Clinical study evaluating the effectiveness and efficiency of metrohex plus gel and diode laser therapy along with standard mechanical debridement for managing chronic periodontitis

Abstract

Aim A study was carried out to determine how effective diode lasers and metrohex plus gel are at managing chronic periodontitis when compared to standard periodontal therapy. Materials and methods A total of 90 sites having periodontal probing depth more than or equal to 5 mm were included with patients aged around 35–60 years. Each group contains 30 sites as follows: group I laser-assisted new attachment procedure, group II metrohex plus gel, group III SRP alone. Results Based on the average GI value at baseline, 1 and 3 months, the values were 1.9 ± 0.67, 0.99 ± 0.26, and 0.89 ± 0.19, respectively. The mean PI* score decreased to 1.12 ± 0.31 at 1 month and 0.80 ± 0.31 at 3 months from 2.30 ± 0.58 at baseline. A periodontal probing depth reduction of 0.85 ± 0.03 mm was observed at 3 months for sites treated with laser, which was significantly higher than the reductions for sites treated with metrohex plus (metronidazole 10 mg + chlorhexidine gluconate 0.25% w/w and hyaluronic acid) and SRP alone. Periodontal probing depth reductions were not significantly different between groups I and II. Group II showed a 0.35 ± 0.11 mm improvement in clinical attachment level compared to group III. Conclusion As opposed to simple SRP, diode laser therapy and metrohex plus gel improve all clinical parameters in patients with periodontitis.