Comparative evaluation of the effect of pomegranate peel extract and chlorhexidine 0.2% mouthwash on salivary pH in children between 6 and 8 years of age: An in vivo study

Background: Dental caries is chronic infectious disease affected by diet and cariogenic microorganisms. Streptococcus mutans is associated with the initiation of caries, and lactobacilli are associated with disease progression. Chlorhexidine is used as a gold standard mouthwash, but it has some side effects such as unpleasant taste and staining on long-term use. Hence, there is a need for alternative to chlorhexidine. Herbal mouthwashes are more excellent option to chemical mouthwashes for prolonged use. Pomegranate is one of them with antimicrobial, antioxidant, and anti-inflammatory properties. Aim: The aim of this study was to assess the effect of pomegranate peel extract and chlorhexidine mouthwash on salivary pH in 6-8 years of age children. Materials and Methods: Thirty patients between the age group of 6-8 years fulfilling the inclusion and exclusion criteria were selected. Children were divided into two groups randomly. Fifteen children were given chlorhexidine mouthwash and 15 were given pomegranate peel extract and asked to rinse for it 2 min. Saliva was collected before the mouth rinse, 10, 30, and 60 min after the mouthrinse. The pH of each collection was noted using pH meter. Statistical Analysis: Statistical analysis was done using the ANOVA test and unpaired t-test. Results: Both the mouthwashes show significant rise in the salivary pH in shortened time. Conclusion: Pomegranate peel extract mouth rinse can be used as an accompaniment to prevent caries and to maintain good oral hygiene in children.