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Lim: Effects of metronidazole gel as an adjunct to scaling and root planing on the treatment of adult periodontitis
Original Article

The Journal of the Korean Academy of Periodontology 1998; 28(1): 57-70.

Published online: 31 March 1998

DOI: https://doi.org/10.5051/jkape.1998.28.1.57

Effects of metronidazole gel as an adjunct to scaling and root planing on the treatment of adult periodontitis

Sang-Cheol Lim, D.M.D., M.S.D.

Department of periodontology, College of Dentistry, Kyung-Hee University, Korea.

Copyright © 1998 Korean Academy of Periodontology

Abstract

The purpose of this study was to evaluate the clinical and microbiological effects of metronidazole 25% dental gel that was applied to periodontal pockets who have moderate to advanced chronic adult periodontitis were selected for this study. The quadrants that had 2 or 3 teeth with 5-8mm probing pocket depth were selected and divided into test side and control side according to the split-mouth design. The metronidazole 25% dental gel applied on test side and 0.12% chlorhexidine solution applicated on positive control side, normal saline irrigation into periodontal pocket was applicated to negative control side respectively. Above procedures followed scaling and root planing at baseline(0week).
The subgingival sterile saline irrigation and chlorhexidine irrigation were done for about 30seconds respectively. The metronidazole 25% dental gel was applied to periodontal pocket at 0,1 week in the test side.
The clinical and microbiological analysis carried out at baseline(0week) and 4,8 weeks.
The results of this study were as follows;
1. The sulcular bleeding index, probing pocket depth were significantly reduced in the test group. The relative proportions of spirochetes and motile rods were significantly reduced to negative control group and the proportion of cocci was correspondingly increased in the test group.
2. The sulcular bleeding index, probing pocket depth were significantly reduced in metronidazole group. and, there was a significant differences between 2 groups. Also, the relative proportions of spirochetes and motile rods were reduced in both group. And, there was a significant differences between 2 groups.
In conclusion, application of metronidazole 25% dental gel as an adjunct to mechanical debridement of root surfaces may improved the clinical and microbiological status of periodontal disease sites.

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