Efficacy of Dantaraksha toothpaste in comparison to Pediflor Kidz toothpaste in prevention of Krimidanta, early childhood caries - A double blind randomized controlled clinical trial.
DOI:
https://doi.org/10.70066/jahm.v13i6.2049Keywords:
Krimidanta, early childhood caries, Dantaraksha toothpaste, DMFS IndexAbstract
INTRODUCTION
Krimidanta (Dental caries) is most prevalent among Dantaroga (dental diseases). It manifests with tooth cavitation, loosening, oozing, swelling, pain, and tenderness. Krimidanta is similar to dental caries. In India, 80% prevalence of tooth decay noted in children. Dental caries continues to be a major concern despite improved public awareness on oral hygiene, various new teeth cleaning agents and regular minerals and vitamin supplementation. Fluoride has been acting as "wonder drug" in the prevention of dental caries and is widely used in toothpastes and mouthwashes. However, the use of fluoride toothpaste in children causes side effects. In response to these concerns, recent research has explored the use of herbal alternatives—such as herbal toothpastes, powders, and gargles for the prevention and treatment of dental disorders. However, only one study till date has shown similar effectiveness in children. This study will explore medicinal plants such as Arka, Arjuna, Neem, Amalaki, Haritaki, Vibhitaki, Karanja, Lavanga, and Nyagrodha, traditionally recommended for Danta Dhavana (tooth brushing) under Dantaraksha Vidhi (oral hygiene practices). Additionally, natural ingredients like Sphatika (alum), Khatika (chalk), Madhu (honey), and Saindhava (rock salt) will be included in a non-fluoride toothpaste formulation for evaluating their role in the prevention and management of Krimidanta. Here we are going to assess the dental caries by the DMFS Index grading.
MATERIALS AND METHODS: This is a prospective, closed-label, randomized controlled clinical trial of total of 50 participants diagnosed with dental caries. Trial group: Participants in the trial group will receive Dantaraksha toothpaste: The treatment will be administered for 45 days. Control Group: Participants in the control group will receive Pediflor kids toothpaste in same way.
CONCLUSION: The study's findings may potentially demonstrate that the Ayurvedic intervention of Dantaraksha toothpaste is as effective as Pediflor kidz toothpaste in managing Krimidanta Early childhood caries.
References
Nishteswar K, Vidyanath R, Kumar K. Textbook of Salakyatantra; Mukharoga Adhyaya: Chapter 4. Varanasi: Chowkhamba Sanskrit Series Office; p.170-172.
Livny A, Assali R, Sgan-Cohen HD. Early Childhood Caries among a Bedouin community residing in the eastern outskirts of Jerusalem. BMC Public Health.2007 Jul 24;7(1). Available from: https://doi.org/10.1186/1471-2458-7-167. [Last accessed on 8 may 2025]
Grindefjord M, Dahllof G, Modeer T. Caries Development in Children from 2.5 to 3.5 Years of Age: A Longitudinal Study. Caries Research. 1995;29(6):449–54. Available from: https://doi.org/10.1159/000262113 [Last aaccessed on 8 may 2025]
Suzuki N, Yoneda M, Naito T, Iwamoto T, Hirofuji T. Relationship between halitosis and psychologic status. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008 Oct;106(4):542–7. Available from https://doi.org/10.1016/j.tripleo.2008.03.009 [Last accessed on 8 May 2025]
Kadam A, Prasad BS, Bagadia D, Hiremath VR. Effect of Ayurvedic herbs on control of plaque and gingivitis: A randomized controlled trial. AYU (An international quarterly journal of research in Ayurveda). 2011;32(4):532-5. doi: 10.4103/0974-8520.96128
Khan W.M, Mundhra S, Sridhar R, Sudeep H M, Karda K. Efficacy of herbal and non-herbal antibacterial dentifrices on dental plaque and gingivitis- a randomized controlled Trial. International Journal of AYUSH.2021;10(1):45-57. Available from: https://trivenidental.com/document/41.pdf [Last accessed on 8 May 2025]
Toumba KJ, Twetman S, Splieth C, Parnell C, Van Loveren C, Lygidakis NΑ. Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document. European Archives of Paediatric Dentistry. 2019; 20:507-16. Available from: https://doi.org/10.1007/s40368-019-00464-2 [Last accessed on 8 may 2025]
Tripathi B. Charaka Samhitha of Agnivesha, 4th ed, sutrasthana; Matrashiteeya adhyaya: Chapter 5, verse 73. Varanasi: Chaukhambha Sanskrit Series ,1996. p99
Shastri Ambika Dutta, Kaviraj, editor, (reprint ed). Sushrutha Samhitha of Sushrutha Sushrut, Chikitsasthan; Samuddesheeya adhyaya: Chapter 24, verse 5-7. Varanasi: Chaukhambha Sanskrit Sansthan, 2003.p132-133
Tjiptoningsih UG, Ariani D. Effective tooth brushing techniques based on periodontal tissue conditions: A narrative review. Formos J Appl Sci. 2023;2:1649-62. https://doi.org/10.55927/fjas.v2i7.4838
Yavagal PC, Velangi CS, Singh I, Desai P, Sunny CH. Prevalence of early childhood caries among children attending Anganwadis in Davangere city: A cross-sectional survey. Journal of Indian Association of Public Health Dentistry. 2020 Jul 1;18(3):199-203. Available from DOI: 10.4103/jiaphd.jiaphd_129_19 [Last accessed on 8 May 2025]
Marwah N (3rd ed.). Textbook of Paediatric Dentistry; 3rd edition, Jaypee Brothers Medical Publishers; Bangalore; 2018;1002.
Jagtap AM, Kaulage SR, Kanse SS, Shelke VD, Gavade AS, Vambhurkar GB, Todkar RR, Dange VN. Preparation and evaluation of toothpaste. Asian Journal of Pharmaceutical Analysis. 2018;8(4):191-4. Available from DOI: 10.5958/2231-5675.2018.00035.2 [Accessed on 8 may 2025]
Bhoopathi PH, Patil PU, Kamath BV, Gopal D, Kumar S, Kulkarni G. Caries detection with ICDAS and the WHO criteria: a comparative study.J.Clin.Diagn.Res.2017 Dec 1;11(12):9-12 DOI:10.7860/JCDR/2017/29017.10929 [Accessed on 8 may 2025]
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Dr Kalambe Darshan Dinkar
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain the copyright of their work and grant the Journal of Ayurveda and Holistic Medicine (JAHM) the right of first publication. All published articles are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) license, which permits non-commercial sharing, use, distribution, and adaptation with proper attribution and the same license terms.
JAHM ensures free, irrevocable, worldwide access to its content. Users may copy, distribute, display, and share published works for non-commercial purposes with appropriate credit to the author(s) and the journal. Limited printed copies for personal, non-commercial use are allowed under the same license.
If a submission is not accepted for publication, the author(s) will be notified.
By submitting, authors confirm that the work is original, that all listed authors have contributed and approved it, and that it does not infringe any third-party rights or duplicate work submitted elsewhere.
