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Ayurvedic Dentistry

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Chapter 1 - Ayurvedic Dentistry

149

chewing sticks be obtained from fresh

stems of specific plants. The method of use

is to crush one end, chew it, and eat it

slowly.

Ayurveda had given indication for

using it twice a day. In morning after

leaving the bad and in evening, before

going to sleep and after taking food.

According to Acharya Sushruta,

Dantapavan should be fresh and straight.

Its length should be 12 angul (9 inches),

while thickness should be equal to

kanshtika anguli (little finger) (1). These

herb sticks should be either 'kashaya'

(astringent), 'katu (acid), or 'tikta' (bitter)

in rasa (2). Acharya Sushruta also includes

madhura rasa(3). According to the

individual's prakarti (constitution) and

dominant dosha, it is stated that people

with the vatadosha dominance may

develop atrophic and receding gums, and

are recommended to use chewing sticks

with sweet, bitter or astringent tastes, such

as Yasthimadhu (Glycyrrhiza glabra

Linn.) and the cutch tree (Acacia Catechu

Linn.) respectively(4). Pittadosha

dominant individuals are recommended to

use chewing sticks with a bitter taste such

as the twigs from the neem tree

(Azadirachta indica Linn.) and the arjuna

tree (Terminalia arjuna Linn.). Those with

the kaphadosha dominant are likely to

have pale and hypertrophic gums and are

instructed to use chewing sticks with

pungent taste, like Kantaki karanja

(Caesalipinia bonduc Linn.) and the Arka

plant (Calotropis procera Linn.).

Acharya Sushruta had mentioned

Tooth powder for cleaning the teeth. He

told to use of Dhattuna dipped in Madhu,

Trikathu, Trivargha, oil and

saindhavlavana(5). Researches has proved

that salt is good for tooth and oral hygiene.

Now a days tooth paste are coming along

with salt.

The benefit of Dhantpavan is to get

rid from bad odour of mouth along with

increase interest towards food due to

removal of mala from tooth, tongue and

mouth(6). Chewing on these stems is

believed to cause attrition and levelling of

biting surfaces, facilitate salivary secretion

and possibly, help in plaque control while

some stems have an anti-bacterial action

(7). Present day research has shown that all

the chewing sticks described in ancient

Avurveda have medicinal and anti-

cariogenic properties(8).

Jhihwanirlhekhana

It is used for cleaning tongue with

the help of tongue scraper. It should be

made up of either metal or branches of the

tree. Its length should be twelve fingers. Its

margin should be blunt so that it will not

damage the tongue and should be curved

so can be use easily(9).

Tongue scrapping stimulates the

reflex points of the tongue. Removes bad

odour (halitosis). Improves the sense of

taste, stimulate the secretion of digestive

enzymes. Clinical evidence also shows that

use of tongue scrapers on a regular basis,

has a significant improvement on

eliminating anaerobic bacteria and

decreases bad odour(10).

Kavala and Gandoosha

Gandusha and Kavala graha are

two primary oral cleansing techniques;

specialized therapy to treat as well as to

prevent oral diseases. The difference

between the two is only in the dosage and

procedure of using the drug. In gandoosha,

a medicated fluid is held mouthful for a

specific period until there is lacrimation

and nasal discharge, and then the patient

spits it out. In kavala graha, the mouth is

only three-fourths filled with the

medicated fluid; the fluid is swished in the

mouth for a specific time and then spat

out(11).

The benefits of regular gandoosha

are swarabalam (strength to voice),

hanubalam (strength to jaws), strength to

face, ruchyam (better taste perception),

drudadantha (strong and healthy teeth),

and resistance against dosAjowan (Trachyspermum ammi) It significantly reduce cariogenic property of streptococcus mutans adhere on tooth sur-

faces well as biofilm formation

2 Aloe vera (Aloe barbadensis) Its gel with optimum concentration used in tooth paste and mouth washes

3 Clove (Syzygium aromaticum) Clove oil has potential to influence plaque inducing property of streptococcus mutans. It

act as analgesic (prevent tooth pain)

