Effect of grape seeds versus tooth brushing and dental flossing on plaque accumulation in high caries risk participants
Keywords:
Grape seeds, Grape seeds extract, Dental plaque, caries prevention, proanthocyanidinsAbstract
Objective the purpose of this study was to assess the effect grape seeds mouthwash on plaque accumulation in high caries risk individuals. Materials and methods: 66 students were recruited in the study. All students were high caries risk patients. They were divided into three groups according to the protocol they followed for one year. Plaque scores were calculated for each patient at baseline and after one year to show the effect of each preventive protocol. Statistical analysis was done using Chi-Square teat to calculate significance between groups. Result: Chi-Square Test showed that there was no statistical significant difference in the plaque score between the three groups at baseline (p value> 0.05). Regarding the plaque scores at 1-year, Chi-Square Test showed that there was no statistical significant difference between group 1, and group 2. There was a statistical significant difference between group 3 and both groups 1 and 2 at 1-year (p value= 0.000). Conclusion: Grape seeds extract mouthwash can improve the plaque score after 1 year. Natural grape seeds extract is an effective substitute to synthetic agents such as chlorhexidine and fluoride for reducing plaque accumulation.
Downloads
References
Twetman S. Prevention of dental caries as a non‐communicable disease. European journal of oral sciences. 2018;126:19-25. https://doi.org/10.1111/eos.12528
Huang R, Li M, Gregory R L. Bacterial interactions in dental biofilm. Virulence. 2011;2:435-44. https://doi.org/10.4161/viru.2.5.16140
Valm A M. The structure of dental plaque microbial communities in the transition from health to dental caries and periodontal disease. Journal of molecular biology. 2019;431:2957-69. https://doi.org/10.1016/j.jmb.2019.05.016
Kassebaum N J, Bernabe E, Dahiya M, Bhandari B, Murray C J, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94:650-58. https://doi.org/10.1177/0022034515573272
Elkwatehy W M, Salama R I. The Effect of Grape Seed Extract Mouthrinse on the Caries Activity, Dental plaque and Gingivitis. Int J Dentistry Oral Sci. 2020;7:1148-52. http://dx.doi.org/10.19070/2377-8075-20000228
Palombo E A. Traditional Medicinal Plant Extracts and Natural Products with Activity against Oral Bacteria: Potential Application in the Prevention and Treatment of Oral Diseases. Evid Based Complement Alternat Med. 2011;2011:1-15. https://doi.org/10.1093/ecam/nep067
Nagi S M, Hassan S N, Abd El-Alim S H, Elmissiry M M. Remineralization potential of grape seed extract hydrogels on bleached enamel compared to fluoride gel: An in vitro study. J Clin Exp Dent. 2019;11:e401-e07. https://doi.org/10.4317/jced.55556
Mazhari F, Boskabady M, Moeintaghavi A, Habibi A. The effect of toothbrushing and flossing sequence on interdental plaque reduction and fluoride retention: A randomized controlled clinical trial. J Periodontol. 2018;89:824-32. https://doi.org/10.1002/JPER.17-0149
Mishra P, Marwah N, Agarwal N, Chaturvedi Y, Suohu T. Comparison of punica granatum, Terminalia chebula, and Vitis vinifera seed extracts used as mouthrinse on salivary Streptococcus mutans levels in children. The Journal of Contemporary Dental Practice. 2019;20:920-27. https://doi.org/10.5005/jp-journals-10024-2617
Badri S M, Felemban E H, Alnajjar G K, Alotaibi F M, Aljahdali S T, Maher Y A, et al. Effectiveness of probiotic lozenges and Chlorhexidine mouthwash on plaque index, salivary pH, and Streptococcus mutans count among school children in Makkah, Saudi Arabia. The Saudi Dental Journal. 2021;33:635-41. https://doi.org/10.1016/j.sdentj.2020.05.006
Bratthall D, Petersson G H, Stjernswärd J. Cariogram MANUAL. Internet version. 2004;2:1-51.
Wallace D K. Evidence-based medicine and levels of evidence. Am Orthopt J. 2010;60:2-5. https://doi.org/10.3368/aoj.60.1.2
El-Adawi H. Inhibitory effect of grape seed extract (GSE) on cariogenic bacteria. J Med Plant Res. 2012;6:4883-91. https://doi.org/10.1055/s-0032-1321341
Zhao W, Xie Q, Bedran-Russo A K, Pan S, Ling J, Wu C D. The preventive effect of grape seed extract on artificial enamel caries progression in a microbial biofilm-induced caries model. J Dent. 2014;42:1010-18. https://doi.org/10.1016/j.jdent.2014.05.006
Silva A P, Goncalves R S, Borges A F, Bedran-Russo A K, Shinohara M S. Effectiveness of plant-derived proanthocyanidins on demineralization on enamel and dentin under artificial cariogenic challenge. J Appl Oral Sci. 2015;23:302-09. https://doi.org/10.1590/1678-775720140304
Swadas M, Dave B, Vyas S M, Shah N. Evaluation and comparison of the antibacterial activity against Streptococcus mutans of grape seed extract at different concentrations with chlorhexidine gluconate: An in vitro study. Int J Clin Pediatr Dent. 2016;9:181-85. https://doi.org/10.5005/jp-journals-10005-1360
Furiga A, Lonvaud-Funel A, Badet C. In vitro study of antioxidant capacity and antibacterial activity on oral anaerobes of a grape seed extract. Food Chemistry. 2009;113:1037-40.
Zhao W, Xie Q, Bedran-Russo A K, Pan S, Ling J, Wu C D. The preventive effect of grape seed extract on artificial enamel caries progression in a microbial biofilm-induced caries model. J Dent. 2014;42:1010-18. 10.1016/j.jdent.2014.05.006
Singla S, Malhotra R, Nd S, Saxena S. Antibacterial Efficacy of Mouthwash Prepared from Pomegranate, Grape Seed and Guava Extracts against Oral Streptococci: An in Vivo Study. J Clin Pediatr Dent. 2018;42:109-13. https://doi.org/10.17796/1053-4628-42.2.5
Mishra P, Marwah N, Agarwal N, Chaturvedi Y, Suohu T. Comparison of Punica granatum, Terminalia chebula, and Vitis vinifera Seed Extracts used as Mouthrinse on Salivary Streptococcus mutans Levels in Children. J Contemp Dent Pract. 2019;20:920-27. https://doi.org/10.5005/jp-journals-10024-2617
Abdulkareem A A, Al Marah Z A, Abdulbaqi H R, Alshaeli A J, Milward M R. A randomized double-blind clinical trial to evaluate the efficacy of chlorhexidine, antioxidant, and hyaluronic acid mouthwashes in the management of biofilm-induced gingivitis. Int J Dent Hyg. 2020;18:268-77. https://doi.org/10.1111/idh.12432
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








