Abstract
In order to address the increasing demand for eco-friendly orthodontic care products, considering herbal-based-mouth rinses and mouthwashes are mandatory. The aim of this study is to analyze previous studies regarding herbal mouth rinses and mouthwashes that have been reported in daily orthodontic patients. The initial step was to develop a protocol with registration number PROSPERO (CRD4202230118). Databases PubMed, Cochrane, ProQuest, and Google Scholar were explored from 2010 to 2022. The studies included Randomized Controlled Trials (RCTs) that compared herbal mouth rinse and mouthwashes with chlorhexidine on their effectiveness to reduce dental plaque in orthodontic patients. Critical appraisal was performed using Joanna Briggs Institute’s Checklist for RCTs. Seven studies matched the inclusion criteria. Miswak, green tea, chamomile, and aloe vera were reported as herbal natural resources effective in reducing dental plaque. Despite being less effective than chlorhexidine, aloe vera still showed significant dental plaque reduction before and after application. Given the diverse clinical methodology and high risk of bias, further high-quality RCTs and quantitative synthesis are required to provide strong support for clinical decision-makers. These herbal-based mouth rinse and mouthwash ingredients showed potential for periodontal protection in orthodontic patients. The side effects of herbal-based mouth rinses and mouthwashes as orthodontic daily care were similar to chlorhexidine, albeit minimal.
Publisher
Innovare Academic Sciences Pvt Ltd