4 Neem (Azadirachta indica) Neem stick is used to brush teeth, which has high effective in prevention of caries. Neem

mouth rinse is highly effective to reduce plaque and gingivitis. It also indicated in treat-

ment of periodontal surgery

5 Miswak (Salvodora persca) It possesses plaque inhibiting and antibacterial properties against several type of cario-

genic bacteria

6 Tulsi (Ocimum sanctum) It act as COX-2 inhibitor hence have significant effect on toothache, periodontal disorders,

candidiasis, premalignant lesions, pemphigus and apthous ulcer

7 Mango (Mangifera indica) It plays an effective role in management of periodontal diseases

8 Turmeric (Circuma Longa) It has anti oxidant, analgesic, anti inflammatory, anticariogenic property

9 Haritaki (Terminalia chebula) Haritaki mouth wash inhibit the effect of streptococcus mutans and posses antibacterial

effect on salivary bacteria

10 Triphala (Myrobalan plums) It possess antibacterial property as it cures periodontal disease without side effectsUse short and gentle strokes to cover every nook and corner of your mouth. Clean specifically in between the gaps of your teeth and move the twigs in circular strokes to clean properly. Even Ayurveda recommends scraping the tongue immediately after brushing your teeth. Scraping completes the process of oral hygiene.13-Sep-Can you get rid of cavities at home?

Oil pulling. Oil pulling originated in an ancient system of alternative medicine called Ayurveda. ...

Aloe vera. Aloe vera tooth gel may help to fight off bacteria that cause cavities. ...

Avoid phytic acid. ...

Vitamin D. ...

Avoid sugary foods and drinks. ...

Eat licorice root. ...

Sugar-free gum.Lemon water is most effective if consumed first thing in the morning. It is recommended to add lemon juice to warm water because it helps extract vitamin C and polyphenols from the lemon and its peel. Also, how much lemon water you drink daily is important.How much lemon water should you drink? Stephens recommends using the juice from two to three lemons (about four to six tablespoons) throughout the day, and drinking one or two glasses of lemon water with meals, and one glass in between meals.17-JulHere are seven ways your body may benefit from lemon water.

It promotes hydration. ...

It's a good source of vitamin C. ...

It supports weight loss. ...

It improves your skin quality. ...

It aids digestion. ...

It freshens breath. ...

It helps prevent kidney stones.Ajowan (Trachyspermum ammi) It significantly reduce cariogenic property of streptococcus mutans adhere on tooth sur-

faces well as biofilm formation

2 Aloe vera (Aloe barbadensis) Its gel with optimum concentration used in tooth paste and mouth washes

3 Clove (Syzygium aromaticum) Clove oil has potential to influence plaque inducing property of streptococcus mutans. It

act as analgesic (prevent tooth pain)

4 Neem (Azadirachta indica) Neem stick is used to brush teeth, which has high effective in prevention of caries. Neem

mouth rinse is highly effective to reduce plaque and gingivitis. It also indicated in treat-

ment of periodontal surgery

5 Miswak (Salvodora persca) It possesses plaque inhibiting and antibacterial properties against several type of cario-

genic bacteria

6 Tulsi (Ocimum sanctum) It act as COX-2 inhibitor hence have significant effect on toothache, periodontal disorders,

candidiasis, premalignant lesions, pemphigus and apthous ulcer

7 Mango (Mangifera indica) It plays an effective role in management of periodontal diseases

8 Turmeric (Circuma Longa) It has anti oxidant, analgesic, anti inflammatory, anticariogenic property

9 Haritaki (Terminalia chebula) Haritaki mouth wash inhibit the effect of streptococcus mutans and posses antibacterial

effect on salivary bacteria

10 Triphala (Myrobalan plums) It possess antibacterial property as it cures periodontal disease without side effectsJhihwanirlhekhana

It is used for cleaning tongue with

the help of tongue scraper. It should be

made up of either metal or branches of the

tree. Its length should be twelve fingers. Its

margin should be blunt so that it will not

damage the tongue and should be curved

so can be use easily(9).

Tongue scrapping stimulates the

reflex points of the tongue. Removes bad

odour (halitosis). Improves the sense of

taste, stimulate the secretion of digestive

enzymes. Clinical evidence also shows that

use of tongue scrapers on a regular basis,

has a significant improvement on

eliminating anaerobic bacteria and

decreases bad odour(10).

Kavala and Gandoosha

Gandusha and Kavala graha149

chewing sticks be obtained from fresh

stems of specific plants. The method of use

is to crush one end, chew it, and eat it

slowly.

