1. CRITICAL ANALYSIS ON
AYURVEDIC DENTISTRY
DR.SYAM CHANDRAN.C

2. INTRODUCTION
Food - the basic necessity of mankind.
Among the Astanga of Ayurveda, Shalakya tantra holds an important
role.
Dentistry and oral surgery forms a subsection of Shalakya Tantra.

3. • It was Susrutha who could, for the first time
differentiated between the various diseases of oral
cavity in general and of gums and teeth in particular.
• In Ayurvedic Samhitas emphasized on oral hygienic
measures like दन्तधावन , जिह्वा ननर्लेखन, गण्डूष, कवर्ल,
ताम्बूर्ल सेवन and other oral hygienic measures.
HISTORICAL REVIEW

4. Vedic period
• In Rig Veda the word “Danta” is used.
• Ashwini Kumaras the God physicians and
surgeons given a new teeth to pushanva is
mentioned by the author of Shatapatha
Brahmana
(a commentary on Shukla Yajurveda).
• In Atharva Veda also we will find the
references of danta rogas

5. The procedures for controlling gingival diseases
are as old as recorded history. In 3000 B.C. itself
gold and silver toothpicks were buried by the
Sumerians with their dead bodies.
• By the 18th century, modern dentistry developed
but 19th century witnessed several developments
that revolutionized the field.

6. • Mukha roga prakaran
– Dantamula rogas (gingival and periodontal diseases)
– Danta rogas (dental diseases)
• The seven subsites of mukha according to Susrutha are
(1) Oshta(Lips)
(2) Dantamula (Gums)
(3) Danta (Teeth)
(4) Jihva (Tongue)
(5) Talu (Palate)
(6) Kantha (Throat)
(7) Sarvani (Entire oral cavity mucosa).

7. THE ORIGIN AND NATURE OF DANTA
• The origin of teeth is from Pitrujabhava since it is
Composing of Asthi and Majja.
• Acharya Susrutha has defined the teeth as ‘Ruchakasthi’
• Teeth - Asthi and Majja dhatu
• Synonyms - dashana, Radana, Rada, Dwija

8. • According to ancient Acharyas, the
humans have 32 teeth.
permanent - (Sakrijjata)
deciduous - (Dwija).

9. • Rajadanta (रािदन्त) - Middle Incisors
• Vasta (वस्त) – Canines
• Damshtra (दंष्ट्र) - Pre molars
• Hanavya (हानव्य) - Molars

10. राजदन्त राजदन्त वस्तवस्त दंष्ट्र
दंष्ट्रदंष्ट्र
दंष्ट्र
हानव्य
हानव्य

11. DANTAMOOLA
Acharya Kashyapa in the Kashyapa Samhita
has mentioned, Dantamula are developed from
Rakta Dhatu in the womb of mother and later
grow in shape and becomes firm.
Synonyms -
दन्तमांस, दन्तवेष्ट्टका,
दन्तावेष्ट्ट, दन्तबन्दन

12. In Ayurvedic Classical texts the term
Dantaveshta posses two meanings:
- A structure in mukha refers to the tissue
surrounding the danta.
- As a disease > Dantaveshtaka is one among the
Dantamula roga’s.
The Sandhi between the Danta and
Dantamula is called the उल्र्लुकर्ल सजन्ध.

13. दन्त रोग

14. DANTA ROGAS
 दालन - Odontina
 दन्तहर्ष - Hypersensitivity
 दन्तशर्ष रा - Dental Calculus
 र्पाललर्ा - Enamel separation
 र्ृ लिदन्त - Dental carries
 श्यावदन्त - Tooth Discoloration
 भन्जानर् - fissured tooth
 हनुिोक्ष - Dislocation of mandible

15. • uÉÉiÉÉiÉç EwhÉxÉWûÉ SliÉÉ
• vÉÏiÉxmÉvÉåï AÍkÉMü urÉjÉÉ
• SÏrÉïqÉÉlÉåwÉÑ CuÉ ÂeÉÉ
vÉÏiÉSliÉ/SÉsÉlÉ
“ दाल्यन्ते बहुधा दन्त....” (सु.नन १६/२८)

