Comparative evaluation of efficacy of three different mouthwashes as an adjunct to nonsurgical periodontal therapy - A double blind clinical study

Abstract

Ayurvedic medicine was considered to be world’s oldest medical system, which was originated in India dating back over thousands of years. There was a long history regarding plants for the improvement of dental health and oral hygiene. Dentistry, Herbal Medicine, Periodontitis. Current researches showed that herbal extracts are effective because of the interaction with specific chemical receptors within the body. Nowadays, there has been a sudden increase in the use of herbal extracts or plant products as an alternative approach to modern day medicines. This system originated from Atharvaveda, one of the four Vedas written before 5000 B.C. However its use in dentistry/oral health is very limited. Therefore the present study was done to evaluate the effeicacy of Triphala and Bakul in comparison with chlorhexidine as an adjunct to non surgical periodontal therapy.

Clinical Effectiveness of Herbal Oral Care Products in Periodontitis Patients: A Systematic Review

“…All included studies were published between 2003 and 2022 [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ] and the majority of them were randomized clinical trials [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 54 , 55 , 56 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ] and conducted in India [ 43 , 45 , 46 , 47 , 48 , 51 , 52 , 53 , 55 , 63 , 64 ], while the rest of them were from Iran [ 44 , 49 , 59 ], Iraq […”

“…None of the included eligible investigations tested herbal gels. Various herbal products were tested in the included investigations including 1% Matricaria chamomilla [ 43 ], triphala ( Emblica officinalis , Terminalia chebula , and Terminalia belerica ) [ 45 , 52 , 53 ], Saussurea lappa extracts [ 46 ], 4% Ocimums anctrum [ 47 ], green tea [ 48 , 49 , 50 ], Nigella sativa [ 54 ], liquorice [ 57 ], Stuckenia striata [ 59 ], lemongrass oil [ 63 ], red ginseng [ 64 ], or combinations of different herbs [ 44 , 51 , 55 , 56 , 58 , 60 , 61 , 62 ].…”

“…SRP was completed in conjunction with the use of herbal products in 13 studies [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 52 , 53 , 54 , 55 , 57 ], whereas the rest of them performed SRP prior to the initiation of the study [ 51 , 56 ], or included SPD only [ 57 , 58 , 60 , 62 , 63 , 64 ], or no treatment [ 59 , 61 ]. All examined patients were diagnosed with chronic periodontitis.…”

“…The severity and extend of the disease varied between the studies. Five studies included patients with “generalized chronic periodontitis” [ 43 , 45 , 53 , 55 , 64 ], while “chronic periodontitis” was reported in the inclusion criteria of eleven included investigations [ 44 , 46 , 47 , 51 , 52 , 54 , 56 , 57 , 59 , 60 , 61 ]. Other diagnoses included “mild to moderate periodontitis” [ 48 ], “generalized moderate chronic periodontitis” [ 49 ], “localised mild to moderate chronic periodontitis” [ 50 ], “slight and moderate chronic periodontitis” [ 58 ], “moderate or severe periodontitis” [ 62 ], “generalized severe periodontitis” [ 63 ].…”

“…Only one study reported data after six months [ 58 ]. Three-month results were shown in seven studies [ 43 , 51 , 52 , 56 , 60 , 62 , 63 ]. Various plaque indices and bleeding indices were used in the included studies.…”