Background: Periodontal diseases can be treated by mechanical removal of plaques followed by topical use of chemotherapeutic agents. Use of topical agents such as mouth wash is not very effective so local administration of antimicrobial agents by subgingival irrigation offers a “site-specific” approach for effective periodontal therapy. The present study was done in order to assess the clinical changes occurring in periodontitis patients after subgingival irrigation using different subgingival irrigants. Materials and Methods: Study was done on 20 individuals in whom full-mouth scaling and root planning was performed and sub gingival irrigation treatment was conducted for 30 days. Clinical parameters were evaluated using Gingival Index (Loe and Silness 1963) and assessment of pocket depth on the day 0 and 30 after the treatment. Statistical Analysis: Paired t-test, one-way ANOVA and Tamhane's T2 test were used for data analysis. Results: Among the different subgingival irrigants used, 0.2% chlorhexidine gluconate is most effective followed by ozonated water, whereas saline was found to be ineffective. Subgingival irrigation using pulsated device may not have any additive effect in alteration of the subgingival microflora. Conclusion: Within the limitation of this study ozone along with chlorhexidine can be considered as a promising chemotherapeutic agent in periodontal therapy.
Key words: Periodontitis, subgingival irrigation, Chlorhexidine, ozone.
Received: 3 December 2018 Revised: 27 December 2018 Accepted: 28 December 2018
Corresponding Author: Dr. Manoj Kumar Thakur, Senior Resident, Dental Department, Nalanda Medical College and Hospital, Patna, Bihar, India
This article may be cited as: Thakur MK. Study on evaluation of different subgingival irrigating solutions in the management of periodontal disease. J Adv Med Dent Scie Res 2019;7(1):21-24.