Asokan Sharath, Emmadi Pamela, Chamundeswari Raghuraman
Department of Pediatric Dentistry, Meenakshi Ammal Dental College, Chennai, India.
Indian J Dent Res. 2009 Jan-Mar;20(1):47-51. doi: 10.4103/0970-9290.49067.
Oil pulling has been used extensively as a traditional Indian folk remedy for many years for strengthening teeth, gums, and the jaw and to prevent decay, oral malodor, bleeding gums, dryness of the throat, and cracked lips.
The aim of this study was to evaluate the effect of oil pulling with sesame oil on plaque-induced gingivitis and to compare its efficacy with chlorhexidine mouthwash.
A total of 20 age-matched adolescent boys with plaque-induced gingivitis were selected for this study. They were divided randomly into the study or oil pulling group (Group I) and the control or chlorhexidine group (Group II) with 10 subjects in each group. Plaque index and modified gingival index scores were recorded for the 20 subjects and baseline plaque samples were also collected. The plaque samples were used to identify the microorganisms and to measure the total colony count of the aerobic microorganisms present. The study group was subjected to oil pulling with sesame oil and the control group was given chlorhexidine mouthwash everyday in the morning before brushing. Reassessment of the index scores and collection of plaque for measuring the colony count of the aerobic microorganisms was done after 10 days.
There was a statistically significant reduction of the pre- and post-values of the plaque and modified gingival index scores in both the study and control groups (P < 0.001 in both). There was a considerable reduction in the total colony count of aerobic microorganisms present in both the groups.
The oil pulling therapy showed a reduction in the plaque index, modified gingival scores, and total colony count of aerobic microorganisms in the plaque of adolescents with plaque-induced gingivitis.
多年来，油拔法作为一种传统的印度民间疗法被广泛应用，用于坚固牙齿、牙龈和颌骨，并预防龋齿、口臭、牙龈出血、喉咙干燥和嘴唇干裂。
本研究旨在评估芝麻油油拔法对菌斑性牙龈炎的疗效，并与氯己定漱口水的疗效进行比较。
本研究共选取20名年龄匹配、患有菌斑性牙龈炎的青春期男孩。他们被随机分为研究组或油拔组（第一组）和对照组或氯己定组（第二组），每组10名受试者。记录20名受试者的菌斑指数和改良牙龈指数评分，并采集基线菌斑样本。菌斑样本用于鉴定微生物并测量存在的需氧微生物的总菌落数。研究组用芝麻油进行油拔，对照组每天早上刷牙前给予氯己定漱口水。10天后重新评估指数评分并采集菌斑以测量需氧微生物的菌落数。
研究组和对照组的菌斑和改良牙龈指数评分的前后值均有统计学意义的降低（两组均P < 0.001）。两组中存在的需氧微生物的总菌落数均有显著减少。
油拔疗法使患有菌斑性牙龈炎的青少年的菌斑指数、改良牙龈评分和菌斑中需氧微生物的总菌落数降低。