Ayurveda had given indication for

using it twice a day. In morning after

leaving the bad and in evening, before

going to sleep and after taking food.

According to Acharya Sushruta,

Dantapavan should be fresh and straight.

Its length should be 12 angul (9 inches),

while thickness should be equal to

kanshtika anguli (little finger) (1). These

herb sticks should be either 'kashaya'

(astringent), 'katu (acid), or 'tikta' (bitter)

in rasa (2). Acharya Sushruta also includes

madhura rasa(3). According to the

individual's prakarti (constitution) and

dominant dosha, it is stated that people

with the vatadosha dominance may

develop atrophic and receding gums, and

are recommended to use chewing sticks

with sweet, bitter or astringent tastes, such

as Yasthimadhu (Glycyrrhiza glabra

Linn.) and the cutch tree (Acacia Catechu

Linn.) respectively(4). Pittadosha

dominant individuals are recommended to

use chewing sticks with a bitter taste such

as the twigs from the neem tree

(Azadirachta indica Linn.) and the arjuna

tree (Terminalia arjuna Linn.). Those with

the kaphadosha dominant are likely to

have pale and hypertrophic gums and are

instructed to use chewing sticks with

pungent taste, like Kantaki karanja

(Caesalipinia bonduc Linn.) and the Arka

plant (Calotropis procera Linn.).

Acharya Sushruta had mentioned

Tooth powder for cleaning the teeth. He

told to use of Dhattuna dipped in Madhu,

Trikathu, Trivargha, oil and

saindhavlavana(5). Researches has proved

that salt is good for tooth and oral hygiene.

Now a days tooth paste are coming along

with salt.

The benefit of Dhantpavan is to get

rid from bad odour of mouth along with

increase interest towards food due to

removal of mala from tooth, tongue and

mouth(6). Chewing on these stems is

believed to cause attrition and levelling of

biting surfaces, facilitate salivary secretion

and possibly, help in plaque control while

some stems have an anti-bacterial action

(7). Present day research has shown that all

the chewing sticks described in ancient

Avurveda have medicinal and anti-

cariogenic properties(8).

Jhihwanirlhekhana

It is used for cleaning tongue with

the help of tongue scraper. It should be

made up of either metal or branches of the

tree. Its length should be twelve fingers. Its

margin should be blunt so that it will not

damage the tongue and should be curved

so can be use easily(9).

Tongue scrapping stimulates the

reflex points of the tongue. Removes bad

odour (halitosis). Improves the sense of

taste, stimulate the secretion of digestive

enzymes. Clinical evidence also shows that

use of tongue scrapers on a regular basis,

has a significant improvement on

eliminating anaerobic bacteria and

decreases bad odour(10).

Kavala and Gandoosha

Gandusha and Kavala graha are

two primary oral cleansing techniques;

specialized therapy to treat as well as to

prevent oral diseases. The difference

between the two is only in the dosage and

procedure of using the drug. In gandoosha,

a medicated fluid is held mouthful for a

specific period until there is lacrimation

and nasal discharge, and then the patient

spits it out. In kavala graha, the mouth is

only three-fourths filled with the

medicated fluid; the fluid is swished in the

mouth for a specific time and then spat

out(11).

The benefits of regular gandoosha

are swarabalam (strength to voice),

hanubalam (strength to jaws), strength to

face, ruchyam (better taste perception),

drudadantha (strong and healthy teeth),

and resistance against dos149

chewing sticks be obtained from fresh

stems of specific plants. The method of use

is to crush one end, chew it, and eat it

slowly.

Ayurveda had given indication for

using it twice a day. In morning after

leaving the bad and in evening, before

going to sleep and after taking food.

According to Acharya Sushruta,

Dantapavan should be fresh and straight.

Its length should be 12 angul (9 inches),

while thickness should be equal to

kanshtika anguli (little finger) (1). These

herb sticks should be either 'kashaya'

(astringent), 'katu (acid), or 'tikta' (bitter)

in rasa (2). Acharya Sushruta also includes

madhura rasa(3). According to the

individual's prakarti (constitution) and

dominant dosha, it is stated that people

with the vatadosha dominance may

develop atrophic and receding gums, and

are recommended to use chewing sticks

with sweet, bitter or astringent tastes, such

as Yasthimadhu (Glycyrrhiza glabra

Linn.) and the cutch tree (Acacia Catechu

Linn.) respectively(4). Pittadosha

dominant individuals are recommended to

use chewing sticks with a bitter taste such

as the twigs from the neem tree

(Azadirachta indica Linn.) and the arjuna

tree (Terminalia arjuna Linn.). Those with

the kaphadosha dominant are likely to

have pale and hypertrophic gums and are

instructed to use chewing sticks with

pungent taste, like Kantaki karanja

(Caesalipinia bonduc Linn.) and the Arka

plant (Calotropis procera Linn.).

