IJPRD, 2013; Vol 5(09): November-2013 (060 – 066) International Standard Serial Number 0974 – 9446 Available online on www.ijprd.com 60 -------------------------------------------------------------------------------------------------------------------------------------------------- A COMPARATIVE EVALUATION OF THE EFFECT OF CHLOSITE & CHLORHEXIDINE MOUTH WASH IN THE MANAGEMENT OF CHRONIC PERIODONTITIS AS AN ADJUNCT TO SCALING AND ROOT PLANING - A CLINICO- MICROBIOLOGICAL STUDY Dr Rohit Rai* *Dept of Periodontology,Teerthanker Mahaveer Dental College & Research Centre, Moradabad, India ABSTRACT Introduction: The aim of the present study was to investigate the effects of SRP assisted by the two clinical treatment methods of Chlorhexidine Gel applications or Chlorhexidine mouth wash irrigation in comparison with SRP alone. Methods: Eight patients with moderate to severe chronic periodontitis, each with at least three pockets 4–7 mm deep, were selected for this study. Over 32 pockets were selected and randomly treated by either scaling and root planning (SRP) alone, or by SRP + Chlorhexidine mouth wash,or by SRP + chlorhexidine gel-xanthan based (gel group). The clinical indices (probing pocket depth [PPD], clinical attachment level [CAL], and gingival index mean score) and microbiological index (total bacterial count [TBC]) before, 1 month and three months after treatment were measured and evaluated. Results: The results showed that SRP assisted by chlorhexidine gel and Chlorhexidine mouthwash therapies exhibits better results than SRP alone in reducing PPD, improving clinical CAL, and reducing GI mean score and TBC (p < 0.05) both at one month and three months follow ups. Comparison of clinical indices between the mouth wash group and the gel group showed significant differences the follow up stages, in 3 months follow up interval, the TBC reduction in the Gel group was also significantly more than the mouth wash group (P < 0.05). Conclusion: Treatment with chlorhexidine gel as an adjunct to SRP may improve periodontal and microbiological indices compared to SRP alone & Chlorhexidine mouth wash group. Chlosite showed better bactericidal effects in long term. Keywords: Chlosite,Chlorhexidine, Chronic Periodontitis, Periopathogen, Periodontal Pocket, Plaque Control Correspondence Author DR ROHIT RAI Department of Periodontology, Teerthanker Mahaveer Dental College & Research Centre, Delhi Road,Moradabad. Email: periodontics07@gmail.com