Comparative clinical efficacy of propolis mouthrinse in the management patients with chronic generalized gingivitis: a randomized clinical trial

Dr Sudheer Hongal,Dr Vinay Hiremath,Dr Manish Jain,Dr Nilesh Arjun Torwane

doi:10.17511/ijphr.2019.i4.04

Abstract

Aim: The aim of the present study was to evaluate the clinical efficacy of propolis and chlorhexidine digluconate containing mouthrinse on a plaque accumulation and gingival inflammation in 14-day period in patients with generalized chronic gingivitis. Materials & Methods: Thirty subjects were randomly divided into three groups of ten subjects each, which received a propolis-containing mouthrinse, or Saline (a negative control) or Chlorhexidine (a positive control). Plaque and gingival indexes were recorded at baseline and at the end of the 14th days. Results: Chlorhexidine was the most effective in reducing gingival index compared to the other groups and no significant differences were observed between propolis and saline groups (P 0.05). Conclusion: Propolis mouthrinse is promising agent as an alternative to other antimicrobial agents in the mechanical plaque control and gingivitis treatment, but further randomized controlled trials are needed with increased number of individuals. Clinical Significance: Mechanical plaque control mechanism plays an essential role in reducing microbial burden among patients with gingivitis. However, microorganisms present at many areas of the oral cavity are not mechanically reachable. Therefore, a chemical mechanism; in conjunction with mechanical procedures can play an important role the management of gingival diseases.

Highlights

The most effective method for the prevention of periodontal disease is mechanical supragingival plaque control [1] with toothbrushes, dental floss and interdental brushes
Chlorhexidine was the most effective in reducing gingival index compared to the other groups and no significant differences were observed between propolis and saline groups (P
Medical use of propolis in the modern era is almost forgotten with the active use of antibiotics

Summary

Introduction

The most effective method for the prevention of periodontal disease is mechanical supragingival plaque control [1] with toothbrushes (manual or electric), dental floss and interdental brushes. The use of mechanical devices which remove plaque effectively by the patients, is dependent on. This partially digested material is mixed with bees wax used for plastering of the holes in the hive. Propolis, helps to protect the hive against viruses, bacteria and other organism’s harmful effects with antibiotic activity [12]. It is used as anti-inflammatory, antimycotic, antiscar and antimicrobial agents at the homeopathic and herbal healthcare applications. It doesn’t have any side effects [13]

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Conclusion