Authors :
Ayushi Mishra; Dr. Sindhura H.; Dr. Asif K.; Dr. Jayashree M. Biradar; Dr. Anjali Verma
Volume/Issue :
Volume 10 - 2025, Issue 12 - December
Google Scholar :
https://tinyurl.com/bd7rrff3
Scribd :
https://tinyurl.com/muejn3fw
DOI :
https://doi.org/10.38124/ijisrt/25dec143
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 30 to 40 days to display the article.
Abstract :
Dental plaque serves as a favorable environment for the etiology of periodontal diseases. Consequently, effective
plaque control is essential for the prevention and management of these oral health conditions. Research has demonstrated
that xylitol-containing chewing gums have been shown to have greater plaque removing particularly in individuals with
poor oral hygiene, when compared to conventional chewing gums. The present study aimed to evaluate the effects of xylitol
containing chewing gum in plaque removal and compare its clinical efficacy with that of a green tea-based mouthrinse. A
randomized, crossover clinical trial involving 24 participants, randomly allocated into two groups. Participants in Group 1
were instructed to chew the test gum for 15 minutes, twice daily, while those in Group 2 used a green tea mouthrinse with
the same frequency. Following a 14-day intervention period, clinical parameters—including the O’Leary PI, GI, and
Sulcus Bleeding Index—were assessed. All subjects then received professional tooth cleaning, and a 14-day washout period
was observed. Subsequently, the interventions were crossed over between the two groups, and the same clinical parameters
were re-evaluated at the conclusion of the second 14-day period. There were no statistically significant differences between
the two groups in terms of age or sex distribution. Paired sample t-test analysis revealed statistically significant reductions
in all clinical indices in Group 2 (P < 0.05). In contrast, no statistically significant changes were observed in Group 1 across
the two study periods. Furthermore, independent sample t-tests demonstrated no significant differences between the two
groups at baseline, after the first intervention, or following the second intervention for any of the evaluated indices
(P > 0.05). The green tea mouthrinse demonstrated clinical outcomes comparable to those of the xylitol containing chewing
gum in terms of reducing dental plaque and improving gingival health. Given its effectiveness, accessibility, and user
compliance, this green tea mouthrinse may be considered a viable adjunct for chemical plaque control in routine oral
hygiene practices.
Keywords :
Dental Plaque, Plaque Control, Xylitol Chewing Gum, Green Tea Mouthrinse.
References :
- Jepsen S, Blanco J, Buchalla W, Carvalho JC, Dietrich T, Dörfer C, Eaton KA, Figuero E, Frencken JE, Graziani F, Higham SM. Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. Journal of clinical periodontology. 2017 Mar;44:S85-93.
- Verkaik MJ, Busscher HJ, Jager D, Slomp AM, Abbas F, van der Mei HC. Efficacy of natural antimicrobials in toothpaste formulations against oral biofilms in vitro. J Dent. 2011 Mar;39(3):218-24..
- Vyas T, Bhatt G, Gaur A, Sharma C, Sharma A, Nagi R. Chemical plaque control - A brief review. J Family Med Prim Care. 2021 Apr;10(4):1562-1568.
- Westfelt E. Rationale of mechanical plaque control. Journal of clinical periodontology. 1996 Mar;23(3):263-7.
- Yeung CY, Chu CH, Yu OY. A concise review of chewing gum as an anti-cariogenic agent. Frontiers in Oral Health. 2023 Jun 13;4:1213523.
- Pienihäkkinen K, Hietala-Lenkkeri A, Arpalahti I, Söderling E. The effect of xylitol chewing gums and candies on caries occurrence in children: a systematic review with special reference to caries level at study baseline. European Archives of Paediatric Dentistry. 2024 Apr;25(2):145-60.
- KK M. Xylitol chewing gums and caries rates: a 40-month cohort study. J Dent Res. 1995;74:1904-13.
- Nugala B, Namasi A, Emmadi P, Krishna PM. Role of green tea as an antioxidant in periodontal disease: The Asian paradox. Journal of Indian Society of Periodontology. 2012 Jul 1;16(3):313-6.
- Taylor PW, Hamilton-Miller JM, Stapleton PD. Antimicrobial properties of green tea catechins. Food science and technology bulletin. 2005;2:71.
- Behfarnia P, Aslani A, Jamshidian F, Noohi S. The efficacy of green tea chewing gum on gingival inflammation. Journal of Dentistry. 2016 Jun;17(2):149.
- Krahwinkel T, Willershausen B. The effect of sugar-free green tea chew candies on the degree of inflammation of the gingiva. Eur J Med Res.2000 Nov 30;5(11):463-7.
- Keukenmeester RS, Slot DE, Rosema NA, Van Loveren C, Van der Weijden GA. Effects of sugar‐free chewing gum sweetened with xylitol or maltitol on the development of gingivitis and plaque: a randomized clinical trial. International journal of dental hygiene. 2014 Nov;12(4):238-44.
Dental plaque serves as a favorable environment for the etiology of periodontal diseases. Consequently, effective
plaque control is essential for the prevention and management of these oral health conditions. Research has demonstrated
that xylitol-containing chewing gums have been shown to have greater plaque removing particularly in individuals with
poor oral hygiene, when compared to conventional chewing gums. The present study aimed to evaluate the effects of xylitol
containing chewing gum in plaque removal and compare its clinical efficacy with that of a green tea-based mouthrinse. A
randomized, crossover clinical trial involving 24 participants, randomly allocated into two groups. Participants in Group 1
were instructed to chew the test gum for 15 minutes, twice daily, while those in Group 2 used a green tea mouthrinse with
the same frequency. Following a 14-day intervention period, clinical parameters—including the O’Leary PI, GI, and
Sulcus Bleeding Index—were assessed. All subjects then received professional tooth cleaning, and a 14-day washout period
was observed. Subsequently, the interventions were crossed over between the two groups, and the same clinical parameters
were re-evaluated at the conclusion of the second 14-day period. There were no statistically significant differences between
the two groups in terms of age or sex distribution. Paired sample t-test analysis revealed statistically significant reductions
in all clinical indices in Group 2 (P < 0.05). In contrast, no statistically significant changes were observed in Group 1 across
the two study periods. Furthermore, independent sample t-tests demonstrated no significant differences between the two
groups at baseline, after the first intervention, or following the second intervention for any of the evaluated indices
(P > 0.05). The green tea mouthrinse demonstrated clinical outcomes comparable to those of the xylitol containing chewing
gum in terms of reducing dental plaque and improving gingival health. Given its effectiveness, accessibility, and user
compliance, this green tea mouthrinse may be considered a viable adjunct for chemical plaque control in routine oral
hygiene practices.
Keywords :
Dental Plaque, Plaque Control, Xylitol Chewing Gum, Green Tea Mouthrinse.