Clinical evaluation of the efficacy of two commercially available controlled-release drugs-chlorhexidine gel (CHLO-SITE)™ and tetracycline fibers (periodontal plus AB)™ as an adjunct to scaling root planning in the treatment of chronic periodontitis

Abstract

Background: Selective removal or inhibition of pathogenic microbes with locally delivered antimicrobials, combined with scaling and root planning (SRP) is an effective approach for the management of chronic periodontitis. Aim: Evaluation of the efficacy of two commercially available controlled release drugs - tetracycline fibers (periodontal plus AB™ ) and chlorhexidine gel (CHLO-SITE™ ) as an adjunct to SRP in the treatment of chronic periodontitis. Materials and Methods: Twenty systemically healthy patients in the age group of 30-50 years suffering from generalized chronic periodontitis were selected. Three experimental sites were chosen that had probing depth 5-8 mm in maxillary and mandibular posterior segment. First site receiving tetracycline fibers, other chlorhexidine gel and one site was taken as control after SRP. Plaque score, bleeding score, probing pocket depth (PPD), and relative attachment level (RAL) gain were recorded on baseline, 1 month and at the end of 3 months. Results and Conclusion: In all groups, there was statistically highly significant reduction in all the clinical parameters that is plaque score, bleeding score, PPD, and RAL gain were seen at different time intervals. Inter-comparison shows that tetracycline fibers and chlorhexidine gel are equally efficacious for treatment of chronic periodontitis, but more efficient than SRP alone.

Keywords

Chlorhexidine gel - local drug delivery - periodontitis - tetracycline fibers

Publication History

Article published online:
01 November 2021

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