A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears

Introduction: Ninety-five percent ethanol is the routinely used and standard cytological fixative. However, commercially available ethanol is expensive and not freely available in some institutions. There is always a search for an ideal alternative. Aim and Objective: In the present study, we evalua...

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Main Authors: Bharadwaj Bordoloi, Aanchal Tandon, Arunima Goswami, Debojyoti Roy, Abhinav Srivastava, Apoorva Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Contemporary Clinical Dentistry
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Online Access:https://journals.lww.com/10.4103/ccd.ccd_100_24
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author Bharadwaj Bordoloi
Aanchal Tandon
Arunima Goswami
Debojyoti Roy
Abhinav Srivastava
Apoorva Sharma
author_facet Bharadwaj Bordoloi
Aanchal Tandon
Arunima Goswami
Debojyoti Roy
Abhinav Srivastava
Apoorva Sharma
author_sort Bharadwaj Bordoloi
collection DOAJ
description Introduction: Ninety-five percent ethanol is the routinely used and standard cytological fixative. However, commercially available ethanol is expensive and not freely available in some institutions. There is always a search for an ideal alternative. Aim and Objective: In the present study, we evaluated 100% coconut water (CW) and 30% aqueous honey solution as cytological fixative at different time points and compared them with routinely used spray fixative of ethanol. Materials and Methods: Oral smears were prepared from 30 healthy volunteers, and a total of 270 smears were prepared. From each volunteer, 9 smears were prepared. One smear was fixed in ethanol, four smears were fixed in 100% CW and four in 30% aqueous honey solution. Of the four smears fixed in CW or honey, one smear was fixed for 15 min, one for 30 min, one for 45 min, and one for 1 h, respectively. The slides were dried and then the smears were stained with Papanicolaou staining. Slides were evaluated by two independent observers who were blinded to the procedures. The following parameters were evaluated – nuclear staining, cytoplasmic staining, cell morphology, clarity of staining, and uniformity of staining. Statistical analysis was done using post hoc pairwise comparison, and P < 0.05 was considered to be statistically significant. Results: The results of the study showed that fixation with 30% aqueous solution of honey or 100% CW for more than 15 min yields useful and evaluable results. Conclusion: These readily available materials can be used as alternatives of alcohol in oral cytology.
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series Contemporary Clinical Dentistry
spelling doaj-art-b0bf48239058431faf6c71679834f16c2025-01-07T05:30:09ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612024-12-0115423223910.4103/ccd.ccd_100_24A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral SmearsBharadwaj BordoloiAanchal TandonArunima GoswamiDebojyoti RoyAbhinav SrivastavaApoorva SharmaIntroduction: Ninety-five percent ethanol is the routinely used and standard cytological fixative. However, commercially available ethanol is expensive and not freely available in some institutions. There is always a search for an ideal alternative. Aim and Objective: In the present study, we evaluated 100% coconut water (CW) and 30% aqueous honey solution as cytological fixative at different time points and compared them with routinely used spray fixative of ethanol. Materials and Methods: Oral smears were prepared from 30 healthy volunteers, and a total of 270 smears were prepared. From each volunteer, 9 smears were prepared. One smear was fixed in ethanol, four smears were fixed in 100% CW and four in 30% aqueous honey solution. Of the four smears fixed in CW or honey, one smear was fixed for 15 min, one for 30 min, one for 45 min, and one for 1 h, respectively. The slides were dried and then the smears were stained with Papanicolaou staining. Slides were evaluated by two independent observers who were blinded to the procedures. The following parameters were evaluated – nuclear staining, cytoplasmic staining, cell morphology, clarity of staining, and uniformity of staining. Statistical analysis was done using post hoc pairwise comparison, and P < 0.05 was considered to be statistically significant. Results: The results of the study showed that fixation with 30% aqueous solution of honey or 100% CW for more than 15 min yields useful and evaluable results. Conclusion: These readily available materials can be used as alternatives of alcohol in oral cytology.https://journals.lww.com/10.4103/ccd.ccd_100_24biocompatiblecoconut watercytologyethanolfixativehoney
spellingShingle Bharadwaj Bordoloi
Aanchal Tandon
Arunima Goswami
Debojyoti Roy
Abhinav Srivastava
Apoorva Sharma
A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears
Contemporary Clinical Dentistry
biocompatible
coconut water
cytology
ethanol
fixative
honey
title A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears
title_full A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears
title_fullStr A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears
title_full_unstemmed A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears
title_short A Comparative Double-blind Study to Evaluate the Efficacy of Coconut Water and Honey as Cytological Fixatives for Oral Smears
title_sort comparative double blind study to evaluate the efficacy of coconut water and honey as cytological fixatives for oral smears
topic biocompatible
coconut water
cytology
ethanol
fixative
honey
url https://journals.lww.com/10.4103/ccd.ccd_100_24
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