Introduction: Orthodontics has become a vital part of dentistry. Maintaining oral hygiene is very critical, particularly prior to and during orthodontic treatment. Almost all patients with fixed orthodontic appliance will get gingivitis at some point during the treatment. So, the present study was conducted to evaluate the plaque removal efficacy of different mouthwashes in subjects with fixed orthodontic appliances.

Materials and methods: A total of 45 subjects were involved in this study. And these were randomly allotted three groups, i.e., group I: Neem mouthwash, group II: Aloe vera mouthwash, and group III: Chlorhexidine mouthwash. Clinical examination was done using plaque index (PI) and gingival index (GI) at baseline and after 1 month. Data were summarized using Statistical Package for the Social Sciences (SPSS) software version 20. Paired t-test was used to analyze the statistical significance.

Results: Among all the three different mouthwash groups, group III (chlorhexidine mouthwash) showed a maximum plaque reduction after 1 month (0.312 ± 0.112), followed by group I (neem mouthwash) 0.516 ± 0.202, group II (aloe vera mouthwash) 0.844 ± 0.012. Significant difference was found in the reduction of plaque scores among all the three groups. In GI score, group III (chlorhexidine mouthwash) showed a maximum reduction after 1 month. (0.290 ± 0.028), followed by group I (neem mouthwash) 0.320 ± 0.022, group II (aloe vera mouthwash) 0.680 ± 0.028. Significant difference was found in chlorhexidine mouthwash and neem mouthwash groups.

Conclusion: The present study concluded that both neem and aloe vera mouthwashes can be used as an alternative to chlorhexidine mouthwash, as they reduced PI score significantly and it could be helpful to orthodontic subjects in maintaining their oral hygiene.

Keywords: Dental plaque, Fixed orthodontic appliances, Gingivitis, Mouthwash.

How to cite this article: Shetty P, Amin V, Siddharth R, Saldanha CL, Dsouza SR. Chemical Plaque Removal Efficacy in Subjects with Fixed Orthodontic Appliances: A Comparative Study. Int J Prev Clin Dent Res 2018;5(1):1-4.

Source of support: Nil

Conflict of interest: None