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Comparative Evaluation of Adjunctive Use of Locally Delivered Tetracycline Fiber (Actisite) with Scaling and Root Planning in the Treatment of Chronic Periodontitisa Clinical Study


Affiliations
1 Professor & Head of the Department of Periodontics, Department of Periodontics & Oral Implantology, College of Dental Science and Hospital, F-12 Jhoomer Ghat (Near Hotel Mashal) Rau, Indore, Madhya Pradesh 453331, India
2 Professor & Head of the Department of Periodontics, Meenakshi Ammal Dental College, Chennai – 602102, India
3 Professor, Department of Periodontics, Meenakshi Ammal Dental College, Chennai – 602102, India
4 Senior Lecturer, Department of Periodontics & Oral Implantology, College of Dental Science and Hospital, F-12 Jhoomer Ghat (Near Hotel Mashal), Rau, Indore, Madhya Pradesh. 453331, India
     

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The aim of the study was to make comparative evaluation of adjunctive use of locally delivered tetracycline fiber (Actisite) to scaling and ischolar_main planning and to compare it with SRP alone in the treatment of chronic periodontitis. Fifteen patients, aged 30-55 years having chronic periodontitis with periodontal pockets 5-8 mm were selected for the study. Two sites for each subject comprising site A and site B with a total of 30 sites. Clinical parameters like Plaque index, Gingival index, Sulcus bleeding index, Probing pocket depth, Clinical attachment level were recorded at baseline, 10th day, 45th day and 60th day post operatively. The result of the study showed that the use of tetracycline fibers along with scaling and ischolar_main planning doses not offer any advantage once scaling and ischolar_main planing alone excepting only for a marginal benefit in clinical parameter and gingival inflammation. The effect of mechanical debridement seems to have greater effect on the clinical outcome thus over shadowing the antimicrobial activity of tetracycline.
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  • Comparative Evaluation of Adjunctive Use of Locally Delivered Tetracycline Fiber (Actisite) with Scaling and Root Planning in the Treatment of Chronic Periodontitisa Clinical Study

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Authors

Jiji John
Professor & Head of the Department of Periodontics, Department of Periodontics & Oral Implantology, College of Dental Science and Hospital, F-12 Jhoomer Ghat (Near Hotel Mashal) Rau, Indore, Madhya Pradesh 453331, India
Pamela Emmadi
Professor & Head of the Department of Periodontics, Meenakshi Ammal Dental College, Chennai – 602102, India
N. Ambalavanan
Professor, Department of Periodontics, Meenakshi Ammal Dental College, Chennai – 602102, India
Esha Verma
Senior Lecturer, Department of Periodontics & Oral Implantology, College of Dental Science and Hospital, F-12 Jhoomer Ghat (Near Hotel Mashal), Rau, Indore, Madhya Pradesh. 453331, India

Abstract


The aim of the study was to make comparative evaluation of adjunctive use of locally delivered tetracycline fiber (Actisite) to scaling and ischolar_main planning and to compare it with SRP alone in the treatment of chronic periodontitis. Fifteen patients, aged 30-55 years having chronic periodontitis with periodontal pockets 5-8 mm were selected for the study. Two sites for each subject comprising site A and site B with a total of 30 sites. Clinical parameters like Plaque index, Gingival index, Sulcus bleeding index, Probing pocket depth, Clinical attachment level were recorded at baseline, 10th day, 45th day and 60th day post operatively. The result of the study showed that the use of tetracycline fibers along with scaling and ischolar_main planning doses not offer any advantage once scaling and ischolar_main planing alone excepting only for a marginal benefit in clinical parameter and gingival inflammation. The effect of mechanical debridement seems to have greater effect on the clinical outcome thus over shadowing the antimicrobial activity of tetracycline.

References