Evaluation of Efficacy of Probiotic Lozenges as an Adjunct to Scaling and Polishing in the Treatment of Moderate Gingivitis – A Clinical and Microbiological Study.

Abstract

Introduction: In Periodontal disease, both host and bacterial challenge are the main etiological factors for tissue destruction The presence of pathogenic bacteria and the absence of beneficial bacteria along with susceptibility of the host are the key factors responsible for periodontal involvement. When healthy flora is maintained, it may inhibit colonization by pathogenic bacteria, thus protecting the host from the development of periodontitis. Probiotics (living microorganisms) confer health benefits on the host when administered in sufficient doses

Objectives: To evaluate and compare the efficacy of Probiotic lozenges as an adjunct to Scaling and Polishing with Scaling and Polishing alone in Chronic moderate Gingivitis subjects. Assessment and comparison of Plaque index, Gingival index and C. Actinomyces viscous microbial profile before and after using probiotic lozenges as an adjunct to scaling and polishing with scaling and polishing alone in gingivitis subjects.

Methods: 50 participants recruited were divided into Control and Probiotic group. Both groups underwent scaling and polishing, while Group B was advised Probiotic lozenges twice a day for two weeks.

Results:  Statistically highly significant reduction was seen in Mean Plaque index and Mean Gingival index in both the groups from baseline to 2 weeks post-treatment. Statistically there was no significant difference when both the groups were compared. The microbial profile of Actinomyces Viscosus showed statistically highly significant reduction at 2 weeks with Probiotic lozenges group as compared to Control group.

Conclusions: Probiotic lozenges may be used as an adjunct to non-surgical therapy in the treatment of Gingivitis and thus help halt the growth of microorganisms and prevent its progression to periodontitis.