Research Paper
Ayurveda
E-ISSN No : 2454-9916 | Volume : 8 | Issue : 8 | Aug 2022
EFFECT OF DASANASAMSKARA CHOORNA FOR DANTADHAVANA IN ORAL HYGIENE 1
2
Anusree.C , Jayan. D , Jyothi. R
3
1
Asst. professor, Department of Swasthavritta, P. N. Pancikar Souhruda Ayurveda Medical College, Kanhangad, Kerala, India. Professor, Department of Swasthavritta, Govt. Ayurveda College, Thiruvananthapuram, Kerala, India. 3 Professor, Department of Swasthavritta, Govt. Ayurveda College, Tripunithura, Kerala, India. 2
ABSTRACT Oral hygiene is the practice of keeping the mouth and teeth clean to prevent dental problems. Global burden of disease estimates 69% of population with oral diseases. This study ventures at the use of Dasanasamskara choorna in Bhaishajyaratnavali for dantadhavana and its effect in oral hygiene based on Oral Hygiene Index – Simplified score and microbiological examinations. Calcium carbonate, the most common mild abrasives used by modern dentists is the major ingredient of this research medicine in the form of khatika choorna. Other ingredients sunthi, haritaki, musta, khadira, ghanasara, guvaka bhasma, marica, devapuspa, tvak are also effective in prevention of teeth diseases as per classics and researches. The study was non randomized control trail, conducted in 40 volunteers in age group 18-45 years. 20 consented volunteers with OHI-S poor and fair were selected in study group and 20 volunteers with OHI-S poor and fair were selected in control group using consecutive sampling technique. 5 volunteers were selected by lottery method and their saliva were taken and sent for microbiological examinations (total bacteria count and Streptococcus mutans count). For the study group, Dasanasamskara choorna was given and for the control group particular toothpaste accepted by Indian Dental Association was provided. Both groups were advised to do regular brushing for 2 minutes twice a day for one month. OHI-S of 40 volunteers was assessed on 0th, 15th & 31st day. Microbiological examinations of 5 volunteers selected by lottery method from both groups taken were repeatedly done on 0th, 15th, 31st days. The results were analyzed statistically within groups considering the outcome variables OHI-S and microbiological examination of saliva using Wilcoxon signed rank test and between groups using Mann-Whitney Test. This study is significantly effective in improving oral hygiene. KEYWORDS: Dasanasamskara choorna, dantadhavana, oral hygiene. INTRODUCTION: Ayurveda has a rich reservoir for dental sciences and has mentioned various procedures for maintaining oral hygiene like dantadhavana, gandusha, kabala and jihwanirlekhana. Dantadhavana -cleaning of teeth is the main procedure for oral hygiene. Oral hygiene is the practice of keeping the mouth and teeth clean to prevent dental problems ie. most commonly dental cavities, gingivitis, periodontal (gum) diseases and bad breath1. Dental diseases are a significant public health burden in India as well as across the globe. WHO recognizes oral health as an integral part of general health. The consequences of widespread poor oral health can be seen on both personal and community levels as dental caries and periodontal disease deteriorate the individual health and wellbeing, decrease economic productivity2. Over the past decade a growing body of scientific evidence seems to suggest a significant association between periodontal infections and systemic conditions like coronary heart disease, respiratory infections, preterm low birth weight babies etc3. Estimates from Global Burden of Disease demonstrate that oral diseases affect 3.9 billion people and covering about 69% of the population. Prevalence of oral diseases is very high in India with dental caries 50%, 52.5%, 61.4%, 79.2% and 84.7% in 5years, 12years, 15years, 35–44years and 65–74 years respectively and periodontal diseases 55.4%, 89.2% and 79.4% in 12 years, 35- 44years and 65–74 years respectively as the two most common oral diseases4. Most of the dental diseases permanently destroy the tissues which cannot be repaired and replaced by the body5. Treatments of dental diseases are very expensive and time consuming. The food sticking to the dental crevice serves as a good medium for bacterial growth. So oral hygiene is inevitable in the control of oral diseases. Various compounds such as fluorides, detergents, abrasives, dyes, calcium and agents for taste are present in a tooth paste6. Swallowing too much fluoride from toothpaste potentially causes fluorosis, stomach ailments, acute toxicity, skin rashes, and impairment in glucose metabolism. Other chemicals ingested from toothpastes can cause toxic effect on teeth, bones, blood, muscles, nerves and other parts of the body7. Considering the increasing prevalence of antibiotic resistance due to their use and also their side effects, medicinal plants are now considered for use against bacterial infections and effective in with dental problems. Typical toothpaste constitutes at least 50% of abrasive, which removes food debris and stains from teeth. Calcium carbonate is the most common mild abra-
sive in practice. Dasanasamskara choorna8in Bhaishajyaratnavali written in 18th century contains calcium carbonate as major ingredient in the form of khatika choorna. Anti-bacterial effect of calcium carbonate nanoparticles has been scientifically proved9. The anti-bacterial activity of medicinal plants is due to the presence of potential bioactive compounds, which help to reduce bacterial load in the oral cavity and thus prevent the formation of plaque, dental caries and ulcers. With this background the present study ventures at the use of Dasanasamskara choorna for dantadhavana and to find out its effect in oral hygiene. OBJECTIVES OF THE STUDY: 1. To assess the effect of dantadhavana with Dasanasamskara choorna in OHI – S score. 2.
To assess the effect of dantadhavana with Dasanasamskara choorna on oral micro flora (Total bacteria count, streptococcus mutants count)
MATERIALS AND METHODS: Study setting: OPD of Department of Swasthavritta, Government Ayurveda College, Thiruvananthapuram. Study population: Volunteers registering in OPD of Swasthavritta with OHI-S poor (1.3-3.0) and fair (3.0-6.0) Inclusion criteria: 1. Age group 18-45years 2.
Both sexes
3.
Those who are willing to participate in the study
Exclusion criteria Volunteers with 1. Mouth ulcers, gingivitis and periodontitis 2.
Good Oral Hygiene Index-S score (0-1.2)
3.
Dental braces
4.
Any other known systemic diseases
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International Education & Research Journal [IERJ]
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