Efficacy of Natural Products in Fixed Orthodontic Appliances (FOA) Treatment - A Dental Note

Aravind Kumar.S*1 and Lakshmi.T2

1Reader, Department of Orthodontics, Saveetha Dental College, Chennai.

2Senior Lecturer, Department of Pharmacology, Saveetha Dental College, Chennai.

Corresponding Author:
Dr. Aravind kumar.S
Reader,Department of Orthodontics
Saveetha Dental College & Hospitals,Chennai.
Email Id: [email protected]

Date of Submission: 15-09-2011 Date of Acceptance: 28-09-2011

Citation: ARAVIND KUMAR.S , LAKSHMI.T, “Efficacy Of Natural Products In Fixed Orthodontic Appliances (FOA) Treatment –A Dental Note”, Int. J. Drug Dev.& Res., July-Sep 2011, 3(3):01-02

Copyright:© 2010 IJDDR, Aravind Kumar.S et al. This is an open access paper distributed under the copyright agreement with Serials Publication, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


To The Editor

oral bacteria are the primary etiologic agents that cause dental caries/plaque. Bacteria have evolved to survive in the environment of the tooth surface, gingival epithelium, and oral cavity. Acidogenic oral bacteria like streptococcus mutans, streptococcus salivarius,Streptococcus mitis, Streptococcus sanguis and lactobacillus acidophilus primarily causes dental caries/plaque that surround orthodontic appliances in many patients undergoing Orthodontic treatment [1]. Such bacteria can lead to tooth enamel breakdown and potential discoloration of the tooth surface, and these aesthetic changes can persist for many years after orthodontic treatment[2, 3]. Natural products derived from plant source are found to be highly efficient in eradicating the dental caries/plaque found in fixed orthodontic appliances patients undergoing orthodontic treatment.

We read a recent publication on the invitro antibacterial activity of Acacia catechu heartwood extract against oral microbes. the study revealed the potency of A.catechu extract in treatment of the dental caries/plaques caused mainly by streptococcus mutans, streptococcus salivarius and lactobacillus acidophilus [4],the finding is very interesting. Recently many herbal extracts were tested against the acidogenic oral bacteria and found to be effective in management of dental plaque, However the active constituent responsible for the antibacterial activity should be identified by phytochemical analysis. Similar study was conducted on Aesculus hippocastanum against oral microbes that causes dental caries/plaque. the study suggest the A.hippocastanum ethanolic extract is effective in eradicating the dental plaque caused by cariogenic organism like streptococcus mutans, streptococcus salivarius ,streptococcus mitis,streptococcus sanguis and Lactobacillus acidophillus[5].

Vanka A et al also conducted a study on Azadirachta indica mouthwash against the salivary levels of streptococcus mutans and Lactobacillus acidophillus. He concluded that Azadirachta indica mouthwash as an effective agent in eliminating the dental caries/plaques with or without alcohol and chlorhexidine since antiquity[6] .

Beukes an orthodontist conducted an invitro study on the antimicrobial activity of phytomedicine against acidogenic oral bacteria on eight medicinal plants like Hydrastis Canadensis, Cyclopia Intermedia, Hypericum perforatum, Ginkgoaceae, Passiflora incarnata, Achillea Millefolium, Arciosiaphylos uva-ursi and Artemisia absinthium against S. mutans, S. sobrinus, L. casei and A. naeslundii involved in dental demineralisation., acetone, ethanolic, hexane form of extract were used.The control treatments were chlorhexidine and fluoride. His findings concludes that The herbs with activity that ranges of 0,04-0,3 mg/ml includes Ginkgoaceae, Achillea Millefolium, Passiflora incarnata, Arciosiaphylos uva-ursi and Hypericum perforatum. The acetone extracts showed significant inhibition zones against S.mutans, L.casei and S.sobrinus when compared to ethanolic and hexane extract.[7]

Hence with all the evidence based scientific studies we conclude that the herbal products like Acacia catechu willd,Aesculus hippocastanum, Azadiractha Indica, Achillea millifolium, Passiflora incarnata, Arciosiaphylos uva-ursi,Hypericum perforatum and Ginkgoacea were proved as an effective agents for the prevention of dental caries/plaques caused primarily by streptococcus mutans, streptococcus sobrinus, Lactobacillus casei and Lactobacillus acidophilus. Moreover, these herbal extracts can also be applied in the fixed orthodontic appliance patients undergoing orthodontic treatment to eradicate the dental plaques that usually seems to be difficult to get removed.


Conflict of Interest: NIL

Source of Support: NONE

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