Effect of prepared herbal mouthwash in maintaining the oral health of school children: A single-blind randomised control trial.

• Dental plaque is the main factor in initiating and progressing oral diseases. • Inflammatory periodontal diseases (periodontitis and gingivitis) are significant public health-related problems. • Dentifrices and mouthwashes are supplements for brushing and flossing, reducing plaque and calculus and limiting gingivitis. • The efficacy and safety of this herbal mouthwash in maintaining oral health were assessed and compared with 0.2% Chlorhexidine. • Herbal mouthwash showed a sustainable effect. Oral health is a vital indicator of overall well-being, quality of life, and general health, with historical roots in Unani medicine (i.e. preventive measures, oral hygiene, and treatment). This study aims to assess the efficacy and safety of prepared herbal mouthwash in maintaining oral health among school children. 110 schoolchildren were randomly assigned to the test group (treated with herbal mouthwash - Anacyclus pyrenthrum DC, Punica granutum (pericarp), Capparis spinosa (root bark), and Quercus infectoria Oliv (galls)) and the control group (treated with 0.2 % Chlorhexidine Mouthwash) for 30-days. The response was assessed by DMFT, Salivary pH, Oral hygiene index-simplified (OHI-S), Plaque index (Loe & Silness) (PI), Plaque index simplified (O'Leary et al., 1972) (PI-S), Gingival Index (Löe-Silness) (GI), and Bleeding on probing (BOP) on baseline and 30th day GI and PI were further assessed on 60th, 90th and 120th days to determine the sustainable effect of the intervention. After treatment, Mean OHI-S, PI, PI-S, GI and BOP significantly reduced on the 30th day from baseline (p ≤ 0.001) in both groups. After discontinuing intervention, both groups showed significantly lower PI and GI scores on the 120th day from baseline. (p < 0.001). This study revealed that prepared mouthwash is safe and significantly effective in maintaining oral health, and it could be used as an adjunct to mechanical oral hygiene measures. [Display omitted] [ABSTRACT FROM AUTHOR]