TO COMPARE THE EFFECT OF ROOT SURFACE DEBRIDEMENT WITH AND WITHOUT CHLORHEXIDINE MOUTHWASH IN STAGE III AND STAGE IV PERIODONTITIS PATIENTS
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Keywords
Chlorhexidine, Root Surface Debridement, Periodontitis, Pocket Depth, Bleeding on Probing
Abstract
Background: To compare the clinical effectiveness of chlorhexidine mouthwash with and without root surface debridement in patients with Stage lll and Stage IV periodontitis.
Methods: A randomized controlled clinical trial was conducted at Sardar Begum Dental College from July 2024 to November 2024. A total of 72 patients with Stage lll and Stage IV periodontitis ‘were randomly allocated into two groups One group received RSD followed by CHX at home for 2 weeks and other group received RSD alone with regular oral hygien instructions. Clinical parameters, including probing pocket depth (PPD) and bleeding on probing (BOP), were recorded at baseline and after 3 months. Statistical analysis was performed using SPSS version 26, with p < 0.05 considered significant.
Results: Both groups demonstrated significant reductions in mean PPD and BOP at 3 months compared to baseline (p < 0.001). The RSD-only group showed a mean PPD reduction of –2.1 ± 0.6 mm and a BOP reduction of –35.7 ± 9.1%, while the CHX + RSD group showed reductions of –2.3 ± 0.7 mm and –37.3 ± 9.6%, respectively. However, the between-group differences were not statistically significant (p > 0.05).
Conclusion: Chlorhexidine mouthwash significantly improves periodontal parameters in Stage lll and Stage IV periodontitis, but the addition of root surface debridement does not provide additional short-term clinical benefit. Longer-term studies are needed to determine whether combined therapy offers superior outcomes.
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Dr Wajiha Khan
Senior Registrar, Periodontology, Sardar Begum Dental College and Hospital, Peshawar, Pakistan.
Dr Awais Khan
House Officer, Sardar Begum Dental College and Hospital, Peshawar, Pakistan
Dr Haseeb ul Haq
House Officer, Sardar Begum Dental College and Hospital, Peshawar, Pakistan