Peiris K P P, Rajagopala Manjusha, Patel Nayana
Senior Lecturer, Department of Shalya-Shalakya, Gampaha Wickramaraachchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri Lanka.
Ayu. 2013 Jan;34(1):63-9. doi: 10.4103/0974-8520.115452.
Sheetada is the early stage of periodontal diseases. This occurs due to negligence of oral hygiene, changing life-style, habits, and addictions. It is Kapha Rakta Pradhana Vyadhi. In modern dentistry papillary or marginal gingivitis can be correlated with Sheetada, on the basis of similarities in symptoms, involvement of anatomical structure, etiology and prognosis. The epidemiological studies conducted by American Academy of Periodontology shows that gingivitis of varying severities is nearly universal. It is estimated that over 80% of the world's population suffers from gingivitis. In this clinical study, 106 patients were registered among them 103 completed the treatment and were randomly divided by lottery method into two groups. In Group-A, Dashana Samskara paste local application on gums and in Group-B, Dashana Samskara Choorna Pratisarana on gums was given. After enrollment of the patients in the study cardinal symptoms of Sheetada (gingivitis) such as, Raktasrava, Krishnata, Prakledata, Mriduta, Mukhadaurgandhya, and also the objective criteria such as oral hygiene index, Gingival Index (GI-S), and Gingival Bleeding Index (GBI-S) were studied before and after the treatment. While considering comparative effect on subjective parameters such as Raktasrava, Dantamamsa Shiryamanata, Shotha and Chalata statistically significant results were obtained in Group-A than Group-B. In objective parameters such as, GI-S and GBI-S also showed statistically significant results in Group-A. Observations in follow-up study confirmed that the recurrence rate in the Group-Awas significantly lesser than the Group-B.
牙龈炎是牙周疾病的早期阶段。它是由于口腔卫生疏忽、生活方式改变、习惯及成瘾等原因导致的。它属于痰湿血热为主的疾病。在现代牙科中，基于症状、解剖结构受累情况、病因及预后的相似性，乳头炎或边缘性牙龈炎可与牙龈炎相关联。美国牙周病学会进行的流行病学研究表明，不同严重程度的牙龈炎几乎普遍存在。据估计，全球超过80%的人口患有牙龈炎。在这项临床研究中，登记了106名患者，其中103名完成了治疗，并通过抽签法随机分为两组。A组在牙龈局部应用达沙纳净化糊剂，B组在牙龈上应用达沙纳净化散剂。在患者纳入研究后，对牙龈炎（Sheetada）的主要症状如出血、色泽暗沉、水肿、质地松软、口臭等，以及口腔卫生指数、牙龈指数（GI-S）和牙龈出血指数（GBI-S）等客观标准在治疗前后进行了研究。在考虑对出血、牙龈组织松软、肿胀和糜烂等主观参数的比较效果时，A组比B组获得了具有统计学意义的结果。在客观参数如GI-S和GBI-S方面，A组也显示出具有统计学意义的结果。随访研究观察证实，A组的复发率明显低于B组。
