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Effectiveness of a miswak extract‐containing toothpaste on gingival inflammation: a randomized clinical trial
Author(s) -
Azaripour A,
Mahmoodi B,
Habibi E,
Willershausen I,
Schmidtmann I,
Willershausen B
Publication year - 2017
Publication title -
international journal of dental hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 38
eISSN - 1601-5037
pISSN - 1601-5029
DOI - 10.1111/idh.12195
Subject(s) - medicine , toothpaste , dentistry , gingivitis , gingival inflammation , toothbrush , oral hygiene , randomized controlled trial , gingival sulcus , brush , electrical engineering , engineering
Objectives In this study, the efficacy of a miswak extract‐containing toothpaste ( Salvadora persica ) on gingival inflammation was compared with that of a herbal and a conventional toothpaste. Methods Non‐smoking outpatients with sulcus bleeding index ( SBI ) ≥25% and with periodontal pocket depths ≤3 mm were randomly selected and divided into three groups: M‐group, miswak extract‐containing toothpaste; P‐group, herbal toothpaste; and C‐group, conventional toothpaste. After instructing the patients to brush their teeth twice a day for 3 weeks with the assigned toothpaste using a flat‐trimmed manual toothbrush, a thorough oral examination was performed by a calibrated examiner ( EH ). The primary outcome was the SBI after 21 days. Furthermore, the amount of plaque was measured by approximal plaque index ( API ). Results Sixty‐six patients with a mean age of 57.8 ± 10.2 years were recruited and enrolled. After 3 weeks of brushing, all three patient groups showed a significant reduction in SBI . The P‐group ( SBI reduction: 17.1% ± 9.1) and the M‐group (14.5% ± 8.1) showed the strongest effect followed by the C‐group (9.4% ± 7.8). All three groups showed a significant reduction in API without significant differences between the groups. Conclusions The use of each of the three tested toothpastes caused a significant reduction in gingival inflammation and amount of plaque. The miswak extract‐containing toothpaste showed a similar effect as the herbal toothpaste and can be safely used for domestic oral hygiene in patients with gingivitis.