Acharya Sushruta had mentioned

Tooth powder for cleaning the teeth. He

told to use of Dhattuna dipped in Madhu,

Trikathu, Trivargha, oil and

saindhavlavana(5). Researches has proved

that salt is good for tooth and oral hygiene.

Now a days tooth paste are coming along

with salt.

The benefit of Dhantpavan is to get

rid from bad odour of mouth along with

increase interest towards food due to

removal of mala from tooth, tongue and

mouth(6). Chewing on these stems is

believed to cause attrition and levelling of

biting surfaces, facilitate salivary secretion

and possibly, help in plaque control while

some stems have an anti-bacterial action

(7). Present day research has shown that all

the chewing sticks described in ancient

Avurveda have medicinal and anti-

cariogenic properties(8).

Jhihwanirlhekhana

It is used for cleaning tongue with

the help of tongue scraper. It should be

made up of either metal or branches of the

tree. Its length should be twelve fingers. Its

margin should be blunt so that it will not

damage the tongue and should be curved

so can be use easily(9).

Tongue scrapping stimulates the

reflex points of the tongue. Removes bad

odour (halitosis). Improves the sense of

taste, stimulate the secretion of digestive

enzymes. Clinical evidence also shows that

use of tongue scrapers on a regular basis,

has a significant improvement on

eliminating anaerobic bacteria and

decreases bad odour(10).

Kavala and Gandoosha

Gandusha and Kavala graha are

two primary oral cleansing techniques;

specialized therapy to treat as well as to

prevent oral diseases. The difference

between the two is only in the dosage and

procedure of using the drug. In gandoosha,

a medicated fluid is held mouthful for a

specific period until there is lacrimation

and nasal discharge, and then the patient

spits it out. In kavala graha, the mouth is

only three-fourths filled with the

medicated fluid; the fluid is swished in the

mouth for a specific time and then spat

out(11).

