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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, Year : 2017

Article Page : 43-47

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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


How to cite : Mendigeri V, Srinivas N, Achanur M, Sali K, Ramdurg P, Clinical effects of different antiplaque agents on patients undergoing fixed orthodontic treatment- A comparative study. IP Indian J Orthod Dentofacial Res 2017;3(1):43-47

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