Evidence map›Paper›PMID 41510676›Full record

Trial reportClinical and experimental dental research2026

Clinical Assessment of the Effect of Hypericum perforatum Chewing Gum on Salivary Streptococcus mutans Count, pH, Plaque Index, and Gingival Bleeding: A Randomized Clinical Trial.

Aylin Jamali, Hamed Hamishehkar, Mohammad Yousef Memar, Seyedeh Elham Mousavi Kalajahi, Maryam Kouhsoltani, Morteza Kosari-Nasab

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

6 authors.

Aylin JamaliDepartment of Oral and Maxillofacial Pathology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Hamed HamishehkarDrug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Mohammad Yousef MemarInfectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Seyedeh Elham Mousavi KalajahiResearch Center, Nejati Industrial Group, Tabriz, Iran.
Maryam KouhsoltaniDepartment of Oral and Maxillofacial Pathology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0002-0786-0690
Morteza Kosari-NasabDrug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Funding

Tabriz University of Medical Sciences
6 · The paper itself

Abstract

objectivesHypericum perforatum L. offers several beneficial effects, for example antioxidant, antitumor, wound healing. Our aim was to ascertain the effect of H. perforatum extract gum on salivary Streptococcus mutans count, pH, plaque index, and gingival bleeding. MATERIALS AND

methodsA total of 54 participants were assigned into two groups of gum with or without herbal extract. Unstimulated saliva was collected to assess Streptococcus mutans and pH.

resultsStatistically significant differences in plaque index were observed between before and after use of gum in both groups (p < 0.01). There was a significant difference in plaque index after applying H. perforatum gum compared to placebo (p < 0.01). Statistically significant differences in gum bleeding between before and after use of herbal gum were observed (p < 0.01), but no significant difference was observed in gum bleeding between before and after gum use in placebo group (p = 0.24). A significant difference was observed in gum bleeding between herbal and placebo groups (p < 0.01). There was significant difference in Streptococcus mutans count between before and after gum use in both groups in two measurements (p < 0.01). Further, there was a significant difference in Streptococcus mutans count between herbal gum and placebo groups in two measurements (p < 0.01). Significant differences were observed in salivary pH between before and after consuming gum in herbal gum and placebo groups (p < 0.01 and p = 0.003, respectively). No significant difference in salivary pH was observed between two groups (p = 0.07).

conclusionsOur results revealed gum formulation of H. perforatum extract had significant effects on lowering salivary Streptococci mutans count, plaque index, and gingival bleeding compared to gum without extract group as well as their amounts before gum use. Although both gums elevated salivary pH, there was no statistically significant difference in short-term measurements. Under the conditions of this study, H. perforatum gum can be considered a promising adjutant for oral health improvement.

Indexed as

Chewing GumDental Plaque IndexGingival HemorrhageHypericumPlant ExtractsSalivaStreptococcus mutansAdultBacterial LoadFemaleHumansHydrogen-Ion ConcentrationMaleMiddle AgedPeriodontal IndexYoung AdultChewing GumPlant Extractschewing gumgingival bleedingHypericum perforatumpHStreptococcus mutans

Identifiers

PMID41510676
PMCPMC12784289

What OpenQuestion holds

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Registered trials

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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.