16. • uÉÉiÉmÉëMüÉãmÉ
• vÉÏiÉ EwhÉAqsÉ AxÉÌWûwhÉÑiÉÉ
SliÉWûwÉï

17. » Acute pulpitis-piercing pain
» Tooth attrition

18. Definition : Pain arising from exposed dentin typically in
response to thermal, chemical stimuli, osmotic etc…
C/F : Sudden pain
Generalized hypersensitivity
Diagnosis : Measuring of sensitivity-
Stimulate the area with compressed air
Hypersensitivity

19. Attrition :
Loss of dental tissue caused by tooth to tooth
contact during mastication.
Tooth Wear
Abrasion :
Loss of dental tissue caused from abrasion
by a foreign substance.
Erosion
Progressive loss of hard dental tissue by chemical
processes
Eg: Tooth contact with acids
Regurgitation of HCl

20. Management of vÉÏiÉSliÉ
• xuÉåSlÉand sÉåZÉlÉ of SliÉmÉÉÍsÉ
• SWûlÉwith iÉæsÉ
• mÉëÌiÉxÉÉUhÉwith SÉÌQûqÉiuÉMç,त्रिफर्ल, vÉÑÇÌP
• aÉhQÕûwÉwith ¤ÉÏUÏवृक्ष MüwÉÉrÉ

21. • xÉÑZÉÉåwhÉxlÉãWûMüuÉsÉ
• ÎxlÉakÉlÉxrÉ
• qÉÉÇxÉUxÉrÉuÉÉaÉѤÉÏU
• uÉÉiÉWûUMüwÉÉrÉ
• ÌiÉsÉrÉ̹qÉkÉѤÉÏUaÉÇQÕûwÉkÉÉUhÉ
Management of SliÉWûwÉï

22. SliÉ qÉsÉ AkÉÉuÉlÉÉiÉç MüTüvÉÉãwÉhÉ by uÉÉiÉ
ÎxjÉUÏpÉÔiÉÈ vÉMïüUÉ
mÉÔÌiÉaÉÇkÉiÉÉ
SliÉ aÉÑhÉWûÉÌlÉ
ZÉUxmÉvÉï
SliÉvÉMïüUÉ

23. Dental calculus is an adherent calcified or calcifying mass
that forms on the surface of teeth and dental appliances.
PLAQUE/ CALCULUS

24. Stages of plaque formation
Formation of dental pellicle
Colonization of plaque microorganisms
Maturation
Calculus : Mineralized dental plaque.

25. Scaling
 Manual scaler
Ultrasonic scaler

26. Management of SliÉvÉMïüUÉ
• vÉMïüUÉ ÌlÉWïûUhÉ
• mÉëÌiÉxÉÉUhÉ

27. ÌlÉSÉlÉ: xÉÉ AÌmÉ EmÉåͤÉiÉÉ
sɤÉhÉ: vÉÉiÉrÉÌiÉ AhÉÑvÉÉå SliÉÉiÉç MümÉÉsÉÉÌlÉ
rÉSÉ vÉMïüUrÉÉ xÉWû
“दलन्न्त दन्त वल्र्ानन...........
..................................... दशनानं ववनालशनी ”
(सु.नन १६/३३)
MümÉÉÍsÉMüÉ

