scholarly journals Resolution of Localized Chronic Periodontitis Associated with Longstanding Calculus Deposits

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Pin-Chuang Lai ◽  
John D. Walters
Keyword(s):  
Bone Density ◽  
Active Treatment ◽  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Radiographic Evidence ◽  
Second Molar ◽  
Root Planing ◽  
Probing Depth ◽  
Mandibular Second Molar ◽  
Distal Aspect

This report, which is based on nonstandardized serial radiographs obtained over a period of 15 years, documents a case of localized chronic periodontitis associated with progressive deposition of calculus on the distal aspect of a mandibular second molar. The site was treated by scaling and root planing, followed by a course of adjunctive systemic azithromycin. Treatment yielded favorable reductions in probing depth and clinical inflammation, leaving only few isolated sites with pockets no deeper than 4 mm. Two years after completion of active treatment, there was radiographic evidence of increased bone density distal to the second molar.

scholarly journals Clinical and microbiological effects of adjunctive photodynamic diode laser therapy in the treatment of chronic periodontitis: A randomized clinical trial

2020 ◽  
Vol 14 (3) ◽  
pp. 191-197
Author(s):  
Sahana Mallineni ◽  
Sreenivas Nagarakanti ◽  
Sumanth Gunupati ◽  
Ramesh Reddy BV ◽  
Mahaboob V Shaik ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Invasive Treatment ◽  
Non Invasive ◽  
Root Planing ◽  
Probing Depth ◽  
Tissue Healing ◽  
Significant Difference ◽  
Bactericidal Effects ◽  
Microbiological Parameters

Background. Conventional mechanical debridement alone cannot eliminate bacteria and their products from periodontal pockets. Adjunctive therapies improve tissue healing through detoxification and bactericidal effects. Photodynamic therapy (PDT) is a non-invasive treatment procedure that involves the use of a dye as a photosensitizer to attach to the target cell and be activated by a photon of an appropriate wavelength. This study aimed to assess the effectiveness of PDT in treating periodontitis as an adjunct to scaling and root planing. Methods. Fifteen subjects with chronic periodontitis were treated randomly with scaling and root planing (SRP), followed by a single PDT (test) or SRP (control) episode alone. Full-mouth plaque index (PI), sulcus bleeding index (SBI), probing depth (PD), and clinical attachment level (CAL) were assessed at baseline and 1-month and 3-month intervals. Microbiological evaluation of Porphyromonas gingivalis (Pg) in subgingival plaque samples was performed using a commercially available real-time polymerase chain reaction. Results. The results revealed a significant difference in PI, SBI, PD, CAL, and microbiological parameters between the groups one and three months after treatment. Conclusion. A combination of PDT and SRP gave rise to a significant improvement in clinical and microbiological parameters in patients with chronic periodontitis.

scholarly journals Effect of Scaling and Root Planing on Detection of Tannerella forsythia in Chronic Periodontitis

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Ritesh B. Wadhwani ◽  
Minal S. Chaudhary ◽  
Dipti A. Tharani ◽  
Shweta A. Chandak
Keyword(s):  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Tannerella Forsythia ◽  
Root Planing ◽  
Detection Frequency ◽  
Probing Depth ◽  
Periodontal Destruction ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Aim. This study was aimed to determine the prevalence of Tannerella forsythia in subgingival plaque samples of chronic periodontitis patients having different level of periodontal destruction and to assess the effect of scaling and root planing (SRP) on prevalence of T. forsythia. Materials and Methods. Study included 3 groups: group 1 were healthy individuals, group 2 had periodontitis with probing depth ≤ 5 mm, and group 3 had periodontitis with probing depth > 5 mm. Subjects in groups 2 and 3 exhibited both healthy and diseased periodontal sites. Prevalence of T. forsythia was determined using polymerase chain reaction. Subjects in groups 2 and 3 received SRP and were reevaluated three months after SRP. Results. T. forsythia was not detected in group 1. It was found in diseased sites in 40% and 73.33% of patients from groups 2 and 3, respectively. It was also found in healthy sites in 6.67% and 13.33% of patients from groups 2 and 3, respectively. The detection frequency of T. forsythia after SRP was 6.67% and 13.33% in groups 2 and 3, respectively. Conclusion. The results indicate a possible association between periodontal disease and presence of T. forsythia. Also, the detection frequency of T. forsythia was reduced after SRP.

