Comparison of the effects of hexetidine and chlorhexidine mouthwash on the plaque index

Jeffrey Jeffrey, Regyta Novamaura, Florence Meliawaty

Abstract


Background: Plaque can cause damage to the tooth structure and supporting tissues, so it is necessary to take plaque control measures. The use of mouthwash such as hexetidine and chlorhexidine in chemical plaque control is effective in reducing plaque formation. Both of these mouthwashes were proven to have antibacterial activity against Streptococcus mutans which is one of the bacteria that causes plaque, so it is necessary to compare the effectiveness of the two ingredients to determine the difference in the effectiveness of the two types of mouthwash on the plaque index.
Methods: This research method is a pre-test post-test control group design. The plaque index examination was carried out before and after gargling. The subjects in this study consisted of 32 students of state junior high school (SMPN) 2 Cimahi aged 13-15 years. This research was conducted by examining the Silness and Loe plaque index. Chi-square was used to test the normality of the data and then analyzed by t-test.
Results: The results showed that there was a difference in the mean plaque index after rinsing with hexetidine and chlorhexidine of 0.077 and 0.167, respectively.
Conclusion: There was a significant difference in the comparison of plaque index after gargling using hexetidine and chlorhexidine mouthwash, where hexetidine showed more effective results as an antibacterial agent in reducing plaque in the oral cavity.


Keywords


Chlorhexidine; effectiveness; hexetidine; Plaque index

Full Text:

PDF

References


Lossu FM, Pangemanan DH, and Wowor. Hubungan Pengetahuan Kesehatan Gigi dan Mulut dengan Indeks Gingiva Siswa SD Katolik 03 Freater Don Bosco Manado. e-GIGI. 2015; 3(2): 647.

Nahak M, Tedjasulaksana R, and Agung A. Tindakan Scaling dan Penyuluhan sebagai Upaya Meningkatkan Oral Hygiene dan Tingkat Pengetahuan tentang Pemeliharaan Kesehatan Gigi dan Mulut para Siswa SMP No 2 Marga Kabupaten Tabanan. Jurnal Kesehatan Gigi 2018; 7(1):2

Larsen T, Fietin NE. Dental Biofilm Infections-An Update. APMIS. 2017; 125: 378. DOI: 10.1111/apm.12688. PMID: 28407420

Ruslinawati D, Praptiningsih S, Chumaeroh S. Uji Efektifitas Siwak (Salvadora Percisa) Berbagai Konsentrasi terhadap Pembentukan Plak Gigi. ODONTO Dental. 2014; 1(1): 17.

Lesmana H, Thioritz E, Sitanaya R. Perbedaan Efektifitas Obat Kumur Beralkohol dan Non Alkohol dalam Penurunan Akumulasi Plak Siswa MTS. Busnatul Ulum Maros. Media Kesehatan Gigi. 2018; 2(17): 14-19.

Wahyuningrum MR, Probosari E. Pengaruh Pemberian Buah Pepaya (Carica Papaya L.) Terhadap Kadar Trigliserida Pada Tikus Sprague Dawley Dengan Hiperkolesterolemia. J Nutr Coll. 2012;1(1):192–8. https://doi.org/10.14710/jnc.v1i1.693.

Perry D.A, Beemsterboer PL, and Essex G. Periodontology for the Dental Hygienist. Ed 2(3): 46.

Lesar AM, Pangemanan DHC, Zuliari K. Gambaran Status Kebersihan Gigi dan Mulut Serta Status Gingiva pada Anak Remaja di SMP Advent Watulaney Kabupaten Minahasa. e-GIGI. 2015; 3(2): 303,306

Sompie GM, Mintjelungan CN, Juliatri. Status Periodontal Pelajar Umur 12-14 Tahun SMP Negri 2 Ranoyapo Kabupaten Minahasa Selatan. e-GIGI. 2016; 4(2): 161.

Lyditama S, Nurhapsari A, Baehaqi M. Efektifitas Larutan Jeruk Nipis (Citrus aurantifolia) sebagai Obat Kumur terhadap Penurunan Indeks Plak pada Remaja Usia 12-15 Tahun Studi di SMP Nurul Islami, Mijen, Semarang. ODONTO Dental Journal 2014; 1(1): 39-40.