28. Enamel hypoplasia
» Congenital type
» Environmental type
» Dental flurosis

29. Management of Kapalika
• कृ cNíûûxÉÉkrÉ
• SliÉWûwÉÉåï£üÍcÉÌMüixÉÉ

30. MüÄTüuÉÉiÉM urÉÉÍkÉ
sɤÉhÉ:
uÉY§ÉÇ uÉ¢üÇ pÉuÉåiÉç
SliÉpÉÇaÉ
iÉÏuÉëÂeÉÉ
xÄTÑüOûlÉ
pÉgeÉlÉMü

31. Management of Bhanjanaka
• AÌSïiÉuÉiÉç

32. र्ृ ष्ट्णÈÍNûÌSì
cÉsÉÈ
xÉëÉÌuÉ
xÉÇUÇpÉÉå
qÉWûÉÂeÉÈ
कृ ममदन्त

33. Acc. to Vagbhata ;
xÉqÉÔsÉÇ SliÉqÉÉÌwÉëirÉ SÉãwÉæÈ EsoÉhÉ qÉÂiÉæÈ
xÉÑÍvÉUå vÉÉãÌwÉiÉå िज्ज
SliÉ A³É qÉsÉ mÉÔËUiÉå mÉÔÌiÉiuÉÉiÉç Ì¢üqÉrÉÈ
xÉÔ¤qÉÉ eÉÉrÉiÉå
xÉÇUÇpÉÉå AWåûiÉÑ iÉÏuÉë AÌiÉï
vÉqÉÈ
AÍxÉiÉÈ cÉsÉÈ

34. Management of र्ृ लिदन्त
• xuÉåSlÉ
• U£üÌuÉxÉëÉuÉhÉ
• ÎxlÉakÉuÉÉiÉWûUSìurÉ AÉsÉåmÉ,aÉlQÕûwÉ, lÉxrÉ
• aÉÑQûqÉkÉÑÍcɹ mÉÔUhÉ SWûlÉ
• xÉmiÉcNûSAMïü ¤ÉÏU mÉÔUhÉ
• MüÉåwhÉÌWÇaÉÑû
• SliÉ ÌlÉWïûUhÉ

35. R
E
Q
U
I
R
E
M
E
N
T
S

39. » Inspection
 Exploration
Diagnosis of dental caries
» Radiographs

40. Pit and fissure caries Buccal and lingual surface caries
Occlusal surface
caries
Hidden caries Root surface caries

41. Types
1. Intra oral-X-ray film is inside the mouth.
Bite-wing
Periapical
Occlusal
2. Extra oral- film is outside the mouth.
Radiographs

42. » Highlight the crown of the teeth.
» Reduction in radiopacity of the enamel.
Indication:
» To find cavities between the teeth
» To see tartar on the root.
Bitewing X-rays
Periapical X-ray
The teeth from either the upper or lower jaw
in one portion of the mouth are shown.

43. Occlusal X-ray
» Larger
» Full arch of the teeth in either the upper or
lower jaw is shown.
» Highlight tooth development and placement
Panaromic x-ray (OPG)
Show the entire mouth area-all teeth on
the upper and lower jaws-on a single X-
rays.

44. » x-ray of the entire side of the
head.
» Used to look at the teeth in
relation to the jaw for teeth
alignment.
Cephalometric projections

45. » Removing the caries and replacing the lost
substance of the tooth with a filling.
Types of restoration:
» Direct restorations: Filling is placed directly into
the prepared cavity.
» Requires a single visit
Materials used
Dental amalgam, GIC ,composite fillings.
Treatment of caries

46. Amalgam Glass ionomer cement Composites

47. INDIRECT RESTORATIONS
Requires two or more visits
It includes,
» Crowns
» Bridges.

48. Crowns
» These are the coverings that fit over teeth.
» Made of porcelain.
Indications:Broken down old fillings.
Sensitive tooth
Malformed or discolored teeth.
Extensive damage by decay

49. Bridges

50. ROOT CANAL TREATMENT
The process of removing
diseased or damaged pulp
from the tooth, then filling and
sealing the pulp chamber and
root canals.

