Penmetsa Gautami Subhadra, Subbareddy Bukkapatnam, Mopidevi Anudeep, Arunbhupathi P, Baipalli Vivek, Pitta Sudharani
Department of Periodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
Department of Nanotechnology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
Contemp Clin Dent. 2019 Apr-Jun;10(2):226-231. doi: 10.4103/ccd.ccd_407_18.
The aim of this study is to compare the efficiency of subgingivally delivered 1% ornidazole and 0.25% chlorhexidine (CHX) gluconate (Ornigreat™ gel) and (AV) gel in the treatment of chronic periodontitis.
Twenty chronic periodontitis patients with pocket depths ranging from 4 to 6 mm bilaterally at least in one site were included in the study. After a thorough nonsurgical periodontal therapy, 1% ornidazole and 0.25% CHX gluconate (Ornigreat™ gel) and AV gel were subgingivally delivered into the pocket sites, and the clinical parameters such as plaque index (PI), gingival index (GI), bleeding index (BI), and clinical attachment level (CAL) were evaluated at baseline and after 4 weeks.
In both the groups, a reduction in PI, GI, and probing depth readings was evidenced after 4 weeks. A significant improvement was noticed in the BI in the AV group when compared with that of Ornigreat™ group. Taking CAL into consideration, though improvement was there in both the groups, it was not appreciable.
AV which is an herbal derivative when subgingivally delivered in the pocket site could be an equally effective and affordable substitute for Ornigreat™ gel.
本研究旨在比较龈下递送1%奥硝唑和0.25%葡萄糖酸氯己定(Ornigreat™凝胶)以及AV凝胶治疗慢性牙周炎的疗效。
本研究纳入了20例慢性牙周炎患者,这些患者至少在一个部位双侧牙周袋深度为4至6毫米。在进行彻底的非手术牙周治疗后,将1%奥硝唑和0.25%葡萄糖酸氯己定(Ornigreat™凝胶)以及AV凝胶龈下递送至牙周袋部位,并在基线和4周后评估菌斑指数(PI)、牙龈指数(GI)、出血指数(BI)和临床附着水平(CAL)等临床参数。
两组在4周后PI、GI和探诊深度读数均有所降低。与Ornigreat™组相比,AV组的BI有显著改善。考虑到CAL,尽管两组均有改善,但并不明显。
AV作为一种草药衍生物,龈下递送至牙周袋部位时,可能是Ornigreat™凝胶同样有效且经济实惠的替代品。