A Comparative Study Regarding the Efficiency of Two Different Systems of Chlorhexidine Release in Periodontal Therapy
Supragingival scaling and especially the subgingival one represent together with root planning (SRP) the main elements of periodontal therapy. Chlorohexidine gluconate represents an realiable option as an anstiseptic that can be associated with SRP in order to reduce the probing depth (PD). The current research involved selecting 30 pacients with periodontal disease and at least one situs with PD greater than 5 mm. The patients were randomly and equally divided into three groups that were named A, B and C. The patients that were included in Group A received SRP without any additional substances. At the level of Group B the patients received SRP and inside the pockets with PD greater than 5 mm we applied the topical gel Glucosite Gel (Cerkamed) for three consecutive times, every 24 hours. Patients that were included in Group C were treated using SRP and at the level of pockets with PD greater or equal with 5 mm we applied the product PerioChip (Dexcel). Our results proved that for all three groups the values of PD recorderd after treatment were significantly lower compared to the initial ones (p]0.05) but in case of group C (SRP+PerioChip) the the drop of the PD values were significantly higher. After treatment the values of PBI were significantly lower in the case of patients included in group C (SRP+PerioChip) in comparison with the ones recorded in patients included in group A (SRP) (p=0.00053) or group (SRP+Glucosite) (p=0.0178). The slow release of chlorohexidine gluconate into periodontal pockets is an effective solution, superior to the topical application of this active product.