The Efficacy of and Herbal Mouthwash on Gingivitis in Pediatric Patients Diagnosed Clinically and with Photometric CIELab Analysis: An Randomized Double-blind Clinical Study.

Background: Children are more prone to develop gingivitis as a result of deficient oral hygiene, morphological variance, and a diet that encourages the growth of pathogenic oral bacteria.

Aim: The purpose of this randomized, double-blind clinical study is to compare the therapeutic effect of an herbal mouthwash made of decoction and ethanolic extract of and to that of chlorhexidine (CHX) mouthrinse.

Materials And Methods: In this study, 60 patients aged between 8 and 10 years were divided into four groups, each with 15 patients. The first group was treated with a mouthwash made of ethanolic herbal extract, the second group was treated with a mouthwash made of herbal decoction, the third group was treated with CHX mouthwash (0.12%) (positive control), and the fourth group was treated with a placebo made with colored distilled water (negative control). Clinical parameters gingival index (GI) and plaque index (PI) were evaluated at the start, 1, and 2 weeks from ensuing the treatment. Preoperative and postoperative photographs of the maxillary anterior sextant were recorded to evaluate CIELab coordinates to monitor color changes.

Statistical Analysis: One-way analysis of variance (ANOVA) with Tukey's honest significant difference (HSD) tests were used for data assessment.

Results: Significant reductions in GI and PI were found among the tested groups ( < 0.05). A significant reduction in a* value was observed, while L* value showed a significant increase between baseline and posttreatment ( < 0.05).

Conclusion: Herbal-based mouthwash of and , whether prepared by boiling or ethanolic extraction, reduced gingival inflammation significantly and has a lot of potential for treating and preventing periodontal disease in young children. Digital photography is a reliable supplementary approach for diagnosing and monitoring gingival inflammation in pediatric patients.

How To Cite This Article: Mohamed-Ali SF, Jasim AA, Mahmood MAK, The Efficacy of and Herbal Mouthwash on Gingivitis in Pediatric Patients Diagnosed Clinically and with Photometric CIELab Analysis: An Randomized Double-blind Clinical Study. Int J Clin Pediatr Dent 2024;17(8):918-924.