Comparative evaluation of Chlorhexidine and Triphala with Rajat Bhasma jelly as against Chlorhexidine mouth rinse in prevention of bacterial accumulation in fixed orthodontic assembly: A randomized interventional study

Abstract

Background: By offering numerous mechanical retention sites, fixed orthodontic treatment increases the build-up of bacterial plaque, rendering teeth more susceptible to gingivitis and periodontitis. Chlorhexidine is a frequently utilised adjuvant to mechanical oral hygiene techniques and is regarded as the gold standard. As compared to chemicals and allopathy, nowadays patients are showing great inclination for the herbal products. Commercially available herbal mouhrinses are emerging in the market. Due to their lack of purity, these is a need for more herbal alternative mouthrinses like Triphala. As known, silver coated wire has antimicrobial and antiadherent properties, still not commercially available. Some reasons could be cost, toxicity levels, etc. Thereby, to evaluate the effects herbal mouthwashes in adjunct with herbal form of silver i.e. Rajat bhasma, present study has been taken up to check the antimicrobial and anti-adherent properties with various combinations Objectives: 1. To evaluate the efficacy of chlorhexidine mouthrinse and Rajat bhasma jelly as an antimicrobial agent 2. To evaluate the efficacy of Triphala mouthrinse and Rajat bhasma jelly as an antimicrobial agent 3. To compare the antimicrobial potency of chlorhexidine, triphala with rajat bhasma jelly combinations as against chlorhexidine on bacterial accumulation (streptococcus mutans and lactobacillus). Methods: Plaque will be collected from the left molar to right molar of the upper arch with a disinfected curette at 3 time periods: T 0 = just prior bonding, following full prophylaxis. T 1 = one month following bonding. T 3 = two months following bonding Streptococcus mutans and lactobacilli will be quantified by colony count procedure. Expected results: Patients receiving orthodontic treatment experience a greater reduction in plaque buildup attributable to the synergistic effects of rajat bhasma and different mouthrinses. Conclusion: It is expected that, Rajat bhasma and triphala being ayurvedic products cause no harm and show plaque reduction. Trial number: CTRI/2022/07/044130