Perceptions and Efficacy of Oral Rinsing with Two Types of Coconut Oil: A Comparative Study
This study focuses on the efficacy of virgin and regular coconut oil on plaque-related gingivitis and the perceptions of the subjects regarding its taste and odor. A study was carried out on 80 subjects, divided into 4 groups, 20 participants each. Group A: virgin coconut oil (VCO) gargling, Group B: regular cooking coconut oil (RCCO) gargling, Group C: chlorhexidine mouthwash gargling, and Group D: routine toothbrushing. The Modified gingival Index (MGI) was assessed to check the gingival inflammation on the 15th and 30th days. Perceptions of the subjects on the taste and odor were measured with the Hedonic Scale, and texture of VCO and RCCO in comparison with chlorhexidine. The baseline means MGI values are: 1.62±0.47, 1.74±0.22, 1.78±0.22, 1.68±0.66 for Group A, B, C, and D respectively. There is a significant difference in gingival index scores across all the study groups on the 15th day and 30th day (intra-group comparison). There is a significant difference in mean scores when group VCO, RCCO, and Chlorhexidine are compared with the control (inter-group comparison). Hedonic rating scale shows: chlorhexidine has a better odor (3.2) than VCO (3.1), RCCO (2.9). Chlorhexidine scored (3.4) in taste compared with VCO (3.1) and RCCO (2.8). Texture and mouthfeel scores for Chlorhexidine and VCO (3.6) and RCCO (3.4). VCO and RCCO are as efficient in reducing gingivitis. VCO has better taste, odor, and texture in the mouth than RCCO.
Asokan, S., Emmadi, P., & Chamundeswari, R. (2009). Effect of oil pulling on plaque induced gingivitis: A randomized, controlled, triple-blind study. Indian Journal of Dental Research, 20(1), 47.
Dayrit, F. M., Dimzon, I. K. D., Valde, M. F., Santos, J. E. R., Garrovillas, M. J. M., & Villarino, B. J. (2011). Quality characteristics of virgin coconut oil: comparisons with refined coconut oil. Pure and Applied Chemistry, 83(9), 1789-1799.
Deen, A., Visvanathan, R., Wickramarachchi, D., Marikkar, N., Nammi, S., Jayawardana, B. C., & Liyanage, R. (2021). Chemical composition and health benefits of coconut oil: an overview. Journal of the Science of Food and Agriculture, 101(6), 2182-2193.
Dimzon, I. K. D., Valde, M. F., Santos, J. E. R., Garrovillas, M. J., Dejarme, H. M., Remollo, J. M. W., & Dayrit, F. M. (2011). Physico-chemical and microbiological parameters in the deterioration of virgin coconut oil.
James, P., Worthington, H. V., Parnell, C., Harding, M., Lamont, T., Cheung, A., ... & Riley, P. (2017). Chlorhexidine mouthrinse as an adjunctive treatment for gingival health. Cochrane Database of Systematic Reviews, (3).
Kaliamoorthy, S., Pazhani, A., Nagarajan, M., Meyyappan, A., Rayar, S., & Mathivanan, S. (2018). Comparing the effect of coconut oil pulling practice with oil pulling using sesame oil in plaque-induced gingivitis: A prospective comparative interventional study. Journal of Natural Science, Biology and Medicine, 9(2), 165.
Lai, W. Y. W., Chua, J. W. M., Gill, S., & Brownlee, I. A. (2019). Analysis of the lipolytic activity of whole-saliva and site-specific secretions from the oral cavity of healthy adults. Nutrients, 11(1), 191.
Peedikayil, F. C. (2019). Is coconut oil good for oral health? A review. Journal of Health Research and Reviews, 6(1), 1.
Peedikayil, F. C., Remy, V., John, S., Chandru, T. P., Sreenivasan, P., & Bijapur, G. A. (2016). Comparison of antibacterial efficacy of coconut oil and chlorhexidine on Streptococcus mutans: An in vivo study. Journal of International Society of Preventive & Community Dentistry, 6(5), 447.
Peedikayil, F. C., Sreenivasan, P., & Narayanan, A. (2015). Effect of coconut oil in plaque related gingivitis—A preliminary report. Nigerian medical journal: journal of the Nigeria Medical Association, 56(2), 143.
Pimentel, T. C., da Cruz, A. G., & Deliza, R. (2016). Sensory evaluation: sensory rating and scoring methods.
Ripari, F., Filippone, F., Zumbo, G., Covello, F., Zara, F., & Vozza, I. (2020). The Role of Coconut Oil in Treating Patients Affected by Plaque-Induced Gingivitis: A Pilot Study. European Journal of Dentistry, 14(04), 558-565.
Sezgin, Y., Ozgul, B. M., & Alptekin, N. O. (2019). Efficacy of oil pulling therapy with coconut oil on four-day supragingival plaque growth: A randomized crossover clinical trial. Complementary therapies in medicine, 47, 102193.
Shanbhag, V. K. L. (2017). Oil pulling for maintaining oral hygiene–A review. Journal of traditional and complementary medicine, 7(1), 106-109.
Singla, N., Shashidhar Acharya, S. M., & Singla, R. (2014). Effect of oil gum massage therapy on common pathogenic oral microorganisms-A randomized controlled trial. Journal of Indian Society of Periodontology, 18(4), 441.
Wallace, T. C. (2019). Health effects of coconut oil—A narrative review of current evidence. Journal of the american college of nutrition, 38(2), 97-107.
Williamson, G. (2017). The role of polyphenols in modern nutrition. Nutrition bulletin, 42(3), 226-235.