Effect of 0.4% Triphala and 0.12% chlorhexidine mouthwash on dental plaque, gingival inflammation, and microbial growth in 14-15-year-old schoolchildren: A randomized controlled clinical trial.

Context: A strong correlation exists between plaque and dental caries and periodontal diseases. Ayurvedic drugs have been used since ancient times; oral rinses made from these are used in periodontal therapy. Triphala is one of these with wide spectrum of activity.

Aims: To assess and compare the effect of 0.4% Triphala and 0.12% chlorhexidine (CHX) mouthwash on dental plaque, gingival inflammation, and microbial count of , , and Lactobacilli from dental plaque sample of 14-15-year-old schoolchildren of Pune city during 90 days supervised use.

Settings And Design: A randomized, controlled, double-blind, parallel-group clinical trial was conducted among 72 schoolchildren aged 14-15 years.

Subjects And Methods: Children were divided into two study groups: Group A with 0.4% Triphala mouthwash ( = 36) and Group B with 0.12% CHX mouthwash ( = 36). The plaque Index (Loe H [1967]), gingival index (Loe H and Silness J [1963]), and microbial analysis were recorded at baseline, 30 days, and 90 days interval.

Statistical Analysis Used: Statistical analysis was done using unpaired -test for group-wise comparison and one-way analysis of variance test, followed by Tukey's test for intragroup comparison. < 0.05 was considered statistically significant.

Results: The results showed that 0.4% Triphala and 0.12% CHX have similar inhibitory effect on plaque accumulation, gingivitis, and growth of , , and Lactobacilli.

Conclusion: Herbal mouthwash proved to be helpful in reducing plaque microbial counts, plaque, and gingival inflammation and opens new arenas in the field of herbal dentistry and chemical plaque control.