title: Impact of scaling and root planing with adjunct essential-oil-based mouthwash usage on whole salivary IgG levels in patients with periodontal inflammation.
abstract: OBJECTIVE
  The aim was to assess the effect of scaling and root planing (SRP) with and without adjunct use of an essential-oil-based-mouthwash (EOBM) on whole salivary immunoglobulin G (IgG) levels in patients with periodontal inflammation.
  
  
  METHODS
  Fifty patients with periodontal inflammation were included. Treatment wise, these patients were randomly divided into two groups. In group 1, patients underwent SRP and were instructed to rinse with 10 mL of an EOBM twice daily for 30 days, whereas those in group 2 underwent SRP and were instructed to rinse with 10 mL of water twice daily for 30 days. Whole saliva samples were collected at baseline and after 40 days of treatment. P-values < 0.05 were considered statistically significant.
  
  
  RESULTS
  At baseline, whole salivary IgG levels were comparable among patients in groups 1 (60.5 ± 5.5 mg/dL) and 2 (57.3 ± 2.4 mg/dL). After 40 days of follow-up, there is a significant decrease in whole salivary IgG levels among patients in group 1 (7.2 ± 2.4 mg/dL) as compared to those in group 2 (26.6 ± 4.6 mg/dL) (P < 0.001).
  
  
  CONCLUSIONS
  SRP, when performed with adjunct use of an EOBM, is more effective in reducing whole salivary IgG levels as compared to when SRP is performed without adjunct use of an EOBM.
authors.affiliation: Dental Department, King Khalid University Hospital, King Saud University , Riyadh , Saudi Arabia.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Alshehri
authors.affiliation: Periodontist, King Khalid University Hospital, King Saud University , Riyadh , Saudi Arabia.
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: Altalhi
authors.affiliation: Department of Health, Ministry of Interior , Riyadh , Saudi Arabia.
authors.forename: Hadi J
authors.initials: HJ
authors.lastname: Alqahtani
authors.affiliation: Department of Dentistry, Prince Sultan Military Medical City , Riyadh , Saudi Arabia.
authors.forename: Meteab A
authors.initials: MA
authors.lastname: Almoither
authors.affiliation: Dental Department, King Khalid Hospital and Prince Sultan Center , Al Kharj , Saudi Arabia.
authors.forename: Saad A
authors.initials: SA
authors.lastname: Alhazzani
authors.affiliation: Department of Dentistry, Prince Sultan Military Medical City , Riyadh , Saudi Arabia.
authors.forename: Mohammad Maish
authors.initials: MM
authors.lastname: Almohammadi
authors.affiliation: Department of Oral and Maxillofacial Sciences, Al-Farabi College for Dentistry and Nursing , Riyadh , Saudi Arabia.
authors.forename: Omar
authors.initials: O
authors.lastname: Kujan
keywords: essential oil; immunoglobulin G; mouthwash; periodontal inflammation; scaling and root planing