Therapeutic Effect of Dashamoola Kashaya Kavala and Snaihika Dhumapana With Haridradi Varti in Dantaharsha W.S.R. Dentin Hypersensitivity: A Case Study

Introduction: Danthaharsha is one of the eight Dantarogas categorized under Mukharogas. It is characterized by pain in response to stimuli such as Amla (Sour), Sheeta (Cold) Ahara (Food) or Dasana (Touch). The Lakshanas of Dantaharsha show a close correlation with the signs and symptoms of dentin hypersensitivity, where the pain arises due to exposure of dentin when contact with cold or hot. This condition affects a significant portion of the population and often impacts quality of life due to discomfort and dietary restrictions with the prevalence rate of 20% in Karnataka. Methodology: A combination of Kavala (Gargling) with Dashamoola Kashaya and Snaihika Dhumapana (Medicated smoke inhalation) with Haridradi Varti is proposed as an effective treatment for managing Danthaharsha. Results: Subjective assessment using the Visual Analog Scale (VAS) in this case demonstrated a decrease in pain score from 6 (moderate pain) to 3 (mild pain) after one day, with maintained improvement during subsequent follow-ups. Discussion: In this study an effort has been taken to explore the use of Kavala and Dhumapana in managing Danthaharsha. It reviews the patient's symptoms, treatment protocol, and outcomes, highlighting the effectiveness of Kavala and Dhumapana in providing significant pain relief according to Visual Analog Scale and improving oral health. Kavala involves swishing medicated oils or herbal decoctions in the mouth, which helps to strengthen the gums, protect the teeth and reduce the sensitivity. This practice has been noted to reduce oral inflammation and promote overall oral health. Dhumapana, involves the inhalation of medicinal smoke from drugs like Haridra (Turmeric), Shunti (Ginger) and Gritha (Ghee), which is used to reduce oral sensitivity, clear the sinuses, and aid in reducing oral discomfort.