The effect of ketoprofen in chronic periodontitis: A clinical double-blind study
- PMID: 22028513
- PMCID: PMC3200022
- DOI: 10.4103/0972-124X.85670
The effect of ketoprofen in chronic periodontitis: A clinical double-blind study
Abstract
Background: The objective of this double-blind clinical trial was to evaluate the effects of the nonsteroidal anti-inflammatory drug (NSAID), ketoprofen, on patients with chronic periodontitis.
Materials and methods: Two similar local drug delivery preparations of a poloxamen gel containing 1.5% ketoprofen and a placebo were indigenously prepared for this purpose. Ten subjects aged 33-55 years with moderate to severe chronic periodontitis were recruited and were monitored for a period of 90 days. Three sites in each patient (total 30 sites) with a probing pocket depth of 5-8 mm were selected and divided randomly into three groups: 1) group A: scaling and rootplaning (SRP) + drug A; 2) group B: SRP + drug B; and 3) group C: SRP. Clinical parameters and blood smear (from intracrevicular blood) were assessed to determine the differential count and Arneth index. All parameters were assessed at baseline, 30 days and 90 days, respectively.
Results: Highly significant values were achieved for plaque index (P=0.00), and significant values were obtained for gingival index (P=0.044). Reduction in bleeding on probing was found to be highly significant. Probing depth and clinical attachment level showed no inter group variation.
Conclusion: The results of this double-blind trial indicate that the combined effect of locally delivered ketoprofen with SRP was more effective in controlling periodontal disease than SRP alone.
Keywords: Arneth index; bleeding on probing; ketoprofen gel; placebo.
Conflict of interest statement
Figures
Similar articles
-
Comparative Evaluation of Ketoprofen Gel Alone and in Combination with Doxycycline Gel as Local Drug Delivery in the Treatment of Chronic Periodontitis among Smokers and Non-Smokers: A Randomized Clinical Trial.J Pharm Bioallied Sci. 2024 Dec;16(Suppl 4):S3945-S3947. doi: 10.4103/jpbs.jpbs_1107_24. Epub 2024 Dec 10. J Pharm Bioallied Sci. 2024. PMID: 39927053 Free PMC article.
-
The anti-inflammatory effect of locally delivered nano-doxycycline gel in therapy of chronic periodontitis.Acta Odontol Scand. 2018 Jan;76(1):71-76. doi: 10.1080/00016357.2017.1385096. Epub 2017 Sep 29. Acta Odontol Scand. 2018. PMID: 28959907
-
The use of controlled release locally delivered 10% doxycycline hyclate gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis: clinical and microbiological results.J Contemp Dent Pract. 2013 Nov 1;14(6):1080-6. doi: 10.5005/jp-journals-10024-1455. J Contemp Dent Pract. 2013. PMID: 24858755
-
Effectiveness of adjunctive low-dose doxycycline therapy on clinical parameters and gingival crevicular fluid laminin-5 gamma2 chain levels in chronic periodontitis.J Periodontol. 2004 Oct;75(10):1387-96. doi: 10.1902/jop.2004.75.10.1387. J Periodontol. 2004. PMID: 15562917 Clinical Trial.
-
Clinical effect of azithromycin as an adjunct to non-surgical treatment of chronic periodontitis: a meta-analysis of randomized controlled clinical trials.J Periodontal Res. 2016 Jun;51(3):275-83. doi: 10.1111/jre.12319. Epub 2015 Sep 12. J Periodontal Res. 2016. PMID: 26362529 Review.
Cited by
-
Efficacy of 2% ibuprofen subgingival irrigation as an adjunct to non-surgical therapy in the treatment of chronic periodontitis: A randomized controlled, split-mouth, clinical trial.J Adv Periodontol Implant Dent. 2019 Dec 18;11(2):69-76. doi: 10.15171/japid.2019.012. eCollection 2019. J Adv Periodontol Implant Dent. 2019. PMID: 35919484 Free PMC article.
-
A novel chitosan-based doxepin nano-formulation for chemotherapy-induced oral mucositis: a randomized, double-blinded, placebo-controlled clinical trial.Inflammopharmacology. 2023 Oct;31(5):2411-2420. doi: 10.1007/s10787-023-01325-7. Epub 2023 Sep 5. Inflammopharmacology. 2023. PMID: 37668810 Clinical Trial.
-
The Effects of Prednisone/Ketoprofen Administration in Association with Amoxicillin Clavulanate Following Periodontal Surgical Therapy in Patients with Severe Chronic Periodontitis.Medicina (Kaunas). 2021 May 4;57(5):447. doi: 10.3390/medicina57050447. Medicina (Kaunas). 2021. PMID: 34064493 Free PMC article.
-
Ketoprofen-loaded Eudragit electrospun nanofibers for the treatment of oral mucositis.Int J Nanomedicine. 2017 Mar 27;12:2335-2351. doi: 10.2147/IJN.S131253. eCollection 2017. Int J Nanomedicine. 2017. PMID: 28392691 Free PMC article.
-
Design of a multiple drug delivery system directed at periodontitis.Biomaterials. 2013 Nov;34(34):8835-42. doi: 10.1016/j.biomaterials.2013.07.093. Epub 2013 Aug 12. Biomaterials. 2013. PMID: 23948165 Free PMC article.
References
-
- Jeffcoat MK, Reddy MS, Haigh S, Buchanan W, Doyle MJ, Meredith MP, et al. A comparison of topical ketrolac, systemic flurbiprofen, and placebo for the inhibition of bone loss in adult periodontitis. J Periodontol. 1995;66:329–38. - PubMed
-
- Paquette DW, Lawrence HP, Maynor GB, Wilder R, Binder TA, Troullos E, et al. Pharmacodynamic effects of ketoprofen on crevicular fluid prostanoids in adult periodontitis. J Clin Periodontol. 2000;27:558–66. - PubMed
-
- Garrisons W, Nichols FC. LPS elicited secretory responses in monocytes: Altered release of PGE2 but not IL-1 beta in patients with adult periodontitis. J Periodontal Res. 1989;24:88–95. - PubMed
-
- Escobar-Chávez JJ, López-Cervantes M, Naïk A, Kalia YN, Quintanar-Guerrero D, Ganem-Quintanar A. Applications of thermo-reversible Pluronic F -127 pharmaceutical formulations. J Pharm Pharm Sci. 2006;9:339–58. - PubMed
-
- Burns L. Studies in osteopathic sciences, cells of the blood. [Last cited on 2011 Jan 03];4 chapter 4, version 5.0 Available from: http://www.mcmillinmedia.com/eamt/files/burns4/bur4ch04.html .