J Indian Soc Periodontol. 2020 May-Jun;24(3):244-252. doi: 10.4103/jisp.jisp_207_19. Epub 2020 May 04.
Comparative evaluation of 2% turmeric extract with nanocarrier and 1% chlorhexidine gel as an adjunct to scaling and root planing in patients with chronic periodontitis: A pilot randomized controlled clinical trial.
Journal of Indian Society of Periodontology
Sanjeela Rakshith Guru, K Adithya Reddy, Ravi J Rao, Shyam Padmanabhan, Rakshith Guru, T S Srinivasa
Affiliations
Affiliations
- Department of Periodontology, Vydehi Institute of Dental Sciences and Research Centre, Bengaluru, Karnataka, India.
- Department of Periodontology, Bangalore Institute of Dental Science, Kalaburgi, Karnataka, India.
- Department of Prosthodontics, ESIC Dental College, Kalaburgi, Karnataka, India.
- Department of Periodontology, ESIC Dental College, Kalaburgi, Karnataka, India.
PMID: 32773975
PMCID: PMC7307465 DOI: 10.4103/jisp.jisp_207_19
Abstract
CONTEXT: Nanoparticles, owing to their smaller size, penetrate regions inaccessible to other delivery systems, such as periodontal pockets. Thus, the present study aimed to comparatively evaluate efficacy of 2% curcumin with nanocarrier and 1% chlorhexidine gel as a local drug delivery (LDD) in the treatment of periodontal pockets.
MATERIALS AND METHODS: Forty-five chronic periodontitis patients with pocket depth 5-7 mm in two or more teeth were selected. Full-mouth scaling and root planing (SRP) was done for all patients followed by random allocation to the three treatment groups, namely SRP group (Group 1), 2% curcumin with nanogel (Group 2), and 1% chlorhexidine gel (Group 3). Clinical parameter assessment and microbiological analysis of subgingival plaque samples for
RESULTS: The results showed that when the two LDD agents were used as an adjunct to SRP in chronic periodontitis, there was an improvement in all clinical parameters. Evaluation of microbiological parameters also showed a significant reduction in Aa, Pg, and Tf levels. Comparison of 2% turmeric extract with a nanocarrier system with 1% chlorhexidine gel showed that both the agents had a comparable antibacterial effect on the three selected periodontopathic bacteria.
CONCLUSION: The present study showed that both the LDD agents showed an effective improvement of clinical and microbiologic parameters. 2% curcumin delivered with a nanocarrier system showed results comparable to chlorhexidine gel and hence shows promising future as an LDD agent in the treatment of periodontal pockets.
Copyright: © 2020 Indian Society of Periodontology.
Keywords: Chlorhexidine; Pluronic F127; chronic periodontitis; curcumin; local drug delivery
Conflict of interest statement
There are no conflicts of interest.
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