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VOLUME 20 , ISSUE 3 ( March, 2019 ) > List of Articles

ORIGINAL RESEARCH

Efficacy of Ozonised Water and 0.2% Chlorhexidine Gluconate in the Management of Chronic Periodontitis when Used as an Irrigant in Conjugation with Phase I Therapy

Amritpal Kaur, Shaeesta K Bhavikatti, Sitansu S Das, Sagar Khanna, Meena Jain, Avineet Kaur

Keywords : Chlorhexidine gluconate, Chronic periodontitis, Irrigation, Ozone

Citation Information : Kaur A, Bhavikatti SK, Das SS, Khanna S, Jain M, Kaur A. Efficacy of Ozonised Water and 0.2% Chlorhexidine Gluconate in the Management of Chronic Periodontitis when Used as an Irrigant in Conjugation with Phase I Therapy. J Contemp Dent Pract 2019; 20 (3):318-323.

DOI: 10.5005/jp-journals-10024-2516

License: CC BY-NC 4.0

Published Online: 00-03-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To evaluate the efficacy of irrigation of periodontal pockets by using ozonated water and 0.2% chlorhexidine (CHX) gluconate as adjuncts to scaling and root planing in the management of chronic periodontitis. Materials and methods: For the present study, 20 patients in the age group of 30–60 years, suffering from chronic periodontitis presenting with at least one site with an almost similar pocket depth of 4–6 mm in both the quadrants of maxillary arch was taken. Irrigation was done after 2 weeks of scaling and root planning on the same day with ozonated water and 0.2% chlorhexidine gluconate for two and half minutes. The clinical parameters like gingival index, probing pocket depth (PPD) and clinical attachment level (CAL) were recorded for both the groups at the baseline visit. They were subsequently recalled after 4 weeks and 3 months interval from the baseline visit. Data thus collected was compiled and put to statistical analysis. Results: The present study showed significant results in both the groups with regards to the improvement in the clinical parameters. When comparison was made between the two groups, ozonated water showed slightly better improvement than the chlorhexidine group. However, a statistically significant difference was seen only with Plaque score. Conclusion: Subgingival irrigation with ozonized water is beneficial than present conventional therapeutic modalities. Ozonated water restricts the formation of dental plaque and reduces the number of subgingival pathogens thereby treating periodontal diseases. Clinical significance: Ozone therapy is proving to be a new useful treatment modality which offers great benefits to the patients. The strong antimicrobial power of ozone, along with its ability to stimulate the circulatory system and modulate the immune response, makes it a remedial agent of choice in the treatment of various infectious oral diseases. The study was conducted to justify the routine use of ozone as a treatment modality in effective management of periodontal diseases.


