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Year : 2022  |  Volume : 14  |  Issue : 2  |  Page : 121-125

Clinical study evaluating the effectiveness and efficiency of Metrohex Plus Gel and diode laser therapy along with standard mechanical debridement for managing chronic periodontitis

Department of Periodontology and Oral Implantology, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India

Correspondence Address:
Gaurav Singh
House No. 652 VPO. Kaurali, Ballabgarh, Faridabad - 121 101, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jorr.jorr_69_21

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Aim: A study was carried out to determine how effective diode lasers and Metrohex Plus Gel are at managing chronic periodontitis when compared to standard periodontal therapy. Materials and Methods: A total of 90 sites having periodontal probing depth (PPD*) ≥5 mm were included with patients aged around 35–60 years. Each group contains 30 sites as follows: Group I – laser-assisted new attachment procedure*, Group II – Metrohex Plus Gel, Group III – scaling root planing (SRP)* alone. Results: Based on the average gingival index* value at baseline, 1 and 3 months, the values were 1.9 ± 0.67, 0.99 ± 0.26, and 0.89 ± 0.19, respectively. The mean plaque index* score decreased to 1.12 ± 0.31 at 1 month and 0.80 ± 0.31 at 3 months from 2.30 ± 0.58 at baseline. A PPD* reduction of 0.85 ± 0.03 mm was observed at 3 months for sites treated with laser, which was significantly higher than the reductions for sites treated with Metrohex plus (metronidazole 10 mg + chlorhexidine gluconate 0.25% w/w and hyaluronic acid) and SRP* alone. PPD* reductions were not significantly different between Groups I and II. Group II showed a 0.35 ± 0.11 mm improvement in clinical attachment levels compared to Group III. Conclusion: As opposed to simple SRP, diode laser therapy and Metrohex Plus Gel improve all clinical parameters in patients with periodontitis.

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