To evaluate and compare the effectiveness of tooth brushing, tongue scraping, mouthwash rinsing with 2% w/v chlorhexidine mouthwash, mouthwash rinsing with probiotic mouthwash on plaque scores, gingival scores, halitosis scores.

A double blinded parallel randomized clinical trial.

The study will be conducted among young adults, (aged 18–25 years) residing in one of the nongovernmental organizations (NGOs) in Hyderabad.

sample size is 84, with 21 in each group.

Subjects in the age group of 18-25years

With a minimum halitosis score of   >_2 according to Hali meter 

With fair to poor gingival and plaque scores 

Willing to participate in the study are included.

With history of Systemic conditions 

Antibiotic therapy in the past 3 months 

Acute sinusitis

Oral conditions like dental caries and Periodontal disease (pocket depth and CAL)

Underwent gingival or periodontal treatment in the past 3 months.

Subjects performing oral hygiene procedures other than brushing will be excluded from study.

All eligible subjects will be given oral and written information about the purpose of the study

Informed consent will be obtained from the study subjects. Ethical clearance obtained from the Institutional ethics committee

 84 were randomly allocated into four groups with 21 in each group

Group I : Tooth brushing only using a toothbrush(medium) with fluoridated toothpaste (sodium fluoride –1000 ppm).

          

Group II: Tooth brushing (medium) and tongue scraping (Tongue cleaner)

         

Group III: Tooth brushing and tongue scraping (Tongue Cleaner); and use of mouthwash (CHX mouth rinse [0.2% w/v CHX gluconate solution)

Group IV: Tooth brushing, tongue scraping (Tongue Cleaner); and use of probiotic mouthwash.

Random allocation of study subjects in each group was performed using the lottery     method. The examiner and the study subjects will be blinded towards the allocation of participants.The group allocation and concealment of procedure will be carried out independently by a separate investigator not included in the study procedure

  

The following information will be collected from each subject.

The demographic details such as age, gender, and education.

Subjects will be assigned with the different oral hygiene regimens advised to follow for 14 days.

Examination will be done base line (1st day), 7th, 14th day to assess,

A) Plaque Index (PI) (Silness P and Loe H)

B) Gingival Index (GI) (Loe and Silness)

C) Halitosis score

Subjects allotted with the different groups will be given instructions for oral hygiene methods.