EFFICACY OF YAVA KSHARA PRATISARANA AND YASTIMADHU KSHEERAPAKA GANDUSHA IN THE MANAGEMENT OF DANTA SARKARA

Abstract

Importance of Oral Hygiene:Oral hygiene is having at most importance in Dinacharya, if one regrets will lead to various danta rogas. Among the 8 danta rogas mentioned in the classical texts of Ayurveda, Danta Sarkara is considered to be occurring due to inadequate oral hygiene. It is a disease characterized by hardened accumulation of mala on tooth surface which harms the teeth and its supporting structures. The prime line of treatment as told in our classics is removal of the Sarkara by Shastra followed by pratisarana. Danta sarkara and dental calculus: The disease Danta Sarkara can be compared to Dental calculus in Modern Dentistry. Calculus is dental plaque that has undergone mineralization. Calculus formation results in a number of clinical manifestations, including bad breath, bad taste in the mouth, receding gums and mild to moderate gingivitis. Hence its removal is very essential to prevent periodontal diseases. Usability of Yava kshara: Yava kshara is having lekhana and shodana property, with scrapping effect which controls danta sarkara formation, along with that Yastimadhu ksheerapaka with its sleshmapittahara and shodhahara action helps in preventing gingival complications.In modern medicine the treatment modality includes scaling and polishing (oral prophylaxis). Scaling (by scalars) is to remove the etiologic agents which cause inflammation of the gums like dental plaque and calculus, thus helping to establish a periodontium that is free of disease. It is performed using hand instruments, ultrasonic instruments or rotating instruments. Now a day ultrasonic scalars are widely used by the dentists. Though it is more efficient and convenient method, it may have certain reactions as, studies have shown that ultrasonic scaling leaves behind a rough tooth surface which makes further plaque accumulation and recurrence made easier.