51. Creating an abscess Cleaning the cavity Measuring the cavity

52. U£üÍqÉÍ´ÉiÉÌmɨÉ
दग्धता
vrÉÉuÉiÉÉ/lÉÏsÉiÉÉ
ÍcÉÌMüixÉÉ:AxÉÉkrÉ
vrÉÉuÉSliÉ

53. Cause:
When the total intake of fluoride is high
Diagnosis:
Mild
Dental flurosis
Moderate Severe

54. Traumatogenic discoloration
» Discoloration of single tooth.
Trauma
extra vessation of blood components
necrotization of pulp
Bluish or blackish discoloration

55. Tetracycline staining
Yellow or grey horizontal
bands on tooth.
Treatment :
» Bleaching
» Restoration
Aim- Entirely cosmetic

56. ÌlÉSÉlÉ: pÉÉUuÉWûlÉ
AÍpÉbÉÉiÉ
sɤÉhÉ: ÌlÉUxiÉ ÎeÉÀû
M×Níû pÉÉwÉhÉ
ÍcÉÌMüixÉÉ:AÌSïiÉuÉiÉç
WlÉÑqÉÉå¤Éû

57. cÉsÉÌ°È SvÉlÉæÈ
pɤÉhÉÉiÉç AÍkÉMü urÉjÉÉ
ÍcÉÌMüixÉÉ:
xÉxlÉåWû SvÉqÉÔsÉÉqoÉÑaÉlQÕûwÉ
xlÉåWû lÉxrÉ
mÉëÌiÉxÉÉUhÉ
दन्तचार्ल

58. » Loss of tooth support
» Inflammation
Class O Complete tooth stability.
Class I Tooth moves 1/2 mm buccally and 1/2 mm
lingually.
Class II All degrees between Class I and Class III
mobility of up to 1mm in any direction.
Class III Tooth is terminally mobile. Greater than 1 mm
in any direction and is depressible in the socket.
Tooth Mobility

59. Jalandharabandham
A position of the body maintained, which constricts the nerve plexuses
situated in the kantha , thereby blocking the impulses carried in them
from reaching their destined centres of perception and transiently/
temporarily controlling the sensation of pain.

60. MüUÉsÉxiÉÑMüUÉsÉÉlÉÉÇSvÉlÉÉlÉÉÇxÉqÉѪqÉÈ
• ÍcÉÌMüixÉÉ : AxÉÉkrÉ
• Overbite
• Underbite
• Crossbite
• Spacing
• Crowding
• Treatment : Appliances are used
MüUÉsÉ

61. OVERBITE CROSSBITE
UNDERBITE

62. दन्तिूलगतरोग

64. शीताद
Vitiation of कफ रक्त
दुगगन्ध
मृदुता , कृ ष्ट्णाता of दन्त मूर्ल
रुिा
शीताद
रक्त स्राव from दन्तमूर्ला

65. Bleeding gums
Causes of bleeding gums include:
• Any bleeding disorder
• Hormonal changes during pregnancy
• Leukemia
• Scurvy
• Vitamin K deficiency

66. Chikitsa
• Raktamookshana
• Gandusha - Shunti, Sarshapa, Triphala, Musta, Rasanjana.
• Lepa – Priyangu, Tagara, Musta,
Triphala.
• Nasya – Triphala, Madhuka,
Padhyaka, Sidha Taila
Karanja

67. दन्त पुप्पुटक
Vitiation of रक्त कफ
सरुि
दन्तयोजस्िषु वा यस्य श्वयथु
दन्त पुप्पुटर्

68. • Rakta mokshana
• Pratisarana – Panchalavana, Yavakshara, madhu.
• Shirovirechana, Nasya,
Snigdha Bhoojana
Nimba

69. दन्तवेष्ट्ट
दुष्ट्ट शोणणत
पूय स्रावजन्त , रक्त स्राव
चर्ला दन्त
दन्त वेष्ट्टर्

70. Chronic periodontitis
• Chronic periodontitis is a common disease of the oral
cavity consisting of chronic inflammation of the
periodontal tissues that is caused by accumulation of
profuse amounts of dental plaque.

71. • Rakta mokshana
• Pratisarana – Lodhra, Patanga, Madhuka, Laksha, Madhu.
• Gandusha – Ksheeri vriksha kwatha. Madhu, gritha,
sharkara.
• Nasya – kakolyadi siddha ksheera.
Asana

72. शौषषर
Vitiation of कफ रक्त
श्वयथु दन्त मूर्लेषु
रुि
र्लार्लास्राषव
कण्डु
शौषषर

73. Chronic gingivitis
• Chronic gingivitis is a persistent inflammation of the
gingiva, the soft tissues surrounding the teeth.

