The Comparative Effectiveness of Microneedling Technique Alone and Microneedle with Coconut Oil and Olive Oil on the Severity of Gingival Inflammation and Plaque Accumulation: A Randomized Clinical Trial

Microneedling has gained attention as a minimally invasive adjunctive modality in periodontal therapy due to its ability to enhance transgingival delivery of topical agents. This randomized clinical study assessed the effects of microneedling alone and in combination with coconut oil or olive oil on gingival inflammation and plaque accumulation in patients with plaque-induced gingivitis. ticipants were randomly allocated into three groups: microneedling alone, microneedling with coconut oil, and microneedling with olive oil. Clinical parameters, including plaque index, Papillary-Marginal-Attached (PMA) index, and Visual Analog Scale (VAS) scores, were recorded at baseline, 7 days, and 21 days. The group receiving microneedling combined with coconut oil demonstrated a statistically significant reduction in gingival inflammation and plaque levels compared to the other groups. Microneedling alone and microneedling with olive oil showed clinical improvement; however, these changes were not statistically significant. The results suggest that microneedling with coconut oil may represent a safe, non-invasive, and effective adjunctive approach for the management of plaque-induced gingivitis.