The Effect of a combined Aloe Vera and Chlorhexidine gel on plaque index in children with Cerebral palsy.

Abstract

Introduction: Background and aim of the research: Oral health and periodontal diseases constitute part of the oral problems in patients with cerebral palsy. Providing oral health care to these patients is extremely difficult due to some of their physical and physical disabilities. Given the existence of a link between oral health and physical health, it was necessary to think about In finding solutions to treat their gingivitis without exerting physical and mechanical effort on the part of the child and his family, and the fact that the use of oral rinses GEL is effective in alleviating gingivitis, it requires muscular activity to move it within the mouth, which these patients do not possess, so the move was made to use oral rinses in the form of  gel in Aspecial guard. Both chlorhexidine and aloe vera are effective rinses for gingivitis.

The aim of this research was to study the effectiveness of a gel composed of

aloe vera and chlorhexidine through its effect on dental plaque in children with cerebral palsy.

Materials and methods: This study was conducted on a group of cerebral palsy (n = 30), whose old ranged between (9-12) years.

A crossover design  was adopted in this study, meaning that all sample members would use the four mouth gel  sequentially, with a wash-out period of 12 days between each type. Aspecial guard was used, to prevent the gel from leaking into the mouth and to facilitate their application by the child and his  family. The mouthwash was applied for 5 days, then plaque index were studied in the time periods before cleaning T0, after cleaning T1, and after use for 5 days T2

The outcome measures for evaluating the effectiveness of the four gel were recording the plaque index according to Quigley and Hein index in the periods T0, T1 and T2, and comparing the difference between the beginning and end of each use.  

Results were analyzed using (SPSS 13 edition).

Results: The results showed the efficacy of a combined gel of chlorhexidine and aloe vera, chlorhexidine gel  and Aloe vera gel are effective in improving  plaque index  in children with cerebral palsy in comparision with placebo gel.

Conclusions: It is recommended to apply the  combined gel of chlorhexidine and aloe vera  within a special guard in children with cerebral palsy.