Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Endodontic‐periodontal disease with communication presents a significant challenge in dental practice, necessitating effective therapeutic approaches. Chlorhexidine, a widely used antimicrobial agent, has demonstrated efficacy in endodontic and periodontal treatments. This study aims to evaluate the efficacy of Chlorhexidine as an intracanal medicament on periodontal healing in patients with concomitant endodontic‐periodontal disease with communication. This randomized clinical trial was conducted at DR. B.R. Ambedkar Institute of Dental Sciences and Hospital, Patna. A total of 60 patients diagnosed with endodontic‐periodontal lesions with communication were randomly assigned to two groups. The test group (n=30) received Chlorhexidine as an intracanal medicament, while the control group (n=30) received standard calcium hydroxide. Clinical parameters, including probing depth (PD), clinical attachment level (CAL) and radiographic bone fill, were assessed at baseline, 3 months and 6 months post‐treatment. Statistical analysis was performed using paired t‐tests and ANOVA. The test group demonstrated a significant reduction in probing depth (PD) from 7.5±0.8 mm at baseline to 4.2±0.5 mm at 6 months (p<0.001). The clinical attachment level (CAL) improved from 8.2±0.7 mm to 5.0±0.6 mm (p<0.001). Radiographic bone fill increased by 45% compared to the baseline. In the control group, PD reduced from 7.4±0.9 mm to 5.1±0.6 mm, and CAL improved from 8.1±0.8 mm to 5.7±0.7 mm (p<0.05). The difference in the improvement between the test and control groups was statistically significant. The use of Chlorhexidine as an intracanal medicament significantly enhances periodontal healing in patients with concomitant endodontic‐periodontal disease with communication compared to standard calcium hydroxide treatment. Chlorhexidine's superior antimicrobial properties contribute to better clinical outcomes, making it a viable option for managing complex endodontic‐periodontal lesions.
How to cite this article:
Anamika Parashar. Efficacy of Chlorhexidine Intracanal Medicament on Periodontal Healing in Concomitant Endodontic‐Periodontal Disease With Communication: A Randomized Clinical Trial.
DOI: https://doi.org/10.36478/10.36478/makrjms.2023.12.574.577
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2023.12.574.577