Efficacy of Tulsi-Turmeric Oil Pulling versus Sesame Oil Pulling on Temporomandibular Joint Movement in Oral Submucous Fibrosis (Vata Pitta dominant Tridosaja Sarvasara Mukharoga): A Randomised Controlled Trial Protocol

Introduction: Oral Submucous Fibrosis (OSMF) is a chronic oral condition characterised by inflammation and fibrosis, leading to restricted mouth opening, burning sensations, loss of taste, and ulcerations. Chewing betel nut is a significant risk factor, and OSMF carries a 2-30% risk of progressing t...

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Main Authors: Anshika Kishor Singh, Gaurav Rajendra Sawarkar, Punam Gaurav Sawarkar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-06-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://jcdr.net/articles/PDF/21109/74280_CE[Ra1]_F(SHU)_QC_PF1(HJ_SS)_PFA_NC(IS)_PN(IS).pdf
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Summary:Introduction: Oral Submucous Fibrosis (OSMF) is a chronic oral condition characterised by inflammation and fibrosis, leading to restricted mouth opening, burning sensations, loss of taste, and ulcerations. Chewing betel nut is a significant risk factor, and OSMF carries a 2-30% risk of progressing to carcinoma, with a prevalence of 0.5% in the Indian subcontinent, predominantly affecting females. Current treatments are often ineffective and have adverse effects, prompting interest in natural remedies such as Tulsi and Turmeric, which may alleviate symptoms and effectively manage the condition. N eed of the study: Current treatments for OSMF are often limited and have adverse effects, instigating interest in natural remedies like Tulsi and Turmeric, which may alleviate symptoms and manage the condition effectively. Exploring alternative therapies such as oil pulling, a traditional practice in Ayurveda, may offer new hope for patients. Oil pulling is a natural, non-invasive, and cost-effective treatment. By comparing two different oils-Tulsi-Turmeric and Sesame-this study aims to identify the most effective oil for improving mouth opening, thus providing evidence-based guidance for practitioners and patients. Aim: The present study compares the efficacy of Tulsi-Turmeric oil pulling versus Sesame oil pulling on Temporomandibular Joint (TMJ) movement in OSMF patients with Vata Pitta dominant Tridosaja Sarvasara Mukharoga (a disease affecting the whole oral cavity). Materials and Methods: A prospective randomised standard control double-blind superiority clinical trial (RCT) will be conducted at the Shalakya Tantra Department of Mahatma Gandhi Ayurved College, Hospital and Research Centre, Salod Wardha, Maharashtra, India, from October 2023 to October 2025. Sixty participants will be divided into two groups of thirty participants each. One group will receive Tulsi-Turmeric oil pulling, while the other will receive Sesame oil pulling for thirty days. The TMJ movement assessment will involve the evaluation of the range of movements laterally, anteroposteriorly, and vertically, along with palpation of the TMJ and surrounding muscles to identify tenderness. Other assessments will include IID scoring, cheek flexibility, and Visual Analog Scale (VAS) scores before and after the intervention. Descriptive statistics will summarise demographic data, and results will be expressed as mean±standard deviation for continuous variables and frequencies for categorical variables. The paired t-test and unpaired t-test will be applied for intra-group and inter-group comparisons. A p-value of <0.05 will be considered significant.
ISSN:2249-782X
0973-709X