1. RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BENGALURU, KARNATAKA.
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT
FOR DISSERTATION
“A STUDY ON EFFECT OF TRIPHALA GANDUSHA WITH
MADHU IN MUKHASWASTHYA (ORAL HYGIENE).”
BY
DR. SANTOSH SHIVANNAVAR
M.D(Ayu), SCHOLAR
DEPARTMENT OF P.G. STUDIES IN SWASTHAVRITTA
S.D.M COLLEGE OF AYURVEDA,
KUTHPADY, UDUPI - 574 118
GUIDE
DR. DEEPAK S. M.
M.D(Ayu)
ASST.PROFESSOR
DEPT. OF P.G. STUDIES IN SWASTHAVRITTA
S.D.M. COLLEGE OF AYURVEDA,
KUTHPADY, UDUPI - 574 118
2012-2013
S.D.M. COLLEGE OF AYURVEDA
KUTHPADY, UDUPI - 574 118
1

2. FROM:
DR. SANTOSH SHIVANNAVAR
M.D(Ayu), SCHOLAR
DEPT. OF P.G. STUDIES IN SWASTHAVRITTA
S.D.M. COLLEGE OF AYURVEDA,
KUTHPADY, UDUPI – 574 118
TO,
THE REGISTRAR,
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BANGALURU.
THROUGH,
THE PRINCIPAL AND H.O.D DEPT.OF P.G STUDIES IN SWASTHAVRITTA.
S.D.M. COLLEGE OF AYURVEDA
KUTHPADY, UDUPI – 574 118
Respected Sir,
SUB: Submission of completed Proforma for registration of subject for dissertation.
I request you to kindly register the below mentioned subject against my
name for the submission of the dissertation to the Rajiv Gandhi University of Health
Sciences, Bangaluru for the partial fulfillment of M.D(Ayu) in Swasthavritta.
Title of Dissertation:
“A STUDY ON EFFECT OF TRIPHALA GANDUSHA WITH
MADHU IN MUKHASWASTHYA (ORAL HYGIENE).”
Here with, I am enclosing completed Proforma for registration of subject for
Dissertation. Thanking You,
Place: Udupi Yours Sincerely
Date: 19/04/2013 (DR.SANTOSH SHIVANNAVAR)
2

3. 1) NAME OF THE CANDIDATE : DR. SANTOSH SHIVANNAVAR
M.D(Ayu), SCHOLAR,
DEPT.OF P.G.STUDIES IN
SWASTHAVRITTA
S.D.M.COLLEGE OF AYURVEDA,
KUTHPADY, UDUPI - 574118
PERMANENT ADDRESS : DR. SANTOSH SHIVANNAVAR
S/O K M SHIVANNAVAR
AT-POST- AMMANAGI
TALUK – HUKKERI
DIST - BELGAUM
PIN – 591 236
2) NAME OF THE INSTITUTION: S.D.M. COLLEGE OF AYURVEDA,
KUTHPADY, UDUPI-574 118
KARNATAKA
3) COURSE OF STUDY AND
SUBJECT : M.D.(AYURVEDA) IN
SWASTHAVRITTA
4) DATE OF ADMISSION OF
COURSE : 24th
December 2012
5) TITLE OF THE TOPIC STUDY:
“A STUDY ON EFFECT OF TRIPHALA GANDUSHA WITH
MADHU IN MUKHASWASTHYA (ORAL HYGIENE).”
3

