Research Article
Volume 20 Issue 3 - 2021
Sub-Gingival and Intra-Canal Irrigation by 2% Chlorhexidine Gluconate (Consepsis®) as Adjunctive Therapy in the Management of Periodontal Pocket
Mohammed MA Abdullah Al-Abdaly1*, Hussein Masoud Alqahtani2, Wael Mohammed Kedwan Al-Shehri3 and Saleh Salem Saleh Al- Shehri4
1Periodontics and Community Dental Sciences Department, College of Dentistry, King Khalid University, Saudi Arabia
2Prince Sultan Armed Forces Hospital, AlMadinah AlMunawarah, Saudi Arabia
3Ministry of Health, Bream Al-Seleel Primary Healthcare Center, Abha, Saudi Arabia
4Ministry of Health, Tareeb Primary Health Care Center, Abha, Saudi Arabia
*Corresponding Author: Mohammed MA Abdullah Al-Abdaly, Periodontics and Community Dental Sciences Department, College of Dentistry, King Khalid University, Saudi Arabia.
Received: February 11, 2021; Published: February 26, 2021




Abstract

Background: In periodontics and endodontics, the residual chlorhexidine antibacterial effects are attributed to its ability to attach with the hydroxyapatite and release it gradually. Consequently, it could keep a persistent level to create continuous antibacterial effects inside the periodontal pocket and the root canal for a long duration. Thus, the present study aimed to assess the impact of sub-gingival and intra-canal irrigation with 2% Chlorhexidine gluconate (Consepsis®) as adjunctive therapy in the management of periodontal pocket.

Materials and Methodology: This study included thirty patients (50% males and 50% females) with mild to moderate periodontal pocket depth (4 - 6 mm) adjacent to teeth need endodontic therapy (120 teeth) was divided into three equal groups (10 patients included 40 teeth per group).

Each case was treated with endodontic and periodontal therapy, where the treatment was root canal therapy (RCT) and scaling and root planing (SRP) alone in group I. Moreover, intra-canal irrigation by Consepsis® in group II and sub-gingival irrigation by Consepsis® in group III. Plaque index (PLI), Gingival index (GI) and periodontal pocket depth (PPD) were recorded at baseline, 4 weeks, and 6 weeks follow up. Data were collected and analyzed using SPSS software, version 21 and through t-test, to assess the statistical significance differences p-value (p ˂ 0.05). 

Results: In the comparison of clinical findings between groups I, II and III, the results of the current study revealed a reduction in all the clinical parameters without statistically significant differences except GI and PPD in the third visit (after six weeks post-treatment), there were statistically significant differences of PPD at the second visit (p = 0.034), and there were highly statistically significant differences of GI and PPD at the third visit (p = 0.001*).

Conclusion: In the current study, Consepsis® sub-gingival and intra-canal irrigation as an adjunct to SRP improved the results of the traditional endodontic and periodontal therapy, due to its bactericidal effect on aerobic, and anaerobic bacteria. Thus, it may be considered as adjunctive therapy in the management of periodontal pocket of endodontic-periodontal lesions.

 

Keywords: Consepsis®; Intra-Canal Irrigation; Sub-Gingival Irrigation

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Citation: Mohammed MA Abdullah Al-Abdaly., et al. “ESub-Gingival and Intra-Canal Irrigation by 2% Chlorhexidine Gluconate (Consepsis®) as Adjunctive Therapy in the Management of Periodontal Pocket”. EC Dental Science 20.3 (2021): 49-60.

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