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  1. Brownstein CN, Briggs SD, Schweitzer KL, et al. Irrigation with chlorhexidine to resolve naturally occurring gingivitis. A methodologic study. J Clin Periodontol. 1990 Sep; 17(8): 588-593.
  2. Hardy JH, Newman HN, Strahan JD. Direct irrigation and subgingival plaque. J Clin Periodontol. 1982 Jan;9(1):57-65.
  3. Slots J. Research, Science and Therapy Committee. Systemic antibiotics in periodontics. J Periodontol. 2004 Nov; 75(11):1553-1565.
  4. Walsh TF, Glenwright HD, Hull PS. Clinical effects of pulsed oral irrigation with 0.2% chlorehexidine digluconate in patients with adult periodontitis. J Clin Periodontol. 1992 Apr; 19(4):245-248.
  5. Kshitish D, Laxman VK. The use of ozonated water and 0.2% chlorhexidine in the treatment of periodontitis patients: a clinical and microbiologic study. Indian J Dent Res. 2010 Jul- Sep; 21(3):341-348.
  6. Gupta G, Mansi B. Ozone therapy in periodontics. J Med Life. 2012 Feb 22; 5(1):59-67.
  7. Socransky SS, Haffajee AD. The bacterial etiology of destructive periodontal disease: current concepts. J Periodontol. 1992 Apr; 63(4 Suppl):322-331.
  8. Goodson JM, Haffajee A, Socransky SS. Periodontal therapy by local delivery of tetracycline. J Clin Periodontol. 1979; 6:83-92.
  9. Rams TE, Slots J. Local delivery of antimicrobial agents in the periodontal pocket. Periodontol 2000. 1996 Feb; 10: 139-59.
  10. Chapple IL, Walmsley AD, Saxby MS, et al. Effect of subgingival irrigation with Chlorhexidine during ultrasonic scaling. J Periodontol. 1992 Oct;63(10):812-816.
  11. Flemmig TF, Newman MG, Doherty FM, et al. Supragingival Irrigation with 0.06% Chlorhexidine in Naturally Occurring Gingivitis I. 6 Month Clinical Observations. J Periodontol. 1990 Feb; 61(2):112-117.
  12. Estrela C, Estrela CR, Decurcio DA, et al. Antimicrobial efficacy of ozonated water, gaseous ozone, sodium hypochlorite and chlorhexidine in infected human root canals. Int Endod J.2007 Feb;40(2):85-93.
  13. Huth KC, Saugel B, Jakob FM, et al. Effect of aqueous ozone on the NF-kappa B system. J Dent Res. 2007 May; 86(5):451-6.
  14. Das S. Application of Ozone Therapy in Dentistry. IJDA. 3(2), April-June, 2011.
  15. Huth KC, Quirling M, Lenzke S, et al. Effectiveness of ozone against periodontal pathogenic microorganisms. Eur J Oral Sci. 2011 Jun; 119(3):204-210.
  16. Asari AM, Newman HN, Wilson M, et al. 0.1%/0.2% commercial chlorhexidine solutions as subgingival irrigants in chronic periodontitis. J Clin Periodontol.1996 Apr; 23(4):320-325.
  17. Dodwad V, Gupta S, Kumar K, et al. Changing paradigm in pocket therapy- ozone vs conventional irrigation. Int J of Public Health Dent 2011:2(2):7-12.
  18. Hujoel PP, DeRouen TA. Validity issues in split-mouth trials. J Clin Periodontol. 1992 Oct; 19(9 Pt 1):625-627.
  19. Azmak N, Atilla G, Luoto H, et al. The effect of subgingival controlled-release delivery of chlorhexidine chip on clinical parameters and matrix metalloproteinase-8 levels in gingival crevicular fluid. J Periodontol. 2002 Jun; 73(6):608-615.
  20. Taggart JA, Palmer RM, Wilson RF. A clinical and microbiological comparison of the effects of water and 0.02% chlorhexidine as coolants during ultrasonic scaling and root planing. J Clin Periodontol. 1990 Jan; 17(1):32-37.
  21. Christersson LA, Norderyd OM, Puchalsky CS. Topical application of tetracycline-HCl in human periodontitis. J Clin Periodontol. 1993 Feb; 20(2):88-95.
  22. Stabholz A, Nicholas AA, Zimmerman GJ, et al. Clinical and antimicrobial effects of a single episode of subgingival irrigation with tetracycline HCl or chlorhexidine in deep periodontal pockets. J Clin Periodontol. 1998 Oct; 25(10):794-800.
  23. Kalaga A, Addy M, Hunter B. Comparison of chlorhexidine delivery by mouthwash and spray on plaque accumulation. J Periodontol. 1989 Mar;60(3):127-30.
  24. Ramzy MI, Gomaa HE, Mostafa MI, et al. Management of Aggressive Periodontitis Using Ozonized Water. Egypt. Med. J. N R C, 2005;6(1):229-245.
  25. Nagayoshi M, Fukuizumi T, Kitamura C, et al. Efficacy of ozone on survival and permeability of oral microorganisms. Oral Microbiol Immunol. 2004 Aug; 19(4):240-246.
  26. Huth KC, Jakob FM, Saugel B, et al. Effects of ozone on oral cells compared with established antimicrobials. Eur J Oral Sci. 2006 Oct;114(5):435-440.
  27. Bassetti C, Kallenberger A. Influence of chlohexidine rinsing on the healing of oral mucosa and osseous lesions. J Clin Periodontol. 1980 Dec; 7(6):443-456.
  28. Cline NV, Layman DL. The effects of chlorhexidine on the attachment and growth of cultured human periodontal cells. J Periodontal. 1992 July;598-602.
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