PA01.02. A Clinical Study of Sheetada vis-à-vis gingivitis and its management with bakula kashaya

Purpose: Now a day the dental and gingival diseases are more common in the society. Lack of awareness, improper maintenance of oral hygiene, excess chewing of tobaccos, change in food habits etc. are the main contributing factors for oral and gum diseases. Advancement in the field of Dantashastra is not yet sufficient to control and cure of such diseases. Sheetada is a disease of gingiva which causes bleeding from gum, pus discharge, foul smell, discoloration and recession of gum and makes troublesome to the patient, resulting systemic affection occasionally. On the other hand with a close review of ancient scriptures and past research records Bakula was found to be effective in Sheetada and selected for the study as it was an astringent, easily available, economic and non-toxic. The decoction of Bakula was well absorbed through oral mucosa; hence decoction of Bakula was selected. Keeping in view the above problems and facts the proposed research was undertaken to know the effectiveness of the drug Bakula kashaya in compare to a known control drug Chlorhexidine solution (0.2%). Method: The research was conducted by Control single blind clinical trial method. Result: After 30 days of treatment 15% in T.D.G and 25% in C.D.G got cured. 45% in T.D.G and 40% in C.D.G got maximum improvement and 40% in T.D.G and 35% in C.D.G got moderate improvement. It was found that the effect of both trial and control drug were highly significant to reduce different signs and symptoms after 30 days of treatment. Conclusion: Analysing the clinical effect derived out of study, it was revealed that effectiveness of Bakula kashaya was equally effective as Chlorhexidine. But from economic, availability and easy domestic process of preparation point of view Bakula Kashaya is a better medicinal approach in the treatment of Sheetada (Gingivitis).