title: Effect of Subgingivally Delivered 10% Emblica officinalis Gel as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis - A Randomized Placebo-controlled Clinical Trial.
abstract: Emblica officinalis fruit possesses varied medicinal properties including cytoprotective antimicrobial, antioxidant, antiresorptive and antiinflammatory activity. The present study aimed to investigate the effect of subgingival application of indigenously prepared E. officinalis (Amla) sustained-release gel adjunctive to scaling and root planing (SRP) on chronic periodontitis. Forty-six patients (528 sites) were randomly assigned to control group (23;264): SRP +placebo gel and test group (23;264): SRP + 10% E. officinalis gel application. Periodontal parameters: plaque index, gingival index, probing pocket depth (PPD), clinical attachment level (CAL) and modified sulcus bleeding index (mSBI) were assessed at baseline, 2 and 3-month post-therapy. Forty patients (470 sites) completed the trial. When test and control sites were compared, significantly more reduction in mean PPD, mSBI, number of sites with PPD = 5-6 mm, PPD ≥ 7 mm, CAL ≥ 6 mm and greater CAL gain were achieved in test sites at 2- and 3-month post-therapy (p < 0.05). Locally delivered 10% E. officinalis sustained-release gel used as an adjunct to SRP may be more effective in reducing inflammation and periodontal destruction in patients with chronic periodontitis when compared with SRP alone. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Department of Periodontics and Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Grover
authors.affiliation: Department of Periodontics and Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.
authors.forename: Shikha
authors.initials: S
authors.lastname: Tewari
authors.affiliation: Department of Periodontics and Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.
authors.forename: Rajinder K
authors.initials: RK
authors.lastname: Sharma
authors.affiliation: College of Pharmacy Pt. B.D. Sharma, University of Health Sciences, Rohtak, Haryana, India.
authors.forename: Gajendra
authors.initials: G
authors.lastname: Singh
authors.affiliation: Department of Microbiology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
authors.forename: Aparna
authors.initials: A
authors.lastname: Yadav
authors.affiliation: Department of Periodontics and Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.
authors.forename: Satish C
authors.initials: SC
authors.lastname: Naula
mesh_terms: D000328:Adult; D055113:Chronic Periodontitis / Q000188:drug therapy*; D005260:Female; D005638:Fruit / Q000737:chemistry*; D006801:Humans; D008297:Male; D029842:Phyllanthus emblica / Q000737:chemistry*; D016745:Root Planing / Q000379:methods*; D016896:Treatment Outcome
keywords: Emblica officinalis; chronic periodontitis; gel; placebo; root planing