6.     BRIEF RESUME OF THE INTENDED WORK
 Diabetes and periodontitis are common chronic diseases in the world and abundant epidemiological evidence implies a bidirectional relationship between these two diseases. Diabetic mellitus is recognized as an important risk factor for most severe and progressive periodontitis infection or lesion resulting in the destruction of tissue and supporting bone that forms the attachment around the tooth. Periodontal disease has been reported as the 6^th complication of diabetic mellitus.¹

Periodontal disease is prevalent both in developed and developing countries and affects about 20-50% of global population.   In Type 2 diabetic individuals with severe form of periodontal disease have 3.2 times greater mortality risk. Untreated chronic periodontitis is responsible for tooth loss in majority of the cases. In this study it is targeted in managing periodontitis while giving importance with maintaining better glycemic control.

In Ayurveda there is no direct reference for Diabetic periodontitis. But the symptoms explained are correlated with upakusha. (Symptoms are danthaveshteshu daha, paka, chaladantha, rakthasrava, pootimuka). Dantamala is one of the prameha poorvarupa which is quoted by susruta in nidana sthana.

Gandusha and lepana are proved to be effective in mukha roga and its complication.They has few merits like: cost effective since no major infrastructure is required, less intervention in manual support, adoptable at home/clinical level. Hence in present study an effort is made to observe the effect of gaurasarshapa lepana and gandusha through lakshadi taila in diabetic periodontitis.

HYPOTHESIS

            1. Null hypothesis – Gaurasarsapa lepana and lakshadi taila gandusha has no significant result in diabetic periodontitis

            2. Alternative hypothesis- Gaurasarsapadi lepana and lakshadi gandusha has significant result in diabetic periodontitis.