Abstract
Plant derived preparations have been essential components for maintenance of oral hygiene and the treatment of oral diseases globally since ancient times. Acacia chundra Willd, Adhatoda vasica Nees., Mimusops elengi L., Piper nigrum L., Pongamia pinnate L. Pirerre, Quercus infectoria Olivier., Syzygium aromaticum L., Terminalia chebula Retz., Zingiber offici-nale Roscoe., individually or in combination, have been used for this purpose because of their beneficial effects. To study the efficacy of an Ayurvedic toothpaste containing these herbs in patients with chronic gingivitis. Otherwise healthy males and non-pregnant females (n=80) aged 18-35 years with ≥20 teeth were randomly assigned to Group 1 (herbal toothpaste) and Group 2 (placebo toothpaste). Quigley Hein plaque index (PS), bleeding on probing (BOP) and probing pocket depth (PPD), were recorded for all teeth at six sites, and one ml of resting saliva was collected to ascertain anaerobic and aerobic bacterial counts at baseline, and at 4, 8, 12 and 24 weeks. Full-mouth prophylaxis was performed and instructions for brushing with the allocated toothpaste for 6 months were given at baseline. Sixty-six participants, 34 in Group 1 and 32 in Group 2 completed the study. Clinical examinations were performed by the same examiner blinded to group allocation. Linear mixed model analysis revealed significant reductions of PS, BOP, PPD (p<0.0001) and total salivary anaerobic counts (p<0.05) in Group 1 at all prescribed visits compared to Group 2. Moreover the reduction increased overtime. No unpleasant effects of toothpaste use were reported. This study provides robust evidence of the beneficial antiplaque and antigingivitis effects of the test herbal toothpaste Sudantha® on patients with chronic gingivitis.
Highlights
Plant derived preparations have been essential components for maintenance of oral hygiene and the treatment of oral diseases globally since ancient times
This study provides robust evidence of the beneficial antiplaque and antigingivitis effects of the test herbal toothpaste Sudantha® on patients with chronic gingivitis
Chronic gingivitis may progress to more destructive chronic and aggressive periodontitis, leading to loss of teeth [2, 3]
Summary
Plant derived preparations have been essential components for maintenance of oral hygiene and the treatment of oral diseases globally since ancient times. Plaque induced chronic gingivitis is an oral health problem prevalent worldwide, affecting the dentition in people of all ages. A well organized biofilm, has been established as the cause of chronic gingivitis [1]. Chronic gingivitis may progress to more destructive chronic and aggressive periodontitis, leading to loss of teeth [2, 3]. There is evidence that oral biofilm-associated diseases may affect systemic health by mechanisms such as spreading infections to adjacent tissues and spaces, hematogenous dissemination of oral biofilm organisms, or inflammatory mechanisms [4]. Evidence suggests that oral biofilm-associated chronic periodontitis enhances the risk of coronary heart disease and cerebrovascular disease, and that poor glycaemic control in diabetic patients with periodontitis is a concern for clinicians [6,7,8]
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