the research highlight the effectiveness of probiotics as adjuncts to SRP in the treatment of periodontitis stage III grade C molar-incisor pattern
Background data : Periodontitis is a common disease that represents a public health problem. Aggregatibacter actinomycetemcomitans (A. a ) especially the JP2 genotype plays a major role in the pathogenesis of periodontitis. The aim of this study is to evaluate the effect of topically applied probiotics on the management of periodontitis stage III grade C molar-incisor pattern. Methods: Sixty-five patients having periodontitis stage III grade C molar-incisor pattern. Screening for A. actinomycetemcomians (A.a) and the JP2 genotype was done using conventional polymerase chain reaction (PCR). Patients positive for (A. a) were randomly divided into two groups. Group I: received conventional periodontal treatment combined with topically applied probiotic, while Group II: received conventional periodontal treatment only. Both groups were evaluated microbiologically and clinically. Quantitative assessment of A. a levels was done by real time PCR (qPCR) at baseline as well as one week, 4 weeks, and 12 weeks after treatment. Clinical parameters were assessed before treatment as well as 3,6 and 9 months after treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
65
intra-pocket formula (local delivery drug)
intra-pocket formula (local delivery drug)
Alazhar university ,faculty of Dental Medicine
Asyut, Egypt
quantitative assessment of A. actinomycetemcomians levels by picogram
Microbiological evaluation by picogram
Time frame: at baseline (before treatment) used by conventional PCR
Assessment of clinical periodontal parameter : Probing pocket Depth (PPD) by mm
Clinical evaluation mm
Time frame: at base line , 1 , 3 , 6 months
Assessment of clinical periodontal parameter : Clinical Attachment Level (CAL) by mm
Clinical evaluation by "mm"
Time frame: at base line , 1 , 3 , 6 months
quantitative assessment of A. actinomycetemcomians levels by picogram
microbiological by picogram
Time frame: baseline ,1 ,3 and 6 months
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