Clinical efficacy of sustained release chlorhexidine in collagen membrane in the non surgical management of chronic localised periodontitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background: Aim of the study is to determine the efficacy of sustained release chlorhexidine in collagen membrane in the management of chronic localised periodontitis Materials and methods: The study was conducted using 2.5 mg of chlorhexidine incorporated in fish collagen membrane. Patients with localized periodontitis with 5-8 mm pocket depth and single rooted teeth with involvement of one or two surfaces were included for the study. After one week of initial therapy (scaling) patients who maintain oral hygiene with PPD 5-8 mm were randomly assigned to control and test group of 61 sites each (35 patients in test group and 23 patients in control group). Test groups received Scaling and Root planing (SRP )+ collagen chlorhexidine chip while the control group received SRP alone. Parameters probing pocket depth (PPD), clinical attachment level (CAL) and gingival index (GI) were recorded at baseline and at 1 ,3, 6 and 9 months were compared. Results: The test groups showed a significant reduction in PPD and gain in CAL (P-value < 0.0001) 5.89 ± 0.97 at baseline to 3.30 ± 1.16 at 9 months when compared to controls (5.51±0.92 , 4.86±1.50 )and reduction in gingival index (2.00 ± 0.00 at baseline to 0.33±0.47 at 9 months) when compared to control sites (1.96± 0.20 at baseline to 1.20± 0.60 at 9 months) which is statistically significant. Conclusion: Local drug delivery using collagen chlorhexidine chip along with SRP is a predictable treatment option for the non surgical management of chronic localized periodontitis.The need for detailed microbiological study persist to corelate with the clinical findings observed.
Authors and Affiliations
Dr. Divya P V— MDS*, Dr Bindu R Nayar – MDS MPhil, Dr. K Nandakumar —MDS ***
Keywords
Related Articles
- EP ID EP365850
- DOI 10.9790/0853-1702162229
- Views 73
- Downloads 0
Adverse Reactions In Whole Blood Donors: A Population Based Statistical-epidemiological Study
Background: Human blood is the most precious and essential element of human life. Safe and adequate blood supply is a big challenge in developing countries like India. Voluntary blood donors tolerate blood donation very...
Childhood Cerebral Hemiatrophy (Dyke-Davidoff-Masson Syndrome) Presenting with Seizures: A Report of two Cases.
Childhood cerebral hemiatrophy or Dyke-Davidoff-Masson syndrome is very rare in our locality. characterized by symmetrical calcifications noticeable in parts of the brain. We present two cases of cerebral hemiatrophy (Dy...
A Study on Chronic Subdural Haematoma Observed in Neurosurgery, Especially in Elderly Patients
Chronic subdural haematoma is predominantly a disease of the elderly. The general aim of the study was to evaluate the effect of management of CSDH after burrhole evacuation with or without subgaleal drainage. Grouping o...
A Prospective Cohort Study Depicting Stress Urinary Incontinence in Women of Reproductive Age Group – Reason Yet To Be Defined!
Background Urogenital problems are more common in the female population. Among them urinary incontinence is a common problem. It has significant impact on the physical, psychological and socio-economic aspects of life. A...
Prevalence And Intensity of Helminth Infection in Human Immunodeficiency Virus Infected Children in Abakaliki, Ebonyi State, Southeast, Nigeria
Infection by soil-transmitted helminth is not opportunistic infection, however, studies among HIV infected patients (adults and children) showed significantly higher prevalence rates of helminthic infection compared to c...