Abstract

EVALUATION OF CLINICAL EFFICACY OF TWO TYPES OF PRESCRIPTION IN NONSURGICAL MANAGEMENT OF PERICORONITIS OF MANDIBULAR THIRD MOLARS

Dr. Prashant Gupta, *Dr. Shantala R. Naik, Dr. Surender Kumar, Dr. Sandeep
Kumar, Dr. Tanya Khaitan and Dr Anjani Kumar Sukla

Abstract

Introduction: Pericoronitis is a common oral inflammatory pathology affecting the pericoronal tissues of unerrupted or partially erupted tooth. It is more commonly associated with mandibular third molars. These patients are treated with systemic antibiotics and pain killers along with salt water gargling or betadine gargle. The aim of this study was to compare the clinical efficacy of two different types of prescriptions where in prescription 1 included systemic penicillin + systemic metronidazole +pain killer and prescription 2 included systemic penicillin + topical metronidazole (metrohex oral gel by dr reddys lab) + pain killer was studied. Materials and methods: Patients were divided into two groups. Group 1 were adviced prescription 1 and group 2 who were adviced prescription 2. Both groups included 50 patients each and diagnosed as acute pericoronitis. Every subject was evaluated on day 3 and day 5 and data was entered in a proforma. Both subjective and objective findings were recorded. Subjective parameters included pain, pus discharge. Objective parameters included swelling, mouth opening and bleeding on probing. Recurrence rate for both the groups were evaluated for over a period of 6 months. All the subjects included in the study had acute pericoronitis of unerupted mandibular 3rd molars. Results: Time taken to resolve the symptoms was lesser with group 2 patients who were prescribed prescription 2 when compared with group 1 patients who were prescribed prescription1 suggesting that 2nd type of prescription was more effective clinially providing faster resolution of symptoms and also reducing the time taken for relief.

Keywords: pericoronitis, metronidazole, topical, gel.