IP Indian Journal of Orthodontics and Dentofacial Research


Clinical effects of different antiplaque agents on patients undergoing fixed orthodontic treatment- A comparative study


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Author Details: Vijaylaxmi Mendigeri, Naveen Srinivas, Mahantesh Achanur, Ketki Sali, Praveenkumar Ramdurg

Volume : 3

Issue : 1

Online ISSN : 2581-9364

Print ISSN : 2581-9356

Article First Page : 43

Article End Page : 47


Abstract

Objectives: The purpose of this study was to compare the short-term clinical effects of a Chlorhexidine mouth wash (CHX-MW), Chlorhexidine gel (CHX), Metronidazole gel (MTZ) and combination of Chlorhexidine and Metronidazole (CHX-MTZ) in orthodontic patients with fixed appliances aged from 14 to 25 years.
Materials and Methods: One hundred fifty subjects undergoing fixed orthodontic treatment selected and divided into five groups: Group 1 – Controls, Group 2 – Chlorhexidine mouth wash (CHX-MW) gel, Group 3- Chlorhexidine (CHX) gel, Group 4 – Metronidazole (MTZ) gel and Group 5 – chlorhexidine-metronidazole (CHX-MTZ) gel. Clinical evaluation was undertaken using the probing depth (PD), Gingival Index (GI) and the Papillary Bleeding Index (PBI) at baseline, 2 weeks, 4 weeks, 8 weeks and 12 weeks. A subjective evaluation was also undertaken by questionnaire.
Results: Groups treated with all three gels (CHX, MTZ and CHX-MTZ) showed significant clinical improvement as compared to the controls and CHX-MW group. The reduction in PD, GI and PBI in the group treated with the CHX-MTZ combination gel was significant when compared to those treated with CHX and MTZ gels.
Conclusion: Topical application of CHX or MTZ alone or in combination may have a role in the management of gingivitis in orthodontic patients.

Keywords: Chlorhexidine; Metronidazole; Fixed orthodontic treatment; Probing depth; Gingival Index; Papillary Bleeding Index