Abstract
Background: Periodontal diseases are one of the major dental pathologies that affect human populations worldwide at high prevalence rates The term periodontal disease usually refers only to plaque related inflammatory disease of the dental supporting tissues. Mouth rinses which act as an anti-plaque agents mostly used as adjuncts to oral hygiene. Aims of the study: To Estimate and compare the effects of Aloe vera relative to chlorhexidine on the clinical periodontal parameters (plaque index, gingival index, bleeding on probing). Material and method: A total of 44 subjects with plaque-induced gingivitis, baseline of data were collected for (PLI, GI, and BOP) and underwent oral hygiene instruction, scaling and polishing, then divided into: Study group I : 15 patients instructed to use Aloe vera mouth wash (100% pure Aloe vera juice) for home application twice daily for 7 days. Study group II: 15 patients instructed to use chlorhexidine (0.2%) mouthwash twice daily for 7 days. Control group: 14 patients instructed not to use any adjunct. Results: PLI and BOP showed significant differences between 1st and 2nd visits in all groups with the larger effects were found in chlorhexidine followed by Aloe vera while the lowest change was found in control group. GI showed significant change between 1st and 2n visits in study groups (chlorhexidine and Aloe vera groups) with the larger effects was in chlorhexidine group, while there was no significant changes were found in control group. Conclusion: chlorhexidine remain the bench mark control as adjunct to periodontal therapy but Aloe vera can be used as alternative to chlorhexidine when it cannot be used.
Highlights
The term periodontal disease usually refers only to plaque related inflammatory disease of the dental supporting tissues
Gingivitis is a form of periodontal disease in which gingival tissues are inflamed but their destruction is reversible while periodontitis is a chronic inflammatory response to the subgingival bacteria with irreversible changes.[2]. Chlorhexidine is that has been used as a broad-spectrum antiseptic in medicine since the 1950s
Plaque index showed high significant changes between visits in all groups with the greatest changes in chlorhexidine group as the median values were changed at 1st and 2nd visits respectively, followed by Aloe vera group as the median values at 1st visit and 2nd visit were (1.650) and (0.82) respectively while the lowest changes were in control group as the median values at 1st visit and 2nd visit were (1.575) and (1.005) respectively
Summary
The term periodontal disease usually refers only to plaque related inflammatory disease of the dental supporting tissues. Wide variety of diseases of the oral mucosa can affect the gingiva occasionally, so that conditions as diverse as tuberculosis or lichen planus can produce lesions in this area Such conditions referred as “non-plaque induced gingivitis” do not play any significant part in the development of periodontal disease in its commonly accepted sense.[1] Gingivitis and periodontitis are the two main periodontal diseases and may be present concurrently. Aims of the study: To Estimate and compare the effects of Aloe vera relative to chlorhexidine on the clinical periodontal parameters (plaque index, gingival index, bleeding on probing). Material and method: A total of 44 subjects with plaque-induced gingivitis, baseline of data were collected for (PLI, GI, and BOP) and underwent oral hygiene instruction, scaling and polishing, divided into: Study group I : 15 patients instructed to use Aloe vera mouth wash (100% pure Aloe vera juice) for home application twice daily for 7 days. Key word: Aloe vera, chlorhexidine, clinical periodontal parameters. (Received: 2/1/2018; Accepted: 11/2/2018)
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