To Study the Beneficial Effect of Mustard Oil and Salt Massaging With Oral Prophylaxis in Patients With Gum Diseases
To Study the Beneficial Effect of Mustard Oil and Salt Massaging With Oral Prophylaxis in Patients With Gum Diseases
Periodontal disease is a chronic inflammatory process accompanied by destruction of
 Periodontium, and sometimes loss of teeth. Periodontal disease is highly prevalent especially
 in developing and underdeveloped countries affecting more than 80% population.
 Epidemiological studies have shown that about 10% of the adult population suffer from severe
 periodontitis (Brown et al. 1990, Gjermo 1998). Studies indicate that the periodontal lesion
 is not strictly a localized process but may lead to systemic alterations in immune system.
 Various studies confirm the microbial etiology of periodontal disease.
Periodontal disease is a chronic inflammatory process accompanied by destruction of
 Periodontium, and sometimes loss of teeth. Periodontal disease is highly prevalent especially
 in developing and underdeveloped countries affecting more than 80% population.
 Epidemiological studies have shown that about 10% of the adult population suffer from severe
 periodontitis (Brown et al. 1990, Gjermo 1998). Studies indicate that the periodontal lesion
 is not strictly a localized process but may lead to systemic alterations in immune system.
 Various studies confirm the microbial etiology of periodontal disease. The bacteria that
 cause periodontitis include mainly diversity of anerobic bacteria; Porphyromonas Gingivalis,
 Fusobacterium Nucleatum, Peptostreptococcus, Prevotella species being the most significant.

 Various therapeutic approaches are available for treatment of this disease utilizing non
 surgical and surgical methods, but the treatment is still challenging for the clinician and
 cumbersome for the patients. In many cases of moderate to severe chronic periodontitis anti-
 inflammatory and antibiotics are used as an adjunct. Systemic antibiotic agents may reduce or
 eliminate microbes that cannot be removed by Scaling and Root Planing. This includes microbes
 that have penetrated tissues or root surfaces which may act as reservoir for recolonization.
 However synthetic antibiotics and anti-inflammatory agents result in complications like drug
 resistance, gastrointestinal complications, congestive heart failures and renal failures and
 other complications.

 Especially in India Mustard Oil and Salt is long being used for gum massage and for
 maintenance and improvement of Oral Hygiene. As this practice of using homemade formulation
 is beneficial for Gingival and Periodontal health, economic and free from any major side
 effects it should be studied to document its efficacy as an adjunct to Scaling and Root
 Planing. Mustard oil is considered to have low saturated fat. The monounsaturated fatty acids
 and proper ratio of polyunsaturated fatty acids improve heart health, lowers triglyceride,
 prevents obesity. Massage with mustard oil relieves rheumatism and arthritis, sprains and
 aches. The selenium present in the oil reduces effects of asthma and joint pain. High level
 of Vit. E improves skin health and impart protection against UV rays. Mustard seeds are
 effective in gastrointestinal and colorectal cancer, as mustard is rich in glucosinolate and
 phytonutrients. It is effective in curing cold, cough, body pains & aches. Salt in topical
 formulation is found to have anti inflammatory action.Hence this study aims to evaluate this
 versatile formulation in treatment of Chronic Periodontitis. As the use of Mustard Oil and
 Salt is practiced by a strata of population in our country thus it is advisable and necessary
 to assess scientifically the efficacy of mustard oil and salt massage in improving Gingival
 and Periodontal Health.
Inclusion Criteria:

 -  Subjects with moderate to severe Chronic Generalized Periodontitis

 -  Not undergone any major periodontal treatment in past 6 months

 -  Otherwise clinically healthy patients

 Exclusion Criteria:

 -  Any known systemic diseases specially Diabetes and other major diseases.

 -  Patients on anti-inflammatory drugs or antibiotics

 -  Patient allergic to any material used for the study

 -  Pregnant and lactating mothers

 -  Periodontal therapy in past 6 months

 -  Smoker and tobacco chewer