Abstract

EVALUATING THE EFFICACY OF LOCAL USE OF PROBIOTICS AS AN ADJUNCT TO SCALING AND ROOT PLANNING IN PATIENTS WITH CHRONIC PERIODONTITIS AND HALITOSIS – A RANDOMIZED CONTROL CLINICAL TRIAL

*Dr. Sri. Dharshini Balasundaram, Dr. Vennila K. MDS and Dr. Elanchezhiyan MDS

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Abstract

Introduction: Periodontitis is a multifactorial disease. The etiological factor encompasses microbial colonization with or without invasion. Conventional periodontal treatment includes surgical and non-surgical management often accompanied with antibiotics. These treatment options are aimed at eliminating entire oral microflora irrespective of their pathogenicity and leaves an interrogation to the systemic conditions. As the microorganism shows increased resistance to antibiotics, the development of probiotics in the treatment of periodontal diseases has been a benison, that inturn increases the beneficial bacteria. Probiotics gives a natural and promising choice of therapy to establish both good oral and systemic health. Hence the objective of this study is to evaluate the clinical efficacy of Scaling and root planning(SRP) with probiotics as an adjuvant therapy in patients with chronic periodontitis and halitosis. Materials and Methods: A Randomized control trial was formulated on 30 systematically healthy individuals with chronic periodontitis with probing depth ≥5mm and halitosis. Two trials were included, Group A & B with 15 participants each. In Group A: A Probiotic mouthrinse (PERFORA thyme mouthrinse) was given after scaling and subgingival local drug delivery of probiotic solution was given after root planing. In Group B; Placebo mouthrinse and subgingival drug delivery of placebo were administered after scaling and root planning respectively. Gingival index [GI], Plaque index [PI], BANA test and probing depth were checked at baseline and after 6 weeks. Result: Result shows significant reduction in the probing depths, GI & PI after treatment in probiotic local drug delivery group. All data were statistically analyzed using SPSS-20 Software with Student paired „t‟ test applied between the two groups. Conclusion: Use of probiotics as an adjuvant to scaling and root planing is very effective, convenient to use with lesser side effects when compared to conventional methods. Periodontal diseases are associated with systemic conditions and the emerging development of probiotics in the fascinating field of dentistry is setting a horizon as an assuring choice of therapy in treating oral as well as systemic diseases.

Keywords: Chronic periodontitis, N-benzoyl-DL-arginine, Malodour, Probiotics.