4. 6. BRIEF RESUME OF INTENDED WORK:
6.1 NEED FOR STUDY
Mukha Swasthya (oral hygiene) has gained importance now a day, because
Mukha is such a Anga, which is exposed to many risk factors in day-to-day life.
An Unhealthy diet, habits like tobacco chewing, smoking, alcohol use, social
determinants have increased incidences of diseases pertaining to oral cavity1
.These are
also risk factors for the four leading chronic diseases – cardiovascular diseases, cancer,
chronic respiratory diseases and diabetes – and oral diseases are often linked to chronic
disease. Poor oral hygiene is also a risk factor for oral disease1
.
Mouth is invaded by large number of micro organisms, which are normally
controlled by maintenance of reasonable oral hygiene. If this is neglected, bacterial
population may proliferate and cause many oral diseases2
.
In Ayurvedic classics many health promotive procedures are explained in the
form of Dinacharya like Dantadhavana, Kavala, Gandusha3
.Which helps in preventing
many oral problems such as bad breath, poor taste perception, dryness of mouth4
.
Many Dravyas have been mentioned in the classics for Gandusha as Dinacharya.
Because the physical, thermal and chemical causes of injury to oral cavity (due to
exposure to various risk factors) can be better counteracted by practicing Gandusha
daily. Among these Triphala kwath and Madhu has been mentioned both in Dinacharya
and Mukha roga adhikara. It has an advantage from health promotive, disease
preventive, curative and restorative aspects.
The present study will be taken to evaluate the role of Gandusha with Triphala
kwatha and Madhu in the prevention of Mukhagata roga and promoting oral hygiene,
which affects a large segment of population.
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5. 6.2) REVIEW OF LITERATURE
• Ayurvedic classics mentioned not practicing Dinacharya procedures like
Dantadhavana, Gandusha, Tambula sevana will alter the normal oral cavity and
lead poor mukha swasthya 5
.
• An Unhealthy diet, habits like tobacco chewing, smoking, alcohol use, social
determinants, poor oral hygiene etc have increased incidences of diseases
pertaining to oral cavity6
.
• Using Panchavalkala kwath or Triphala kwath for gandusha with Madhu will
cure Mukhagata roga and maintains oral hygiene7
.
PREVIOUS WORKS DONE:
1. Dr.Narasaiah.V (1989) - A clinical Study on Triphala kwath Gandusha on
Mukhapaka A.P University Vijayavada.A.P8
2. Dr.Sudhindra .G .Navale (2002-03) - A Study on Gandusha in Prevention of
Recurrent Mukhapaka (Stomatitis) SDMCA,Hassan. RGUHS, Banglore9
.
6.3) OBJECTIVES OF THE STUDY:
1. To review the effect of Gandusha.
2. To evaluate the role of Gandusha with Triphala kwath and Madhu, in the
promotion of oral hygiene.
3. To evaluate the role of Gandusha with Triphala kwath and Madhu, in prevention
of Mukhagata roga.
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6. 7) MATERIALS AND METHODS :
7.1) STUDY DESIGN:
Total 20 Subjects were selected from SDM Ayurveda College, Udupi based on
inclusive and exclusive criteria are assigned in to a single group clinical study of pre test
and post test design.
SOURCE OF DATA
• A minimum of 20 Subjects from S.D.M Ayurveda College, Udupi.
7.2) METHOD OF COLLECTON OF DATA
A minimum of 20 Subjects from S.D.M Ayurveda College, Udupi.
An assessment will be done based on OHAT Scale of Halton’s Health
Department, Dental health with details of history taking, signs and symptoms of
poor oral hygiene. Subjects will be analyzed and selected accordingly.
Inclusion criteria:
1) Subjects willing to do Gandusha procedure.
2) Subjects with altered taste perception, poor oral hygiene.
3) Subjects above the age of 16 years and below the age of 35 years will
be included.
Exclusion criteria:
1) Subjects not interested to do Gandusha procedure.
2) Subjects suffering with chronic oral diseases, premalignant conditions.
3) Subjects below the age of 16 years and above the age of 35 years.
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7. DURATION OF CLINICAL TRIAL
30 days of intervention and the patient was asked to report for the follow up once
in 15 days for one month. Assessment will be done before and after the study period.
Total study period will be 60 days.
 PLAN OF STUDY
Minimum 20 Subjects of poor oral hygiene from S.D.M Ayurveda College, Udupi
will be selected and subjected for gandush procedure.
Duration of the study is 30 days for every individual. - A fresh sample of Triphala
kwatha choorna in coarse form is taken. The quantity of choorna required for
preparation of kwatha for one day is 150 gm and quantity of water is 2400 ml. it is
boiled upto 1/4th
part remains i.e. to make 600ml. 3 times fresh liquid was held in
mouth once a day for 30 days.
After completion of 30 days of course of Gandusha the subject was asked to
report for the follow up once in 15 days for month. Assessment will be done before
and after the study period.
ASSESSMENT CRITERIA:
1. Efficacy of the therapy was assessed in the signs and symptoms before and after
the course of Gandusha.
2. It was assessed on the basis of OHAT (Oral Health Assessment Tool) Scale,
Halton’s Health Department, Dental Health of oral hygiene.
7.3) Does the study require any investigations or interventions to be conducted on
Patients or other humans or animals? If so please describe briefly:
No animal experiment will be done. Study will be conducted on humans.
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8. 7.4) Has ethical clearance been obtained from your institution in case of 7.3?
Yes, concurrence has been obtained from the ethical committee.
8) List of References:
1. WHO, Oral Health, Fact sheet no 318,April 2012.
2. Harsh Mohan, Text book of Pathology Foreworded by Ivan Damjanov 6th
Edition
2010 Jaypee brothers medical publishers,New Delh.Pp 933 P.525-534.
3. Agnivesh, Charaka Samhita “Ayurveda Dipika” tika of Chakrapanidatta.Edited
by
VaidyaYadavaji Trikamji Acharya. Chaukamba Prakashana Varanasi
Reprint 2007,Pp 738, P 42.
4. Vagbhata,Astanga Sangraha, Hindi Vyakya Vol-1 Edited by Kaviraj Atrideva
Gupta, Krishnadasa Academy,Varanasi. Reprint 2002. Pp 408 P.25.
5. Vrudha Vagbhata,Astang sangraha indu Shashilekha sanskrita vyakya,Edited by
Dr.Jyotirmitra acharya,Chowkamba sanskrita series office,Varanasi
Reprint 2012, Pp 964, P.748.
6. WHO, Oral Health, Fact sheet no 318,April 2012.
7. Chakrapanidatta,Chakradatta (Sanskrit text with English translation) Edited by
P.V.Sharma,Chukambha Publishers,Varanasi. 2007 Pp 731, P.465.
8. Dr.M.S.Baghel, Researches in Ayurveda,2nd
Edition 2005,Mridu Ayurvedic
Publications & sales Jamanagar,Gujarat.Pp 381,P.170.
9. Dr.M.S.Baghel, Researches in Ayurveda,2nd
Edition 2005,Mridu Ayurvedic
Publications & sales Jamanagar,Gujarat.Pp 381,P.197.
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9. 9) SIGNATURE OF THE CANDIDATE :
10) REMARKS OF THE GUIDE :
11)NAME AND DESIGNATION :
11.1) GUIDE : DR. DEEPAK S.M.
M.D (Ayu)
ASST.PROFESSOR
DEPT. OF PG STUDIES IN SWASTHAVRITTA
S.D.M. COLLEGE OF AYURVEDA
KUTHPADY, UDUPI-574 118
11.4) SIGNATURE :
11.5) HEAD OF THE DR.B.R.DODAMANI
DEPARTMENT : PROFESSOR AND HOD
DEPT. OF PG STUDIES IN SWASTHAVRITTA
S.D.M. COLLEGE OF AYURVEDA
KUTHPADY, UDUPI-574 118
11.6) SIGNATURE :
12) REMARKS OF THE CHAIRMAN
& THE PRINCIPAL:
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10. 12.1) SIGNATURE :
10