Comparison of clinical and antimicrobial effects of Triphala mouthwash with Chlorhexidine mouthwash in generalised chronic periodontitis patients - A clinical study

Abstract

Aim: Triphala is one of the herbal mouthwashes which has an extensive property on periodontal diseases. This study compares the clinical and antimicrobial effects of Triphala mouthwash with chlorhexidine mouthwash in generalised chronic periodontitis patients. Materials and Methods: A clinical trial was conducted from the outpatient Department of Saveetha Dental College and Hospital. Thirty patients with generalised chronic periodontitis were selected, according to AAP classification of periodontal diseases. Clinical baseline parameters, Plaque index and gingival index were recorded followed by plaque sample collection to record the baseline microbiological analysis. Supragingival and subgingival scaling were done. Patients were randomly allocated into two groups; Group-A: 15 patients were given with Triphala mouthwash and Group-B: 15 patients were given with Chlorhexidine mouthwash. All the patients were reviewed after 15 days. Results: In a group A (CHX) patients, plaque index on the day 1 and 15 was 1.67 ± 0.13 and 1.21 ± 0.36 respectively. Gingival index on the day 1 and 15 was 1.61 ±0.76 and 1.47 ±0.13. Bacterial colony count on the day 1 and 15 was 649.5 and 362.3 respectively. In the group B (Triphala) patients, plaque index on the day1 and 15 was 1.63 ±1.17 and 1.46±0.29 respectively .Gingival index on the day 1and 15 was 1.62±0.61 and 1.25±0.71 respectively. Bacterial colony count on the day 1 and 15 was 651.4 and 385.1 respectively. Conclusion: The results show Triphala and chlorhexidine were effective in reducing plaque formation and gingival inflammation individually Triphala was more effective in reducing gingivitis and chlorhexidine was effective in reducing plaque formation.