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Punica granatum: An Adjunct in the Non-Surgical Management of Chronic Periodontitis
Alina Pauly1, R Vinaya Kumar1, Nimmi Janardhanan1
1Department of Periodontology, RajaRajeswari Dental College and Hospital, Bangalore, Karnataka, India.
Background:
Periodontitis is a persistent inflammatory condition resulting in tooth loss. Mechanical treatment alone may inadequately eradicate microorganisms from pockets, necessitating the additional local injection of pharmaceuticals. Pomegranate has strong antibacterial, antiviral, antioxidant, anti-inflammatory, wound healing, and probiotic effects.
Aim:
To evaluate the efficacy of locally delivered pomegranate gel when used as an adjunct to scaling and root planning (SRP) in the treatment of chronic periodontitis (CP).
Material And Methods:
A total of 20 patients contributing 120 sites randomly received one of the three treatment protocols and resultant clinical parameters were assessed at baseline, 3 months, and 6 months.
Results:
All three treatment modalities resulted in significant improvement in all clinical parameters with the greatest improvement in probing pocket depth (PPD) and relative attachment level (RAL) noted in Group 3.
Conclusion:
Local application of 5%-pomegranate gel after SRP is effective in CP patients and hence can be recommended as an adjunctive non-surgical treatment option.
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