The benefits of regular gandoosha

are swarabalam (strength to voice),

hanubalam (strength to jaws), strength to

face, ruchyam (better taste perception),

drudadantha (strong and healthy teeth),

and resistance against doshaveassessed thatreduction in Plaque Index, Gingival Index, probing depth and microbiologic parameters in test sites following Scaling and root planningafter curcumin gel application as compared with control group.[94, 95]The use of curcumin has also been seen as a good subgingivalirrigant because of its anti inflammatory effect. [96, 97]b)Potentialy Malignant Disorders:It is a lesion/ condition which has a risk of transforming into malignancy either at initial or later diagnosis. [98,99] Leukoplakia, erythroplakia, lichen planus (LP), and oral submucous fibrosis (OSMF) are the most commonly occurring PMD and most likely to transform into malignancy. Curcuin interrupts cell cycle by disrupting mitotic structures and exhibiting antiproliferative, antineoplastic and antimutagenic properties. [100]Numerousstudies have shown that turmeric has shown exceptional role in the treatment of PMD's, thereby decreasing the progression of malignancy. [101-106]CONCLUSIONThese phytochemicals have an alternative role to antibiotics, improves the immunity and aids in healing of oral infections. These nutraceutical58and patients withbiliary disease. Ginger may reduce the toxic effects of the chemotherapeutic agent cyclophosphamide [10]. Also, as ginger can hamperblood clotting, it should be used carefully in patients on anticoagulant therapies such as coumarin or heparin [2].AloeveraIt has analgesic, antibacterial, antiviral, antifungal, antioxidant, immune modulating, antiseptic andanti-inflammatory properties. The antimicrobial effects of aloe vera have been attributed to the plant's natural anthraquinones,which in relatively small concentrations provide analgesic, antibacterial, antifungal, and antiviral activities;however, higher concentrations could be toxic [8]. It also contains antiseptic agents such as lupeol, salicylic acid, ureanitrogen, cinnamonic acid, phenols and sulfur which have inhibitory action on fungi, bacteria and viruses. When Aloevera is combined with other antimicrobials, it enhances the wound healing faster than with the antimicrobial alone, possibly due to its moisturizing capability. Aloevera interacts with Glucomannan, a mannose rich polysaccharide and Gibberellins, a growth hormone with receptors of growth factor on the fibroblast, whichresults in increased collagen synthesis resulting in accelerated wound contraction. It also selectively modulates cells of the immune system [9]. It is termed as a plant of immortality with its various clinical applications. Aloevera gel and pastes are used in the sites of periodontal surgery, toothpick injuries, chemical burns, aphthous ulcers, gum abscesses, dry socket, lichen planus, benign pemphigus and gingival problems associated with AIDS, leukemia, migratory glossitis, geographic tongue and burning mouth syndrome, denture sore mouth, candidiasis, desquamative gingivitis, vesiculobullous diseases, acute monocytic leukemia andxerostomia [5,7].Amla (Emblica officinalis)In Ayurveda, amla is considered as a general rebuilder of the oral health. Amla extract is good for teeth and gums, reduces cavities and plaque buildup. It also helps in healing of infected tissues. Vitamin-C present in amlaacts as a cofactor in the conversion of proline into hydroxyproline,which is one of the essential constituentsof connective tissue [4].Licorice (Glycyrrhiza glabra)It is commonly known as mulathi in Hindi. The root of licorice has antiinflammatory, antiviral, antimicrobial, anticancerous,immunomodulatory, cardioprotective and hepatoprotective properties. Licorice root extract contains glycyrrhizol A, a compound that has strongantimicrobial action against cariogenic bacteria [5].TriphalaTriphala is a medicinal plant known as Kadukka in Tamil.It is a combination of three tropical fruits' preparation made from equal proportions of Terminalia chebula, Terminalia belerica and Emblica officinalis. It has antioxidant, antimicrobial and antifungal properties andis used in dental caries, bleeding and ulcerated gingiva. The gallic acid components present in triphala exhibits the anticandidal action [8,11].Low concentrations of Triphala has been shown to inhibit the growth of Streptococcus mutans and Lactobacillus. The free radical scavenging propertyprotects the gingival cells and teeth efficiently from free radicals produced by the microorganisms. The components present in the plants also aids in the removal of the smear layer, thereby acting as a chelating agent. It can also be used as an alternative for sodium hypochlorite during root canal irrigation [7]. The free radical scavenging property of Triphala not only protects the gum cells effectively from free radicals, but also acts as an anticarcinogienic agent by inhibiting the increase in red blood cells [8,11].Clove Oil (Syzygium aromaticum) It has analgesic, antibacterial, antiviral, anti-inflammatoryand antioxidant properties. In dentistry, it is used in conjunction with root canal therapy, during temporary fillings, as a mild anesthetic, an antibacterial agent, and2].AloeveraIt has analgesic, antibacterial, antiviral, antifungal, antioxidant, immune modulating, antiseptic andanti-inflammatory properties. The antimicrobial effects of aloe vera have been attributed to the plant's natural anthraquinones,which in relatively small concentrations provide analgesic, antibacterial, antifungal, and antiviral activities;however, higher concentrations could be toxic [8]. It also contains antiseptic agents such as lupeol, salicylic acid, ureanitrogen, cinnamonic acid, phenols and sulfur which have inhibitory action on fungi, bacteria and viruses. When Aloevera is combined with other antimicrobials, it enhances the wound healing faster than with the antimicrobial alone, possibly due to its moisturizing capability. Aloevera interacts with Glucomannan, a mannose rich polysaccharide and Gibberellins, a growth hormone with receptors of growth factor on the fibroblast, whichresults in increased collagen synthesis resulting in accelerated wound contraction. It also selectively modulates cells of the immune system [9]. It is termed as a plant of immortality with its various clinical applications. Aloevera gel and pastes are used in the sites of periodontal surgery, toothpick injuries, chemical burns, aphthous ulcers, gum abscesses, dry socket, lichen planus, benign pemphigus and gingival problems associated with AIDS, leukemia, migratory glossitis, geographic tongue and burning mouth syndrome, denture sore mouth, candidiasis, desquamative gingivitis, vesiculobullous diseases, acute monocytic leukemia andxerostomia [