J Periodontal Implant Sci.  2014 Jun;44(3):134-140. 10.5051/jpis.2014.44.3.134.

A randomized clinical trial to evaluate and compare the efficacy of triphala mouthwash with 0.2% chlorhexidine in hospitalized patients with periodontal diseases

• Naiktari R
• Gaonkar P
• Gurav AN
• Khiste SV

• KMID: 2012988
• DOI: http://doi.org/10.5051/jpis.2014.44.3.134

Abstract

PURPOSE
Triphala is a combination of three medicinal plants, extensively used in Ayurveda since ancient times. Triphala mouthwash is used in the treatment of periodontal diseases because of its antimicrobial and antioxidant properties. The aim of this study is to compare the efficacy of triphala mouthwash with 0.2% chlorhexidine in hospitalized periodontal disease patients.
METHODS
In this double-blind, randomized, multicenter clinical trial, 120 patients were equally divided into three groups. Patients in group A were advised to rinse their mouths with 10 mL of distilled water, group B with 0.2% chlorhexidine, and group C with triphala mouthwash for 1 minute twice daily for two weeks. The plaque index (PI) and the gingival index (GI) were recorded on the first and the fifteenth day.
RESULTS
There was no significant difference when the efficacy of triphala was compared with 0.2% chlorhexidine in hospitalized patients with periodontal disease. However, a statistically significant difference was observed in PI and GI when both group B and group C were compared with group A and also within groups B and C, after 15 days (P<0.05).
CONCLUSIONS
The triphala mouthwash (herbal) is an effective antiplaque agent like 0.2% chlorhexidine. It is significantly useful in reducing plaque accumulation and gingival inflammation, thereby controlling periodontal diseases in every patient. It is also cost effective, easily available, and well tolerable with no reported side effects.

Keyword

Chlorhexidine; Gingivitis; Periodontitis; Triphala

MeSH Terms

Chlorhexidine*
Gingivitis
Humans
Inflammation
Mouth
Periodontal Diseases*
Periodontal Index
Periodontitis
Plants, Medicinal
Water
Chlorhexidine
Water

Figure

• 

  Figure 1 Study design flow chart. Group A: patients were advised to rinse their mouths with 10 mL of distilled water for 1 minute twice daily for two weeks, group B: patients were advised to rinse their mouths with 0.2% chlorhexidine for 1 minute twice daily for two weeks, group C: patients were advised to rinse their mouths with triphala mouthwash for 1 minute twice daily for two weeks.

• 

  Figure 2 Bar diagram showing comparison of mean plague index (PI) and gingival index (GI) values for the three groups. Group A: patients were advised to rinse their mouths with 10 mL of distilled water for 1 minute twice daily for two weeks, group B: patients were advised to rinse their mouths with 0.2% chlorhexidine for 1 minute twice daily for two weeks, group C: patients were advised to rinse their mouths with triphala mouthwash for 1 minute twice daily for two weeks.

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