Comparative effect of neemstick and toothbrush on plaque removal and gingival health — A clinical trial

Introduction: The 80 percent of the population in India who live in rural areas still start their day with the chewing stick. Researchers believe that the use of neem stick is responsible for the healthy teeth of Indian villagers, people who never had access to any modern dental care facilities or fancy toothbrushes. Aim: The aim of this study was to compare the effect of neem stick and toothbrush on plaque removal and gingival health. Materials and Method: A single blind, randomized cross-over study conducted among 30 study subjects regularly attending the out patient department of the People’s College Of Dental Sciences and Research Centre, Bhopal. QuigleyHein plaque and Loe-Silness gingival index were taken at baseline and again following 3 weeks use of either neemstick or toothbrush. Professional tooth cleaning was done 7 days before the start of study and repeated after a further 3 weeks. Statistical analysis was done using t- tests and one way analysis of variance (ANOVA). P value <0.05 was considered statistical significant. Result: No significant difference has been found between toothbrush and neemstick. But, both has resulted in significant reduction in plaque and gingival scores compared to baseline. Conclusion: Neemstick is equally effective as toothbrush in reducing plaque and gingival inflammation.