Background: The high prevalence of preventable oral diseases among children necessitates safe and effective alternatives to chemical-based products. Kushtadi Churna, a classical Ayurvedic polyherbal formulation used in Pratisarana (topical application), is traditionally indicated for oral hygiene but lacks modern clinical validation. Objective: To evaluate the efficacy of Kushtadi Churna as an adjunct to brushing on oral hygiene parameters in school-going children. Materials and Methods: A randomized controlled trial was conducted with 60 school children aged 10-16 years. Participants were allocated into two groups. The Trial Group (n=30) performed Pratisarana with Kushtadi Churna twice daily after brushing, while the Control Group (n=30) performed brushing alone twice daily. The intervention lasted 30 days. Oral hygiene was assessed using a standardized oral assessment tool evaluating eight parameters at baseline and post-treatment. Data were analyzed using paired and unpaired t-tests. Results: The group using Kushtadi Churna showed statistically highly significant improvements (p<0.001) in the condition of the tongue (37.04% improvement), teeth (37.04%), mucous membrane (31.25%), lips (36.73%), and saliva (28.26%). The control group showed no significant improvement in any parameter (p>0.05). Overall, 60% of children in the Trial group demonstrated clinical improvement, compared to 0% in the Control group. Conclusion: Kushtadi Churna as an adjunct to routine brushing is a safe and significantly more effective intervention for improving overall oral hygiene than brushing alone in children. It validates its traditional use and represents a valuable, natural option for community oral health programs.
Ayurveda, Kushtadi Churna, Pratisarana, Oral Hygiene, Randomized Controlled Trial.
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