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. 2012 Jul;16(3):392-7.
doi: 10.4103/0972-124X.100918.

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

Nishat Sadaf  1 , Bhushan Anoop, Bisht Dakshina, Bali Shweta
Affiliations

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

Nishat Sadaf et al. J Indian Soc Periodontol. 2012 Jul.

Abstract

Aim: 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.

Materials and methods: 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.

Results: 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.

Conclusion: Overall, these results indicate that fiber therapy significantly enhanced the effectiveness of SRP in the management of chronic periodontitis.

Keywords: Periodontitis; scaling and root planing; tetracycline fiber.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Insertion of tetracycline fibers into the periodontal pocket
Figure 2
Figure 2
Post-treatment clinical probing depth at the test site
Figure 3
Figure 3
Pre-treatment clinical probing depth at the test site
Figure 4
Figure 4
Percentage reduction in mean plaque index scores
Figure 5
Figure 5
Percentage reduction in mean gingival index scores
Figure 6
Figure 6
Percentage reduction in clinical probing depths
Figure 7
Figure 7
Percentage reduction in A. actinomycetemcomitans
Figure 8
Figure 8
Percentage reduction in porphyromonas gingivalis
Figure 9
Figure 9
Percentage reduction in prevotella intermedia
See this image and copyright information in PMC

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