Effectiveness of Oil Pulling for Improving Oral Health: A Meta-Analysis
Abstract
:1. Background
2. Materials and Methods
2.1. Search Strategy and Study Selection
2.2. Data Collection and Inclusion Criteria
2.3. Methodological Quality Appraisal
2.4. Statistical Analyses
3. Results
3.1. Characteristics of Included Trials
3.2. Statistical Analysis of Efficacy Outcomes
3.3. Publication Bias
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Sharma, H.; Chandola, H.M.; Singh, G.; Basisht, G. Utilization of Ayurveda in health care: An approach for prevention, health promotion, and treatment of disease. Part 1--Ayurveda, the science of life. J. Altern. Complement Med. 2007, 13, 1011–1019. [Google Scholar] [CrossRef] [PubMed]
- Shanbhag, V.K. Oil pulling for maintaining oral hygiene—A review. J. Tradit. Complement Med. 2016, 7, 106–109. [Google Scholar] [CrossRef] [Green Version]
- Peedikayil, F.C.; Sreenivasan, P.; Narayanan, A. Effect of coconut oil in plaque related gingivitis—A preliminary report. Niger. Med. J. 2015, 56, 143–147. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Dayrit, F.M. The properties of lauric acid and their significance in coconut oil. J. Am. Oil Chem. Soc. 2015, 92, 1–15. [Google Scholar] [CrossRef]
- Naseem, M.; Khiyani, M.F.; Nauman, H.; Zafar, M.S.; Shah, A.H.; Khalil, H.S. Oil pulling and importance of traditional medicine in oral health maintenance. Int. J. Health Sci. 2017, 11, 65–70. [Google Scholar]
- Sezgin, Y.; Memis Ozgul, B.; Alptekin, N.O. Efficacy of oil pulling therapy with coconut oil on four-day supragingival plaque growth: A randomized crossover clinical trial. Complement Ther. Med. 2019, 47, 102193. [Google Scholar] [CrossRef]
- Nagilla, J.; Kulkarni, S.; Madupu, P.R.; Doshi, D.; Bandari, S.R.; 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, ZC08–ZC11. [Google Scholar] [CrossRef] [PubMed]
- 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, 47–51. [Google Scholar] [CrossRef]
- Woolley, J.; Gibbons, T.; Patel, K.; Sacco, R. The effect of oil pulling with coconut oil to improve dental hygiene and oral health: A systematic review. Heliyon 2020, 6, e04789. [Google Scholar] [CrossRef] [PubMed]
- Reddy, U.; Khijmatgar, S.; Hegde, M.; Fabbro, M. Effects of coconut oil on oral health status of patients with poor oral hygiene: Systematic review and meta-analysis. J. Int. Oral Health 2021, 13, 519–532. [Google Scholar]
- Page, M.J.; McKenzie, J.E.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L.; Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021, 372, n71. [Google Scholar] [CrossRef] [PubMed]
- Higgins, J.P.; Green, S. Guide to the Contents of a Cochrane Protocol and Review, Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series; Wiley-Blackwell: Hobo-ken, NJ, USA, 2008; pp. 51–79. [Google Scholar]
- Higgins, J.P.; Altman, D.G.; Gøtzsche, P.C.; Jüni, P.; Moher, D.; Oxman, A.D.; Savović, J.; Schulz, K.F.; Weeks, L.; Sterne, J.A. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 2011, 343, d5928. [Google Scholar] [CrossRef] [PubMed]
- Higgins, J.; Deeks, J.J.; Altman, D.G. Special Topics in Statistics. In Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series; The Cochrane Collaboration: Chichester, UK, 2008; pp. 48–529. [Google Scholar]
- Saravanan, D.; Ramkumar, S.; Vineetha, K. Effect of oil pulling with sesame oil on plaque-induced gingivitis: A microbiological study. J. Orofac. Res. 2013, 3, 175–180. [Google Scholar]
- Asokan, S.; Rathan, J.; Muthu, M.S.; Rathna, P.V.; Emmadi, P.; Raghuraman; Chamundeswari. Effect of oil pulling on Streptococcus mutans count in plaque and saliva using Dentocult SM Strip mutans test: A randomized, controlled, triple-blind study. J. Indian Soc. Pedod. Prev. Dent. 2008, 26, 12–17. [Google Scholar] [CrossRef] [PubMed]
- Asokan, S.; Emmadi, P.; Sivakumar, N.; Kumar, R.S.; Raghuraman, R. Effect of oil pulling on halitosis and microorganisms causing halitosis: A randomized controlled pilot trial. J. Indian Soc. Pedod. Prev. Dent. 2011, 29, 90. [Google Scholar] [CrossRef] [PubMed]
- Vadhana, V.C.; Sharath, A.; Geethapriya, P.R.; Vijayasankari, V. Effect of sesame oil, ozonated sesame oil, and chlorhexidine mouthwash on oral health status of adolescents: A randomized controlled pilot trial. J. Indian Soc. Pedod. Prev. Dent. 2019, 37, 365–371. [Google Scholar] [PubMed]
