Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial

New approaches to treating periodontal diseases aim to balance sustaining the natural oral microbiota and modifying the host immune response. Gum Arabic (GA) is a natural polysaccharide rich in prebiotics.The aim of this study was to assess the effect of GA on clinical (Plaque Index (PI), Gingival I...

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Main Authors: Arwa M. Gafar, AbdelRahman M. Ramadan, Nouar A. ElSaid, Nazik M. Nurelhuda
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Saudi Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905222000736
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author Arwa M. Gafar
AbdelRahman M. Ramadan
Nouar A. ElSaid
Nazik M. Nurelhuda
author_facet Arwa M. Gafar
AbdelRahman M. Ramadan
Nouar A. ElSaid
Nazik M. Nurelhuda
author_sort Arwa M. Gafar
collection DOAJ
description New approaches to treating periodontal diseases aim to balance sustaining the natural oral microbiota and modifying the host immune response. Gum Arabic (GA) is a natural polysaccharide rich in prebiotics.The aim of this study was to assess the effect of GA on clinical (Plaque Index (PI), Gingival Index (GI)) and immunological (Gingival Crevicular Fluid Interleukin 1 Beta (GCF IL-1 β)) parameters in patients with plaque-induced gingivitis. Materials and methods: This placebo-controlled, double-blinded randomised clinical trial was conducted at the Department of Periodontology at Khartoum Dental Teaching Hospital, Khartoum, Sudan, from July to October 2016. Patients diagnosed with plaque-induced gingivitis meeting the study eligibility criteria were enrolled. At baseline, PI, GI and GCF IL-1β were measured. Patients received full-mouth scaling and were randomly assigned to receive either GA powder (intervention group) or Microcrystalline cellulose powder (placebo group). The patients were instructed to apply the treatment twice a day throughout the study. The PI, GI and GCF IL-1β were reassessed after 30 and 60 days. Results: A total of 60 patients were enrolled (30 in each group). Compared to the placebo group, the intervention group showed a statistically significant reduction in GI scores after 30 days and improved PI scores at 30 and 60 days. Between baseline and 60 days, patients who received GA exhibited a significant reduction in GCF IL-1β levels compared to the placebo group. Conclusion: GA was found to be effective in controlling plaque and gingivitis.Clinical Trial Registration. ISRCTN registry ISRCTN14209449.
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spelling doaj.art-f7201be654c246cb870115ed1b6523112022-12-22T02:59:24ZengElsevierSaudi Dental Journal1013-90522022-09-01346494502Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trialArwa M. Gafar0AbdelRahman M. Ramadan1Nouar A. ElSaid2Nazik M. Nurelhuda3Sudan Medical Specialisation Board, Khartoum, SudanIbn Sina National College, Saudi ArabiaToronto, CanadaFaculty of Dentistry, University of Khartoum, Sudan; Corresponding author at: PO Box 102, Dental Public Health Unit, Faculty of Dentistry, University of Khartoum, Sudan.New approaches to treating periodontal diseases aim to balance sustaining the natural oral microbiota and modifying the host immune response. Gum Arabic (GA) is a natural polysaccharide rich in prebiotics.The aim of this study was to assess the effect of GA on clinical (Plaque Index (PI), Gingival Index (GI)) and immunological (Gingival Crevicular Fluid Interleukin 1 Beta (GCF IL-1 β)) parameters in patients with plaque-induced gingivitis. Materials and methods: This placebo-controlled, double-blinded randomised clinical trial was conducted at the Department of Periodontology at Khartoum Dental Teaching Hospital, Khartoum, Sudan, from July to October 2016. Patients diagnosed with plaque-induced gingivitis meeting the study eligibility criteria were enrolled. At baseline, PI, GI and GCF IL-1β were measured. Patients received full-mouth scaling and were randomly assigned to receive either GA powder (intervention group) or Microcrystalline cellulose powder (placebo group). The patients were instructed to apply the treatment twice a day throughout the study. The PI, GI and GCF IL-1β were reassessed after 30 and 60 days. Results: A total of 60 patients were enrolled (30 in each group). Compared to the placebo group, the intervention group showed a statistically significant reduction in GI scores after 30 days and improved PI scores at 30 and 60 days. Between baseline and 60 days, patients who received GA exhibited a significant reduction in GCF IL-1β levels compared to the placebo group. Conclusion: GA was found to be effective in controlling plaque and gingivitis.Clinical Trial Registration. ISRCTN registry ISRCTN14209449.http://www.sciencedirect.com/science/article/pii/S1013905222000736AntimicrobialChemical plaque controlClinical trialGingivitisGum Arabic
spellingShingle Arwa M. Gafar
AbdelRahman M. Ramadan
Nouar A. ElSaid
Nazik M. Nurelhuda
Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial
Saudi Dental Journal
Antimicrobial
Chemical plaque control
Clinical trial
Gingivitis
Gum Arabic
title Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial
title_full Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial
title_fullStr Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial
title_full_unstemmed Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial
title_short Effect of Gum Arabic on plaque-induced gingivitis: A randomised controlled trial
title_sort effect of gum arabic on plaque induced gingivitis a randomised controlled trial
topic Antimicrobial
Chemical plaque control
Clinical trial
Gingivitis
Gum Arabic
url http://www.sciencedirect.com/science/article/pii/S1013905222000736
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