Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2018  |  Volume : 22  |  Issue : 6  |  Page : 498-502

Determining the antibacterial substantivity of Triphala mouthwash and comparing it with 0.2% chlorhexidine gluconate after a single oral rinse: A crossover clinical trial

1 Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
2 Department of Microbiology, Tatyasaheb Kore Dental College and Research Centre, Kolhapur, Maharashtra, India
3 Department of Periodontics, Tatyasaheb Kore Dental College and Research Centre, Kolhapur, Maharashtra, India
4 Department of Preventive and Social Medicine, Krishna Institute of Dental Sciences, Karad, Maharashtra, India

Correspondence Address:
Dr. Ritam Sanvala Naiktari
Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_265_18

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Context: Triphala has been extensively used in dentistry as a mouthwash because of its antiplaque and antigingivitis properties. Aim: The present study is designed to determine the duration of its antibacterial substantivity after a single oral rinse and to compare it with the substantivity of 0.2% chlorhexidine gluconate (CHX). Materials and Methods: In this clinical crossover trial, unstimulated saliva from 30 individuals was collected 2 h after routine oral hygiene procedures but not rinsing (pre-sample) with randomly selected mouthwash, (10% Triphala mouthwash, 0.2% CHX, and normal saline) and 5 min after rinsing (postsample). A washout period of 1 week was kept between two rinses. The sampling was repeated after every 2 h for 12 h (post 1, post 2, post 3, post 4, post 5, and post 6) and was checked for microbial count. Statistical Analysis Used: Friedman test, Kruskal–Wallis test, and post hoc analysis were used to assess the effect of different mouthrinses on colony forming units at different times. Results: Ten percent Triphala showed statistically significant results when the antibacterial effect at post, post 1 and post 2 were compared to pre-assessment count (P < 0.05). After which the effect was at par with normal saline (P > 0.05). The results for CHX were statistically significant at all times when compared to pre-assessment count (P < 0.05) and it showed the maximum substantivity of 7 h. Conclusion: After a single rinse with no eating and drinking restrictions over the day, 10% Triphala mouthwash had an antibacterial effect for 3–4 h. It can be used three times daily for its maximum antibacterial effect.

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