Objectives: Triphala is the combination of three medicinal plants, extensively used in ayurveda since ancient time. Triphala mouthwash is used in the treatment of periodontal diseases because of its antimicrobial and antioxidant property. The aim of this study is to compare the efficacy of Triphala mouthwash with 0.2% chlorhexidine in hospitalized periodontal disease patients.
Materials and method: In this double blind randomized, multicentric clinical trial, 120 patients were equally distributed in three groups. Patients in group A were advised to rinse with 10 ml of distilled water, group B with 0.2% chlorhexidine and group C with triphala mouthwash for a minute twice daily for two weeks. Plaque index (PI) and gingival index (GI) were recorded on first and fifteenth day.
Results: There was no significant difference when the efficacy of triphala was compared with 0.2% chlorhexidine in hospitalized patients with periodontal disease. However, statistically significant difference was observed in PI and GI when both GroupB& Group C were compared with Group A and also within the groups B and C, after 15 days (p<0.05).
Conclusion: The triphala mouthwash (herbal) is an efficient antiplaque agent like 0.2% chlorhexidine. It is significantly useful in reducing the plaque accumulation and gingival inflammation, thereby controlling periodontal diseases in every patient. It is also cost effective, easily available and well tolerable with no reported side effects.
Keywords: triphala, chlorhexidine, gingivitis, periodontitis, plaque control
Periodontal diseases appear to occur when a pathogenic microbial plaque acts on a susceptible host[1]. Supragingival plaque control is fundamental to the prevention and management of perio...
... middle of paper ...
...oblems like bleeding gums, halitosis, mouth ulcers and preventing tooth decay. The major strength of these natural herbs is that their use has not been reported with any side-effects till date [21]. According to SushrutaSamhita in his 20thshloka, Triphala can be used as a gargling agent in dental diseases. Abraham et al, [22] indicated the strong inhibitory activity of triphala against the PMN-type collagenases, especially MMP-9 and confirmed the use of triphala in periodontal diseases. It has antimicrobial, antiseptic, anti-inflammatory and antioxidant properties along with many other properties [16-17, 23- 27].
Because of so many properties of triphala along with its other advantages like easy availability and cost effectiveness, the present study was undertaken to ascertain its efficacy with commercially available CHX in hospitalized periodontal disease patients.
Jones, D. J., Munro, C. L., & Grap, M. J. (2011). Natural history of dental plaque accumulation
According to the American Dental Association, gum disease, also referred to as periodontal disease, occurs when the tissues that support and surround your teeth become infected. Many people are unaware they even have gum disease, because it isn’t a painful disease. Periodontal disease is caused by a film of sticky bacteria called plaque forming on the teeth.
Teeth whitening is an ever increasing procedure being requested by many patients. In this paper, I will be discussing the biological and chemical mechanisms of teeth whitening, the difference between in office and take home whitening, current products on the market, and current issues and safety concerns regarding teeth whitening. Knowledge of these topics is important to have to be able to safely recommend in office or at home whitening options.
This therapy is used in dentistry for treating gum diseases, tooth decay and for teeth whitening.
In conclusion, its recommended that patients brush two-three times a day two minutes long to insure that most of the bacteria is removed from the teeth,gums, and tongue also. Flossing after every meal should also be done regularly because of left foods that get stuck between the teeth. There are many kinds of toothpaste, but not all contain fluorine. Its important that you chose on that does have fluorine because it rebuild tooth enamel and strengthen the tooth too.
Periodontal disease is an infection of the gingiva and alveolar bone. Periodontal disease increases in prevalence and severity as people age. Periodontal disease is precursored by gingivitis.
Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted in the dental clinic. Also, I will talk about some infection control guidelines implemented in dental clinics and how they meet the needs of the patients. Finally, from a personal perspective, I will mention some factors that affect the implantation of infection control guidelines and procedures.
Tooth brushing techniques causing gingival trauma are a significant factor for gingival recession. The frequency, duration and force of brushing all contribute to recession. Excessive force and improper technique may lead to ...
Periodontal disease also known as periodontitis is the inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms resulting in progressive destruction of the periodontal ligament and alveolar bone with pocket formation, recession, or both. This includes gingivitis, which is the inflammation of the gingiva and is the milder form. This later on progresses to periodontitis and is a more severe form. Periodontitis affects the periodontal ligament, alveolar bone, and cementum.
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
Dental plaque is the combination of bacteria embedded in a matrix of salivary proteins and bacterial products superimposed on the acquired pellicle (Berkovitz, et al., 2011). It is an example of a biofilm, a term used to describe relatively undefinable microbial community associated with a tooth surface or any other hard, non-shedding material (Reddy, 2008). Plaque can also be described as
Cappelli, D. P., & Mobley, C. C. (2008). Prevention in clinical oral health care. St. Louis, Mo: Mosby Elsevier.
The Connection Between High Blood Sugar Levels and Periodontal Disease. Saliva contains glucose; therefore, if you have uncontrolled diabetes, the amount of glucose present in your saliva is elevated. We naturally have somewhere between 200 to 300 bacterial species in our mouths: Some of these bacteria are good and some of them are bad. Streptococcus mutans is typically the bacterium responsible for causing tooth decay; whereas, periodontal disease is usually caused by a mixture of Porphyromonas gingivalis and Treponema denticola. Elevated glucose levels assist the harmful bacterias, Porphyromonas gingivalis and Treponema denticola, by providing the substance necessary to produce the acid that combines with our saliva to form the soft, sticky film referred to as plaque.
Elderly have long been identified as a high risk group for dental disease and poor oral hygiene care. The major barriers to affect good oral hygiene care can include lack of available staff and lack of appropriate oral health knowledge
Traditional herbal medicine comes from many different areas of the world (Indian, Chinese, African, Western, Native American herbs, Ayurvedic and other indigenous medicines) and in most all of them they are still b...