title: Local delivery of hyaluronan 0.8% as an adjunct to scaling and root planing in the treatment of chronic periodontitis: A clinical and microbiological study.
abstract: BACKGROUND
  The purpose of this study was to assess the clinical and microbiological effects of the local and sub-gingival application of a hyaluronan gel on scaling and root planing (SRP) in the treatment of moderate generalized chronic periodontitis.
  
  
  METHODS
  In this split mouth study, 72 teeth in 18 patients with generalized chronic periodontitis with moderate severity were chosen for the study. Plaque samples were obtained by paper points at required intervals. Contra-lateral pairs of premolars and canine teeth in the maxilla or the mandible were selected to receive test treatment or serve as controls. Experimental jaw quadrants received sub-gingival administration of 0.2-ml 0.8% hyaluronan gel into selected sites following SRP and 1-week later. Clinical parameters were assessed at baseline, 1(st), 4(th), and 12(th) week. Colony-forming units (CFU) per milliliter were assessed at baseline, after SRP and after 2 weeks of drug insertion Student t-test and repeated measure ANOVA (RMANOVA) were used in this study. RMANOVA was used to find the significance in bleeding on probing (BOP) and plaque index (PI) and t-test for probing pocket depth (PPD) and clinical attachment level (CAL).
  
  
  RESULTS
  The results revealed that there was a significant reduction in BOP (P < 0.001) PI (P < 0.001), PPD (P < 0.001) and CAL (P < 0.001) were also observed in experimental jaw quadrant following SRP and insertion of 0.8% hyaluronan when compared with the control group. A statistically significant reduction of CFUs was also found (P < 0.001) in the experimental site when compared with the control site.
  
  
  CONCLUSIONS
  Sub-gingival placement of 0.2-ml of 0.8% hyaluronan along with SRP resulted in a significant improvement in both clinical and microbiological parameters when compared with the control site.
authors: Department of Periodontology, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, India.
authors: Tejaswin
authors: T
authors: Polepalle
authors: Department of Periodontology, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, India.
authors: Moogala
authors: M
authors: Srinivas
authors: Department of Periodontology, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, India.
authors: Narasimha
authors: N
authors: Swamy
authors: Department of Anthropology, Division of Human Genetics, S.V. University, Tirupati, Andhra Prdaesh, India.
authors: Sudheer
authors: S
authors: Aluru
authors: Department of Periodontology, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, India.
authors: Swarna
authors: S
authors: Chakrapani
authors: Department of Periodontology, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, India.
authors: Bollepalli Appaiah
authors: BA
authors: Chowdary
keywords: Hyaluronan gel; scaling and root planing; sub-gingival application