The Effect of Probiotic and Chlorhexidine Mouthrinses on Dental Plaque in Children aged 8-10 years

Abstract

Background&aims: Dental caries is the most common health problem which affects 60–90% of children which caused by a specific and highly variable microbial community called dental plaque. Plaque control techniques should be a major part of daily life like tooth brushing, dental flossing, and mouthrinses. Researches have shown that mechanical plaque control techniques is insufficient, for that mouthrinses may help in controlling dental plaque. Chlorhexidine gluconate is a gold standard of mouthrinses because of its broad-spectrum antibacterial activity. However because of his long-term side effect, Probiotic occurs. Which is defined by WHO as” living microbes, which beneficially influence the health of the host when used in adequate numbers”.

This study aimed to compare the effectiveness of chemical mouthrinses (chlorhexidine) with non-chemical mouthrinses (Probiotic) on dental plaque accumulation after 7, 14, 30 days.

Materials and methods: The present study was a triple-blind randomized controlled trial with two parallel-group (A, B). Each group contained 15 children aged between 8-10 years from Dar Al-Rahma for orphan children in Damascus, Syrian Arab Republic. Group (A) used (10) ml of probiotic mouthrinses, group (B) used (10) ml of. Chlorhexidine mouthrinses once daily. Plaque accumulation was recorded after (7- 14- 30) days. Data were collected and recorded on Excel from Microsoft. Then, statistical tests were conducted using SPSS v.25.

Results: The results of the Mann-Whitney U test showed that probiotic mouthrinses are more effectiveness than chlorhexidine at day 7th(p=0.042).

Conclusion:The probiotic mouthrinses tested was effectively used in reducing plaque accumulation. Thus, the probiotic mouthrinse is more effective than chlorhexidine mouthrinses.

Keywords: Probiotic Mouthrinses, Chlorhexidine Mouthrinses, Dental Plaque.