Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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ORIGINAL ARTICLE
Year : 2012  |  Volume : 16  |  Issue : 3  |  Page : 392-397

Evaluation of efficacy of tetracycline fibers in conjunction with scaling and root planing in patients with chronic periodontitis


1 Department of Periodontics, School of Dental Sciences, Sharda University, Greater Noida, India
2 Department of Periodontics, Santosh Dental College, Ghaziabad, Uttar Pradesh, India
3 Department of Microbiology, Santosh Medical College, Santosh University, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Nishat Sadaf
Department of Periodontics, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.100918

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The objective of this study was to compare the efficacy of scaling and root planing (SRP) alone versus tetracycline fiber therapy used adjunctively with SRP in the treatment of chronic periodontitis sites in maintenance patients. A total of 30 patients with a diagnosis of chronic periodontitis (60 localized chronic periodontitis sites) in the age group of 35 to 55 were selected. None of these patients had received any surgical or non-surgical periodontal therapy and had sites of periodontal pockets measuring 4-7 mm clinically and demonstrated radiographic evidence of moderate bone loss. Two non-adjacent sites in separate quadrants were selected in each patient for monitoring based on criteria that the sites had localized chronic periodontitis. Plaque index (PI) (sillness and loe) and Gingival-bleeding index (GI) (loe and sillness) were measured at baseline and 15 th , 30 th , 60 th , and 90 th day. Clinical pocket depth (PD) and microbial analysis (MA) were analyzed at baseline and 90 th day. At 0 and 3 months adjunctive tetracycline fiber therapy was significantly better in reducing PI, GBI, (P<0.001) than S and RP alone. In comparison, the reduction in the PD was non-significant at 0 and 3 months (P<0.001). The microbial analysis showed significant reduction in Porphyromonas gingivalis and Prevotella intermedia though there was no significant reduction in the Actinobacillus actinomycetemcomitans. Overall, these results indicate that fiber therapy significantly enhanced the effectiveness of SRP in the management of chronic periodontitis.


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