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Effect of an experimental mouthwash extracted from miswak (salvadorapersica) on cariogenic bacteria and dental plaque formation

Author: 
Bshayer N.Wali, Ibtesam K. Afifi Jihan F. Balata and Nadia A. Badr
Subject Area: 
Health Sciences
Abstract: 

This study aimed atpreparation of an experimental mouthwash from Siwak sticks, and compare it with the gold standard mouthwash; chlorohexidine (CHX), regarding the effectiveness on some bacteria responsible for dental plaque formation qualitatively and quantitatively. Materials and Methods: This study was conducted in Makkah, Faculty of dentistry, Umm Al-Qura University. Twenty female patients with gingivitis and/or periodontitis, aged 20-40 years, systemically free were selected. An aqueous extract of Miswak was prepared by grinding Siwak sticks. The ground powder was soaked in distilled water for 48 hrs, filtered and dried. The filtrate was added in concentration of 10% to preservative, sweetener, freshness, surfactant, Co-surfactant and purified water. CHX was used as control. Plaque index (PI) was determined using modified Quigley-Hein plaque index and plaque samples were collected using sterile wooden toothpicks for microbiologic analysis using Caries Risk Test (CRT) for counting Streptococcus mutans and Lactobacilli. Then, the investigated mouthwashes were used twice daily for two weeks during which patients were instructed to perform regular oral hygiene measures. At the end of investigation period, PI was redetermined and bacterial plaque samples were collected again. For qualitative assessment of the mouthwashes, a subjective questionnaire was answered by the selected patients. Results: There is always substantial improvement of PI and significant reduction in bacterial counts after the use of both mouthwashes. Conclusion: An experimental Siwak mouthwash proved comparable effect in diminishing (PI) and reduction in counts of bacteria aid in dental plaque formation. The experimental mouthwash; Siwak, proved better patient's tolerance than CHX.

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