G32 as local application in the treatment of gingivitis with bleeding gums and halitosis after Scaling and Curetting

Dr. P. K. Wadhwa, M. D, S. Dental Surgeon, District Hospital, Jhansi

and

Dr. M. I. A. Siddique

Medical Officer, Research Duty, District Hospital, Jhansi 284 002

MAHARASHTRA MEDICAL JOURNAL

 

GINGIVAL INFLAMMATION IS A COMMON ORAL COMPLAINT and often neglected by the patient in the early stages when it can be treated more easily than at later stages. Bad oral hygiene is predisposing factor for gingivitis. G32*, an  ayurvedic drug was selected for this trial, to study its awfulness in Gingivitis with bleeding gums and associated with halitosis.

 

G32 :

G32 is described to have the following proper­ties: astringent, -antiseptic, anti-inflammatory, anodyne, styptic, deodorant, aromatic, codling, and-healing; and contains harmless Ayurvedic ingredients in traditional use since centuries.

 

Each tablets contains (in mg) :

Bakula (Mimosops elangi ): 80;

Chok( Galcittm carbonate ) : 75;

Katho (Acacia catechul ) : 40;

Laving ( Myrtus caryop'hyllus ):20;     

Chikani sopari : 20;

Fatakadi ( Alumen ) : 20;      

Mayafal( Quercus infectoria )  : 20;     

Elaichi ( Elettaria cardamomum ) : 10;           

Sonageru ( Silicate of alu­minium and iron oxide) : 10;

Jiru (Carum carui ) :,.10;

Majith ( Rubia coidifolia ) : 10

Pashanbhed (crruga  ligulata ): 10;    

Vavding ( Embelia ribes ) : 10;

Pipla ni lakh ( Ficus raligiosa ) t-i0;

Samudralrn (Os sapiae ) : 10;

Vajradanti-(-Balae­ria prionitis ) : 10;   

Taj ( Cinymmomxrll casiia j :

S; -Muri (Piper rrigrum ). : 5;

Sajikhar (Sodium carbonate impura ) : 5;        

Kulinjun ( Arlpinia !,W=nensis ) : 5;    

Piper ( Piper Longum ) : 5 ;

Kapur(Camphora officinarum ) : 5 and'

Kuth: (Uncaria gambier ) : 5.

 

Materials and methods :

The 'clinical trial was undertaken during the year 1'981 on patients attending the O. P. D: of the Dental Dept, District Hospital, Jhansi. Only those patients that had gingivitis associated with bleeding gums and halitosis were selected for trial. They were taken serially, and randomly divided into two groups, Group A. forming -the Control-group and Group-B forming G32 group. The total number of patients included in each group was 250. Each patient was thoroughly exa­mined in a dental chair, and during day light. The history, complaints, duration, 'oral habits, methods and--agents used for cleaning teeth, were fully recorded in a specially prepared -research. performa. The trial period was of three months for each  case and the patient  was examined once in 15 days.

All the 500 cases were given oral prophylaxis by way of scaling and curetting. All were demonstrated the correct method of brushing teeth.

Then the patients of Group A (the Control. group) were put on B complex tablets and Vit-C tablets for the duration of 3 months.

 

It was later found that out of the 250 cases of Group A (the Control group) only 100 were regular and the results were assessed only on these cases. Out of 250 cases of Group B ( the G32 group), only 220 were regular, and so the results were assessed only on these cases.

 

Age Groups:

 

The age of the patients ranged from 16-50 years

 

Age group

( years )

 

Group

M

A

F

Total

Group

M

B

F

Total

 

16•20

;

22

55

77

10

35

45

24.4

21•30

 

15

72

87

26

80

106

38.6

31-40

.

32

42

74

14

38

52

25.2

41-50

.

6

6

12

12

35

47

11.8

Total

.

75

175

250

62

188

250

100%

 

 

 

 

 

 

 

 

 

 

Results:

 

Results of Group A : (Control group ) :

Cases of Group A (the Control Group ) after scaling and curetting were Put on Vit. B-Complex tablets and Vit. C tablets for three months. Out of 230 cases included in the group, only 100 cases were regular. So the results were assessed.