74. • Rakta mokshana
• Lepa – Lodhra, Musta, Rasanjan.
• Gandusha – Ksheeri kwatha
• Nasya – Sariva, utpala,
Yastimadhu, Lodhra, Agaru,
Chandana siddha ksheera
and gritha.
Karaveera

75. Vitiation of त्रिदोष
वेष्ट्टेभ्यस्तार्लु
दन्त मांसानन पच्यन्ते
मुखं च पररपीडयते
िहाशौवर्र
महाशौषषर

76. पररदर
Vitiation of षपत्त रक्त कफ
जष्ट्टवनत चव्यस्रुक्
दन्त मांसानन शीयगन्ते
पररदर

77. Gangrenous stomatitis
• Gangrenous stomatitis (cancrum oris) is a lesion involving the
orofacial structures that is primarily seen in areas where the
socioeconomic standards are low and there is poor hygiene

78. उपकु श
Vitiation of षपत्त, रक्त
वेष्ट्टेषु दाह पाकश्च
दन्त चर्ला
प्रस्रावजन्त शोणणतं
मन्द वेदनं
मुखं पूनत च िायते
उपकु श

79. Stomatitis
• Stomatitis is inflammation of the mucosa. The term
refers to any inflammatory process affecting the
mucous membranes of the mouth and lips, with or
without oral ulceration

80. • Shodana
• Raktamokshana – Rubbing with leaves of Gojiwaha.
• Pratisarana – madhu, Panchalavana, Trikatu.
• Kavala – Pippali, Sarshapa, nagara.
• Nasya - Kakolyadi gana siddha gritha.

81. दन्त वैदर्ग
घृष्ट्टेषु दन्तमूर्लेषु (दन्त काष्ट्ट )
संरम्बो िायते महान
चर्ला दन्त
दन्त वैदर्ग

82. • Shodana of danta moola and application of Kshara and
Sheetal upachara.
Arjuna

83. वधगन
Vitiation of vata
अधधको दन्त
तीव्र वेदन
व्याधध िाते रुक् च प्रशाम्यनत
वधगन

84. • Extraction of tooth
• Agnikarma
Lavanga

85. अधधमांस
कफा
हानव्ये पजश्चमे दन्ते
महा शोथ
महा रुिा
र्लार्लास्रषव
अधधमांस

86. Perichoronitis
• Also known as operculitis, is inflammation of
the soft tissues surrounding the crown of a
partially erupted tooth, including the gingiva
(gums) and the dental follicle.
• Caused by an accumulation of bacteria and
debris beneath the operculum, or by mechanical
trauma (e.g. biting the operculum with the
opposing tooth)

87. • Chedhana of Adhimamsa
• Lepa – Vacha, Tejovati, Patha, Sarjikshara, yavakshara and
madhu.
• Kavala – Pippali and madhu
• Vrana dhavana – Patola,
Triphala, Nimba Kashaya
• Shirovirechana and Dhooma
Apamarga

88. दन्त नाडी
5 types - वाति, षपत्ति , कफि, त्रिदोषि , शल्यि
पक्वमुपेक्षते
शोफं न पक्वममनत
अभ्यन्तरं प्रषवशनत
Vitiate त्वक्, रक्त, मांस अजस्थ
दन्त नाडी

89. • Chedana – Dusta mamsa
• Kshara/Agnikarma
• Dhavana of danta nadi – Jati,Madanaphala,Katuki, Gokshura.
• Vranaropana – Jati, Yasti madhu,
Lodhra, Khadira siddha taila.
Irimeda

90. Conclusion
• Ethics of ideal dentistry is to prevent the dental
disorders and restore the dentures in its native form.
• The proper application of Dincharya explained in
Ayurvedic classics plays a major role in preventing
oral cavity diseases.
• Lack of anesthetic agents is a major lacuna in
executing surgical procedures in danta and danta
moolagata rogas explained in classics.