Abstract

Aim: This study was conducted to determine the effect of using mouthwash of propolis, clove oil and chlorhexidine versus chlorhexidine mouthwash on the risk assessment of patients with high caries risk.

Materials and Methods: A total of 64 patients were assigned in this study. Patients were randomly divided into two groups according to type of mouthwash (A) where group A1 patients used Chlorhexidine mouthwash as control group while group A2 patients used Chlorhexidine with propolis and clove oil mouthwash as test group with 32 patients in each group. Each group was further divided into two groups according to application frequency (T) where T1 represents patients using the mouthwash once daily for one week every month for 6 months and T2 where patients used the mouthwash twice daily for one week every month for 6 months. Cariogram assessment was performed for each patient at baseline, 3 months and 6 months to obtain the caries risk percentage for each patient at the different time intervals.

Results: In the control group; significant decrease in the caries risk percentage resulted after 6 months (48.8 ± 7.3) for the once daily application frequency. The same resulted for twice daily application frequency, significant decrease after 6 months (45.8 ± 5.6). In the test group, significant decrease after 6 Months (49.7 ± 6.7) for the once daily application frequency. The same resulted for twice daily, significant decrease after 6 months (46.3 ± 6.0).

Conclusion: Within the limitations of this study, it can be concluded that:

• Adding propolis and clove oil to Chlorhexidine is not beneficial in caries prevention.
• The addition of propolis and clove oil to Chlorhexidine did not affect the reduction of bacterial mutans count in the oral cavity to a clinical significance.
• Adding propolis and clove oil did not prolong the antimicrobial effect of Chlorhexidine on mutans.
• Chlorhexidine mouthwash should be used twice daily to have a substantial effect in reducing oral mutans count.

Keywords: Dental Caries; Caries Risk Assessment; Mouthwash; Chlorhexidine; Propolis; Clove Oil; Streptococcus mutans; Bacterial Count

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Citation

Citation: Moataz Gamal Konsouh., et al. “Using A Mouthwash Containing Propolis, Clove Oil and Chlorhexidine to Improve the Caries Risk of High-risk Patients: Randomized Clinical Trial”. Acta Scientific Dental Sciences 5.1 (2021): 77-92.

Copyright

Copyright: © 2021 Moataz Gamal Konsouh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.