Chronic Periodontitis Clinical Trial
Official title:
To Assess the Efficacy of Mustard Oil and Salt Massage as an Adjunct to Scaling and Root Planing in Patients With Chronic Periodontitis: A Clinical Study
Periodontal disease is a chronic inflammatory process accompanied by destruction of Periodontium, and sometimes loss of teeth. Periodontal disease is highly prevalent especially in developing and underdeveloped countries affecting more than 80% population. Epidemiological studies have shown that about 10% of the adult population suffer from severe periodontitis (Brown et al. 1990, Gjermo 1998). Studies indicate that the periodontal lesion is not strictly a localized process but may lead to systemic alterations in immune system. Various studies confirm the microbial etiology of periodontal disease.
Periodontal disease is a chronic inflammatory process accompanied by destruction of
Periodontium, and sometimes loss of teeth. Periodontal disease is highly prevalent
especially in developing and underdeveloped countries affecting more than 80% population.
Epidemiological studies have shown that about 10% of the adult population suffer from severe
periodontitis (Brown et al. 1990, Gjermo 1998). Studies indicate that the periodontal lesion
is not strictly a localized process but may lead to systemic alterations in immune system.
Various studies confirm the microbial etiology of periodontal disease. The bacteria that
cause periodontitis include mainly diversity of anerobic bacteria; Porphyromonas Gingivalis,
Fusobacterium Nucleatum, Peptostreptococcus, Prevotella species being the most significant.
Various therapeutic approaches are available for treatment of this disease utilizing non
surgical and surgical methods, but the treatment is still challenging for the clinician and
cumbersome for the patients. In many cases of moderate to severe chronic periodontitis anti-
inflammatory and antibiotics are used as an adjunct. Systemic antibiotic agents may reduce
or eliminate microbes that cannot be removed by Scaling and Root Planing. This includes
microbes that have penetrated tissues or root surfaces which may act as reservoir for
recolonization. However synthetic antibiotics and anti-inflammatory agents result in
complications like drug resistance, gastrointestinal complications, congestive heart
failures and renal failures and other complications.
Especially in India Mustard Oil and Salt is long being used for gum massage and for
maintenance and improvement of Oral Hygiene. As this practice of using homemade formulation
is beneficial for Gingival and Periodontal health, economic and free from any major side
effects it should be studied to document its efficacy as an adjunct to Scaling and Root
Planing. Mustard oil is considered to have low saturated fat. The monounsaturated fatty
acids and proper ratio of polyunsaturated fatty acids improve heart health, lowers
triglyceride, prevents obesity. Massage with mustard oil relieves rheumatism and arthritis,
sprains and aches. The selenium present in the oil reduces effects of asthma and joint pain.
High level of Vit. E improves skin health and impart protection against UV rays. Mustard
seeds are effective in gastrointestinal and colorectal cancer, as mustard is rich in
glucosinolate and phytonutrients. It is effective in curing cold, cough, body pains & aches.
Salt in topical formulation is found to have anti inflammatory action.Hence this study aims
to evaluate this versatile formulation in treatment of Chronic Periodontitis. As the use of
Mustard Oil and Salt is practiced by a strata of population in our country thus it is
advisable and necessary to assess scientifically the efficacy of mustard oil and salt
massage in improving Gingival and Periodontal Health.
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