Faisal M. Differences Plaque Indeks Brushing with a Toothbrush Hairy Soft and Brushing with Medium Being on Grade 4 and 5 Student at Public Primary Schools 07 Air Camar. Jurnal Kesehatan Gigi 2015; 2(3): 83.

Mervrayano J, Rahmatini, Bahar E. Perbandingan Efektifitas Obat Kumur yang Mengandung Chlorhexidine dengan Povidone Iodine terhadap Streptococcus mutans. Jurnal Kesehatan Andalas 2015; 4(1): 169.

Anastasia S, Yuliet, and Tandah RM. Mouthwash Formulation of Tooth Plaque Preventing of Kakao (Theobroma cacao L) Seed Extract and Effectivity Test. Galenika Journal of Pharmacy 2017; 3(1): 84-92.

Fauzia N.S, Hartman H., & Jeffrey J. Perbandingan Efektivitas Obat Kumur Povidone Iodine dengan Klorheksidin terhadap Indeks Plak. Oceana-biomedicina journal. 2021; 4(1): 11-25. eISSN 2614-0519. DOI:10.30649/obj.v4i1.64

Rafiq S, Kaul R, Sofi SA, Bashir N, Nazir F, Ahmad G. Citrus peel as a source of functional ingredient : A review. J Saudi Soc Agric Sci. 2018;17(4):351-358. doi:10.1016/j.jssas.2016.07.006.

Prasad K, John S, Deepika V, Dwijendra KS, Reddy BR, Chincholi S. Anti-Plaque Efficacy of Herbal and 0.2% Chlorhexidine Gluconate Mouthwash : A Comparative Study. J Int Oral Health. 2015;7(April):98-102.

Dwipriastuti D., Putranto R., Anggarani W. Perbedaan Efektivitas Chlorhexidine Glukonat 0,2% dengan Teh Hijau (Camellia sinensis) terhadap Jumlah Porphyromonas gingivalis. ODONTO Dental Journal. Vol 4, No 1 (2017): 50-3.

Biswas D., Tiwari M., and Tiwari V. Molecular mechanism of Antimicrobial Activity of Chlorhexidine Againts Carbapenem-resistant Acinetobacter baumannii. PLOS ONE. 2019. https://doi.org/10.1371/journal.pone.0224107.

Pambudi AR., Wasiaturrahmah Y, Aspriyanto D. Antibacterial Effectiveness of Kecapi Sentul Extract (Sandoricum koetjape Merr.) Against Streptococcus mutans. ODONTO Dental Journal. Vol 8. No 2. (2021): 1-10.

Haryani AD., Wedagama DM., Hervina. The Effectiveness of Rinsing with Celery Leafs (Apium graveolens L.) Extract 10% and Chlorhexidine Gluconate 0.1% to Accelerate Post-Scaling Gingivitis Healing. ODONTO Dental Journal. Vol 9. Special Issue 1. (2022): 51-6.

Sharma NC, Galustians HJ, Qaqish J, Charles CH, Vincent JW, McGuire JA. Antiplaque and antigingivitis effectiveness of a hexetidine mouthwash. J Clin Periodontol. 2003 Jul;30(7):590-4. doi: 10.1034/j.1600-051x.2003.00303.x. PMID: 12834495.

Ernst CP, Canbek K, Dillenburger A, Willershausen B. Clinical study on the effectiveness and side effects of hexetidine and chlorhexidine mouthrinses versus a negative control. Quintessence Int. 2005 Sep;36(8):641-52. PMID: 16161468.

Williams, M., Adams, D., Hillam, D. et al. The effect of hexetidine 0.1% in the control of dental plaque. Br Dent J. 1987; 163, 300–302. https://doi.org/10.1038/sj.bdj.4806275.

Savitri TM, Sembiring LS, and Sugiaman VK. The effect of forest honey solution on the plaque and gingivitis index in adolescent. Makassar Dental Journal 2022; 11(2): 204-210, p-ISSN:2089-8134, e-ISSN:2548-5830. DOI 10.35856/mdj.v11i2.596.




DOI: http://dx.doi.org/10.30659/odj.9.2.327-333

Refbacks

  • There are currently no refbacks.


Lisensi Creative Commons
This work is licensed under a Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.
Contact us: Odonto Dental Journal: Jl. Raya Kaligawe Km.4, PO BOX 1054/SM Semarang, Central Java, Indonesia, 50112. Email: odontodentaljournal@unissula.ac.id