 For group II, the patients teeth were brushed every 4 hours using a soft toothbrush with 0.12 Chlorhexidine solution. Both buccal and lingual surfaces of teeth were brushed using mechanical method for plaque removal in direction away from gingival margin,. The patients tongue was brushed when possible and lip moisturizer was applied as needed. The toothbrush was boiled for one minute every day. 