Background:
Dental calculus is one of the major problems in dentistry, which is characterized by calcified mass that forms on and adheres to the surface of teeth resulting in bad breath, receding gums and chronically inflamed gingiva. It can be correlated with
Dantasharkara
(dental calculus), which is characterized by the collection of hardened accumulation of
Mala
(tartar) at the junction of teeth and gums. Ultrasonic scalars are used for the removal of dental calculus for convenience. In texts,
Laksha Churna
(powder of
Laccifer lacca
Kerr) has been mentioned as
Vranaropaka
(wound healing) and indicated for the eliminating plaque through cleaning and polishing tooth surfaces.
Aim:
This study was aimed to evaluate the clinical efficacy of local application of
Laksha Churna
and
Madhu
(honey)
Pratisarana
after
Dantasharkara Nirharana
(scaling of dental calculus) in the management of
Dantasharkara
(dental calculus).
Materials and methods:
Patients having calculus deposition, fulfilling the inclusion criteria were selected. In group A,
Pratisarana
with
Laksha Churna
(powder) 1 g and
Madhu
as per requirement was given, whereas in group B, chlor-hexidine gluconate 0.2% for gargling was given for 2 weeks. Ultrasonic scaling was done in both groups before given trial drugs. The outcomes were calculated on the base on changes in score of the subjective parameters like pain, inflammation of gum, bleeding gums, halitosis as well as objective parameters like oral hygiene index, debris index, calculus index, gingival index, and periodontal index. For analysing the effect of the result, Wilcoxon signed-rank test for nonparametric paired data and paired
t
-test for quantitative parametric paired data was applied.
Results:
After analysing the data, it was found that Ultrasonic scaling of dental calculus followed by
Pratisaraņa
of honey with
Laksha Churna
provided statistically significant improvement in calculus index (97.77%) in debris index (84.44%), in oral hygiene index(96.66%), in gingival index (83.33%)and showed 96.15% improvement in periodontal index, whereas Ultrasonic scaling of dental calculus followed by gargling with chlorhexidine gluconate 0.2% provided 80% improvement in calculus index, 70% in debris index, 90% in oral hygiene index, in gingival index by 73.06%, and 93.75% improvement periodontal index which was statistically significant.
Conclusion:
The present study indicates
Dantasharkara Nirharana
followed by
Pratis...