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First author/year | Design | N Age range (years) | Experimental | Comparator | Clinical parameters | Follow-up (days) | Main findings |
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[18] | SB-RCT | 45 18–21 | Group A: HiOra regular mouthwash (The Himalaya Drug Company) Group B: Darolac sachets (Aristo Pharmaceuticals Pvt. Ltd.) | Chlorhexidine gluconate 0.2% c (ICPA Health Products Ltd.) | OHI-S PI GI
| 0–7–14 | Three types of mouthwashes (chlorhexidine, herbal, and probiotic) were equally effective in improving periodontal health |
[21] | SB-RCT | 45 10–12 | Group A: Bifilac sachets (Allianz Biosciences Pvt Ltd., Puducherry, India) containing the probiotic powder Group B: sesame oil (Idhayam group of companies, Virudhunagar, India) | Chlorhexidine mouthwash (Rexidin, Warren-Indoco Remedies Ltd., Mumbai, India | PI GI | 0–15–30 | The use of probiotic mouthwash, chlorhexidine mouthwash, and sesame oil pulling therapy was equally effective in the reduction of plaque and the improvement of the gingival status |
[19] | TB-RCT | 60 12–15 | Group A: tulsi (Ocimum sanctum) extract mouth rinse Group B: probiotic mouth rinse (Sporlac) | Chlorhexidine mouth rinse
0.2% (Clohex, concentration 0.2%) | PI GI | 0–21 | All mouth rinses showed a significant reduction in plaque and gingivitis. Probiotic mouth rinse was more effective in reducing gingivitis, followed by chlorhexidine and tulsi mouth rinses |
[22] | SB-RCT | 45 20–30 | Group A: probiotic mouth rinse (Sporlac Plus® (Sanzyme Ltd. India) + distilled water)
Group B: control (saline) | Chlorhexidine mouthwash 0.02% (Hexidine® (ICPA)) | OHI-S PI GI | 0–14–28 | Probiotic mouth rinse was effective in reducing plaque accumulation and gingival inflammation |
[31] | DB-RCT | 40 20–30 | Group A: probiotic Group B: fluoride Group C: control | Chlorhexidine | PI GI | 0–28 | Probiotic mouth rinse was effective in reducing plaque accumulation and gingival inflammation in 6–10-year-old children |
[23] | SB-RCT | 15 2–300 | Group A: probiotic (BreathActive Cleanition, Switzerland) Group B: control (distilled water) | Chlorhexidine 0.2% (Parodontax® Extra, GSK, Germany) | OHI-S PI GI | OHI-S: 6–12 GI: 6–12 PI: 0–30 | Probiotics demonstrated better treatment results when compared to mechanical treatment alone and were comparable to chlorhexidine |
[20] | DB-RCT | 45 6–8 | Group A: control group (mint water) Group B: probiotic | Chlorhexidine | PI GI | 0–14 | Probiotic mouth rinse was effective in reducing plaque accumulation and gingival inflammation |
[27] | SB-RCT | 60 6–9 | Group A: control (distilled water) Group B: probiotic (Darolac, Aristo Pharmaceuticals, India) | Chlorhexidine 0.02% (Hexidine) | PI GI | 0–3–14 | Extensive research was recommended to determine the strain of probiotics, the appropriate vehicle, and the amount of probiotic administration so that they can be effectively used and recommended by clinicians as an effective tool in plaque control and maintaining periodontal health |
[26] | DB-RCT | 60 6–14 | Group A: probiotic mint tablet mixed with water (Evora Plustm, Florida, USA) Group B: herbal oral rinse (Herboral, M-Tech Innovations Ltd., Pune, India) | Chlorhexidine 0.2% (Hexidine, IPCA Health Products Ltd., India) | PI | 0–7 | Herbal mouth rinse showed an equal antimicrobial effect compared to chlorhexidine digluconate 0.2% in reducing plaque accumulation, whereas probiotic mouth rinse showed less effectiveness |
[32] | SB-RCT | 45 20–30 | Group A: green tea (Lipton green tea bags) Group B: probiotic (Darolac, Aristo Pharmaceuticals, India) | Chlorhexidine | OHI-S PI GI | 0–7–14 | Probiotics and green tea were effective in reducing dental plaque |
[28] | SB-RCT | 90 13–15 | Group A: placebo mouth rinse (colored distilled water) Group B: probiotic mouth rinse (Darolac) | Chlorhexidine 0.12% (Carix® KIN S.A. Laboratory, Spain) | PI | 0–14–36 | Probiotic mouth rinse and chlorhexidine mouth rinse caused significant inhibition of dental plaque accumulation, but probiotic mouth rinse was found to be more effective for inhibition of dental plaque accumulation after 14 days of intervention and 3 weeks after discontinuation of intervention |
[25] | DB-RCT | 30 6–8 | Group A: control (mint water) Group B: probiotic (Darolac, Lallemand Health Solutions, India) | Chlorhexidine | PI GI | 0–14 | Probiotic mouth rinse showed a potential therapeutic effect and was an effective and safe alternative to chlorhexidine mouthwash |
[33] | DB-RCT | 90 15-16 | Group A: probiotic (Darolac, Aristo Pharmaceuticals, India) Group B: placebo (distilled water) | Chlorhexidine 0.2% (Clohex) | PI GI | 0–14 | There was a statistically significant difference between chlorhexidine and probiotic mouth rinse |
[30] | SB-RCT | 60 25–35 | Group A: probiotic (Darolac sachets) Group B: control (saline) | Chlorhexidine 0.2% (Rexidin, Warren-Indoco Remedies Ltd., Mumbai, India) | PI GI OHI-S | 0–14–28 | Probiotic mouth rinse was effective in reducing plaque accumulation and gingival inflammation |
[29] | SB-RCT | 54 8–12 | Group A: probiotic lozenge (BioGaia Prodentis) Group B: control group (only instructed to follow regular oral hygiene measures) | Chlorhexidine 0.05% (Clorasept) | PI | 0–15–30 | Probiotic lozenges and chlorhexidine significantly reduced plaque accumulation |
[24] | SB-RCT | 45 25–35 | Group A: control group (mint water) Group B: probiotic dairy product group | Chlorhexidine 0.02% | PI GI | 0–14 | There was a significant difference in the mean PI and mean GI between the control, chlorhexidine, and probiotic groups after 14 days. However, there were no significant differences in terms of plaque accumulation between the probiotic and chlorhexidine groups on day 14 |
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