Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study

Background: Numerous studies on Triphala and Curcumin mouthwashes were analyzed individually and no study has compared the efficacy of Triphala mouthwash to Curcumin mouthwash in the management of gingivitis. Although various mouthwashes have shown reduction of plaque and gingivitis the search is st...

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Main Authors: S. Divya Bharathi, S.P. Aiswarya, Archana R. Sankar
Format: Article
Language:English
Published: Elsevier 2024-07-01
Series:Journal of Oral Biology and Craniofacial Research
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426824000770
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author S. Divya Bharathi
S.P. Aiswarya
Archana R. Sankar
author_facet S. Divya Bharathi
S.P. Aiswarya
Archana R. Sankar
author_sort S. Divya Bharathi
collection DOAJ
description Background: Numerous studies on Triphala and Curcumin mouthwashes were analyzed individually and no study has compared the efficacy of Triphala mouthwash to Curcumin mouthwash in the management of gingivitis. Although various mouthwashes have shown reduction of plaque and gingivitis the search is still on for an ideal mouthwash with minimum side effects and better patient acceptance. Objectives: To access the efficacy of all the mouthwashes in the management of gingivitis. Methods: By purposive sampling, 81 patients of both sexes with gingivitis were randomized by lottery method into 3 groups - A, B and C. Group A received scaling and Triphala mouthwash, Group B received scaling and Curcumin mouthwash and Group C underwent scaling and received Chlorhexidine mouthwash. Oral hygiene was assessed using Plaque, Gingival and Bleeding indices at baseline,7th day and 14th day. The inter-group comparisons were analysed using One-way analysis of variance (ANOVA) and multiple comparisons using Tukey's Honest significant difference test (α = 0.05) and the intra-group comparisons for the indices across various time periods within each group were analysed using Repeated-measures ANOVA and Bonferroni-adjusted pairwise comparisons post hoc test (α = 0.05). The statistical significance was set at p ≤ 0.05. Results: The study has shown that herbal mouthwashes are as effective as chlorhexidine in treating gingivitis although curcumin mouthwash showed a greater potential in reducing gingival inflammation. Conclusion: Both Triphala and Curcumin mouthwashes were proven to be equally effective in reducing plaque, gingival and bleeding scores, although curcumin was better in reducing gingival inflammation. Hence herbal mouthwashes such as Triphala and Curcumin with no side effects can be considered as an alternative mouthwash to chlorhexidine.
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spelling doaj-art-90b9198e1b434db9b0f6a6e76185fa3d2025-01-24T04:45:04ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682024-07-01144407414Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled studyS. Divya Bharathi0S.P. Aiswarya1Archana R. Sankar2Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, IndiaVinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, IndiaDepartment of Periodontology, Vinayaka Mission's Sankarachariyar Dental college, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, India; Corresponding author. Department of Periodontology, Vinayaka Mission's Sankarachariyar Dental college, Salem, India.Background: Numerous studies on Triphala and Curcumin mouthwashes were analyzed individually and no study has compared the efficacy of Triphala mouthwash to Curcumin mouthwash in the management of gingivitis. Although various mouthwashes have shown reduction of plaque and gingivitis the search is still on for an ideal mouthwash with minimum side effects and better patient acceptance. Objectives: To access the efficacy of all the mouthwashes in the management of gingivitis. Methods: By purposive sampling, 81 patients of both sexes with gingivitis were randomized by lottery method into 3 groups - A, B and C. Group A received scaling and Triphala mouthwash, Group B received scaling and Curcumin mouthwash and Group C underwent scaling and received Chlorhexidine mouthwash. Oral hygiene was assessed using Plaque, Gingival and Bleeding indices at baseline,7th day and 14th day. The inter-group comparisons were analysed using One-way analysis of variance (ANOVA) and multiple comparisons using Tukey's Honest significant difference test (α = 0.05) and the intra-group comparisons for the indices across various time periods within each group were analysed using Repeated-measures ANOVA and Bonferroni-adjusted pairwise comparisons post hoc test (α = 0.05). The statistical significance was set at p ≤ 0.05. Results: The study has shown that herbal mouthwashes are as effective as chlorhexidine in treating gingivitis although curcumin mouthwash showed a greater potential in reducing gingival inflammation. Conclusion: Both Triphala and Curcumin mouthwashes were proven to be equally effective in reducing plaque, gingival and bleeding scores, although curcumin was better in reducing gingival inflammation. Hence herbal mouthwashes such as Triphala and Curcumin with no side effects can be considered as an alternative mouthwash to chlorhexidine.http://www.sciencedirect.com/science/article/pii/S2212426824000770
spellingShingle S. Divya Bharathi
S.P. Aiswarya
Archana R. Sankar
Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study
Journal of Oral Biology and Craniofacial Research
title Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study
title_full Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study
title_fullStr Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study
title_full_unstemmed Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study
title_short Comparative evaluation of the efficacy of Triphala mouthwash and Curcumin mouthwash in the treatment of gingivitis – A randomized controlled study
title_sort comparative evaluation of the efficacy of triphala mouthwash and curcumin mouthwash in the treatment of gingivitis a randomized controlled study
url http://www.sciencedirect.com/science/article/pii/S2212426824000770
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AT archanarsankar comparativeevaluationoftheefficacyoftriphalamouthwashandcurcuminmouthwashinthetreatmentofgingivitisarandomizedcontrolledstudy