The effect of aloe vera and tea tree oil mouthwashes on the oral health of school children.

2019-05-20
European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 21(1)
- N P Kamath
- S Tandon
- R Nayak
- S Naidu
- P S Anand
- Y S Kamath

PubMed: 31111439
DOI: 10.1007/s40368-019-00445-5

Study Design

Type: Randomized Controlled Trial (RCT)
Sample size: n = 89
Population: school children aged 8-14 years
Methods: Double-blinded, placebo-controlled prospective interventional study, four groups: aloe vera, chlorhexidine, tea tree oil, placebo; measurements at baseline, 4 weeks after supervised mouth rinse, and 2 weeks after stopping.
Blinding: Double-blind
Duration: 4 weeks
Funding: Unclear

Purpose

To evaluate the effect of two herbal mouthwashes containing aloe vera and tea tree oil, on the oral health of school children.

Methods

A double-blinded, placebo-controlled prospective interventional study was conducted in school children aged 8-14 years. The study participants were divided into four groups depending upon the mouthwash used: Group 1 (aloe vera), Group 2 (chlorhexidine), Group 3 (tea tree oil) and Group 4 (placebo). The variables studied included plaque index, gingival index and salivary Streptococcus mutans counts, which were recorded at baseline, 4 weeks after supervised mouth rinse and after 2 weeks of stopping the mouth rinse.

Results

A total of 89 boys and 63 girls were included. A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001). The difference in variables between groups using aloe vera, Tea tree oil and chlorhexidine, was not statistically significant.

Conclusion

The use of aloe vera and tea tree oil mouthwashes can decrease plaque, gingivitis and S. mutans in the oral cavity in children. The activity of these two agents is comparable to that of chlorhexidine.

Research Insights

Aloe Vera→Reduced Gingival Index
A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001).
Effect
Beneficial
Effect size
Small
Aloe Vera→Reduced Mutans Streptococcus Counts
A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001).
Effect
Beneficial
Effect size
Small
Aloe Vera→Reduced Plaque Index
A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001).
Effect
Beneficial
Effect size
Small
Tea Tree→Reduced Gingival Index
A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001).
Effect
Beneficial
Effect size
Small
Tea Tree→Reduced Mutans Streptococcus Counts
A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001).
Effect
Beneficial
Effect size
Small
Tea Tree→Reduced Plaque Index
A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p < 0.001).
Effect
Beneficial
Effect size
Small