title: Clinical evaluation of Krimidanta Pratishedha (anti-caries) activity of Triphaladi Gandusha in high risk dental caries patients.
abstract: BACKGROUND
  Dental caries is the most common complaint encountered in clinical practice. Virtually every adult in the world has experience of dental caries. It affects almost 80% of the population. It is now being viewed in dual perspective- "caries as a disease" and "caries as a lesion".
  
  
  OBJECTIVE
  To evaluate the efficacy of Triphaladi Gandusha for its anti-caries activity and improvement in Oral Hygiene Index in high risk patients of dental caries and to compare the efficacy of prevalent method of mouth rinsing and classical method of Gandusha.
  
  
  METHODS
  The study was conducted in 40 patients, 20 in each Group-1 and 2. Group -1 was given prepared Triphaladi mouthwash (mouth rinse) while Group-2 was given Triphaladi Kwath for Gandusha (retention).
  
  
  RESULTS
  The effect of treatment was assessed by subjective and objective parameters (like salivary pH, buffering capacity and microbial count). Triphaladi Gandusha (retention) in Group - 2 provided better results in the improvement of Ruja (toothache), Dantaharsha (tooth sensitivity), Sarambha (inflammation), pH of saliva, microbial count in salivary sample. And Triphaladi Mouthwash in Group - 1 provided better results in Srava (discharge), bad breath, pH of saliva and buffering capacity of salivary sample. There was no improvement in Chidrata (cavity formation), Krishnata (discoloration) and Chaladanta (mobility) with Triphaladi Gandusha and mouthwash.
  
  
  CONCLUSIONS
  Study concluded that although both groups were effective, but Gandusha group patients' got better relief in subjective symptoms compared to mouthwash group.
authors.affiliation: Department of Shalakya Tantra , Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, India.
authors.forename: Achyuta G
authors.initials: AG
authors.lastname: Atara
authors.affiliation: Department of Shalakya Tantra , Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, India.
authors.forename: R
authors.initials: R
authors.lastname: Manjusha
authors.affiliation: Pharmaceutical Chemistry Laboratory, Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, India.
authors.forename: Vinay J
authors.initials: VJ
authors.lastname: Shukla
authors.affiliation: Department of Shalakya Tantra , Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, India.
authors.forename: Dharmendra B
authors.initials: DB
authors.lastname: Vaghela
authors.affiliation: Private Practitioner, Jamnagar, Gujarat, India.
authors.forename: Brijesh
authors.initials: B
authors.lastname: Rooparalia
keywords: Dental caries; Krimidanta; Saliva; Triphaladi Gandusha