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Completed

NCT Number: NCT01898000

"Triphala" - A New Herbal Mouthwash in Gingivitis

The present study was a randomized control clinical trial, which included 90 subjects with chronic generalised gingivitis of age group 25-40 years, reporting to outpatient department of Periodontics, Government Dental College & Research Institute, Bangalore form January 2013 to April 2013. The research protocol was initially submitted and approved by the Institutional Ethical Committee and Review Board of the Government Dental College and Research Institute, Bangalore. After ethical approval, all subjects were verbally informed and written signed informed consent was taken for participation in the study.

Ninety subjects diagnosed with chronic generalized gingivitis were randomly assigned into three groups: Group I: Placebo mouthwash, Group II: Triphala (TRP) mouthwash, Group III: Chlorhexidine (CHX) mouthwash. Subjects were instructed to use mouth wash twice daily. The plaque index (PI), gingival index (GI) and oral hygiene index- simplified (OHI-S) and microbiological colony counts were recorded on baseline (B/L) and 7, 30 and 60 days respectively.

TRP mouthwash was found to decrease the inflammatory parameters. As improvement in gingivitis was comparable to that of CHX mouthwash thus TRP mouthwash can be considered as a potential therapeutic agent in treatment of gingivitis.

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Key information

Age range

25 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Objective: The aim of the present study is to evaluate the efficacy of triphala (TRP) as a mouthwash in reduction of plaque and gingivitis.

Material & Methods: Ninety subjects diagnosed with chronic generalized gingivitis were randomly assigned into three groups: Group I: Placebo mouthwash, Group II: TRP mouthwash, Group III: Chlorhexidine (CHX) mouthwash. Subjects were instructed to use mouth wash twice daily. The plaque index (PI), gingival index (GI) and oral hygiene index- simplified (OHI-S) and microbiological colony counts were recorded on baseline (B/L) and 7, 30 and 60 days respectively.

Results: There was a gradual decrease in the PI, GI and OHI-S scores by the 7 days, 30 days and 60 days time interval, respectively, in all three groups. Microbial counts also showed significant reduction in all the groups at all the time intervals except in Group 1. There was a significant difference with respect to reduction in PI, GI, OHI-S and microbiological counts in Group I as compared to Group II and Group III. However, no significant difference was found between Group II and Group III for all the parameters at all-time intervals.

Conclusion: TRP mouthwash was found to decrease the inflammatory parameters. As improvement in gingivitis was comparable to that of CHX mouthwash thus TRP mouthwash can be considered as a potential therapeutic agent in treatment of gingivitis.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • systemically healthy subjects of 25-40 years of age with previously untreated gingivitis and minimum 20 teeth,
  • gingival index > 1,
  • pocket probing depth < 3 mm,
  • clinical attachment loss = 0,
  • with no evidence of radiographic bone loss

Exclusion criteria

  • use of systemic antibiotics and anti-inflammatory drugs in the previous 6 months,
  • known systemic disease,
  • with orthodontic appliances or bridge work that would interfere with evaluation,
  • allergy to ingredient used in the study,
  • alcoholics,
  • who use tobacco in any form,
  • mentally retarded subjects,
  • pregnant or
  • lactating females and
  • subjects with poor compliance

Treatment and study plan

Triphala mouthwash

Behavioral

Subjects were instructed to use 15ml mouthwash twice daily and were instructed not to rinse/eat anything for 30 min after mouthwash use. Subjects were also asked to refrain from all other unassigned forms of oral hygiene aids, including dental floss and chewing gum during the study. No oral hygiene instructions like brushing and flossing were given to the subjects to exclude the influence of improved oral hygiene practices on the results.

Chlorhexidine mouthwash

Behavioral

Subjects were instructed to use 15ml mouthwash twice daily and were instructed not to rinse/eat anything for 30 min after mouthwash use. Subjects were also asked to refrain from all other unassigned forms of oral hygiene aids, including dental floss and chewing gum during the study. No oral hygiene instructions like brushing and flossing were given to the subjects to exclude the influence of improved oral hygiene practices on the results.

Primary outcomes

  1. Change in Gingival Index (GI)

    Time frame: differences for the mean GI from B/L to 7 days, 30 and 60 days

    The primary outcome variable was the differences for the mean gingival Index (GI) from B/L to 7 days, 30 and 60 days.

Secondary outcomes

  1. Change in Plaque Index (PI)

    Time frame: From Baseline (B/L) to 7 days, 30 and 60 days

    Differences in mean reduction in plaque index (PI) from baseline (B/L) to 7, 30 and 60 days

Other outcomes

  1. Change in oral hygiene index simplified (OHI-S)

    Time frame: From baseline (B/L) to 7 days, 30 days and 60 days

    differences in mean reduction in Oral hygiene index simplified ( OHI-S)from baseline (B/L) to 7 days, 30 days and 60 days

  2. Change in microbiological colony counts

    Time frame: From baseline (B/L) to 7 days, 30 days and 60 days

    in microbiological colony counts from baseline (B/L) to 7 days, 30 days and 60 days

Sponsors and collaborators

Lead sponsor

Government Dental College and Research Institute, Bangalore

Other

Registry information

Official study title

"Triphala" - A New Herbal Mouthwash in Gingivitis: A Randomized Controlled Clinical Trial

Important dates

Study start
2013
Primary completion
2013
Study completion
2013
First posted
Jul 12, 2013
Registry last updated
Jul 12, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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