Title: Comparative evaluation of role of Oro-t mouthwash and Smf mouthwash as adjunct to scaling (subgingival irrigation): A randomized clinico-comparative study

Abstract:

Introduction: Treatment of periodontal disease is routinely based on mechanical debridement of the tooth surface and appropriate and meticulous maintenance of oral hygiene. However, comprehensive mechanical debridement of sites with deep periodontal pockets is difficult to accomplish, therefore systemic or local administration of antibiotics are preferred. But there are various disadvantages with systemic therapy like hypersensitivity reaction, organ toxicity and bacterial resistance. So, to attained the correct required GCF concentration at the target site, led to the use of local drug-delivery system. Ayurveda system of medicine has its root in Indian subcontinent which is being globalized and practices as alternative medicine in the Western world. It is typically based on complex herbal compounds, minerals, and metal substances. Further SMF mouthwash has been used for treating OSMF patient because of its contents which enhanced its properties by improving healing capacity of the tissue. So, in this present study we have planned to evaluate & compare healing potential of both the mouthwashes which is better.

Aim:Comparative Evaluation of Subgingival irrigation Role Of ORO-T Mouthwash and SMF Mouthwash as adjunct to scaling. A clinical comparative study.

Objective

1. To evaluate effect of subgingival irrigation ORO-T mouthwash as an adjunct to scaling & root planning (SRP).
2. To evaluate effect of subgingival irrigation SMF mouthwash as an adjunct to scaling & root planning (SRP).
3. To compare & evaluate effect of subgingival irrigation ORO-T mouthwash & SMF mouthwash as an adjunct to scaling & root planning (SRP).

Materials: Piezoelectric scalers, Oro-t mouthwash, SMF mouthwash,5 ml syringe with blunt cannula. TYPE OF STUDY- A Randomized Clinico-Comparative Split Mouth Study. SAMPLE SIZE- Split mouth study in 30 patients with 120 experimental sites with inclusion criteria involving like Systemically healthy patients, Periodontal pocket depths ranging from ≥5 mm to ≤ 7mm, Requiring Non- surgical periodontal treatment and exclusion criteria involving like patients taking antibiotics for past 6 months, Smokers /Gatka or any form of smokeless tobacco users, Periodontal therapy within past 6 months, Bony defect requiring surgical regenerative treatment and Mobility. Clinical parameters Plaque Index, Gingival Index, Bleeding Index, probing depth, Clinical attachment level were recorded at baseline, at day 14 & day 21 & were evaluated for both Oro -t mouthwash &SMF mouthwash group after giving subgingivally as a local drug delivery as an adjunct to scaling & root planing.

Result: Statistically significant reduction was seen for all the parameters in both the groups when compared with baseline parameters but there was no statistically significant difference between Oro-t mouthwash & SMF mouthwash.

Conclusion: Although there was no statistically significant difference between Oro-t mouthwash & SMF mouthwash in all the parameter’s reduction yet SMF mouthwash can be used as a local drug delivery in replacement of antibiotics (tetracycline fibers) because of its superior properties when compared with turmeric mouthwash. Further researches need to be done.

 Keywords-Oral Submucous fibrosis, Clinical attachment level, Oro-T mouthwash, Local drug delivery.

Biography: