Mild and moderate gingivitis as a common problem

Mild and moderate gingivitis

Mild and moderate gingivitis is a common problem affecting the average human being globally. It is because of gingivitis and other dental problems that dental care has become a widely discussed topic. Toothpaste has been effective in helping people take care of their dental makeup daily. Other dental care tools include mouthwashes and dental floss. A question arises therefore of whether toothpaste is enough to tackle the problem of gingivitis. Is toothpaste enough when used alone in handling dental problems? Is mouthwash enough when used alone? Is the combination of the two tools significant in dealing with dental problems? Various studies have been conducted on the effect of both mouthwash and toothbrush. The discussion also seeks to compare the methods, analysis, and results of several studies which have been conducted by researchers around using a brand of toothpaste and mouthwash known as Miswak. The author also used chlorhexidine mouthwash to conduct research.

Study Setting

The author conducted research on gingivitis patients using a sample size of 50. The condition for the research was patients who have either mild or moderate gingivitis. The age bracket for patients was between 10 and 70 years. The author classified these patients into those who are not in school, those who finished high school and those who had a bachelor’s degree. The research was divided into 5 groups which include miswak only group, toothbrush only group, miswak and toothbrush group, miswak mouthwash and chlorhexidine mouthwash group. Data was collected for the group based on the number of patients using dental tools stated in each group with reference to the educational classification of patients.
Another research done by Sheela and Punit sought to understand how miswak was significant in treating plaques and gingivitis problems (Sheela, 2012). The research was based on comparing the effectiveness of miswak mouthwash and toothpaste in treating gingivitis. Sheela’s research is quite similar to the author’s research in that both types of research used patients who had mild or moderate gingivitis to collect data (Sheela, 2012). The difference is the inclusion of chlorhexidine in the author’s research. Sheela’s research had 30 participants who were of the age bracket of 18-35 (Sheela, 2012). The study was divided into 3 groups A, B, and C. The first group was for those who used the toothbrush, the second group was those who combined toothbrush and miswak and the third group was for those who were using miswak only. The research involved data collection on the effectiveness of using each product three times a day after every fortnight. The method of analysis used was Analysis of Variance (ANOVA).
Similar research is that which was done by Samim and her team (Samim, 2016). The main aim was to study how effective miswak toothpaste and toothbrush were on handling dental bacteria (Cariogenic). Another side aim was the comparison of miswak products with normal toothpaste. The sample size of the study was 40 students half being males and half being females of the age bracket 16-18. The students were then divided into 4 groups which included miswak toothpaste group, miswak mouthwash group, ordinary toothpaste group, and ordinary toothpaste and saline water group. For the last two groups mentioned, one was to use normal water while the other was to use saline water to rinse after brushing. The task of brushing for each group was to be conducted in the morning and in the evening. In the study, chlorhexidine products were absent unlike in the author’s research.
From the analysis done above, the researches done by various people had a similar study setting. Apart from sample differences, product use differences, and grouping differences the main aim of the study was aimed at answering the question of whether mouthwash and toothbrush are significant in addressing dental problems like gingivitis.

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Results Comparison

The author’s results were significant in building a conclusion on the effects of mouthwash brands and toothpaste. In treating/preventing gingivitis for each of the 5 groups, miswak toothpaste, normal toothbrush, a combination of normal toothbrush and miswak toothpaste, miswak mouthwash, and chlorhexidine mouthwash proved effective. The results of before and after of each group had a (p) of less than 0.05. When it came to plaque, all groups had a positive outcome before and after results except for the group which was using toothbrush only. For calculus, all groups displayed change before and after use for the period stipulated. The only group which did not experience change was the one that was using toothbrush only. Oral hygiene change was experienced in all groups except toothbrush only group. For halitosis, four groups showed a positive change after the period of observation. Chlorhexidine group displayed the constant result with no change while toothbrush only showed a slight difference. For staining, all groups displayed a positive change for before and after observation except the chlorhexidine group. The group which used a combination of miswak and toothbrush experienced the highest change while that of chlorhexidine experienced a negative change. In solving sensitivity problems, all the groups experienced the highest change with chlorhexidine experiencing the lowest change.
In Samim’s research, the aim was to observe the effects of miswak toothpaste, toothbrush, toothbrush, and normal water and toothbrush and saline water on oral bacteria Streptococcus mutans and Lactobacilli (Samim, 2016). There were three sets of results observed by Samim’s study. One was a before and after analysis which observed the effect of each product on bacterial growth. The other two were the analysis of each bacteria (Streptococcus mutans and Lactobacilli) separately using different time intervals. For the before and after analysis, it was clear that those who used miswak mouth wash and ordinary toothpaste experienced reduction of bacteria immediately and after two weeks. When ordinary water was used, there was no reduction in both bacteria. Saline water was not effective immediately but was effective after a period of two weeks. The separate analysis also bore the same results. A combination of miswak mouthwash and ordinary toothpaste was effective.
In Sheela’s research, group B performed better than the other groups (Sheela, 2012). Participants who used a combination of toothbrush and miswak products experienced better results in the reduction of plaque and gingival scores. When comparing group A and C, it was noted that for the first four weeks, there was no difference in their results. From the sixth week is when a difference was observed. For gingival scores, a statistical difference was not observed between group A and C for the eight weeks the study was conducted. Percentage area covered by the plaque reduced for all groups and no difference was observed between group A and C until the sixth week.


The conclusion of each research analyzed is that a combination of miswak and toothbrush works better than using a single product in taking care of dental health. Over a certain period of time, the use of miswak products only proves to be slightly effective than using toothbrush only or toothbrush and saline water as observed in Samim’s research. The author’s research is therefore in line with other researches and it goes ahead to study the effect of miswak, chlorhexidine and ordinary toothbrush on other dental problems like sensitivity and calculus. All the researches considered the effectiveness of dental products in solving dental problems like gingivitis and plaque. However, the research did not consider factors like age, eating habits of the patients and gender.

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