ABSTRACT
It is the common dental problem seen among individuals. It occurs gradually, that's why most people don't know about it. It should not be ignored. It is just a type of periodontal disease. Various treatments are present for this and in ayurveda the herbal medicines are included which works in making gum stronger and they are effective. It is highly prevalent worldwide. It can cause root caries and discomfort to the patient. For proper intervention it should be evaluated in early times so that it did not cause any severe damage. The orthodontist is not sure about whether periodontal surgery is helpful in this or not. Ayurveda is providing different drugs for this and patients are getting beneficial results.
INTRODUCTION
It is represented as atrophic periodontal changes. Atrophy means all processes of cell lesion characterized by decrease in volume and cell population of given tissue or organ . Atrophic cells decrease in volume and also eat themselves; it causes their structural component to be changed.
Gingival recession presence before any orthodontic treatment is a real problem. Patients suffered from sensitivity in teeth and unpleasant appearance. Gingival recession is the condition where the root surface is exposed because gum pulls back from the tooth surface.This is also a main characteristic feature of the recession. It is generally found in most of the patients and the most common is the buccal one.
PATHOPHYSIOLOGY
The pathophysiology can be divided into Direct cause and predisposing causes. The first cause due to which a gingival recession occurred is loss of bone support. As the time passes normal or inflamed gingival soft tissues tend to be on the level of cervical bone levels, this is the reason for gingival recession.
Primary Causes
- Low level and long lasting trauma
- Chronic inflammatory periodontal disease
- Periodontal treatment
- Occlusal trauma
Predisposing factor of gingival recession
- Decreased alveolar bone crest
- Dehiscence
- Frenulum insertion
SYMPTOMS OF GUM RECESSION
- Bad Breath and bad taste
- Space developed between the redness of gums
- Swelling and ease of blood bleeding (especially while brushing)
- Pus formation noticed in morning
- Sensitivity to cold and heat
- Pain while chewing
- A change in the way your teeth fit together when you bite
- Bright red, dusky red or purplish gums
RISK FACTORS
Factors that can increase the incidence of periodontitis include
- Tobacco chewing
- Oral health habits
- Smoking
- Obesity
- Gingivitis
- Deficiency of vitamin C
- Decreased immunity conditions like: HIV/AIDS and cancer treatment
- Certain diseases such as diabetes, arthritis and crohn's disease.
AYURVEDIC VIEW
In Ayurveda gum disorders are placed under danta moola vyadhi which have many different types some of them are as follows: Sheethada (scurvy and gingivitis), Dantha pupputaka (gingival abscess), Upakush (periodontitis) and dantha veshtak (periodontal abscess) etc. Gum recession can be correlated with the "Sheetada" ; its causal factors are vitiation of kapha and rakta in the gums because of this the firmness of the muscular tissue which ultimately leads to bleeding gums.
Oral health can be maintained with good oral habits. In ayurveda gandusha and kavala therapies were given in dincharya (daily regimens) for good oral health. They have both curative as well as preventive properties.
- Gandusha is the procedure in which medicated liquid, ghrita or oil is held inside the mouth for a specific time.
- Kavala is the procedure in which medication is held inside the oral cavity and moved after that spit quickly.
- The properties of triphala kwath is tridosha ghana(vata kapha pitta ghana) and its pharmacodynamics properties like anti bacterial, antioxidant and anti inflammatory it can be used in oral problems.
HERBAL REMEDIES FOR GUM RECESSION BY PLANET AYURVEDA
As discussed above herbal medications are having good effects on oral cavity diseases. Planet Ayurveda provided many ayurvedic products for many diseases and they had no side effects on the patient. They are ISO certified and no additives were added to it. Planet Ayurveda has effective herbal products for gum recession that are GUM CARE PACK
It includes gum care powder, coral calcium complex, and arjuna saar. They all contributed together in making gums strong and keeping the oral cavity disease free. Let's have a look at the formulations
1. GUM CARE POWDER
It had many useful herbal medications in it like: Sonth (Zingiber officinale), Haritaki(Terminalia chebula), Mustak( Cyperus rotundus) and Khadir(Acacia catechu). Haritaki is one of the contents of Triphala and triphala properties are mentioned earlier.
Usage: It can be used in the form of teeth and gums massage after that rinse it with lukewarm water after 2-3 minutes.
2. CORAL CALCIUM COMPLEX
This is very useful in the gum recession due to its ingredients which are as follows: Praval pishti (Coral), Akik pishti (Agate) and Mukta pishti (Pearl). Mukta pishti is known to be balanced between rakta and pitta that's why it is very useful in this. Whereas praval pishti provides vitamin c and calcium that is very beneficial for the bones, teeth and cell. It is helpful in absorbing and compensating the calcium requirement of the body. Its effects on doshas are also observed.
Dosage: 1 capsule twice daily after meal with plain water.
3. ARJUN SAAR
Arjun saar contains pure terminalia arjuna juice and pure amla juice. Arjuna (Terminalia arjuna) has sheeta virya (potency) and kashaya rasa i.e. it is helpful in bleeding disorders and also helpful in healing wounds. Amla (Emblica officinalis) is also known as dha triphala , this is tridosha pacifying. The amla juice is cold in potency, reduces fever and burning sensation. It is also beneficial in bleeding disorders.
Dosage: 20 ml of arjuna saar with equal amount of water
4. IRIMEDADI OIL
Irimedadi oil is a classical oil preparation. It contains two types of dravya that are kalka drava and kwatha dravya: Kalka dravya: Manjistha ( Rubia cordifolia), Lodhra ( Symplocos racemosa), Yashtimadhu ( Glycyrrhiza glabra), Khadir ( Senegalia catechu) etc. Kwath dravya: Irimeda chhal. It also includes til tail ( Sesamum indicum). Til tail is a very good antioxidant and helps in fighting against any inflammation i.e it is beneficial in gum recession.
Usage: 5-10 ml of the oil is taken inside the mouth for gargling, then after spitting, rinse with warm water.
CONCLUSION
Periodontium which comprises gingiva, periodontal ligament, cementum and alveolar bone. It works as a stem for the teeth because it gives strength to the teeth. When there is disease in this region it can affect the whole tooth. Gum recession is also a type of periodontal disease as discussed above. Most of the people are not aware about this disease and are delaying the treatment which can cause tooth loss. Shitada is the main disease which affects oral health. Ayurvedic management is able to provide beneficial results to the patients suffering from this gum recession by preventive and curative methods.
