Anti-microbial efficacy of green tea and chlorhexidine mouth rinses against Streptococcus mutans, Lactobacilli spp. and Candida albicans in children with severe early childhood caries: A randomized clinical study

J Indian Soc Pedod Prev Dent. 2016 Jan-Mar;34(1):65-70. doi: 10.4103/0970-4388.175518.

Abstract

Introduction: Green tea is a beverage which is consumed worldwide and is reported to have anti-cariogenic effect. So, if it was as effective as chlorhexidine (CHX) mouth rinse against cariogenic microbes it could be considered a natural, economical alternative. The purpose of this study was to evaluate and compare the anti-microbial efficacy of 0.5% green tea and 0.2% CHX mouth rinses against Streptococcus Mutans, Lactobacilli spp. and Candida Albicans.

Materials and methods: 30 children aged 4-6 years with S-ECC (based on defs score) were selected. Children were divided randomly into 2 equal groups and were asked to rinse with the prescribed mouth rinse once daily for 2 weeks after breakfast under supervision. A base-line and post rinsing non-stimulated whole salivary sample (2 ml) was collected and tested for the number of colony forming units. The data was statistically analyzed using SPSS v16.0 software with one-way ANOVA and Tukey's POSTHOC test.

Results: A statistically significant fall in colony count was found with both the mouth rinses in Streptococcus Mutans (P < 0.001, P < 0.001) and lactobacilli (P < 0.001, P < 0.001) but not against Candida albicans (P = 0.264, P = 0.264). Against Streptococcus Mutans, green tea mouth rinse was found to be significantly better than CHX mouth rinse (P = 0.005). Against lactobacilli spp, CHX mouth rinse was significantly better than green tea mouth rinse (P < 0.001).

Conclusion: Green tea mouth rinse can be considered safe, economical and used without much concern. However, further studies are recommended.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Infective Agents, Local / pharmacology*
  • Candida albicans / drug effects*
  • Child
  • Child, Preschool
  • Chlorhexidine / pharmacology*
  • Dental Caries / microbiology*
  • Dental Caries / prevention & control*
  • Female
  • Humans
  • Lactobacillus / drug effects*
  • Male
  • Mouthwashes / pharmacology*
  • Streptococcus mutans / drug effects*
  • Tea*

Substances

  • Anti-Infective Agents, Local
  • Mouthwashes
  • Tea
  • Chlorhexidine