Evidence map›Paper›PMID 27437366›Full record

ArticleJournal of clinical and diagnostic research : JCDR2016

The Mouthwash War - Chlorhexidine vs. Herbal Mouth Rinses: A Meta-Analysis.

Sunayana Manipal, Sajjid Hussain, Umesh Wadgave, Prabu Duraiswamy, K Ravi

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04009616 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Aloe Vera Mouthwashes on Plaque and Gingivitis Indices in Children (Clinical Randomized Controlled Trial)

TypeinterventionalSponsorDamascus UniversityRan2019 to 2019Enrolled17ConditionsOral HealthArmsAloe Vera mouthwash, Chlorhexidine mouthwash, Placebo mouthwash
NCT04575948 phase2 / phase3not yet recruitingnot on this mapstarted 2027, after this paper: background citation

Antibacterial, Antiplaque and Anticariogenic Effect of Moringa Oleifera Mouthwash Compared to Chlorhexidine Mouthwash: A Randomized Clinical Trial

TypeinterventionalSponsorMisr International UniversityRan2027 to 2028Enrolled90ConditionsPlaque, Dental, Antimicrobial, Mouthwash, CytotoxicityArmsMoringa Oleifera, Chlorhexidine mouthwash, Base formula
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Effectiveness of herbal oral care products in reducing dental plaque and gingivitis: an overview of systematic reviews.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2024
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  6. Assessment of the Efficacy ofInternational journal of clinical pediatric dentistry · 2025
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  19. Clinical and microbiological effects of 1%Journal of Indian Society of Periodontology
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sunayana ManipalReader, Department of Public Health Dentistry, SRM Dental College , Ramapuram, Chennai, Tamil Nadu, India .
Sajjid HussainSenior lecturer, Department of Periodontology, Balaji Dental College , Chennai, Tamil nadu, India .
Umesh WadgaveAssistant Professor, Department of Public Health Dentistry, Bharati Vidyapeeth Dental College and Hospital , Sangli, Maharashtra, India .
Prabu DuraiswamyProfessor and Head, Department of Public Health Dentistry, SRM Dental college , Ramapuram, Chennai, Tamil Nadu, India .
K RaviDean, Department of Orthodontia, SRM Dental College , Ramapuram, Chennai, Tamil Nadu, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMouthwashes are often prescribed in dentistry for prevention and treatment of several oral conditions. In the recent times the use of naturally occurring products what is otherwise known as grandmothers remedy are used on a large scale. This has now called for a newer age of mouth washes but is the new age mouth washes at par with the gold standard or even better than them this study investigates.

aimThe aim of the present study was to compare the effect of two broad categories of mouth washes namely chlorhexidine and herbal mouth washes. MATERIALS AND

methodsEleven randomized control studies were pooled in for the meta-analysis. The search was done from the Pub Med Central listed studies with the use keywords with Boolean operators (chlorhexidine, herbal, mouth wash, randomized control trials). The fixed effects model was used for analysis.

resultsThis meta-analysis brings to light, the fact that a wide range of newer herbal products are now available. As with a plethora of herbal mouthwashes available it is the need of the hour to validate their potential use and recommendation. This study found that only two studies favor the use of herbal products and four studies favor the use of chlorhexidine, of the 11 studies that were analyzed.

conclusionMore studies are required under well controlled circumstances to prove that herbal products can equate or replace the 'gold standard' chlorhexidine. Herbal products are heterogeneous in nature, their use should be advised only with more scientific proof.

Indexed as

ChlorhexidinePlaque indexRandomized control trials

Identifiers

PMID27437366
PMCPMC4948542

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.