Comparative evaluation of clinical and microbiological efficacy of Chlorhexidine and a herbal (hiora) mouth rinse in patients with gingival Inflammation - a clinical & microbiologic study

Aims:- The aim of the present study was to assess the clinical efficacy as an anti plaque agent & effect
on gingival inflammation of Hiora mouthwash and compared with 0.2% Chlorhexidine Gluconate.
The present study also aimed to assess & evaluate the difference in the total microbial load with use of
Hiora mouthwash and 0.2% Chlorhexidine Gluconate mouthwash.
Objectives:- The objective of this randomized controlled cross over study was to comparatively
assess, evaluate and compare the clinical and antimicrobial effects of the Hiora mouthwash in
comparison with 0.2% Chlorhexidine on plaque & gingival inflammation.
Materials & Methods:- 60 subjects were randomly divided into 3 groups. For group-A & group B
(25 subjects each), at baseline, a detailed case history along with plaque index and gingival index was
recorded.. Group A was prescribed Hiora mouthwash & group B was prescribed Chlorhexidine
mouthwash for 3 weeks. Subjects were assessed for plaque and gingival index. For group-C, at
baseline case history & plaque and gingival index was recorded. Plaque samples were collected at
baseline. Subjects were given Hiora mouthwash for 3 weeks. After 3 weeks, plaque samples were
collected & plaque and gingival index were recorded.
After a wash out period of 1 month, plaque samples were collected. Plaque index and gingival index
were recorded. Then the subjects were prescribed 0.2% Chlorhexidine mouthwash for 3 weeks. After
3 weeks, plaque and gingival index were recorded. Plaque samples were collected.
Results: Our results showed that herbal mouthwash was effective in treatment of gingivitis when
compared with Chlorhexidine Gluconate mouthwash.
Conclusion: Herbal mouth rinses may be as effective as chlorhexidine as an anti-plaque agents with
fewer side effects.