Evaluation of Antimicrobial Efficacy of Green Tea, Garlic With Lime, Pomegranate Extract and Chlorhexidine Mouth Rinses in a Group of Egyptian Children (In-Vivo Study)

Study Overview
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Brief Summary
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the aim of the clinical trial is to evaluate the antimicrobial efficacy of the herbal mouth rinses against chlorhexidine mouth rinse.

Detailed Description
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The present study was carried out on 84 children. Children were recruited based on certain inclusion criteria after signing a written informed consent by their parents. They were divided into 4 groups. Group (I) the children rinsed with Chlorhexidine mouth rinse, the child rinsed for 1 minute and plaque samples were collected from the child before and after rinsing. Group (II) children rinsed with green tea extract, while group (III) children rinsed with garlic with lime extract and group (IV) the children rinsed with pomegranate extract mouth rinse with the same procedures. .child satisfaction was measured using 5-point pictorial likert scale which is graded from 1 to 5 (1.Excellent.2.Good.3 Average 4.Poor. 5. Very poor). All the plaque samples were collected and put in sterile test tubes containing thioglycolate as a transport media. They transferred to the microbiology laboratory within half an hour after rinsing for detection of bacterial counts. These samples were incubated 48-96 hours at 37°C. Number of bacterial colonies were counted by hand-held digital colony counter.

Official Title
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Evaluation of Antimicrobial Efficacy of Green Tea, Garlic With Lime, Pomegranate Extract and Chlorhexidine Mouth Rinses in a Group of Egyptian Children (In-Vivo Study)

Conditions
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Dental Caries

Intervention / Treatment
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* Procedure: Green tea extract mouth rinse
* Procedure: Garlic with lime extract mouth rinse
* Procedure: Pomegranate extract mouth rinse
* Procedure: Chlorhexidine mouth rinse


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria:• Age 5-8 years. No history of systemic disease. Patients didn't received antibiotics for at least 3 months before and during the study Exclusion Criteria:• Children who can't expectorate completely or brush their teeth on their own. Fixed or removable orthodontic appliances. Children with intra oral abscess, oral lesions or gingival diseases. Parental consent was not acquired

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: the four groups of the mouth rinses were done in parallel with each other
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Green tea extract mouth rinse<br>group green tea extract | Procedure: Green tea extract mouth rinse<br>* herbal extracts mouth rinse that was prepared in the microbiology laboratory<br>|
| Experimental: Garlic with lime extract mouth rinse<br>garlic with lime extract | Procedure: Garlic with lime extract mouth rinse<br>* herbal extracts mouth rinse that was prepared in the microbiology laboratory<br>|
| Experimental: Pomegranate extract mouth rinse<br>pomegranate extract | Procedure: Pomegranate extract mouth rinse<br>* herbal extracts mouth rinse that was prepared in the microbiology laboratory<br>|
| Experimental: Chlorhexidine mouth rinse<br>chlorhexidine | Procedure: Chlorhexidine mouth rinse<br>* herbal extracts mouth rinse that was prepared in the microbiology laboratory<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient satisfaction | Child satisfaction was measured using a 5-point pictorial likert scale .This Facial image scale was suitable and easy way to evaluate patient satisfaction about taste, smell and willing to use the mouth rinse. Its format was graded from 1 to 5 while 1 is the most satisfied and 5 is the least satisfied | Through study completion, an average of 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| bacterial count | counting of Colony forming units was done by hand- held digital colony counter | 1 day after rinsing | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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herbal mouth rinses, Pomegranate, Caries prevention, Garlic extract, Green tea extract