Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial

Introduction: Periodontitis is a chronic inflammatory disease manifested as the destruction of tooth supporting tissues, which may progress to tooth loss. The chemical antimicrobial agents are often applied locally into the periodontal pocket as adjuncts to conventional mechanical periodontal therap...

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Main Authors: Shilpa Trivedi, Jaya Dixit
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Orofacial Sciences
Subjects:
Online Access:http://www.jofs.in/article.asp?issn=0975-8844;year=2015;volume=7;issue=2;spage=80;epage=85;aulast=Trivedi
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author Shilpa Trivedi
Jaya Dixit
author_facet Shilpa Trivedi
Jaya Dixit
author_sort Shilpa Trivedi
collection DOAJ
description Introduction: Periodontitis is a chronic inflammatory disease manifested as the destruction of tooth supporting tissues, which may progress to tooth loss. The chemical antimicrobial agents are often applied locally into the periodontal pocket as adjuncts to conventional mechanical periodontal therapy, but these have various adverse effects. Root extract of Saussurea lappa has shown anti-inflammatory and anti-bacterial properties. Hence, the present study was aimed to assess and compare the effect of root extract of S. lappa to chlorhexidine gluconate as subgingival irrigant as an adjunct to scaling and root planing (SRP). Materials and Methods: Thirty chronic periodontitis patients in the age group of 25-45 years were selected for the study. Five hundred and forty periodontal pockets were treated by three different procedures: Group1: Subjects treated by SRP only, Group 2: In addition to SRP, irrigation with S. lappa extract was done and Group 3: Chlorhexidine was used as irrigant along with SRP. Periodontal clinical recordings (modified sulcular bleeding index, probing pocket depth, clinical attachment level, and the presence of pus discharge) were done at 0, 7, 14, 28, and 42 days. Results: The periodontal parameters studied improved in all the three groups over the time period. In 4-5 mm pockets, S. lappa treated group showed significant improvement than chlorhexidine treated group. Furthermore, a dramatic decrease in periodontal pockets with pus discharge was seen in this group. Conclusion: Subgingival irrigation with S. lappa might be a promising adjunct to conventional treatment options in the management of periodontal infections.
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spelling doaj.art-d7451ca48ba64b40b8c608ccd9acf54c2022-12-22T00:47:39ZengWolters Kluwer Medknow PublicationsJournal of Orofacial Sciences0975-88442015-01-0172808510.4103/0975-8844.169752Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trialShilpa TrivediJaya DixitIntroduction: Periodontitis is a chronic inflammatory disease manifested as the destruction of tooth supporting tissues, which may progress to tooth loss. The chemical antimicrobial agents are often applied locally into the periodontal pocket as adjuncts to conventional mechanical periodontal therapy, but these have various adverse effects. Root extract of Saussurea lappa has shown anti-inflammatory and anti-bacterial properties. Hence, the present study was aimed to assess and compare the effect of root extract of S. lappa to chlorhexidine gluconate as subgingival irrigant as an adjunct to scaling and root planing (SRP). Materials and Methods: Thirty chronic periodontitis patients in the age group of 25-45 years were selected for the study. Five hundred and forty periodontal pockets were treated by three different procedures: Group1: Subjects treated by SRP only, Group 2: In addition to SRP, irrigation with S. lappa extract was done and Group 3: Chlorhexidine was used as irrigant along with SRP. Periodontal clinical recordings (modified sulcular bleeding index, probing pocket depth, clinical attachment level, and the presence of pus discharge) were done at 0, 7, 14, 28, and 42 days. Results: The periodontal parameters studied improved in all the three groups over the time period. In 4-5 mm pockets, S. lappa treated group showed significant improvement than chlorhexidine treated group. Furthermore, a dramatic decrease in periodontal pockets with pus discharge was seen in this group. Conclusion: Subgingival irrigation with S. lappa might be a promising adjunct to conventional treatment options in the management of periodontal infections.http://www.jofs.in/article.asp?issn=0975-8844;year=2015;volume=7;issue=2;spage=80;epage=85;aulast=TrivediAntimicrobial, herbal, irrigation, periodontitis, subgingival
spellingShingle Shilpa Trivedi
Jaya Dixit
Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial
Journal of Orofacial Sciences
Antimicrobial, herbal, irrigation, periodontitis, subgingival
title Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial
title_full Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial
title_fullStr Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial
title_full_unstemmed Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial
title_short Clinical effects of irrigation with Saussurea lappa extract in the treatment of chronic periodontitis: A pilot randomized trial
title_sort clinical effects of irrigation with saussurea lappa extract in the treatment of chronic periodontitis a pilot randomized trial
topic Antimicrobial, herbal, irrigation, periodontitis, subgingival
url http://www.jofs.in/article.asp?issn=0975-8844;year=2015;volume=7;issue=2;spage=80;epage=85;aulast=Trivedi
work_keys_str_mv AT shilpatrivedi clinicaleffectsofirrigationwithsaussurealappaextractinthetreatmentofchronicperiodontitisapilotrandomizedtrial
AT jayadixit clinicaleffectsofirrigationwithsaussurealappaextractinthetreatmentofchronicperiodontitisapilotrandomizedtrial