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VOLUME 10 , ISSUE 4 ( July-August, 2019 ) > List of Articles


Efficacy of Virgin Coconut Oil and Chlorhexidine as an Oral Antimicrobial: A Comparative Pilot Study

Varsha Salian, Damodar Hegde, A Veena Shetty, Mamatha Shetty

Keywords : Coconut oil, Gingival index, Plaque index, Streptococcus mutans

Citation Information : Salian V, Hegde D, Shetty AV, Shetty M. Efficacy of Virgin Coconut Oil and Chlorhexidine as an Oral Antimicrobial: A Comparative Pilot Study. World J Dent 2019; 10 (4):295-300.

DOI: 10.5005/jp-journals-10015-1652

License: CC BY-NC 4.0

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: The present study aimed to evaluate the efficacy of oil pulling therapy using virgin coconut oil (VCO) in reducing S. mutans counts, plaque, and gingival indices, and to compare it with the gold standard chlorhexidine. Materials and methods: Twenty subjects (study) using VCO and 20 subjects using chlorhexidine (control) visiting the outpatient department of periodontics in the institute were chosen for the study. The gingival and plaque indices (baseline) in both groups were recorded following which unstimulated whole saliva samples were collected by spit method and sent for microbial count. They were then provided either of the VCO/mouthwash to swish once daily. Three weeks post-intervention, the recording of indices was repeated for both groups along with the microbial count. Results: The mean values of gingival and plaque indices pre- and post-intervention showed a statistically significant reduction in the control population compared with the study group, while there was no statistically significant reduction in the bacterial count seen. The difference in the scores of plaque index pre- and post-intervention was more in control group while the difference in the gingival index was similar in both groups, but statistically insignificant. Conclusion: Virgin coconut oil may not be as effective as chlorhexidine in reducing plaque while it may be as effective as chlorhexidine in reducing gingival index. Clinical significance: In comparison with newer chemical oral hygiene aids, coconut oil could still be used as a traditional adjuvant to reduce gingivitis in addition to routine brushing.

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  1. Peedikayil FC, Sreenivasan P, Narayanan A. Effect of coconut oil in plaque related gingivitis: a preliminary report. Niger Med J 2015;56(2):143–147. DOI: 10.4103/0300-1652.153406.
  2. Singla N, Acharya S, Martena S, et al. Effect of oil gum massage therapy on common pathogenic oral microorganisms: a randomized controlled trial. J Indian Soc Periodontol 2014;18(4):441–446. DOI: 10.4103/0972-124X.138681.
  3. DebMandal M, Mandal S. Coconut (Cocos nucifera L.: Arecaceae): In health promotion and disease prevention. Asian Pac J Trop Med 2011 Mar;4(3):241–247. DOI: 10.1016/S1995-7645(11)60078-3.
  4. Marina AM, Che Man YB, Amin I. Virgin coconut oil: emerging functional food oil. Trends Food Sci Technol 2009;20:481–487. DOI: 10.1016/j.tifs.2009.06.003.
  5. Ogbolu DO, Oni AA, Daini OA. In Vitro antimicrobial properties of coconut oil on Candida species in Ibadan, Nigeria. J Med Food 2007;10(2):384–387. DOI: 10.1089/jmf.2006.1209.
  6. Tomar P, Hongal S, Jain M. Oil Pulling, and Oral Health: A Review. IJSS Case Report & Reviews 2014;1(3):33–37.
  7. Ciancio SG. Current status of indices of gingivitis. J Clin Periodontol 1986;13:375–378. DOI: 10.1111/j.1600-051X.1986.tb01476.x.
  8. Amith HV, Ankola AV, Nagesh L. Effect of oil pulling on plaque and gingivitis. J Oral Health Community Dent 2007;1:12–18. DOI: 10.5005/johcd-1-1-12.
  9. Salian V, Shetty P. Coconut Oil, and Virgin Coconut Oil: An Insight into its Oral and Overall Health Benefits. J Clin Diagn Res 2018;12(1): ZE01–ZE03. DOI: 10.7860/JCDR/2018/31409.11051.
  10. Taheri JB, Espineli FW, Lu H, et al. Antimicrobial effect of coconut flour on oral microflora: An in vitro study. Res J Biol Sci 2010;5(6):456–459. DOI: 10.3923/rjbsci.2010.456.459.
  11. Thaweboon S, Nakaparksin J, Thaweboon B. Effect of Oil-Pulling on Oral Microorganisms in Biofilm Models. Asia J Public Health 2011;2(2):62–66.
  12. Hughes PI, Kealey C, Rowan NJ, et al. Evaluation of vegetable oils and their respective fatty acids on the viability of Streptococcus mutans, A persistent oral Pathogen. J Asian Sci Res 2013;3(6):670–676.
  13. Shino B, Peedikayil FC, Jaiprakash SR, et al. Comparison of Antimicrobial Activity of Chlorhexidine, Coconut Oil, Probiotics, and Ketoconazole on Candida albicans Isolated in Children with Early Childhood Caries: An In Vitro Study. Scientifica(Cairo) 2016;2016, 7061587. DOI: 10.1155/2016/7061587.
  14. Asokan S, Rathinasamy TK, Inbamani N, et al. Mechanism of oil-pulling therapy: in vitro study. Indian J Dent Res 2011;22(1):34–37. DOI: 10.4103/0970-9290.79971.
  15. Jauhari D, Srivastava N, Rana V, et al. Comparative Evaluation of the effects of fluoride mouth rinse, herbal mouth rinse and oil pulling on the caries activity and Streptococcus mutans count using oratest and dentocult SM strip mutans kit. Int J Clin Pediatr Dent 2015 May–Aug;8(2):114–118. DOI: 10.5005/jp-journals-10005-1295.
  16. Kaushik M, Reddy P, Sharma R, et al. The Effect of Coconut Oil pulling on Streptococcus mutans count in Saliva in Comparison with Chlorhexidine Mouthwash. J Contemp Dent Pract 2016;17(1):38–41. DOI: 10.5005/jp-journals-10024-1800.
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