Triphala mouthwash in chronic generalized gingivitis in patients undergoing orthodontic treatment

Priyanka Niranjane; Rizwan Gilani; Bharat Rathi; Sunita Shrivastav; Pallavi Daigavane

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ORIGINAL ARTICLE

Year : 2016 \| Volume : 4 \| Issue : 4 \| Page : 196-201

Triphala mouthwash in chronic generalized gingivitis in patients undergoing orthodontic treatment Priyanka Niranjane¹, Rizwan Gilani², Bharat Rathi³, Sunita Shrivastav⁴, Pallavi Daigavane⁵ ¹ Reader, Department of Orthodontics, Shard Pawar Dental College, Sawangi, DMIMS (DU), Wardha, India ² Lecturer, Reader, Department of Orthodontics, Shard Pawar Dental College, DMIMS (DU), Sawangi, Wardha, India ³ Professor and Head, Department of Rasashastra & Bhaishajya Kapana, MGACH & RC, DMIMS (DU), Wardha, India ⁴ Professor & Head, Department of Orthodontics, Shard Pawar Dental College, Sawangi, Wardha, India ⁵ Reader, Department of Orthodontics, Shard Pawar Dental College, Sawangi, Wardha, India Correspondence Address: Priyanka Niranjane Reader, Department of Orthodontics, Shard Pawar Dental College, Sawangi, DMIMS (DU), Wardha India Source of Support: None, Conflict of Interest: None

Fixed orthodontic treatment increases bacterial plaque accumulation by providing numerous mechanical retention sites. Lack of proper oral hygiene along with a difficulty in carrying out oral hygiene procedures among orthodontic patients may make them more prone to develop gingivitis. The present study was undertaken to evaluate the efficacy of Triphala mouthwash in chronic generalized gingivitis patients who are undergoing orthodontic treatment. Patients with fixed orthodontic appliances (n= 150) who voluntarily consented were divided randomly into 3 groups and mouth rinses were prescribed: group 1-Triphala, group 2- chlorhexidine and group 3- distilled water. Plaque index score was recorded at baseline, at 2 weeks and at end of 4 weeks using Quigley Hein index modified by Tureskyand by Lobein et al. The Plaque score reduced progressively for Triphala and chlorhexidine while increased for distilled water. Plaque score reduction was similar at 2 weeks for Triphala and chlorhexidine but was not significant. However at the end of 4 weeks clinically and statistically significant reduction in plaque score was observed for both the mount rinses. Thus Triphala is an effective antiplaque agent and the efficacy of Triphala is comparable to that of Chlorhexidine mouthwash which is considered to be the gold standard and can serve as an effective alternative for chlorhexidine whose associated long term side effects limits its use.Triphala mouthwash can be routinely prescribed in chronic generalized gingivitis patients undergoing Orthodontic treatment.



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