Introduction: Numerous epidemiological studies have documented dental caries as the major public health problems throughout the world. It is gradually increasing in the underdeveloped and developing countries especially in children due to increasing popularity of refined sugars.
Aim: The aim of the study was to evaluate the effect of natural chewable products (Tulsi, sesame seeds, fennel seeds, coconut) and ACP-CPP chewing gum on plaque pH, calcium and phosphate concentration.
Materials and methods: A randomized controlled trial, with a cross-over study design, was conducted. Ten subjects aged 15-17 years who agreed to refrain from oral hygiene practice for 48 hours prior to the sample collection were selected for the study. The baseline plaque pH, calcium and phosphate was measured and repeated after 5 and 30 minutes. It was ensured that each study participant was subjected to all the products making an effective sample of ten subjects per product. The data was statistically analysed.
Results: The mean pH in all the study groups increased after 5 minutes and 30 minutes compared to baseline, except for coconut group at 30 minutes and fennel group at 5 minutes. Highest increase in plaque calcium concentration was found in fennel group followed by recaldent and sesame, respectively. Whereas, the highest increase in plaque phosphate was found in recaldent group followed by sesame group and fennel group respectively.
Conclusion: Plant products can be effective, inexpensive, easily accessible methods of maintaining oral health. Further studies are recommended to confirm long term effects.
Keywords: Caries prevention; Coconut; Fennel Seeds; Sesame Seeds; Tulsi.
Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar-free chewing gum.J Dent Res. 2003 Mar;82(3):206-11. doi: 10.1177/154405910308200311. J Dent Res. 2003. PMID: 12598550 Clinical Trial.
The prebiotic effect of CPP-ACP sugar-free chewing gum.J Dent. 2019 Dec;91:103225. doi: 10.1016/j.jdent.2019.103225. Epub 2019 Nov 3. J Dent. 2019. PMID: 31693918
In situ effect of chewing gum containing CPP-ACP on the mineral precipitation of eroded bovine enamel-a surface hardness analysis.J Dent. 2013 Aug;41(8):747-51. doi: 10.1016/j.jdent.2013.06.006. Epub 2013 Jun 19. J Dent. 2013. PMID: 23791697 Clinical Trial.
Review of casein phosphopeptides-amorphous calcium phosphate.Chin J Dent Res. 2014;17(1):7-14. Chin J Dent Res. 2014. PMID: 25028684 Review.
Anticariogenicity of casein phosphopeptide-amorphous calcium phosphate: a review of the literature.J Contemp Dent Pract. 2009 May 1;10(3):1-9. J Contemp Dent Pract. 2009. PMID: 19430620 Review.