The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial

Background: Probiotics catch more attention as adjunctive periodontal therapy. This study was conducted to assess the benefit of locally delivered Lactobacillus reuteri (L. reuteri) probiotic as an adjunctive to scaling and root planing (SRP) in the treatment of chronic periodontitis clinically and...

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Autores principales: Ghadeer Khalil Mohamed El-bagoory, Hoda Mohamed El-guindy, Malak Yousef Mohamed Shoukheba, Enas Arafa El-zamarany
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:d57648d67b14493581d422f1e3ed084c2021-11-12T10:23:42ZThe adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial0972-124X10.4103/jisp.jisp_114_21https://doaj.org/article/d57648d67b14493581d422f1e3ed084c2021-01-01T00:00:00Zhttp://www.jisponline.com/article.asp?issn=0972-124X;year=2021;volume=25;issue=6;spage=525;epage=531;aulast=El-bagooryhttps://doaj.org/toc/0972-124XBackground: Probiotics catch more attention as adjunctive periodontal therapy. This study was conducted to assess the benefit of locally delivered Lactobacillus reuteri (L. reuteri) probiotic as an adjunctive to scaling and root planing (SRP) in the treatment of chronic periodontitis clinically and microbiologically. Materials and Methods: Bacterial cultures and clinical evaluation were recorded in 20 sites of chronic periodontitis in 12 patients and followed up at 3 and 6 months from the start of intervention using clinical attachment level, probing pocket depth, plaque index (PI), bleeding on probing, and microbiologically for Porphyromonas gingivalis (P. gingivalis) load. Patients meeting the inclusion criteria were scheduled within 1 week for two sessions of SRP. After SRP, oral hygiene measures were reassured, and sites were divided randomly into two groups 10 sites each. Group I received SRP only, while Group II received SRP and subgingival delivery of 1 ml of probiotic L. reuteri suspension at baseline and 1, 2, and 4 weeks using a blunt syringe. A periodontal pack was applied after the placement of the drug. Results: We found noticeable variation between the two groups in all evaluation aspects at 3 and 6-month follow-up periods except PI at 6 months in which there was no significant difference between both groups. Conclusions: The results proved the antimicrobial benefit of L. reuteri probiotic as a promising adjunctive therapy in improving periodontal parameters. However, further long-term studies with large sample size are needed to evaluate the extent of the added value of L. reuteri suspension.Ghadeer Khalil Mohamed El-bagooryHoda Mohamed El-guindyMalak Yousef Mohamed ShoukhebaEnas Arafa El-zamaranyWolters Kluwer Medknow Publicationsarticle lactobacillus reuteri periodontitispolymerase chain reactionprobioticsroot planingDentistryRK1-715ENJournal of Indian Society of Periodontology, Vol 25, Iss 6, Pp 525-531 (2021)
institution DOAJ
collection DOAJ
language EN
topic lactobacillus reuteri
periodontitis
polymerase chain reaction
probiotics
root planing
Dentistry
RK1-715
spellingShingle lactobacillus reuteri
periodontitis
polymerase chain reaction
probiotics
root planing
Dentistry
RK1-715
Ghadeer Khalil Mohamed El-bagoory
Hoda Mohamed El-guindy
Malak Yousef Mohamed Shoukheba
Enas Arafa El-zamarany
The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial
description Background: Probiotics catch more attention as adjunctive periodontal therapy. This study was conducted to assess the benefit of locally delivered Lactobacillus reuteri (L. reuteri) probiotic as an adjunctive to scaling and root planing (SRP) in the treatment of chronic periodontitis clinically and microbiologically. Materials and Methods: Bacterial cultures and clinical evaluation were recorded in 20 sites of chronic periodontitis in 12 patients and followed up at 3 and 6 months from the start of intervention using clinical attachment level, probing pocket depth, plaque index (PI), bleeding on probing, and microbiologically for Porphyromonas gingivalis (P. gingivalis) load. Patients meeting the inclusion criteria were scheduled within 1 week for two sessions of SRP. After SRP, oral hygiene measures were reassured, and sites were divided randomly into two groups 10 sites each. Group I received SRP only, while Group II received SRP and subgingival delivery of 1 ml of probiotic L. reuteri suspension at baseline and 1, 2, and 4 weeks using a blunt syringe. A periodontal pack was applied after the placement of the drug. Results: We found noticeable variation between the two groups in all evaluation aspects at 3 and 6-month follow-up periods except PI at 6 months in which there was no significant difference between both groups. Conclusions: The results proved the antimicrobial benefit of L. reuteri probiotic as a promising adjunctive therapy in improving periodontal parameters. However, further long-term studies with large sample size are needed to evaluate the extent of the added value of L. reuteri suspension.
format article
author Ghadeer Khalil Mohamed El-bagoory
Hoda Mohamed El-guindy
Malak Yousef Mohamed Shoukheba
Enas Arafa El-zamarany
author_facet Ghadeer Khalil Mohamed El-bagoory
Hoda Mohamed El-guindy
Malak Yousef Mohamed Shoukheba
Enas Arafa El-zamarany
author_sort Ghadeer Khalil Mohamed El-bagoory
title The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial
title_short The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial
title_full The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial
title_fullStr The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial
title_full_unstemmed The adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: A randomized controlled clinical trial
title_sort adjunctive effect of probiotics to nonsurgical treatment of chronic periodontitis: a randomized controlled clinical trial
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/d57648d67b14493581d422f1e3ed084c
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