Sharma Varun, Gupta Rajan, Dahiya Parveen, Kumar Mukesh
Department of Periodontics and Implantology, Himachal Institute of Dental Sciences and Research, Paonta Sahib, Sirmour, Himachal Pradesh, India.
J Indian Soc Periodontol. 2016 Jul-Aug;20(4):374-380. doi: 10.4103/0972-124X.183097.
The anti-inflammatory and immune enhancing effects of coenzyme Q (CoQ) and hyaluronic acid are well established in medical literature. The present study was undertaken to evaluate their role in chronic periodontitis.
One hundred twenty sites in 24 patients with clinically confirmed periodontitis were included in the study. A split-mouth design was used for intrasulcular application of CoQ as adjunct to scaling and root planing (SRP), 0.8% hyaluronic acid as adjunct to SRP and SRP alone. Clinical parameters such as plaque index (PI), gingival color change index (GCCI), Eastman interdental bleeding index (EIBI), pocket depth (PD), and clinical attachment level (CAL) were recorded. All the clinical parameters PI, EIBI, GCCI, PD, and CAL were recorded at baseline before SRP. Only PI, EIBI, and GCCI were recorded at 1 and 2 week. Twenty-one days post 2 week, i.e., 6 week all the clinical parameters were recorded again.
Intragroup analysis of all the clinical parameters showed clinical significant results between baseline and 6 week. However, on intergroup analysis, the results were not significant.
The local application of CoQ and hyaluronic acid gel in conjunction with SRP may have a beneficial effect on periodontal health in patients with chronic periodontitis.
辅酶Q(CoQ)和透明质酸的抗炎和免疫增强作用在医学文献中已得到充分证实。本研究旨在评估它们在慢性牙周炎中的作用。
本研究纳入了24例临床确诊为牙周炎患者的120个位点。采用分口设计,将CoQ作为龈下应用辅助洁治和根面平整(SRP),0.8%透明质酸作为SRP辅助剂,单独使用SRP。记录菌斑指数(PI)、牙龈颜色变化指数(GCCI)、伊斯特曼牙间出血指数(EIBI)、牙周袋深度(PD)和临床附着水平(CAL)等临床参数。所有临床参数PI、EIBI、GCCI、PD和CAL均在SRP前的基线时记录。仅在第1周和第2周记录PI、EIBI和GCCI。在第2周后21天,即第6周再次记录所有临床参数。
所有临床参数的组内分析显示基线和第6周之间有临床显著结果。然而,组间分析结果不显著。
CoQ和透明质酸凝胶与SRP联合局部应用可能对慢性牙周炎患者的牙周健康有有益作用。