scholarly journals Local Delivery of Hyaluronan as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis

2016 ◽  
Vol 8 (1) ◽  
pp. 12-18
Author(s):  
Shyam Sunder Salavadhi ◽  
Srikanth Chintalapani ◽  
Chandra Mohan Pabolu ◽  
Arpita Paul ◽  
Ramesh Babu Mutthineni ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Test Group ◽  
Local Application ◽  
Control Group ◽  
Scaling And Root Planing ◽  
Plaque Score ◽  
Treatment Comparison ◽  
Root Planing ◽  
Probing Depth ◽  
The Difference

Background and aims. The present study was carried out to evaluate the adjunctive effect of local application of hyaluronan gel with scaling and root planing in the treatment of chronic periodontitis. Materials and methods. Twelve patients with chronic periodontitis participated in the study with a split-mouth design. Plaque formation and bleeding on probing (BOP) were evaluated at baseline and at 1st, 4th and 12th weeks postoperatively. Probing depth (PD) and clinical attachment levels (CAL) were evaluated at baseline and at 12-week postoperative interval. 0.2 mL of 0.8% hyaluronan gel was administered subgingivally in the test sites at baseline and after 1 week. Results. The test group exhibited a significantly lower mean plaque score and mean BOP as compared to the control group at 1st, 4th and 12th weeks (P < 0.05). Between the two groups, post-treatment comparison at 12th week showed lower PD value in the test group as compared to the control group and higher gain in CAL in the test group as compared to the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion. Local application of hyaluronan gel in conjunction with SRP might have a beneficial effect in patients with chronic periodontitis.

scholarly journals Alpha-2-Macroglobulin Levels in Gingival Crevicular Fluid Pre- and Post-scaling and Root Planing with Adjunctive Tetracycline Fibers in Chronic Periodontitis: A Randomized Controlled Trial

2015 ◽  
Vol 16 (6) ◽  
pp. 474-478 ◽  
Author(s):  
Shivjot Chhina ◽  
Ajit Singh Rathore ◽  
Saurabh Juneja
Keyword(s):  
Randomized Controlled Trial ◽  
Chronic Periodontitis ◽  
Gingival Crevicular Fluid ◽  
Controlled Trial ◽  
Local Drug Delivery ◽  
Scaling And Root Planing ◽  
Randomized Controlled ◽  
Root Planing ◽  
Probing Depth ◽  
Crevicular Fluid

ABSTRACT Background This split-mouth clinical study aimed to investigate levels of alpha-2-macroglobulin (α2M) in gingival crevicular fluid (GCF) of chronic periodontitis patients pre- and post-scaling and root planing (SRP) with or without adjunctive use of tetracycline fibers. Materials and methods In 30 patients of chronic periodontitis, samples of GCF were collected from the gingival sulcus before SRP. Recording of clinical parameters was conducted. This was followed by local drug delivery (LDD) of tetracycline fibers in test sites. In control sites, no LDD was done. Second samples of GCF were taken 90 days after treatment. Samples of crevicular fluid were analyzed to determine the levels of α2m. Results A gain of clinical attachment (CAL) of 3.30 mm for SRP and LDD and for SRP alone was 1.62 mm (p < 0.001). The pocket probing depth was significantly decreased by 2.43 mm for SRP and LDD and for SRP alone was 1.61 mm (p < 0.001) after 90 days. Alpha-2-macroglobulin was significantly reduced in GCF by SRP and SRP and LDD after 90 days (p < 0.001). Conclusion Clinical and biochemical variables showed a more favorable outcome when SRP was combined with LDD of tetracycline fibers in management of patients suffering from chronic periodontitis. How to cite this article Chhina S, Rathore AS, Juneja S. Alpha-2-Macroglobulin Levels in Gingival Crevicular Fluid Pre- and Post-scaling and Root Planing with Adjunctive Tetracycline Fibers in Chronic Periodontitis: A Randomized Controlled Trial. J Contemp Dent Pract 2015;16(6):474-478.

