# Comparison of the Clinical Efficacy of Herbal, Chlorhexidine, and Normal Saline Mouthwash in the Management of Chronic Gingivitis

**Authors:** Rakhee Sinha, Malabika Shil, Bhavya Srivastava, Deepak Narang, Poulami Goswami, Surbhit Singh, Shivakumar G C

PMC · DOI: 10.7759/cureus.54336 · Cureus · 2024-02-16

## TL;DR

This study compares herbal, chlorhexidine, and normal saline mouthwashes for treating chronic gum inflammation and finds herbal and chlorhexidine rinses are more effective than saline.

## Contribution

The novel contribution is a direct empirical comparison of herbal mouthwash against established treatments for chronic gingivitis.

## Key findings

- Herbal mouthwash (HO) showed the lowest mean gingival index scores compared to normal saline (NS).
- Chlorhexidine (CHX) and HO groups had significantly better outcomes than the NS group in plaque index assessments.
- No significant difference was found between chlorhexidine and herbal mouthwash in reducing gingivitis symptoms.

## Abstract

Background: The incidence of chronic gingivitis, a widespread inflammatory condition of the gums, is considerable across the demographic spectrum, with potential progression to advanced periodontal pathology in the absence of intervention. The objective of this investigation was to conduct a comparative analysis of the clinical effectiveness of various oral rinses in mitigating the symptoms of chronic gingivitis.

Methods: This empirical study was conducted within the confines of the Department of Oral Medicine and Radiology. A cohort of 60 individuals diagnosed with chronic gingivitis, ranging from 18 to 45 years of age and inclusive of all sexes, was systematically selected for participation.

Results: Quantitative analysis yielded data indicating that the mean score on the gingival index was minimally recorded for participants utilizing herbal mouthwash (HO), in contrast to those administered with normal saline (NS), which displayed the highest mean score. A corresponding trend was observed with the plaque index, where the HO users exhibited the lowest mean values, as opposed to the NS cohort, which demonstrated the highest.

Conclusion: Employing post-hoc statistical evaluations, a pronounced disparity in the mean gingival index was discerned favoring the chlorhexidine (CHX) and HO groups over the NS group. No statistical significance was detected in the comparative mean gingival index between the CHX and HO cohorts. This pattern of findings was paralleled in the plaque index assessments, where the NS group's values were significantly elevated relative to those of both the CHX and HO groups.

## Linked entities

- **Chemicals:** chlorhexidine (PubChem CID 9552079)
- **Diseases:** chronic gingivitis (MONDO:0002508)

## Full-text entities

- **Diseases:** inflammatory condition (MESH:D007249), periodontal pathology (MESH:D010518), Gingivitis (MESH:D005891)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10945041/full.md

## References

16 references — full list in the complete paper: https://tomesphere.com/paper/PMC10945041/full.md

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Source: https://tomesphere.com/paper/PMC10945041