Plaque Reduction of Psidium guajava Leaf Mouthwash in Diabetic Patients
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Abstract
Report on traditional herbs showed that guava (Psidium guajava) leaf reduced plaque on tooth surface. This study aimed to compare the efficiency of mouthwashes containing guava leaf to those containing chlorhexidine in diabetic patients of Buddhachinaraj Phitsanulok Hospital, Phitsanulok province, Thailand. Method: The subjects were thirty diabetic patients that divided into two groups: the first group was provided with guava leaf mouthwash (n = 15) and the control group was obtained chlorhexidine mouthwash (n = 15). All the volunteers was used 30 ml the mouthwash as kind of group trials for a long time two minutes after tooth brushing, three times a day for one month period of the study. Results: Before treatment, the plaque Index (PI) of these two groups were not significantly different which were 2.60 ± 0.51 and 2.73 ± 0.46 for the guava leaft mouth wash treated and chlorhexidine mouthwash treated group,respectively ( P = 0.414). After 4 week of treatment, the mean PI of both groups significantly decreased (p<0.05). The decrease PI values were 0.60 ± 0.10 and 0.64 ± 0.08 for patients using guava leaf and chlorhexidine mouthwash respectively. However, the decreased PI of these two groups were not statistically significant (P=0.221). Conclusion: Both the mouthwashes could be reduce the plaque formation in the oral cavity of diabetic patients without any differences.Therefore,the guava leaf mouthwash can be used in place of the chlorhexidine mouthwash for the plaque reduction on tooth surface..
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