Evidence map›Paper›PMID 32046707›Full record

SynthesisBMC complementary medicine and therapies2020

Effectiveness of herbal oral care products in reducing dental plaque & gingivitis - a systematic review and meta-analysis.

Chandrashekar Janakiram, Ramanarayanan Venkitachalam, Paul Fontelo, Timothy J Iafolla, Bruce A Dye

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
    Pooled it
  4. Clinical Effectiveness of Herbal Oral Care Products in Periodontitis Patients: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The impact ofFrontiers in dental medicine · 2025
    Article
  12. Article
  13. A Three-Month Probiotic (theDentistry journal · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
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  20. Review
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 at 3 institutions in 2 countries.

Chandrashekar JanakiramNational Institutes of Health, National Library of Medicine and National Institute of Dental and Craniofacial Research, 31 Center Drive, Suite 4B62, Bethesda, MD, 20892-2190, USA.ORCID http://orcid.org/0000-0003-1907-8708
Ramanarayanan VenkitachalamDepartment of Public Health Dentistry, Amrita Vishwa Vidyapeetham, Amrita School of Dentistry, Kochi, 682041, India.
Paul FonteloNational Library of Medicine, National Institutes of Health, 8500 Rockville Pike, Bethesda, MD, 20894, USA.
Timothy J IafollaNational Institute of Dental and Craniofacial Research, 31 Center Drive, Bethesda, MD, 20892-2190, USA.
Bruce A DyeNational Institute of Dental and Craniofacial Research, 31 Center Drive, Bethesda, MD, 20892-2190, USA. bruce.dye@nih.gov.ORCID http://orcid.org/0000-0003-3400-4125
National Institute of Dental and Craniofacial Research · USNational Institutes of Health · USAmrita Vishwa Vidyapeetham · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the large number of trials conducted using herbal oral care products for the reduction of dental plaque or gingivitis, results are conflicting and inconclusive.

objectiveTo assess the effectiveness of herbal oral care products compared to conventional products in reducing dental plaque and gingivitis adults.

methodsWe searched the following databases for Randomised controlled trials (RCTs): MEDLINE Ovid, EMBASE Ovid etc. which yielded 493 trails. Of which 24 RCTs comparing herbal toothpaste or mouth rinse with over the counter toothpaste or mouth rinse in adults aged 18 to 65 years were included. Two authors extracted information and assessed the methodological quality of the included studies using Risk of Bias. Meta-analyses using the random-effects model were conducted for four outcomes for tooth paste and mouth rinse respectively. Mean difference (MD) or standardized mean difference (SMD) were used to estimate the effect, with 95% confidence intervals.

resultsA total of 1597 adults participated in 24 RCT studies. These were classified as herbal toothpaste (HTP) (15 trials, 899 participants) and herbal mouth rinse (HMR) (9 trials, 698 participants) compared with non-herbal toothpaste (NHTP) or non-herbal mouth rinse (NHMR). We found that HTP was superior over NHTP (SMD 1.95, 95% CI (0.97-2.93)) in plaque reduction. The long-term use of NHMR was superior in reduction of dental plaque over HMR (SMD -2.61, 95% (CI 4.42-0.80)). From subgroup analysis it showed that HTP was not superior over fluoride toothpaste (SMD 0.99, 95% CI (0.14-2.13)) in reducing dental plaque. However, HTP was favoured over non-fluoride toothpaste (SMD 4.64, 95% CI (2.23-7.05)).

conclusionFor short-term reduction in dental plaque, current evidence suggests that HTP is as effective as compared to NHTP; however, evidence is from low quality studies.

Indexed as

MouthwashesToothpastesDental PlaqueGingivitisHumansOral HygienePlant PreparationsRandomized Controlled Trials as TopicMouthwashesPlant PreparationsToothpastesDentifricesFluoride dental plaqueHerbalMouthwashesToothpastes

Identifiers

PMID32046707
PMCPMC7076867
OpenAlexW3008276908

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.