomised controlled trial. Oral Health Prev Dent. 2018;16(5):409-16. doi: 10.3290/j.ohpd.a40983. PMID 30151504.
Shalini M, Ramesh A. Comparison of antiplaque efficacy of green tea, herbal, and chlorhexidine mouthrinse in patients undergoing orthodontic treatment. Drug Invent Today. 2018;10(8):1323–7. doi: 10.18203/2394-6040.
Sobouti F, Rakhshan V, Heydari M, Keikavusi S, Dadgar S, Shariati M. Effects of fixed orthodontic treatment and two new mouth rinses on gingival health: a prospective cohort followed by a single-blind placebo-controlled randomized clinical trial. Int Orthod. 2018;16(1):12-30. doi: 10.1016/j.ortho.2018.01.027.
Cha S, Erar B, Niaura RS, Graham AL. Baseline characteristics and generalizability of participants in an internet smoking cessation randomized trial. Ann Behav Med. 2016 Oct;50(5):751-61. doi: 10.1007/s12160-016-9804-x, PMID 27283295.
Adeli F, Zabihi E, Abedian Z, Gharekhani S, Pouramir M, Khafri S. Comparative in vitro study of the effectiveness of green tea extract and common storage media on periodontal ligament fibroblast viability. Eur J Dent. 2016;10(3):408-12. doi: 10.4103/1305-7456.184158, PMID 27403063.
Pourabbas R, Delazar A, Chitsaz MT. The effect of german chamomile mouthwash on dental plaque and gingival inflammation. Iran J Pharm Res. 2005;2:105-9.
El Mihyaoui A, Esteves da Silva JCG, Charfi S, Candela Castillo ME, Lamarti A, Arnao MB. Chamomile (Matricaria chamomile L.): A Review of Ethnomedicinal Use, Phytochemistry and Pharmacological Uses. Life. 2022; 12(4):479. doi:10.3390/life12040479.
Nogueira JCR, Diniz MDFM, Lima EO. In vitro antimicrobial activity of plants in acute otitis externa. Braz J Otorhinolaryngol. 2008;74(1):118-24. doi: 10.1016/s1808-8694(15)30761-8, PMID 18392512.
Chandrahas B, Jayakumar A, Naveen A, Butchibabu K, Reddy PK, Muralikrishna T. A randomized, double-blind clinical study to assess the antiplaque and antigingivitis efficacy of Aloe vera mouth rinse. J Indian Soc Periodontol. 2012;16(4):543-8. doi: 10.4103/0972-124X.106905, PMID 23493442.
Fani M, Kohanteb J. Inhibitory activity of Aloe vera gel on some clinically isolated cariogenic and periodontopathic bacteria. J Oral Sci. 2012;54(1):15-21. doi: 10.2334/josnusd.54.15, PMID 22466882.
Kaithwas G, Kumar A, Pandey H, Acharya AK, Singh M, Bhatia D. Investigation of comparative antimicrobial activity of aloe vera gel and juice. Pharmacologyonline. 2008;1:239-43.
Reynolds T, Dweck AC. Aloe vera leaf gel: a review update. J Ethnopharmacol. 1999 Dec 15;68(1-3):3-37. doi: 10.1016/s0378-8741(99)00085-9, PMID 10624859.
Nugraha AP, Sibero MT, Nugraha AP, Puspitaningrum MS, Rizqianti Y, Rahmadhani D. Anti-periodontopathogenic ability of mangrove leaves (Aegiceras corniculatum) ethanol extract: in silico and in vitro study. Eur J Dent. 2023;17(1):46-56. doi: 10.1055/s-0041-1741374, PMID 35453169.
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