The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial

Introduction: Gingivitis is one of the commonest problems faced by patients with fixed appliances (FA) as there is close relation between the appliances to gingival sulcus. Stichopus horrens (SH) is a sea cu- cumber from the Indo-Pacific that has medical healing properties which have been traditiona...

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Main Authors: Abu Bakar, Noraini, Jayah, Nurul Idayu, Mohamed, Nurul Rafhana, Mohamed Ali, Suhaila, Nasir, Siti Hajjar, Hashim, Ridzwan, Kharuddin, Azrul Fazwan
Format: Article
Language:English
Published: 2020
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Online Access:http://irep.iium.edu.my/79340/
http://irep.iium.edu.my/79340/1/JWFO_Vol9Issue1.pdf
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spelling iium-793402020-03-02T06:41:34Z http://irep.iium.edu.my/79340/ The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial Abu Bakar, Noraini Jayah, Nurul Idayu Mohamed, Nurul Rafhana Mohamed Ali, Suhaila Nasir, Siti Hajjar Hashim, Ridzwan Kharuddin, Azrul Fazwan RK Dentistry Introduction: Gingivitis is one of the commonest problems faced by patients with fixed appliances (FA) as there is close relation between the appliances to gingival sulcus. Stichopus horrens (SH) is a sea cu- cumber from the Indo-Pacific that has medical healing properties which have been traditionally used. Objective: To assess the effects of toothpaste containing aqueous SH extract on plaque-induced gingivitis following orthodontic bond-up and to identify the optimal concentration of SH. Methods: A single-centred; triple-blinded randomized controlled trial conducted in 40 patients with FA. Participants were randomly assigned to one of the four groups with toothpaste which has concentration of SH extract of 0%, 3%, 6% or 9%. The statistician, the participants and the researchers involved in data collection were kept blinded from the allocation. Gingival Index (GI) and Bleeding on Probing (BOP) for each group were taken at day 0,7,14 and 30. Results: 9% of SH-containing toothpaste (SHCT) showed most substantial result as there were significance difference of GI (P 1⁄4 0.020) from Day 7 to 14 and from Day 0 to 14 (P 1⁄4 0.020). There was also significance difference of BOP from Day 0 to 14 (P 1⁄4 0.022) and from Day 0 to 30 (P 1⁄4 0.027). Significant difference was seen in 3% of SHCT group with the decrease of GI (P 1⁄4 0.004) from Day 1 to 14. There were no significant difference noted for 0% and 6% SHCT. Conclusion: The 9% SHCT is the most effective concentration to reduce both the gingival inflammation (up to day 14) and bleeding on probing (up to day 30). 2020-03-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/79340/1/JWFO_Vol9Issue1.pdf Abu Bakar, Noraini and Jayah, Nurul Idayu and Mohamed, Nurul Rafhana and Mohamed Ali, Suhaila and Nasir, Siti Hajjar and Hashim, Ridzwan and Kharuddin, Azrul Fazwan (2020) The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial. Journal of the World Federation of Orthodontists, 9 (1). pp. 3-8.
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RK Dentistry
spellingShingle RK Dentistry
Abu Bakar, Noraini
Jayah, Nurul Idayu
Mohamed, Nurul Rafhana
Mohamed Ali, Suhaila
Nasir, Siti Hajjar
Hashim, Ridzwan
Kharuddin, Azrul Fazwan
The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial
description Introduction: Gingivitis is one of the commonest problems faced by patients with fixed appliances (FA) as there is close relation between the appliances to gingival sulcus. Stichopus horrens (SH) is a sea cu- cumber from the Indo-Pacific that has medical healing properties which have been traditionally used. Objective: To assess the effects of toothpaste containing aqueous SH extract on plaque-induced gingivitis following orthodontic bond-up and to identify the optimal concentration of SH. Methods: A single-centred; triple-blinded randomized controlled trial conducted in 40 patients with FA. Participants were randomly assigned to one of the four groups with toothpaste which has concentration of SH extract of 0%, 3%, 6% or 9%. The statistician, the participants and the researchers involved in data collection were kept blinded from the allocation. Gingival Index (GI) and Bleeding on Probing (BOP) for each group were taken at day 0,7,14 and 30. Results: 9% of SH-containing toothpaste (SHCT) showed most substantial result as there were significance difference of GI (P 1⁄4 0.020) from Day 7 to 14 and from Day 0 to 14 (P 1⁄4 0.020). There was also significance difference of BOP from Day 0 to 14 (P 1⁄4 0.022) and from Day 0 to 30 (P 1⁄4 0.027). Significant difference was seen in 3% of SHCT group with the decrease of GI (P 1⁄4 0.004) from Day 1 to 14. There were no significant difference noted for 0% and 6% SHCT. Conclusion: The 9% SHCT is the most effective concentration to reduce both the gingival inflammation (up to day 14) and bleeding on probing (up to day 30).
format Article
author Abu Bakar, Noraini
Jayah, Nurul Idayu
Mohamed, Nurul Rafhana
Mohamed Ali, Suhaila
Nasir, Siti Hajjar
Hashim, Ridzwan
Kharuddin, Azrul Fazwan
author_facet Abu Bakar, Noraini
Jayah, Nurul Idayu
Mohamed, Nurul Rafhana
Mohamed Ali, Suhaila
Nasir, Siti Hajjar
Hashim, Ridzwan
Kharuddin, Azrul Fazwan
author_sort Abu Bakar, Noraini
title The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial
title_short The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial
title_full The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial
title_fullStr The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial
title_full_unstemmed The effectiveness of pure Stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : A triple-blinded randomized controlled trial
title_sort effectiveness of pure stichopus horrens extract toothpaste in reducing plaque-induced gingivitis following orthodontic bonding : a triple-blinded randomized controlled trial
publishDate 2020
url http://irep.iium.edu.my/79340/
http://irep.iium.edu.my/79340/1/JWFO_Vol9Issue1.pdf
first_indexed 2023-09-18T21:51:25Z
last_indexed 2023-09-18T21:51:25Z
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