Comparison of the efficacy of diode laser assisted scaling and root planning with & without herbal adjunct - ‘Irimedadi Taila’ in chronic periodontitis patients: Randomized control trial – Pilot study.

Authors

  • Shirley Joshini Samvel
  • Deepak Moses Ravindran
  • Divya Kumar
  • Dhanadivya Krishnakumar
  • S Muthukumar
  • S K Balaji

DOI:

https://doi.org/10.70066/jahm.v13i8.1852

Keywords:

Diode Laser Herbal oil Chronic periodontitis NSPT

Abstract

Purpose: This study aims to determine and compare the changes in probing pocket depth, sulcular bleeding index, plaque index, gingival index, Periodontal Inflamed Surface Area (PISA) values following scaling and root planing using diode laser with and without the use of “Irimedadi Taila”. Methodology: 8 Subjects with periodontitis were included in this split mouth parallel group randomized control trial. Teeth on the control side and contralateral test side were treated using Conventional Ultrasonic Scaling followed by Diode Laser Curettage at 940 nm. Patients were instructed to take 5 drops of Irimedadi Taila and massage the intended site. The clinical examiner was blinded to the assignment of quadrants and Clinical parameters were recorded at baseline, 4 weeks and 8 weeks. Results: 8 Quadrants were randomized to each group. At 8 weeks Post Op, Results indicated a significant reduction in sulcular bleeding index in the test group. Other parameters such as Plaque Index, Gingival Index, PISA improved in both the groups. No adverse events were reported and the taila was well tolerated. Conclusion: The finding of this preliminary study indicates that diode laser curettage along with the usage of Irimedadi taila is effective for treatment of chronic periodontitis when compared to diode laser curettage alone.

CTRI/2024/06/069459

Author Biographies

Shirley Joshini Samvel

Postgraduate, Depertment of Periodontology and Implantology, Sri ramachandra dental college and hospital, Chennai – 600116

Deepak Moses Ravindran

Associate Professor, Department of Periodontology and Implantology , Sri ramachandra dental college and hospital, Chennai – 600116

Divya Kumar

Senior Lecturer, Department of Periodontology and Implantology, Sri ramachandra dental college and hospital, Chennai – 600116

Dhanadivya Krishnakumar

Senior Lecturer, Department of Periodontology and Implantology, Sri ramachandra dental college and hospital, Chennai – 600116

S Muthukumar

Professor, Department of Periodontology and Implantology, Sri ramachandra dental college and hospital, Chennai – 600116

S K Balaji

Professor & HOD, Department of Periodontology and Implantology, Sri ramachandra dental college and hospital, Chennai – 600116

References

Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. Journal of dental research [Internet]. 2014;93(11):1045–53. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25261053

Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. Journal of Clinical Periodontology. 1984 Jan;11(1):63–76. doi: 10.1111/j.1600-051x.1984.tb01309.x.

P. Baehni, B Thilo, Chapuis B, D Pernet. Effects of ultrasonic and sonic sealers on dental plaque microflora in vitro and in vivo. 1992 Aug 1;19(7):455–9. doi: 10.1111/j.1600-051x.1992.tb01156.x

Anandakumar S, Malaiappan S. Effect of Subgingival Irrigation with Natural Products as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis- A Systematic Review. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. 2018; DOI: 10.7860/JCDR/2018/30899.11934

Herrera D, Sanz M, Jepsen S, Needleman I, Roldan S. A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients. Journal of Clinical Periodontology. 2002 Dec;29(s3):136–59.DOI : https://doi.org/10.1034/j.1600-051x.29.s3.8.x

Aljateeli M, Koticha T, Bashutski J, Sugai JV, Braun TM, Giannobile WV, et al. Surgical periodontal therapy with and without initial scaling and root planing in the management of chronic periodontitis: a randomized clinical trial. Journal of Clinical Periodontology. 2014 Jun 12;41(7):693–700. doi: 10.1111/jcpe.12259

Matarese G, Ramaglia L, Cicciù M, Cordasco G, Isola G. The Effects of Diode Laser Therapy as an Adjunct to Scaling and Root Planing in the Treatment of Aggressive Periodontitis: A 1-Year Randomized Controlled Clinical Trial. Photomedicine and Laser Surgery [Internet]. 2017 Dec 1 [cited 2020 Feb 20];35(12):702–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28945145

Qadri T, Javed F, Johannsen G, Gustafsson A. Role of Diode Lasers (800–980 Nm) as Adjuncts to Scaling and Root Planing in the Treatment of Chronic Periodontitis: A Systematic Review. Photomedicine and Laser Surgery. 2015 Nov;33(11):568–75.DOI: https://doi.org/10.1089/pho.2015.3914

Singh P, Gupta R, Mallapragada Siddharth, Sinha A, Shree S, Sharma K. Comparative Evaluation of Subgingivally Delivered 2% Curcumin and 0.2% Chlorhexidine Gel Adjunctive to Scaling and Root Planing in Chronic Periodontitis. The Journal of Contemporary Dental Practice. 2020 Jan 1;21(5):494–9. https://doi.org/10.5005/jp-journals-10024-2828

Fida A, Qureshi S, Mumtaz F. Assessment of Herbal Preparation (Irimedadi Taila) An Adjunctive in Treating Plaque Caused Gingivitis. 2018 ;12(1). Available from: https://pjmhsonline.com/2018/jan_march/pdf/567.pdf

Patil S, Varma SA, Suragimath G, Abbayya K, Zope SA, Kale V. Evaluation of Irimedadi Taila as an adjunctive in treating plaque-induced gingivitis. Journal of Ayurveda and Integrative Medicine. 2018 Jan;9(1):57–60. DOI: 10.1016/j.jaim.2017.06.006

Jagan Rao N, Subash KR, Sandeep Ku K. Role of Phytotherapy in Gingivitis: A Review. International Journal of Pharmacology. 2011 Dec 15;8(1):1–5. DOI: 10.3923/ijp.2012.1.5

Parwani S, Parwani R, Chitnis PJ, Dadlani H, Sai Prasad S. Comparative evaluation of anti-plaque efficacy of herbal and 0.2% chlorhexidine gluconate mouthwash in a 4-day plaque re-growth study. J Indian Soc Periodontol [Internet]. 2013;17(1):72. Available from: http://dx.doi.org/10.4103/0972-124x.107478

Aspalli S, Shetty VS, Devarathnamma MV, Nagappa G, Archana D, Parab P. Evaluation of antiplaque and antigingivitis effect of herbal mouthwash in treatment of plaque induced gingivitis: A randomized, clinical trial. Journal of Indian Society of Periodontology [Internet]. 2014 ;18(1):48–52. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988643/

Deshmukh MA. Comparative Evaluation of the Efficacy of Probiotic, Herbal and Chlorhexidine Mouthwash on Gingival Health: A Randomized Clinical Trial. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. 2017; DOI: 10.7860/JCDR/2017/23891.9462

Additional Files

Published

2025-09-19

How to Cite

Samvel, S. J. ., Ravindran, D. M. ., Kumar, D. ., Krishnakumar, D., Muthukumar, S. ., & Balaji, S. K. . (2025). Comparison of the efficacy of diode laser assisted scaling and root planning with & without herbal adjunct - ‘Irimedadi Taila’ in chronic periodontitis patients: Randomized control trial – Pilot study. Journal of Ayurveda and Holistic Medicine (JAHM), 13(8), 2-11. https://doi.org/10.70066/jahm.v13i8.1852