Efficacy of oil pulling therapy with coconut oil on four-day supragingival plaque growth: A randomized crossover clinical trial

Sezgin, Yasemin; Özgül, Betül Memiş; Alptekin, Nilgün Özlem

doi:10.1016/j.ctim.2019.102193

Cited by 33 publications

(30 citation statements)

References 26 publications

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“…8,9 Recent studies regarding "oil pulling" therapy using sunflower oil, sesame oil, and coconut oil were performed to reduce plaque-induced gingivitis. [10][11][12][13][14] "Oil pulling" is a term defining a traditional ayurvedic remedy consisting in rinsing the mouth with oil. This practice is mentioned in the text "Charak Samhita and Sushruta Samhita" as "Kavala Graha" or "Kavala Gandoosha.…”

Section: Introductionmentioning

confidence: 99%

The Role of Coconut Oil in Treating Patients Affected by Plaque-Induced Gingivitis: A Pilot Study

et al. 2020

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Objectives The aim of the study was to evaluate the coconut oil pulling efficacy as adjuvant in reducing plaque formation and in treating plaque-induced gingivitis. Materials and Methods A sample of 20 patients was divided into two groups: a study and a control group. In the study group, coconut oil, in form of mouthwash, was administered to a sample of patients affected by gingivitis, aged between 18 and 35. The protocol established a daily application of the product for 30 days, where clinical parameters for plaque formation and gingivitis—plaque index (PI), bleeding index (BI)—will be evaluated during the recalls on a specific periodontal chart. The control group did not associate a coadjuvant to the normal daily oral health procedures and the same clinical parameters were evaluated at t0 and after 30 days (t1). The data were statistically analyzed using Student’s t-test, establishing the significance level as p < 0.05. Results PI and BI decreased in both groups, with a more relevant and significant drop in the study group, from a mean value of PI of 58.0 to 19.3 and a mean value of BI of 33.5 to 5.0. In the control group, the values decreased, respectively, from 53.9 to 29.1 for PI, and from 33.5 to 16.2. Furthermore, no significant side effect was reported during coconut oil pulling therapy. Conclusions The collected data showed significant and promising improvements in reducing plaque formation and gingivitis. However, further researches have to be performed to have more consistent and statistically significant data on larger samples and to fully understand the mechanisms of action and effectiveness.

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Section: Introductionmentioning

confidence: 99%

The Role of Coconut Oil in Treating Patients Affected by Plaque-Induced Gingivitis: A Pilot Study

et al. 2020

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“…Two studies reported data on the plaque index score [8,9]. Nagilla et al found a statistically significant difference between the control group (CTRL) and coconut oil pulling intervention (OIL) (p¼<0.001).…”

Section: Plaque Index Scorementioning

confidence: 99%

“…One study assessed gingival index score [8]. Sezgin et al found no significant difference in the gingival index score between the OIL group and CHX after 14 days (p ¼ 0.286).…”

Section: Gingival Index Scorementioning

confidence: 99%

“…One study assessed stain index [8]. Sezgin et al found the CHX group exhibited higher scores (increased tooth staining) compared to OIL and the differences between the two groups were statistically significant (p ¼ 0.0002).…”

Section: Stain Indexmentioning

confidence: 99%

“…For this reason, one cannot be confident that the results of the interventions are near the true value for the outcomes, across all four studies. All studies reported no conflict of interest and all, bar one [8], had no source of funding (Figure 1).…”

Section: Risk Of Bias and Review Quality Assessmentmentioning

confidence: 99%

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The effect of oil pulling with coconut oil to improve dental hygiene and oral health: A systematic review

Woolley

Gibbons

Patel

et al. 2020

Heliyon

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Objectives: Coconut oil is a cheap and accessible oil for many people around the world. There are numerous advocates for the practice of oil pulling to prevent common oral diseases. Therefore determining the effectiveness of oil pulling with coconut oil could potentially have monumental benefits. This review aimed to assess the effect of oil pulling with coconut oil in improving oral health and dental hygiene. Data: We included randomized controlled trials comparing the effect of oil pulling with coconut oil on improving oral health and dental hygiene. No meta-analysis was performed due to the clinical heterogeneity and differences in the reporting of data among the included studies. Sources: Six electronic databases were screened: PubMed, Medline, EMBASE, AMED, CENTRAL and CINAHL. Study selection: Electronic searches yielded 42 eligible studies, of which four RCTs including 182 participants were included. The studies lasted between 7 and 14 days. Significant differences were demonstrated for a reduction in salivary bacterial colony count (p ¼ 0.03) and plaque index score (p¼<0.001). One study also demonstrated a significant difference in staining compared to using Chlorhexidine (p ¼ 0.0002). However, data was insufficient for conclusive findings, the quality of studies was mixed and risk of bias was high. Conclusion: The limited evidence suggests that oil pulling with coconut oil may have a beneficial effect on improving oral health and dental hygiene. Future clinical trials are of merit considering the universal availability of the intervention. Prospective research should have a robust design with rigorous execution to provide a higher quality of evidence. Clinical significance: Oil pulling with coconut oil could be used as a adjunct to normal preventative regimes to improve oral health and dental hygiene although further studies are needed to determine the level of effectiveness.

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Coconut-sourced MCT oil: its potential health benefits beyond traditional coconut oil

Duranova,

Kuzelova,

Fialkova

et al. 2024

Phytochem Rev

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Plant dietary lipids remain one of the most intriguing and complex classes of biological molecules. Among them, medium-chain triglycerides (MCTs) have garnered recognition for their unique physico-chemical properties and potential health benefits. Despite their classification as saturated fats, they stand apart from other saturated fatty acids due to their distinctive characteristics, positioning them as a valuable component in nutrition. While traditional dietary fats primarily contain long-chain triglycerides (LCTs), MCTs consist of medium-chain fatty acids (MCFAs), naturally found in coconut and palm oils. The structural dissimilarity grants MCTs advantageous attributes, encompassing rapid digestion and absorption, providing a swift source of energy. Importantly, MCT oil derived from coconuts surpasses traditional coconut oil in efficiency and speed of energy conversion due to its higher concentration of readily metabolizable MCTs, making it a superior choice in human nutrition. This comprehensive study delves deeply into the potential of coconut-derived MCT oil, illuminating its chemical constituents, production from coconut oil, distinctive physical and chemical properties, and metabolic characteristics. Additionally, it highlights a range of potential biological activities of the oil, including its efficacy in managing gastrointestinal disorders and promising roles in anticancer, neuroprotective, and antimicrobial effects. The report also discusses the extensive applications of MCT oil across diverse industrial and technological sectors, as well as its utilization in structured lipids, oleogels, and as a carrier for capsaicin. Addressing safety concerns and providing dosage guidelines, this paper emphasizes MCT oil as an alternative to coconut oil in various applications, offering a holistic perspective on its benefits.

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Efficacy of oil pulling therapy with coconut oil on four-day supragingival plaque growth: A randomized crossover clinical trial

Cited by 33 publications

References 26 publications

The Role of Coconut Oil in Treating Patients Affected by Plaque-Induced Gingivitis: A Pilot Study

The Role of Coconut Oil in Treating Patients Affected by Plaque-Induced Gingivitis: A Pilot Study

The effect of oil pulling with coconut oil to improve dental hygiene and oral health: A systematic review

Coconut-sourced MCT oil: its potential health benefits beyond traditional coconut oil

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