Article | . Vol. 19, Issue. 3
Effects of coconut oil pulling and professional toothbrushing on gingivitis



Myungin Dental Hospital1
Department of Dental Hygiene, Kwangju Women's University2




.. 375:385


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Objectives: The purpose of this study was to provide basic data for gingivitis management programs by dental hygienists by evaluating the effect of oral health education, oil pulling, and professional toothbrushing on gingivitis. Methods: A total of 38 subjects were divided into three groups: control group (12 subjects), experimental group 1 (13 subjects), and experimental group 2 (13 subjects). The control and experimental groups were instructed to brush using the rotating method. Distilled water was provided to the control group after training. Coconut oil was provided every morning for about 10 minutes. In the experimental group 2, a professional brushing method was used at each visit. Results: There were no significant differences in oral health among the three groups, and there was homology between patient hygiene performance (PHP) index (p=0.144) and bleeding rate (p=0.213). The PHP index showed a significant interaction between the group and measurement time. The control and experimental groups showed changes in the PHP index with time (F=3.711; p=0.013). The bleeding rate showed a significant interaction between the group and measurement period. The control and experimental groups showed changes in the bleeding rate with time (F=6.707; p<0.001). Conclusions: Oral health education, professional toothbrushing, and oil pulling specialists in oral care of gingivitis were effective in managing gingivitis. It is necessary to educate people on self-management methods for oral health promotion using gingivitis management programs by dental hygienists.



1. Lee JH, Han GS. Oral health behavior levels and oral hygiene condition in fixed type orthodontic appliances. J Dent Hyg Sci 2011;11(6):489-95.   

2. Seo SY. (The)effects of periodontal patients’ oral health perception and degree of practice of oral health on quality of life[Master’s thesis]. Yongin: Univ. of Dankook, 2009.   

3. Baeg DE, Kim HD, Jin BH, Park YD, Shin SC, Jo JW, et al. Clinical preventive dentistry. 5th ed. Seoul: Komoonsa; 2011: 75-8.   

4. Kim BO, Jo MS, Kim SA, Sim HS, Han YG, Ko EK, et al. Periodontics. 3rd ed. Seoul: DH; 2013: 102-12.   

5. Bartolucci EG. Periodontology. Seoul: DeahanNarae; 2003: 43-61.   

6. Kim YJ. Effects of plaque control according to professional toothbrushing of orthodontic patients[Master’s thesis]. Busan: Univ. of Dongeui, 2019.   

7. Chang KW. Dental plaque control by professional tooth brushing. J Korean Dent Assoc 2001;39(6):443-9.   

8. Shin WC, Kang SG, Kim DK. The effectiveness of maintenance care by non–surgical treatment on the periodontal disease. J Korean Acad Dent Health 2001;25(2):109-21.   

9. Kim CH, Kim J, Kim CW. Change in periodontal status by professional toothbrushing, and patients satisfaction. J Korean Soc Dent Hyg 2008;45(1):21-4.   

10. Chang KW. Dental plaque control technique by professional: Focusing on watanabe method. J Korean Dent Assoc 2007;45(1):21-4   

11. Asokan S, Emmadi P, Chamundeswari R. Effect of oil pulling on plaque induced gingivitis : A randomized, controlled, triple-blind study. Indian J Dent Res 2009;20(1):47-51. https://doi.org/10.4103/0970-9290.49067.  

12. Asokan S. Oil pulling therapy. Indian J Dent Res 2008;19(2):169.   

13. Singh A, Purohit B. Tooth brushing, oil pulling and tissue regeneration: A review of holistic approaches to oral health. J Ayurveda Integr Med 2011;2(2):64-8.   

14. Sood P, Devi MA, RVS, Makkar DK. Comparative efficacy of oil pulling and chlorhexidine on oral malodor: A randomized controlled trial. J Clin Diagn Res 2014;8(11):ZC19-21. https://doi.org/10.7860/JCDR/2014/9393.5112  

15. Peedikayil FC, Sreenivasan P, Narayana A. Effect of coconut oil in plaque related gingivitis-a preliminary report. Niger Med J 2015;56(2):143-7. https://doi.org/10.4103/0300-1652.153406   

16. Naseem M, Khiyani MF, Nauman H, Zafar MS, Shah AH, Khalil HS. Oil pulling and importance of traditional medicine in oral health maintenance. Int J Health Sci 2017;11(4):65-70.   

17. Shanbhag VK. Oil pulling for maintaining oral hygiene - A review. J Tradit Complement Med 2016;7(1):106-9. https://doi.org/10.1016/j.jtcme.2016.05.004   

18. Jauhari D, Srivastava N, Rana V, Chandna P. Comparative evaluation of the effects of fluoride mouthrinse, herbal mouthrinse and oil pulling on the caries activity and streptococcus mutans count using oratest and dentocult SM strip mutans kit. Int J Clin Pediatr Dent 2015;8(2):114-8. https://doi.org/10.5005/jp-joumals-10005 –1295   

19. Noh MK. Effects of professional toothbrushing on gingival health[Doctoral dissertation]. Gyeongsan: Univ. of Yeungnam, 2015.   

20. Kim YH, Kim YG, Yoo JA, Park JE. The effect of the cariview test and professional brushing training on the reduction of PHP index of dental hygiene students. J Korean Soc Dent Hyg 2017;17(6):993-1001. https://doi.org/10.13065/jksdh.2017.17.06.993  

21. Podshadley AG, Haley JV. A method for evaluating oral hygiene performance. Public Health Rep 1968;83(3):259-64. https://doi.org/10.2307/4593265   

22. Guidelines for oral examination of the National Health Survey: MOHW; 2012: 219.  

23. Cho MJ, Lee ES, Park JR, Jeong JY, Gwon SB, Han KS, et al. Dental prophylaxis. 4th ed. Seoul : Komoonsa; 2010: 13-30.  

24. Nagilla J, Kulkarni S, Madupu PR, Doshi D, Bandari SR, Srilatha A. Comparative evaluation of antiplaque efficacy of coconut oil pulling and a placebo, among dental college students: A randomized controlled trial. J Clin Diagn Res 2017;11(9):ZC8-ZC11. https://doi.org/10.7860/JCDR/2017/26656.10563  

25. Kandaswamy SK, Sharath A, Priya PG. Comparison of the effectiveness of probiotic, chlorhexidine-based mouthwashes, and oil pulling therapy on plaque accumulation and gingival inflammation in 10-to 12-year-old schoolchildren: A randomized controlled trial. Int J Clin Pediatr Dent 2019;11(2):66-70. https://doi.org/10.5005/jp-journals-10005-1487   



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