Effect of <i>Trivrit Virechana, Yashtyadi Pratisarana</i> and <i>Panchaksheeri Vriksha Kashaya Gandoosha</i> in Periodontitis — A Case Series

Abstract

Periodontitis is a localized inflammation of the teeth most commonly caused by a bacterial infection in the periodontal cavity. The disease is common in adults over the age of 30. The bacteria involved in periodontal disease are mainly Gram-negative anaerobes. According to Ayurveda, the specific symptoms of upakusha have similarities with periodontitis. The objective of this study was to evaluate the combined effect of virechana, pratisarana and gandusha in improving symptoms, gingival bleeding index, plaque index, and restoring normal salivary microbial profiles in patients with periodontitis. A group of 30 patients who met the inclusion criteria were recruited for the study. Each case was observed for prevalence by age, pain, gingival bleeding, halitosis, plaque index, gingival bleeding index. In the results, it was found that Trivrit virechana, Yashtyadi choorna prathisarana and Panchaksheerivriksha kashya gandusha showed significant reduction in pain, bleeding gums, halitosis, plaque index, bleeding gums and normalization of saliva pH and recovered the bacterial profile in saliva with an improvement of 100%, 100%, 98%, 100% and 100% respectively and was statistically significant with p<0.0001. So, Trivrit virechana purifies the koshta in turn keeps the oral cavity healthy and strengthen the periodontium. Yashtyadi choorna havs anti-inflammatory, antibacterial property inhibits the growth of periodontopathogen and Panchaksheerivriksha kashaya helps to normalize the pH of saliva and reduce the microbial load. Hence, Ayurveda management can be considered as a better alternative in the management of periodontitis.