Comparative evaluation of efficacy of Darolac, Arimedadi oil and chlorhexidine mouthwash on salivary pH in special children: a randomized control trial
DOI:
https://doi.org/10.18203/2349-3291.ijcp20251868Keywords:
Darolac, Chlorhexidine, Mouthwash, Salivary pH, Arimedadi oil, Oral health, Special childrenAbstract
Background: Children with special healthcare needs often have trouble keeping their teeth clean because of cognitive and physical problems, increasing their risk of oral diseases. While chlorhexidine effectively maintains salivary pH, it has lot of side effects. Hence an alternative mouthwash to chlorhexidine is required. The aim of this study was to compare the efficacy of chlorhexidine, Darolac (a probiotic) and Arimedadi oil (an herbal formulation) on salivary pH in special children.
Methods: Randomized controlled trial was conducted comprising of 45 special children of age 9-12 years from a special School from Rishikesh were randomly assigned to three groups i.e., group I Chlorhexidine (n=15) group II Darolac (n=15) and group III (n=15) Arimedadi Oil. A pre intervention saliva swab was taken priorly to evaluate the salivary pH. Following a standardized oral hygiene regimen, participants were instructed to use their respective mouthwash twice daily for a duration of 7 days. Salivary pH measurements were taken at the end of the intervention period using pH paper. Statistical analysis was performed to compare the changes in salivary pH among the three groups.
Results: After 15 days of intervention, intragroup comparison showed a significant increase in salivary pH compared to baseline with p<0.05 (p=0.00). The intergroup comparison of three groups when compared to mouthwashes containing chlorhexidine and Darolac, Arimedadi oil caused a modest increase in salivary pH after 15 days.
Conclusions: Chlorhexidine, Darolac and Arimedadi oil mouthwashes were found to be effective in increasing the salivary pH in special children, indication their potential in maintaining oral health. Arimedadi Oil showed superior efficacy compared to Chlorhexidine and Darolac mouthwashes in this population.
Metrics
References
American Academy of Pediatric Dentistry. Definition of special health care needs. Pediatr Dent. 2016;38(5):16.
Government of India. Disabled persons in India. New Delhi: National Sample Survey Organisation. 2003.
Patidar D, Sogi S, Patidar DC. Oral Health Status of Children with Special Healthcare Need: A Retrospective Analysis. International J Clin Pediat Dentist. 2022;15(4):433. DOI: https://doi.org/10.5005/jp-journals-10005-2419
Çetingüç A, Tekçiçek M, Güngör HC. Oral health status of medically compromised children referred for dental consultations: a retrospective study. Hacettepe Dişhekimliği Fakültesi Derg. 2004;28(3):41–5.
Murray K, Rodwell V, Bender D, Botham KM, Weil PA, Kennelly PJ. Harper's illustrated biochemistry. 28. Citeseer, New York, United States. 2018.
Kadam NS, Kunte SS, Patel AR, Shah PP, Lodaya RR, Lakade LS. Comparative Evaluation of the Effect of Pomegranate Peel Extract and Chlorhexidine 0.2% Mouthwash on Salivary pH in Children between 6 and 8 Years of Age: An: In vivo: Study. J Int Oral Health. 2019;1;11(1):40-4. DOI: https://doi.org/10.4103/jioh.jioh_207_18
Badri SM, Felemban EH, Alnajjar GK, Alotaibi FM, Aljahdali ST, Maher YA, et al. Effectiveness of probiotic lozenges and Chlorhexidine mouthwash on plaque index, salivary pH and Streptococcus mutans count among school children in Makkah, Saudi Arabia. The Saudi Dental J. 2021;33(7):635-41. DOI: https://doi.org/10.1016/j.sdentj.2020.05.006
Petersen PE. The World Oral Health report 2003: continuous improvement of oral health in the 21st century–the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003;31(1):3–23. DOI: https://doi.org/10.1046/j..2003.com122.x
Prasad M, Patthi B, Singla A, Gupta R, Niraj LK, Ali I. Special care with special child-oral health status of differently abled children attending special schools in Delhi: A cross-sectional study. J Indian Association of Public Health Dentistry. 2018;16(2):137-43. DOI: https://doi.org/10.4103/jiaphd.jiaphd_142_17
Mali GV, Dodamani AS, Karibasappa GN, Vishwakarma P, Jain VM. Comparative evaluation of arimedadi oil with 0.2% chlorhexidine gluconate in prevention of plaque and gingivitis: a randomized clinical trial. J Clin Diagnos Res. 2016;10(7):31. DOI: https://doi.org/10.7860/JCDR/2016/19120.8132
Patil S, Varma SA, Suragimath G, Abbayya K, Zope SA, Kale V. Evaluation of Irimedadi Taila as an adjunctive in treating plaque-induced gingivitis. J Ayurv Integr Med. 2018;9(1):57-60. DOI: https://doi.org/10.1016/j.jaim.2017.06.006
Ribeiro LG, Hashizume LN, Maltz M. The effect of different formulations of chlorhexidine in reducing levels of mutans streptococci in the oral cavity: A systematic review of the literature. J Dent. 2007;35(5):359-70. DOI: https://doi.org/10.1016/j.jdent.2007.01.007
Shah S, Bargale S, Dave BH, Deshpande A, Kariya PB, Karri A. Comparison of antimicrobial efficacy of (between) 0.2% chlorhexidine and herbal mouthwash on salivary Streptococcus mutans: a randomized controlled pilot study. Contemporary Clin Dent. 2018;9(3):440-5. DOI: https://doi.org/10.4103/ccd.ccd_264_18
Aspalli S, Shetty VS, Devarathnamma MV, Nagappa G, Archana D, Parab P. Evaluation of antiplaque and antigingivitis effect of herbal mouthwash in treatment of plaque induced gingivitis: A randomized, clinical trial. J Indian Soc Periodontol. 2014;18(1):48. DOI: https://doi.org/10.4103/0972-124X.128208
Kandaswamy SK, Sharath A, Priya PG. Comparison of the effectiveness of probiotic, chlorhexidine-based mouthwashes and oil pulling therapy on plaque accumulation and gingival inflammation in 10-to 12-year-old schoolchildren: a randomized controlled trial. International J Clin Pediat Dent. 2018;11(2):66. DOI: https://doi.org/10.5005/jp-journals-10005-1487
Moran JM. Chemical plaque control–prevention for the masses. Periodontol. 1997;15(1):109-17. DOI: https://doi.org/10.1111/j.1600-0757.1997.tb00110.x
Eley BM. Periodontology: antibacterial agents in the control of supragingival plaque—a review. Br Dent J. 1999;186(6):286. DOI: https://doi.org/10.1038/sj.bdj.4800090a
Kamalaksharappa SK, Rai R, Babaji P, Pradeep MC. Efficacy of probiotic and green tea mouthrinse on salivary pH. J Indian Soc Pedodon Prev Dent. 2018;36(3):279-82. DOI: https://doi.org/10.4103/JISPPD.JISPPD_49_18
Jindal G, Pandey RK, Agarwal J, Singh M. A comparative evaluation of probiotics on salivary Mutans streptococci counts in Indian children. Eur Arch Paediatr Dent. 2011;12:211-5. DOI: https://doi.org/10.1007/BF03262809
Downloads
Published
How to Cite
Issue
Section