- Sood, P.; Devi, M.A.; Narang, R.; Swathi, V.; Makkar, D.K. Comparative efficacy of oil pulling and chlorhexidine on oral malodor: A randomized controlled trial. J. Clin. Diagn. Res. 2014, 8, ZC18–ZC21. [Google Scholar] [CrossRef] [PubMed]
- Kaushik, M.; Reddy, P.; Sharma, R.; Udameshi, P.; Mehra, N.; Marwaha, A. The Effect of Coconut Oil pulling on Streptococcus mutans Count in Saliva in Comparison with Chlorhexidine Mouthwash. J. Contemp. Dent. Pract. 2016, 17, 38–41. [Google Scholar] [PubMed]
- 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, 114–118. [Google Scholar] [CrossRef]
- Griessl, T.; Zechel-Gran, S.; Olejniczak, S.; Weigel, M.; Hain, T.; Domann, E. High-resolution taxonomic examination of the oral microbiome after oil pulling with standardized sunflower seed oil and healthy participants: A pilot study. Clin. Oral Investig. 2021, 25, 2689–2703. [Google Scholar] [CrossRef]
- Alaka, H.; Keluskar, V.; Shetti, A. Oilpulling-unravalling the path of mystic cure. J. Int. Oral Health 2010, 2, 10–14. [Google Scholar]
- Amith, H.V.; Ankola, A.V.; Nagesh, L. Effect of oil pulling on plaque and gingivitis. J. Oral Health Community Dent. 2007, 1, 12–18. [Google Scholar]
- Asokan, S.; Rathinasamy, T.K.; Inbamani, N.; Menon, T.; Kumar, S.S.; Emmadi, P.; Raghuraman, R. Mechanism of oil-pulling therapy-in vitro study. Indian J. Dent. Res. 2011, 22, 34–37. [Google Scholar] [CrossRef] [PubMed]
- Tomar, P.; Hongal, S.; Jain, M.; Rana, K.; Saxena, V. Oil pulling and oral health: A review. Int. J. Sci. Study 2014, 1, 33. [Google Scholar]
Author(s) | Year | Design | No. of Patients | Intervention/Oral Hygiene Adjustment | Control | Outcomes Measured |
---|---|---|---|---|---|---|
Jauhari et al. [21] | 2015 | RCT | 52 | Coconut oil/Oil pulling twice daily | Distilled water. Mouthrinse twice daily | 1. Oral microbial levels 2. Streptococcus mutans level in saliva |
Kaushik et al. [20] | 2016 | RCT | 60 | Coconut oil/Oil pulling 10 mL for 10 min | Distilled water. Mouthrinse 5 mL for 1 min | 1. Microorganism total colony-forming units |
Nagilla et al. [7] | 2017 | RCT | 40 | Coconut oil/Oil pulling 10–15 mL for 10 min No toothbrushing | Mineral water. Mouthrinse. No toothbrushing | 1. Plaque index |
Sezgin et al. [6] | 2019 | RCT | 58 | Coconut oil/Oil pulling 10 mL twice daily for 15–20 min | Chlorhexidine 0.2%. Mouthrinse 10 mL twice daily for the 30 s | 1. Plaque index 2. Gingival index 3. Bleeding on probing 4. Stain index |
Asokan et al. [16] | 2008 | RCT | 20 | Sesame seed oil | Chlorhexidine mouthwash | 1. Streptococcus mutans count in plaque 2. Streptococcus mutans count in saliva |
Asokan et al. [8] | 2009 | RCT | 20 | Sesame seed oil | Chlorhexidine mouthwash | 1. Plaque index score 2. Modified gingival index score 3. Aerobic microorganism total colony count |
Asokan et al. [17] | 2011 | RCT | 20 | Sesame seed oil | Chlorhexidine mouthwash | 1. Marginal gingival index 2. Plaque index |
Vandhana et al. [18] | 2019 | RCT | 50 | Sesame seed oil | Chlorhexidine mouthwash | 1. Salivary Streptococcus mutans count: 2. Plaque index |
Sood et al. [19] | 2014 | RCT | 60 | Sesame seed oil | Chlorhexidine mouthwash/placebo | 1. Plaque index 2. Gingival index |
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Peng, T.-R.; Cheng, H.-Y.; Wu, T.-W.; Ng, B.-K. Effectiveness of Oil Pulling for Improving Oral Health: A Meta-Analysis. Healthcare 2022, 10, 1991. https://doi.org/10.3390/healthcare10101991
Peng T-R, Cheng H-Y, Wu T-W, Ng B-K. Effectiveness of Oil Pulling for Improving Oral Health: A Meta-Analysis. Healthcare. 2022; 10(10):1991. https://doi.org/10.3390/healthcare10101991
Chicago/Turabian StylePeng, Tzu-Rong, Han-Yu Cheng, Ta-Wei Wu, and Boon-Kok Ng. 2022. "Effectiveness of Oil Pulling for Improving Oral Health: A Meta-Analysis" Healthcare 10, no. 10: 1991. https://doi.org/10.3390/healthcare10101991
APA StylePeng, T.-R., Cheng, H.-Y., Wu, T.-W., & Ng, B.-K. (2022). Effectiveness of Oil Pulling for Improving Oral Health: A Meta-Analysis. Healthcare, 10(10), 1991. https://doi.org/10.3390/healthcare10101991