Comparative Assessment of Herbal, Saturated Saline and Chlorhexidine Mouthrinse on Oral Hygiene Status of Visually Compromised Children: A Randomised Parallel Arm Clinical Study

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Makwani Disha
Panchal Margi
Bhatt Rohan
Patel Megha
Patel Chhaya


Background: The condition of children's teeth has far-reaching effects on their overall health. This is especially important for the visually impaired, who may lack the manual dexterity necessary to properly care for their oral hygiene. Better oral hygiene can be attained by combining traditional tooth brushing with the mechanical movements of mouth rinse. Constant efforts have been made to replace it with other holistic ways due to certain unpleasant side effects on long-term usage of chlorhexidine (CHX) and an overall paradigm shift towards the use of more organic items.
Aim: To evaluate and compare the efficacy of herbal, chlorhexidine, and saturated saline mouthwash on the oral hygiene status of children with visual impairment.
Methodology: A total of 42 children with visual impairments, ranging in age from 6 to 12 years old, were randomly assigned to one of three groups: Group A (Herbal), Group B (Chlorhexidine), or Group C (Saturated Saline). The level of oral hygiene was evaluated for each group using the "Silness-Loe Plaque index (PI)" and the "Gingival Index (GI) by Loe and Sillness" at the beginning of the study as well as after 21 and 45 days had passed.
Results: At the 45th day, Group B had the lowest plaque index and gingival index (PI=0.890.06, GI=0.830.04), followed by Group A (PI=0.960.06, GI=0.970.04) and Group C (PI=1.160.07, GI=1.250.07). However, no statistically significant difference in plaque index (P=0.019) or gingival index (P=0.173) was identified between Group A and Group B at the 45th day. At the 45th day, there was a statistically significant difference between Group A-Group C and Group B-Group C for both plaque index and gingival index (P0.001).

Conclusion: Green tea mouthwash can be a viable alternative to chlorhexidine in reducing plaque index and gingival index. Using saturated saline mouthwash regularly can enhance a person's overall oral hygiene and hence it can be used as an economical and easily accessible alternative.

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How to Cite
Makwani Disha, Panchal Margi, Bhatt Rohan, Patel Megha, & Patel Chhaya. (2023). Comparative Assessment of Herbal, Saturated Saline and Chlorhexidine Mouthrinse on Oral Hygiene Status of Visually Compromised Children: A Randomised Parallel Arm Clinical Study. Journal of Coastal Life Medicine, 11(2), 554–561. Retrieved from


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