COMPARATIVE EVALUATION OF LACTOBACILLUS SALIVARIUS PROBIOTIC GEL AND CHLORHEXIDINE GEL AS AN ADJUNCT TO SCALING AND ROOT PLANING IN THE MANAGEMENT OF CHRONIC PERIODONTITIS: A RANDOMIZED CLINICAL STUDY

Aishwarya Golapala; Deepa Anumala; Sree Ramya Chennuru; Padmini Raj Moturi; Satyasri Pothavarjula; Kishore Kumar Katuri

doi:10.37022/wjcmpr.v8i1.393

Authors

Aishwarya Golapala Postgraduate Student, Department of Periodontology, Sibar Institute of Dental Sciences, Guntur-522509, Andhra Pradesh, India
Deepa Anumala Professor, Department of Periodontology, Sibar Institute of Dental Sciences, Guntur – 522509, Andhra Pradesh, India
Sree Ramya Chennuru Postgraduate Student, Department of Periodontology, Sibar Institute of Dental Sciences, Guntur-522509, Andhra Pradesh, India
Padmini Raj Moturi Postgraduate Student, Department of Periodontology, Sibar Institute of Dental Sciences, Guntur-522509, Andhra Pradesh, India
Satyasri Pothavarjula Postgraduate Student, Department of Periodontology, Sibar Institute of Dental Sciences, Guntur-522509, Andhra Pradesh, India
Kishore Kumar Katuri Professor, Department of Periodontology, Sibar Institute of Dental Sciences, Guntur – 522509, Andhra Pradesh, India

Abstract

Aim: To evaluate and compare the efficacy of probiotic gel containing Lactobacillus salivarius and chlorhexidine gel as adjunct to scaling and root planing in patients with chronic periodontitis.

Materials and Methods: Group I (n = 24) received scaling and root planing (SRP) followed by local application of Lactobacillus salivarius probiotic gel, while Group II (n = 24) received SRP followed by chlorhexidine gel. Clinical parameters, including plaque index, sulcular bleeding index, probing pocket depth, and clinical attachment level, were recorded at baseline and after 3 months. Intragroup and intergroup comparisons were performed using appropriate statistical tests, with statistical significance set at p < 0.05.

Results: Intragroup comparison showed significant improvement in all clinical parameters at 3 months (p < 0.05). Intergroup comparison at 3 months showed significantly lower PPD and CAL in the probiotic group (p < 0.05), while PI and SBI were comparable (p > 0.05).

Conclusion: Probiotic gel containing Lactobacillus salivarius used as an adjunct to SRP demonstrated superior clinical improvement in probing pocket depth and clinical attachment levels compared to chlorhexidine gel.

Keywords:

Chronic periodontitis, Probiotics, Lactobacillus salivarius, Chlorhexidine gel, Scaling and root planning

DOI

https://doi.org/10.37022/wjcmpr.v8i1.393

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