Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis

Objective: Clinical improvement after periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis was studied for a period of 30 days. Materials and methods: The tray fabrication was performed in a dental laboratory u...

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Main Authors: Ira Komara, Edwin Alfa Winata, Agus Susanto, Ina Hendiani
Format: Article
Language:English
Published: Springer 2020-05-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S101390521930495X
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author Ira Komara
Edwin Alfa Winata
Agus Susanto
Ina Hendiani
author_facet Ira Komara
Edwin Alfa Winata
Agus Susanto
Ina Hendiani
author_sort Ira Komara
collection DOAJ
description Objective: Clinical improvement after periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis was studied for a period of 30 days. Materials and methods: The tray fabrication was performed in a dental laboratory using the Soft – Tray Sheets (Ultradent™), whereas scaling and root planing were done using ultrasonic scaler and hand instruments. A total of 36 subjects with chronic periodontitis were divided into 3 treatment groups: group I was treated with SRP procedure combined with the prescription-tray application of chlorine dioxide gel; group II was treated with SRP procedure with the application of chlorine dioxide alone; and group III was treated with SRP procedure alone. Clinical parameters examined were probing pocket depth (PPD) and papillary bleeding index (PBI); measurements were taken at baseline (day0) and 30 days after SRP (day 30). Comparison between treatment groups was tested statistically by Kruskal Wallis test and Analysis of Variance (ANOVA). Results: There were significant differences in the decrease of the average pocket depth and bleeding index in all the 3 treatment groups (P = 0.001). Decreases in the pocket depth of groups I, II, and III were 50.9%, 47.9%, and 27.8%, respectively. Decreases in the papillary bleeding index of groups I, II, and III were 88.2%, 68.9%, and 51.1%, respectively. Conclusion: The application of chlorine dioxide gel using the custom tray after SRP in the treatment of chronic periodontitis showed better clinical improvement in pocket depth reduction and bleeding index compared to SRP alone.
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spelling doaj-art-60f4d70c7a4e4ca3b83db4371062294a2025-08-20T01:57:24ZengSpringerSaudi Dental Journal1013-90522020-05-0132419419910.1016/j.sdentj.2019.08.006Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitisIra Komara0Edwin Alfa Winata1Agus Susanto2Ina Hendiani3Corresponding author at: Department of Periodontics, Faculty of Dentistry, Universitas Padjadjaran, Sekeloa Selatan I, Bandung 40132, Indonesia.; Department of Periodontics, Faculty of Dentistry, Universitas Padjadjaran, IndonesiaDepartment of Periodontics, Faculty of Dentistry, Universitas Padjadjaran, IndonesiaDepartment of Periodontics, Faculty of Dentistry, Universitas Padjadjaran, IndonesiaDepartment of Periodontics, Faculty of Dentistry, Universitas Padjadjaran, IndonesiaObjective: Clinical improvement after periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis was studied for a period of 30 days. Materials and methods: The tray fabrication was performed in a dental laboratory using the Soft – Tray Sheets (Ultradent™), whereas scaling and root planing were done using ultrasonic scaler and hand instruments. A total of 36 subjects with chronic periodontitis were divided into 3 treatment groups: group I was treated with SRP procedure combined with the prescription-tray application of chlorine dioxide gel; group II was treated with SRP procedure with the application of chlorine dioxide alone; and group III was treated with SRP procedure alone. Clinical parameters examined were probing pocket depth (PPD) and papillary bleeding index (PBI); measurements were taken at baseline (day0) and 30 days after SRP (day 30). Comparison between treatment groups was tested statistically by Kruskal Wallis test and Analysis of Variance (ANOVA). Results: There were significant differences in the decrease of the average pocket depth and bleeding index in all the 3 treatment groups (P = 0.001). Decreases in the pocket depth of groups I, II, and III were 50.9%, 47.9%, and 27.8%, respectively. Decreases in the papillary bleeding index of groups I, II, and III were 88.2%, 68.9%, and 51.1%, respectively. Conclusion: The application of chlorine dioxide gel using the custom tray after SRP in the treatment of chronic periodontitis showed better clinical improvement in pocket depth reduction and bleeding index compared to SRP alone.http://www.sciencedirect.com/science/article/pii/S101390521930495XPeriodontal trayChlorine dioxide gelChronic periodontitisScaling and root planing
spellingShingle Ira Komara
Edwin Alfa Winata
Agus Susanto
Ina Hendiani
Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
Saudi Dental Journal
Periodontal tray
Chlorine dioxide gel
Chronic periodontitis
Scaling and root planing
title Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
title_full Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
title_fullStr Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
title_full_unstemmed Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
title_short Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
title_sort periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis
topic Periodontal tray
Chlorine dioxide gel
Chronic periodontitis
Scaling and root planing
url http://www.sciencedirect.com/science/article/pii/S101390521930495X
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AT edwinalfawinata periodontaltrayapplicationofchlorinedioxidegelasanadjuncttoscalingandrootplaninginthetreatmentofchronicperiodontitis
AT agussusanto periodontaltrayapplicationofchlorinedioxidegelasanadjuncttoscalingandrootplaninginthetreatmentofchronicperiodontitis
AT inahendiani periodontaltrayapplicationofchlorinedioxidegelasanadjuncttoscalingandrootplaninginthetreatmentofchronicperiodontitis