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Abstract
Aim: to compare the use of Miswak probiotic spray against using each individually in gingivitis patients. Methods and Results: A total of 80 patients with chronic gingivitis were randomly divided into four groups. Group A received an oral spray bottle containing a mixture of Miswak and probiotic, group B received a Miswak spray bottle, group C a probiotic spray bottle and group D a placebo spray bottle. All Patients were instructed to administer 12 puffs of the spray, two puffs per sextant, one on the vestibular side and one on the oral side of the tooth surfaces, twice daily and then swallow. Plaque index (PI), gingival index (GI), and Stain index (SI) were assessed at baseline, after 3 days, one week and two weeks. The Group A showed the highest mean percentage of change in PI, GI and SI with the least change for group D. No intergroup statistical significant difference was found at all time intervals. Conclusion: Combining Miswak and probiotic was more efficient in reducing plaque and gingivitis then using each component individually, however this reduction was not statistically significant.
Clinical article (J Int Dent Med Res 2018; 11(2): pp. 433-440) I
Keywords:İMiswak, oral spray, probiotic, gingivitis.
Received date: 01 February 2018 Accept date: 21 March 2018
(ProQuest: ... denotes formula omitted.)
Introduction
Maintaining oral hygiene is directly related to plaque control in the oral cavity. There are different methods of plaque control, where mechanical plaque removal is essential for plaque control and chemotherapeutics play a vital role as adjuncts to mechanical plaquecontrol methods.1 Chemotherapeutics includes antibiotics, enzymes, bisguanides, metallic salts, etc. Althoughmany of these methods have been proved effective, their continuous application can cause harm and may fail in preventing further microbial colonization. 2
In recent years the use of beneficial bacteria for therapeutic purposes has been strongly advocated. The concept of restoring and maintaining oral health has shifted from _A_ eliminating causative bacteria to alteration of the bacterial ecology by using probiotics.3 Probiotics are living microorganisms which when administered in proper amounts provide beneficial effects for the host .4
The understanding and use of such microorganisms in different fields of healthcare has witnessed great development in the last years, and has encouraged their introduction in oral healthcare. Clinically, Probiotics...