A clinical study to evaluate the role of Kshara Karma in oral mucocele with Teekshna Pratisaraniya Apamarga Kshara

Abstract

Introduction: Mucoceles are the most common benign lesions of the oral cavity developing as a result of retention or extravasation of mucus from the minor salivary glands. There are various treatment modalities which include excision, laser ablation, cryosurgery, sclerotherapy, micro marsupialization, and intra-lesional injection of sclerosing agent or corticosteroid. Although surgery is widely used, it has several disadvantages such as bleeding, lip disfigurement and damage to adjacent ducts with further development of satellite lesions. Kshara being an Anusastra possessing Chedana, Bhedana, Lekhana, Pachana, Vilayana, Shodhana, Ropana, Shoshana and Stambhana Karmas will address all the difficulties faced during conventional ways of treatments. The current study was undertaken to introduce, validate and standardise novel, minimally invasive, para surgical approach towards the treatment of oral mucocele. Methodology: Teekshna Pratisaraniya Apamarga Kshara was prepared. Clinical study was conducted on 30 subjects diagnosed with oral mucocele. Ksharakarma was done. For statistical analysis of parametric values, Repeated period ANOVA test within the group and for non-parametric values, Friedman’s Test within the group were used. Result: The comprehensive analysis of all the results reveals that, all the parameters showed significant change both statistically and clinically with no side effects or complication. Discussion: Ksharakarma on oral mucocele acts by tissue necrosis, gradual sloughing off followed by healing of remnant ulcer with epithelialisation, which was found to be an effective, minimally invasive, para surgical management of oral mucocele without any complications.