Efficacy of Gum As an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis: A Randomized Controlled Clinical Trial

Overview

Journal Saudi Dent J

Specialty Dentistry

Date 2018 Sep 1

PMID 30166872

Citations 8

Authors

Rameshwari Singhal

Vivek Agarwal

Pavitra Rastogi

Richa Khanna

Shuchi Tripathi

Affiliations

Soon will be listed here.

Abstract

Aim: The aim of the present study was to explore the adjunctive use of Acacia arabica gel in the treatment of chronic periodontitis.

Methods: Single centre, randomised, triple blind, controlled trial on mild to moderate chronic periodontitis patients; Group I (SRP + Acacia arabica, n = 40) and Group II (SRP + placebo, n = 40); were analysed for clinical improvements in periodontal pocket depth (PPD) and clinical attachment levels (CAL) at baseline, 15 and 90 days on application of gels. Gingival index and plaque index were assessed as secondary parameters.

Results: Statistically significant PPD reduction (p < .05) and CAL gain (p < .05) was observed with use of Acacia arabica gel. The reduction in sites with moderate PPD was observed more among Group I than Group II and the difference was statistically significant (p = .001). Secondary outcome variables; Plaque Index and Gingival Index showed better resolution with Acacia arabica gel.

Conclusion: Acacia arabica leads to better clinical outcomes in patients with mild to moderate chronic periodontitis with effective antiplaque and anti-gingivitis action. It may be recommended adjunct to SRP for maintenance in patients with mild to moderate chronic periodontitis.

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References

Wilson Jr T . Supportive periodontal treatment introduction--definition, extent of need, therapeutic objectives, frequency and efficacy. Periodontol 2000. 1996; 12:11-5. DOI: 10.1111/j.1600-0757.1996.tb00074.x. View

Abduljabbar T, Javed F, Shah A, Samer M, Vohra F, Akram Z . Role of lasers as an adjunct to scaling and root planing in patients with type 2 diabetes mellitus: a systematic review. Lasers Med Sci. 2016; 32(2):449-459. DOI: 10.1007/s10103-016-2086-5. View

Takacs V, LIE T, Perala D, Adams D . Efficacy of 5 machining instruments in scaling of molar furcations. J Periodontol. 1993; 64(3):228-36. DOI: 10.1902/jop.1993.64.3.228. View

Lindhe J, Nyman S . Long-term maintenance of patients treated for advanced periodontal disease. J Clin Periodontol. 1984; 11(8):504-14. DOI: 10.1111/j.1600-051x.1984.tb00902.x. View

Axelsson P, Lindhe J . The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol. 1981; 8(4):281-94. DOI: 10.1111/j.1600-051x.1981.tb02039.x. View

Knowles J, Burgett F, Nissle R, Shick R, Morrison E, RAMFJORD S . Results of periodontal treatment related to pocket depth and attachment level. Eight years. J Periodontol. 1979; 50(5):225-33. DOI: 10.1902/jop.1979.50.5.225. View

Loe H . The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol. 1967; 38(6):Suppl:610-6. DOI: 10.1902/jop.1967.38.6.610. View

Pihlstrom B . Overview of periodontal clinical trials utilizing anti-infective or host modulating agents. Ann Periodontol. 1997; 2(1):153-65. DOI: 10.1902/annals.1997.2.1.153. View

Dahlen G, Lindhe J, Sato K, Hanamura H, Okamoto H . The effect of supragingival plaque control on the subgingival microbiota in subjects with periodontal disease. J Clin Periodontol. 1992; 19(10):802-9. DOI: 10.1111/j.1600-051x.1992.tb02174.x. View

10.

Kocher T, Plagmann H . Instrumentation of furcation with modified sonic scaler inserts: a study on manikins (II). J Clin Periodontol. 1998; 25(6):451-6. DOI: 10.1111/j.1600-051x.1998.tb02473.x. View

11.

Hellstrom M, Ramberg P, Krok L, Lindhe J . The effect of supragingival plaque control on the subgingival microflora in human periodontitis. J Clin Periodontol. 1996; 23(10):934-40. DOI: 10.1111/j.1600-051x.1996.tb00514.x. View

12.

Clark D, Gazi M, Cox S, Eley B, Tinsley G . The effects of Acacia arabica gum on the in vitro growth and protease activities of periodontopathic bacteria. J Clin Periodontol. 1993; 20(4):238-43. DOI: 10.1111/j.1600-051x.1993.tb00351.x. View

13.

Bonito A, Lux L, Lohr K . Impact of local adjuncts to scaling and root planing in periodontal disease therapy: a systematic review. J Periodontol. 2005; 76(8):1227-36. DOI: 10.1902/jop.2005.76.8.1227. View

14.

Akram Z, Al-Shareef S, Daood U, Asiri F, Shah A, AlQahtani M . Bactericidal Efficacy of Photodynamic Therapy Against Periodontal Pathogens in Periodontal Disease: A Systematic Review. Photomed Laser Surg. 2016; 34(4):137-49. DOI: 10.1089/pho.2015.4076. View

15.

Mineoka T, Awano S, Rikimaru T, Kurata H, Yoshida A, Ansai T . Site-specific development of periodontal disease is associated with increased levels of Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia in subgingival plaque. J Periodontol. 2008; 79(4):670-6. DOI: 10.1902/jop.2008.070398. View

16.

Sbordone L, Ramaglia L, Gulletta E, Iacono V . Recolonization of the subgingival microflora after scaling and root planing in human periodontitis. J Periodontol. 1990; 61(9):579-84. DOI: 10.1902/jop.1990.61.9.579. View

17.

Jeffcoat M . Principles and pitfalls of clinical trials design. J Periodontol. 1992; 63(12 Suppl):1045-51. DOI: 10.1902/jop.1992.63.12s.1045. View

18.

Slots J, Listgarten M . Bacteroides gingivalis, Bacteroides intermedius and Actinobacillus actinomycetemcomitans in human periodontal diseases. J Clin Periodontol. 1988; 15(2):85-93. DOI: 10.1111/j.1600-051x.1988.tb00999.x. View

19.

Cosyn J, Wyn I . A systematic review on the effects of the chlorhexidine chip when used as an adjunct to scaling and root planing in the treatment of chronic periodontitis. J Periodontol. 2006; 77(2):257-64. DOI: 10.1902/jop.2006.050216. View

20.

Christodoulides N, Nikolidakis D, Chondros P, Becker J, Schwarz F, Rossler R . Photodynamic therapy as an adjunct to non-surgical periodontal treatment: a randomized, controlled clinical trial. J Periodontol. 2008; 79(9):1638-44. DOI: 10.1902/jop.2008.070652. View