 

The results of Control group were as follows: 80 cases (80.0%) showed mild gingivitis, bleed­ing and halitosis; 10.0 % showed slight relief and 10.0 % showed no relief. Not even a single case reported complete relief (Table II ).

 

 

Table II : Results of Group A : Control, N= 100

Complaint,

Moderate

Slight

 

No

%

 

relief

 

relief

 

relief

 

Gingival

 

 

 

 

 

 

inflammation : ---

80

80.0%

10

10.0%

10

10.0%

Bleeding Gums: -

80

80.0%

10

10.0%

10

10.0%

 

Halitosis :

80

80.0%

10

10.0%

10

10.0%

Mean ---

.

80

80.0%

10

10.0%

10

10.0%

 

 

 

Results of Group B (G32 group):

 

All the cases of Group B (the G32 group)- after scaling and curetting, were asked to apply, massage, rinse and gargle, powder of 2 tabs. of G32, once in the morning and owe at bed time, for throe months. It was later: found that out of 250 cases included in this group, only 202 cases were

Regular. So the results were assessed only on these cases. Out of these 202 cases, Gingival inflammation showed Good Relief in 150 cases (74.3%), and Moderate Relief in 52 cases. (25.7%). There was no bleeding or halitosis in any of the cases (100.0%). Not even a single case reported No Relief (Table III).

 

 

Table III : Results of Group B : G$a group, N = 302

 

Complaint            Good relief    %                       Moderate           %         Slight

Gingival

 

 

 

 

 

inflammation :

150

74.3%

52

25.7%

-

Bleeding Gums :

202

100.0%

-

 

 

Halitosis :

202

100.0%

-

 

 

Mean :

185

91.6%

17

8.4%

-

 

 

Conclusions:

In cases of gingival inflammation with bleed­1ng gums associated with halitosis, it is advis­able to do scaling and curetting and then start G8, treatment to improve and maintain good oral hygiene. Use of G3, as local application, massage, rinse and gargle for three months proved beneficial, giving overall Good Relief in 91.6 % of cases, while in the Control group the majority of cases showed only Moderate Relief (80%). The correct method of brushing teeth should also be demonstrated to the patients so that it will greatly help       in maintain­ing good oral hygiene. Gss can also be advised as a prophylactic for prevention of gingivitis as it helps in maintaining good        oral hygiene and the maintenance of good oral hygiene is the sheet anchor in preventing many complaints of the oral cavity.

Acknowledgement

The authors thank, Alarsin Plz.armiaceuticals, Bombay, for cooperation, and, supply , of -Q3, tablets

References

 

Ajgaonkar, S:=B:'(TD7&}--: Ciihit;al trial with G82 Medicine & Surgery, XVIlI ; 8,"P.'`26 Aug. 1978 Agrawal, P. P. (1980) : G32 in Gingival infla­mmation and external stains-35th "Indian Dental Conf., Amritsar. 28-31 Dec. 1980.

Ali, M. and D'Silva, A. (1980) : Use of G3R in Dental extraction, 35 Indian -Dental Cbnf., Amritsar, 28-31 Dec. 1980.

Banerjee, ~ K. L. and ?Ghorai,: ~ R. -(19'f9) : =A Clinical trial on' the eftacy (of Gt2. 15th West Bengal Dent.      Conf.,- Calicittta, 1 -:2 -Dec. 1979. Bhaskar, P:K. -and -SantUr(ALltt'isbtian;;S. (4978 );

Prasad, C. S. Bhaskar, P. K. Kumar, T. S. S., and JaaakifAtnan,'E"r. ( 1980) : Evaluation of the effect-Of G32, lst Internl-atiortal & 34th-National Dental Conf. Bombay, 20-24 Jan. 1980.

Rajasekher, A., Ramachandran, K., Miglani, D. C.-and Prasad C.S. ( 1978 ) : Therapeutic - use-fulness Ga, The-Antiseptic, 76:6, P, 336, June 1979.

Miss Shah, K., P. (1977 ) :     G32 in     acute Aind chronic gingivitis associated with painful teeth - Cur. Med. Pract. : XXI : 2: P. 65, Feb. 1977.