Clinical and Microbiological Effects of Subgingival Irrigation with Propolis Extract (Propolis PlatinumTM) and Chlorhexidine (Periogard®) as an Adjunct to Scaling and Root Planing in Patients Affected with Chronic Periodontitis –A Comparative Study
Journal Title: Journal of Pharmaceutical and Biomedical Sciences - Year 2017, Vol 7, Issue 11
Abstract
Background Conventional periodontal therapy of plaque removal such as scaling and root planing is inefficient in complete removal of plaque and bacteria from deeper pockets. Subgingival irrigation has been shown to reduce dental plaque, gingivitis, bleeding, probing depth, and periodontal pathogens. Aim To assess the clinical and antimicrobial efficacy of Propolis (Propolis PlatinumTM) and Chlorhexidine (PerioGard®) as a subgingival irrigant in the management of patients affected with chronic periodontitis. Materials and Methods A total of 45 patients of both sexes, ranging from 30 to 55 years with pocket depths ≥5 mm with chronic periodontitis were divided into three groups (Group A, B & C) of 15 patients each. Plaque Index (PI), Gingival Index (GI), Sulcus Bleeding Index (SBI), Pocket Probing Depth (PPD), Relative Attachment Level (RAL) and Microbial Colony Count (MCC) were recorded at baseline visit and 6 weeks interval. Complete scaling and root planing was performed in all patients at baseline followed by subgingival irrigation with Normal Saline in Group A, Propolis in Group B & PerioGard Group C. Statistical Analysis The results were compiled and statistically analysed to get a meaningful conclusion using Wilcoxon Sign Rank test for intragroup comparison and Mann–Whitney U test for intergroup comparison. Results Group B & C showed highest reduction in microbial colony counts and improvement in all clinical parameters as compared to Group A. Conclusion Subgingival irrigation with propolis extract and periogard as an adjuvant to periodontal treatment was more effective than scaling and root planing as assessed by clinical and microbiological parameters.
Authors and Affiliations
Shubh Kirti, Nitin Khuller, Preetika Bansal, Preetinder Singh
Keywords
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