scholarly journals METRONIDAZOLE (1%) AND CHLORHEXIDINE (0.25%) GEL AS AN ADJUNCT TO SCALING AND ROOT PLANING IN THE TREATMENT OF MODERATE TO SEVERE CHRONIC PERIODONTITIS—A CLINICAL STUDY.

2019 ◽  
Vol 8 (3) ◽  
Author(s):  
Dr Huda Hussain ◽  
Prof.(Dr.) Suhail Majid Jan ◽  
Dr. Roobal Behal
Keyword(s):  
Chronic Periodontitis ◽  
Antimicrobial Agents ◽  
Scaling And Root Planing ◽  
Gingival Index ◽  
Periodontal Health ◽  
Root Planing ◽  
Probing Depth ◽  
The Difference ◽  
Bleeding Score ◽  
And Control

Metronidazole and Chlorhexidine are commonly employed antimicrobial agents in the antinfective stage of periodontal therapy, used with the aim to achieve complete eradication of the pathogenic flora from the subgingival niches, in conjunction with professional debridement. This study was aimed to determine the adjunctive effect of a novel combination of metronidazole (1%) and chlorhexidine (0.25%) in a gel form for management of moderate to severe chronic periodontitis. Twenty subjects were included for a split mouth prospective study. Gingival index, Plaque Index, Bleeding scores and Probing depth were noted at baseline, 2 weeks and 1 month after scaling and root planing with or without an additional subgingival delivery of the antimicrobial gel. An improvement of periodontal health was seen after therapy, and the difference between the test and control sites was significant for sites with an initial probing depth of 6-8mm. However, for deeper pockets (>8mm) the difference was statistically non-significant. The reduction in bleeding score was sustained at the test sites throughout the study period. It was concluded that the adjunctive use of metronidazole (1%) and chlorhexidine (0.25%) gel could provide clinical benefit for the management of deep pockets uptil 8mm of initial probing depth.

scholarly journals Effectiveness Of 1.2% Simvastatin Gel as an Adjunct to Non-Surgical Therapy in The Treatment of Chronic Periodontitis: A Split Mouth Randomized Controlled Trial

2021 ◽  
Vol 4 (12) ◽  
pp. OR1-OR6
Author(s):  
Neetika Gupta ◽  
Sherry Verma ◽  
Siddharth Sharma ◽  
Jaipreet Singh Gill ◽  
Aman Khurana ◽  
...  
Keyword(s):  
Surgical Therapy ◽  
Chronic Periodontitis ◽  
Tooth Loss ◽  
Controlled Trial ◽  
Scaling And Root Planing ◽  
Treatment Groups ◽  
Randomized Controlled ◽  
Root Planing ◽  
Probing Depth ◽  
Attachment Level

BACKGROUND: Periodontitis is an inflammatory disease that results in bone resorption creating bony defects, which may cause tooth loss. AIM: The present study aimed to evaluate the effectiveness of 1.2% Simvastatin gel as an adjunct to non-surgical therapy to treat chronic periodontitis (CP). MATERIALS AND METHOD: 25 patients with 50 sites were categorized into two treatment groups: Scaling and Root Planing plus 1.2% Simvastatin, and Scaling and Root Planing with placebo. Clinical parameters; site-specific plaque index, modified sulcus bleeding index (mSBI), pocket probing depth (PD), and relative attachment level (RAL) were recorded at baseline, 3, 6, and 9 months. RESULTS: Mean PD reduction and mean RAL gain was found to be greater in Simvastatin group than the placebo group, at 3, 6, and 9 months. CONCLUSION: Locally delivered Simvastatin was found to be effective in the treatment of chronic periodontitis (CP).

Sign in / Sign up

Export Citation Format

Share Document