Efficacy of Tetracycline Fibre as Local Drug Delivery over scaling and root planing in Nonsurgical Management of Chronic Periodontitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Background- Periodontal disease is primarily caused by specific group of microorganisms which colonizes tooth surfaces in the form of a biofilm called dental plaque. Periodontal diseases include conditions such as chronic periodontitis, aggressive periodontitis and necrotizing periodontitis. Aim- To evaluate the efficacy of tetracycline fibres with scaling and root planing in reducing the clinical signs of periodontitis Materials and Methods- Study consisted of 60 sites of periodontal pocket of age group 25 – 55 years with chronic periodontitis. The selected sites were randomly divided into 2 groups: Group I (SRP alone) and Group II (SRP + tetracycline fibres) Plaque index, Gingival index, Sulcular bleeding index, Probing depth (PD) and Relative Attachment Level (RAL). After recording the clinical parameters from each site at baseline, a thorough scaling and root planing was done, using hand instruments and ultrasonic scaler in all groups. The clinical parameters were assessed at baseline, after 1 month & 3 months after receiving the treatment. Result- The development of sustained release delivery devices as tetracycline fibre as an adjunct to SRP showed greater improvement in respect to decreased probing depth and gain in clinical attachment level followed by scaling and root planing alone. There was significant improvement with respect to reduced gingival bleeding, minimal plaque accumulation from baseline to 3 months. Thus, tetracycline fibres as an adjunct to SRP proved to be efficient, safe, and cost effective for maintenance of periodontal disease than SRP alone.
Authors and Affiliations
Dr. Babita Sahu, Dr. Bhupendra Gathe, Dr Harsh Salankar, Dr Prashant Sawarkar, Dr. Srikanth Guduguntla
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