Effcacy of ozonised water and 0,2% chlorhexidine gluconate in the management of chronic periodontitis

Aim: To evaluate the efficacy of irrigation of periodontal pockets by using ozonated water and 0.2% chlorhexidine (CHX) gluconate in the management of chronic periodontitis. Materials and methods: 40 patients suffering from chronic periodontitis were involved in the study. They were divided into two groups with 20 patients. Dental Plaque Index, Gingival Inflammation Index, Periodontal Pocket depth and Clinical Attachment Level were recorded for both groups at the baseline visit and after 4 weeks interval, when they were subsequently recalled. During and after treatment of scaling and root planning, the first group was irrigated with ozonated water and the other group was irrigated with 0.2% chlorhexidine gluconate for two minutes. Collected data was compiled to statistical analysis. Results: The present study showed significant results regards to the improvement in the clinical parameters in the both groups. When the parameters were compare between the groups, ozonated water showed slightly better improvement than the chlorhexidine group. However, a statistically significant difference was seen for Index of gingival inflammation (IGI). Conclusion: Subgingival irrigation with ozonized water is proving to be a new useful treatment modality which offers great benefits to the patients. Ozonated water restricts the formation of dental plaque and reduces the number of subgingival pathogens. The strong antimicrobial power of ozone, its ability to stimulate the circulatory system and modulate the immune response, makes it a remedial agent of choice as an irrigant in conjugation with first phase therapy in the treatment of periodontitis.