Introduction: Orthodontic patients are prone to dental and periodontal diseases due to difficulties maintaining oral hygiene, causing increased plaque accumulation. Although synthetic mouthwashes such as Chlorhexidine are effective, they can lead to undesirable side effects. Therefore, it is essential to explore the benefits and usage of herbal mouthwashes like Persica. The prominent purpose of this study is to assess the influences of Persica mouthwash on the oral health of orthodontic patients and to evaluate its impact on appliances used for orthodontic treatments.
Materials and Methods: For this review, we searched PubMed, Scopus, Magiran, Irandoc, and Google Scholar databases without applying any time limits. Relevant keywords, such as orthodontic, mouthwash, mouth rinse, Salvadora Persica, and their Persian counterparts, were utilized to find laboratory or clinical studies related to the subject. Finally, among the 694 articles found, 22 articles related to the inclusion and exclusion criteria were selected and included in the study. Ten clinical studies and 12 laboratory studies were designed and implemented. Findings in the subgroups of the effect of Persica mouthwash on oral and periodontal health indicators in orthodontic appliance patients, the antimicrobial properties of this mouthwash in orthodontic patients, and its impact on the biomechanical and biochemical characteristics of orthodontic appliances were investigated.
Results: In most studies, the effect of Persica on reducing Streptococcus mutans colonization was equal to that of chlorhexidine. Also, Persica mouthwashes were as effective as chlorhexidine in improving plaque index and gingivitis in most studies. The effect of Persica mouthwash on the biomechanical and biochemical properties of appliances was reported to be similar to or better than other commercial mouthwashes in some studies. Natural mouthwashes such as Persica had more adverse effects on the acrylic resin surface of removable orthodontic appliances than chlorhexidine. Compared to chlorhexidine, the mouthwash containing Persica was similar to chlorhexidine, with a better release of nickel and chromium ions.
Conclusion: Due to its suitable antibacterial properties and the effect it has on improving oral health indicators, gums, and periodontal tissue, along with the usual oral and dental hygiene methods such as toothbrush and dental floss, Persica can have an acceptable effectiveness in improving oral health in orthodontic patients and a suitable alternative to artificial mouthwashes in these patients. However, to prove this issue, more studies with larger sample sizes and longer duration are needed.
ResearcherCollab