Comparing the Effect of Coconut Oil Pulling Practice with Chlorhexidine Mouth Wash in Plaque Induced Gingivitis by Evaluation of Salivary Biochemical Marker – A Comparative Interventional Study


  • Vinayaka Mission's Research Foundation (Deemed to be University), Department of Dentistry, Vinayaka Missions Medical College, Karaikal, Puducherry, 609 609, India
  • Vivekananda Dental College and Hospital, Department of Oral Medicine and Radiology, Thiruchencode, Tamilnadu, 637 205, India
  • Chettinad Dental College and Research Institute, Department of Oral Medicine and Radiology, Kelambakkam, Tamilnadu, 603 103, India
  • Sree Balaji Vidhyapeeth (Deemed to be University), Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Puducherry, 607 403, India


Background: Oil pulling is an oral hygiene practice and is described in the ancient Ayurvedic literature. Materials and Methods: A total of 30 subjects with plaque related mild – moderate gingivitis in the age Group of 18-25 was recruited and they were divided into two Groups as Group A and B, each with 15 subjects. Group A subjects were advised to practice coconut oil pulling therapy and Group B subjects were advised to use Chlorhexidine Gluconate 0.12% solution for 4 weeks as an adjuvant practice along with routine tooth brushing. Estimation of salivary Aspartate Aminotransferase was done at pre and post intervention stage for both the study Groups by using semi auto analyser. Results: Statistically significant reduction in the reduction in the salivary Aspartate Aminotransferase level was seen at post intervention stage in Group A and Group B compared to preintervention stage. Comparison of salivary Aspartate Aminotransferase level between Group A subjects and Group B subjects at pre and post intervention stage revealed no significant difference. Our study results show that oil pulling utilizing coconut oil is effective in reducing the severity of plaque induced mild-moderate gingivitis and the effect is comparable to 0.12% chlorhexidine mouthwash in reducing plaque formation and gingivitis. Conclusion: Oil pulling utilizing coconut oil is an effective adjuvant oral hygiene practice in reducing the severity of plaque induced mild – moderate gingivitis along with the routine oral hygiene measure. Coconut oil pulling practice could be a potential alternative to chlorhexidine mouth wash for long term use.


Aspartate Aminotransferase, Kavala Gandoosha, Kavala Graham, Oil Swishing.

Full Text:


Van Strydonck DA, Demoor P, Timmerman MF, Van derVelden U, Van der Weijden GA. The anti-plaque efficacy of a chlorhexidine mouthrinse used in combination with tooth brushing with dentrifice. J Clin Periodontal. 2004; 31:691–5. PMid: 15257749.

Sooryavanshi S, Mardikar BR. Prevention and treatment of diseases of mouth by Gandoosha and Kavala. Anc Sci Life. 1994; 13:266–70. PMid: 22556659 PMCid: PMC3336527.

Hebber A, Keluskar V, Shetti A. Oil pulling – Unraveling the path to mystic cure. J Int Oral Health. 2010; 2:11–4.

T Singh A, Purohit B. Tooth brushing, oil pulling and tissue regeneration: A review of holistic approaches to oral health. J Ayurveda Integr Med. 2011; 2:64–8. PMid: 21760690 PMCid: PMC3131773.

Deb Mandal M, Mandal S. Coconut (Cocos nucifera L.: Arecaceae): In health promotion and disease prevention. Asian Pac J Trop Med. 2011; 4:241–7. S1995-7645(11)60078-3

Peedikayil FC, Sreenivasan P, Narayanan A. Effect of coconut oil in plaque related gingivitis – A preliminary report. Niger Med J. 2015; 5:143–7. PMid: 25838632 PMCid: PMC4382606.

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. PMid: 19336860.

Kudva P, Saini N, Kudya H, Saini V. To estimate salivary Aspartate Aminotransferase levels in chronic gingivitis and chronic periodontitis prior and following non–surgical periodontal therapy: A clinic-biochemical study. J Indian Soc Periodontol. 2014; 18:53–8. PMid: 24744545 PMCid: PMC3988645.

Shanbhag VKL. Oil pulling for maintaining oral hygiene – A review. Journal of Traditional and Complementary Medicine. 2017; 7:106–9. PMid: 28053895 PMCid: PMC5198813.

Siddique S, Panchmal GS, Pullishery F. Aspartate Aminotransferase as a biomarker in periodontal disease: A comparative in vitro study. Saudi Journal of Oral Sciences. 2016; 321-24.

Podzimek S, Vondrackova L, Duskova, Janatova T, Broukal Z. Salivary markers for periodontal and general disease. Dis Markers. 2016; 2016:9179632. PMid: 27143814 PMCid: PMC4837271.

Amith HV, Ankola AV, Nagesh L. Effect of oil pulling on plaque and gingivitis. J Oral Health Community Dent. 2007; 1:12–8.

Saravanan D, Ramkumar S, Vineetha K. Effect of oil pulling with sesame oil on plaque-induced gingivitis: A microbiological study. J Orofac Res. 2013; 3:175–80.


  • There are currently no refbacks.