A Randomized, Controlled Clinical Trial on the Clinical and Microbiological Efficacy of Punica granatum Linn Mouthwash

Nóbrega, Danúbia Roberta de Medeiros; Santos, Ravely Lucena; Soares, Renata de Souza Coelho; Alves, Pollianna Muniz; Medeiros, Francinalva Dantas; Pereira, Jozinete Vieira

doi:10.4034/pboci.2015.151.32

Cited by 16 publications

(9 citation statements)

References 23 publications

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“…Muitos estudos têm destacado a Punica granatum Linn (romã) como agente eficaz para cicatrização pós-operatória, pois essa planta tem evidenciado resultados positivos no controle do biofilme dental e reparo tecidual. Em 2015, Nóbrega et al 13 Desse modo, assim como no presente trabalho, Pontes et al 6 demonstraram que o aumento de coroa através da técnica minimamente invasiva é capaz de melhorar o sorriso gengival e estabelecer um contorno gengival harmônico e simétrico, expondo de modo mais esteticamente agradável as coroas clínicas.…”

Section: Discussionunclassified

Correção de assimetria gengival através de gengivectomia com osteotomia minimamente traumática

Souza

Silva

Silva³

2021

Arch Health Invest

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Introdução: Quando existe desarmonia ou assimetria no conjunto dentes-gengiva-lábios, o status psicológico e social do indivíduo fica prejudicado e se faz necessário alguma intervenção para promover satisfação e bem estar ao paciente. Objetivo: Relatar um caso de correção de assimetria gengival através da técnica de gengivectomia com osteotomia minimamente traumática. Relato de Caso: Paciente de 22 anos, sexo feminino, leucoderma compareceu para atendimento tendo como queixa a assimetria de gengiva no sorriso. Após a avaliação clínica e periodontal viu-se a necessidade da cirurgia de gengivectomia associada a osteotomia minimamente traumática (flapless). Inicialmente realizou-se anestesia terminal infiltrativa utilizando o anestésico mepivacaína com vasoconstrictor, marcação dos pontos através da sondagem utilizando a sonda periodontal de Williams na região vestibular dos dentes 11, 12, 21 e 23, após isso a remoção do tecido gengival foi realizada com bisturi 15c e seguiu-se com a osteotomia através do sulco gengival utilizando o Cinzel Mini-Ochsenbein N°2. Durante e após o procedimento observou-se a distância entre a crista óssea alveolar e a margem gengival, que deve ser de 3mm. Concluída a osteotomia fez-se a gengivoplastia com ponta diamantada 3118 em alta rotação. Por fim foi efetuada a irrigação abundante com soro fisiológico; hemostasia; e orientações pós-operatórias, incluindo o uso de Punica granatum Linn (romã) para bochecho. Conclusão: Quando corretamente indicada e executada, a técnica de gengivectomia com osteotomia apenas por via sulcular com uso de cinzel periodontal, sem elevação de retalho é eficaz na correção de assimetrias dos dentes anteriores.

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Section: Discussionunclassified

Correção de assimetria gengival através de gengivectomia com osteotomia minimamente traumática

Souza

Silva

Silva³

2021

Arch Health Invest

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“…The association between Streptococcus species and dental caries has been well documented with S. mutans playing an important role in caries initiation [11,12]. S. mutans metabolized the sucrose to form dextrin polymer, and combined with salivary protein to create a sticky and colorless film on tooth surfaces.…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial Efficacy of Chemical and Herbal Agents against Streptococcus mutans: An in vitro study

Gulati

Bhatnagar

2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To compare and evaluate antimicrobial efficacy of chlorhexidine gluconate and fennel seeds against Streptococcus mutans. Material and Methods: Three agar petri dishes for Streptococcus mutans were prepared. The methanolic extract of fennel seed and 0.2% chlorhexidine were inoculated on the each petri dish and incubated at 37ºC for 24 hours. Zone of growth inhibition for each extract was measured in millimeters using antibiotic inhibiting zone measuring scale. Data was analyzed using SPSS statistical software. The comparison of inhibition zone against S. mutans using CHX and fennel seed extract was done using Mann-Whitney and Wilcoxon tests. All statistical analyses were set at a significance level of p<0.05. Results: The mean of zone of inhibition of S. mutans after inoculation with 0.2% chlorhexidine and fennel seed extract are 21.44 ±1.46, 15.34 ±0.74 respectively. There was statistically significant difference in the mean of inhibition zone between 0.2% chlorhexidine and fennel seed against S. mutans (p=0.047). Conclusion: Chlorhexidine and fennel seed are effective in inhibiting the growth of cariogenic bacteria. Therefore, both herbal and chemical agents can be effectively used to reduce pathogenic oral microflora.

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“…The extract was filtered two times by using Whitman paper No.42 and the obtained clear extract was dried at 50 o C resulted in dry fine powder the extraction gave a yield of about 52g/ml which was used to prepare Pomegranate mouthwash. 21 Two concentration (6.25% and 12.5%) of pomegranate peel extract was prepared and used in this study 20 , and about 300ml of the preparation was poured in to dark plastic sterile bottles (400ml) and given to the patients who were directed about the use as a mouth wash.…”

Section: Methodsmentioning

confidence: 99%

A clinical trial evaluates the effect of pomegranate extract as a mouth wash for gingivitis in type 2 diabetic patients

Ghazi¹,

Baban²,

Aziz³

2020

EDJ

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Background and Objectives: Type-2 diabetes mellitus (T2DM) is a systemic disease which have higher incidence of gingivitis and periodontitis. Pomegranate peel has higher content of phenolic compounds with potent anti-inflammatory, antioxidant and antibacterial activity. The aim is to evaluate the efficacy of pomegranate peel extract on the clinical and biochemical measures of (IL-1β) and the enzyme (AST) in saliva of (T2DM) patients suffering from gingivitis in comparison with chlorhexidine. Patients and Methods: A randomized controlled clinical trial on 45 (T2DM) patients, both sexes with moderate gingivitis, age 40-55 years, (Hb1Ac) < 7%. They were randomly assigned to 3 groups undergo scaling and polishing, (15) for each group, group 1 used chlorhexidine mouthwash (0.12%), group 2 used pomegranate peel extract (6.25%) and group 3 pomegranate peel extract (12.5%). Before and after 14 days, PI, GI, BOP, salivary IL-1β and AST were evaluated. Results: All the results for both biochemical and clinical parameters in the three groups showed significant reduction after 14 days of treatment except for the salivary IL-1β in group 1. No significant difference between group1 and group 2 except for PLI and group1 and group 3 except for IL-1β, while significant differences between group 2 and 3 after 14days of treatment except for the salivary AST, with no side effects associated with the use of pomegranate peel extract as a mouthwash at both concentrations. Conclusion: pomegranate peel extract could be considered more effective in treating gingivitis especially at the high concentration with no considerable side effects comparing to chlorhexidine.

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A Randomized, Controlled Clinical Trial on the Clinical and Microbiological Efficacy of Punica granatum Linn Mouthwash

Cited by 16 publications

References 23 publications

Correção de assimetria gengival através de gengivectomia com osteotomia minimamente traumática

Correção de assimetria gengival através de gengivectomia com osteotomia minimamente traumática

Antimicrobial Efficacy of Chemical and Herbal Agents against Streptococcus mutans: An in vitro study

A clinical trial evaluates the effect of pomegranate extract as a mouth wash for gingivitis in type 2 diabetic patients

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