DIFFERENCES IN EFFECTIVENESS OF OCIMUM-SANCTUM 4% GEL AND 25% METRONIDAZOLE GEL POST SCALING ROOT-PLANING IN CHRONIC PERIODONTITIS
DOI:
https://doi.org/10.30659/odj.8.1.141-146Keywords:
4% ocimum-sanctum, scaling root planing, chronic periodontitis, TNF-α, IL-1βAbstract
Background: Chronic periodontitis is a disease that causes inflammation of the tooth supporting tissue, loss of periodontal attachment, and loss of alveolar bone. Root planning scaling treatment is carried out to remove irritants and microorganisms. The use of additional materials is required when the pocket depth is more than 5 mm. One of the herbal ingredients that has the potential as an adjunct to periodontal therapy is the 4% ocinumsanctum.
Method: The sample consisted of 20 periodontal pockets with a depth of 4-6 mm which were given scaling root planning which were divided into two groups, namely 10 pockets given 4% maximum sanctum gel and 10 pockets given Metronidazole gel 25%. evaluations of the papillary bleeding index, TNF-α, and IL-β were performed at baseline, and on day 21. TNF-α and IL-β levels were taken through the gingival sulcus fluid and then tested using ELISA.
Result: Papillary bleeding index, TNF-α, and IL-β levels showed a significant reduction in both groups but there was no significant difference between the 4% ocimum sanctum group and Metronidazole gel.
Conclusion: ocimum sanctum application 4% post scaling root planning was able to lower papillary bleeding index score, TNF-α levels, and IL-β.
References
Carranza et al. https://t.me/LibraryEDent. 2018. 127–150 p.
Trijani S. Efek Klinis Aplikasi Subgingival Racikan Gel Metronidasol 25% dan Larutan Povidon-Iodin 10% sebagai Terapi Penunjang Skeling-Penghalusan Akar pada Periodontitis Kronis [Tesis]. Fak Kedokt Gigi Univ Indones. 2003;
Cohen MM. Tulsi - Ocimum sanctum: A herb for all reasons. J Ayurveda Integr Med. 2014;5(4):251–9.
Gupta D, Bhaskar DJ, Gupta RK, Karim B, Jain A, Singh R, et al. A randomized controlled clinical trial of Ocimum sanctum and chlorhexidine mouthwash on dental plaque and gingival inflammation. J Ayurveda Integr Med. 2014;5(2):109–16.
Bessa Rebelo MA, de Queiroz AC. Gingival Indices: State of Art. Gingival Dis - Their Aetiol Prev Treat. 2011;(September 2011).
Madduluri S, Babu Rao K, Sitaram B. In vitro evaluation of antibacterial activity of five indigenous plants extract against five bacterial pathogens of human. Int J Pharm Pharm Sci. 2013;5(SUPPL.4):679–84.
Saputri FC, Zahara R. Uji Aktivitas Anti-Inflamasi Minyak Atsiri Daun Kemangi (Ocimum americanum L.) pada Tikus Putih Jantan yang Diinduksi Karagenan. Pharm Sci Res. 2016;3(3):107–19.
Issazadeh K, Reza M, Khoshkholgh M, Bidarigh S, Giahi M, Muradov PZ. International Journal of Molecular and Clinical Microbiology Analysis of the Phytochemical Contents and Anti-microbial Activity of Ocimum basilicum L . Phytochem Anal. 2012;1:141–7.
Gaur J, Chandra J, Chaudhry S, Vaish S, Dodwad V. Assessment of 4% ocimum sanctum and 0.2% chlorhexidine irrigation as an adjunct to scaling & root planing in management of chronic periodontitis-a randomized controlled trial. J Dent Spec. 2015;3(2):217.
Afshar MK, Safarian F, Torabi M, Farsinejad A, Mohammadzadeh I. Comparison of TNF-α and IL-1β concentrations in gingival crevicular fluid during early alignment stage of orthodontic treatment in adults and adolescents. Pesqui Bras Odontopediatria Clin Integr. 2020;20:1–8.
Tawfig N. Proinflammatory Cytokines and Periodontal Disease. J Dent Probl Solut. 2016;3:012–7.
Rizzo A, Paolillo R, Guida L, Annunziata M, Bevilacqua N, Tufano MA. Effect of metronidazole and modulation of cytokine production on human periodontal ligament cells. Int Immunopharmacol [Internet]. 2010;10(7):744–50. Available from: http://dx.doi.org/10.1016/j.intimp.2010.04.004
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

This work is licensed under a Creative Commons Attribution 4.0 International License.
