Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/5/2025

Gingivitis Treatment with Natural Product-Based Mouthwashes

Chemical Plaque Control

  • Green tea mouthwash (1-5% concentration) demonstrates similar anti-plaque and anti-gingivitis effects to chlorhexidine, according to the American Dental Association 1, 2
  • Aloe vera mouthwash (100%) used twice daily for 1 minute reduces plaque and gingival inflammation, as recommended by the American Academy of Periodontology 3, 4
  • Lemongrass oil (0.25%) mouthwash used twice daily for 1 minute for 21 days shows comparable results to chlorhexidine, with a moderate level of evidence 5, 6
  • Turmeric (0.1%) mouthwash used twice daily for 1 minute for 21 days demonstrates effectiveness similar to chlorhexidine, with a low level of evidence 5

Professional Treatment

  • Patient education on proper oral hygiene techniques, including the correct method of toothbrushing and flossing, is essential for gingivitis treatment, as emphasized by the American Dental Association 7, 3

Treatment Algorithm

  • Reassessment of gingival health after 2-4 weeks is crucial for adjusting the treatment plan, with a high level of evidence 7, 3

Common Pitfalls and Caveats

  • Chlorhexidine may cause tooth staining, taste alteration, and increased calculus formation with prolonged use; natural alternatives may be considered for long-term maintenance, according to the American Academy of Periodontology 5, 1
  • Most studies on natural product mouthwashes are short-term; long-term efficacy and safety require further investigation, with a low level of evidence 7, 5