Clinical Efficacy of Aloe Vera Chip as an Adjunct to Nonsurgical Therapy in the Treatment of Chronic Periodontitis

Abstract

Periodontitis is an infectious inflammatory disease. Turmeric and aloe vera has been used in dentistry for treating various oral conditions. In recent years various therapies like host response modulation and local drug delivery have been developed to block the pathways responsible for periodontal tissue breakdown. Although much information are there on the medical uses of Aloe vera and turmeric, limited literature is available regarding its use in field of dentistry. The purpose of this study was to evaluate the efficacy of Aloe vera as an adjunct to scaling and root planing (SRP) in patients with chronic periodontitis. The study included 20 subjects each with at least two periodontal pockets with PPD (probing pocket depths) ≥ 5-6 mm. The subjects were randomly divided into two groups. Scaling and root planning was performed for both the groups. Group I received turmeric chip and Group II received an Aloe vera chip. The clinical parameters including plaque index, gingival index, probing pocket depths and relative attachment levels were recorded at baseline, 21 days and 90 days. Both group showed improvement in site specific & full month plaque scores. Improvement in plaque score was significantly greater in the aloe group compared to turmeric group at 3 months. The GI in both group showed no difference at baseline & at 21 days, but there was a significant decrease in the GI score in the Aloe group compared to turmeric group at 3 months. PPD & CAL also showed no difference in both group at baseline & at 21 days & showed significant PPD reduction & CAL at 3 months Local drug delivery of Aloe vera chip into the periodontal pocket stimulated a significant increase in pocket depth reduction and clinical attachment level gain compared to turmeric chip as an adjunct to scaling and root planning in chronic periodontitis patients

Effect of Aloe vera as a local drug delivery agent in the management of periodontal diseases: A systematic review and meta-analysis

“…[ 31 32 ] Although mechanical oral hygiene is the easiest and effective strategy for plaque control, additional local drug delivery systems in adjunct to it is beneficial in inhibiting and reducing gingival plaque formation[ 32 33 34 ] A. vera in the form of chip has shown promising results in reducing the periodontal pockets. [ 17 ] The present meta-analysis focused on the local application of A. vera for the management of periodontal parameters. This review included the RCTs with nine studies for the PI and four for GI.…”

“…Different authors have utilized A. vera in various forms such as mouthwash, gel, dentifrice, and chip in contrast to multiple allopathic medications and found it useful in improving periodontal parameters. [ 7 15 16 17 ] Penmetsa GS et al . [ 18 ] compared A. vera mouthwash to chlorhexidine mouthwash.…”

Efficacy of Aloe vera Gel delivered locally as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis: A Pilot Study

“…Vitamin C in particular assists in wound healing by helping in connective tissue regeneration (collagen synthesis). 39 Thus, it can be speculated that Aloe vera extracts are beneficial in controlling and treating periodontal diseases by virtue of their antioxidant properties as well. Moore 40 used Aloe vera gel extensively in his patients and expressed that Aloe vera is not a malarkey, magic, or a myth but that it is truly a miraculous plant, which should be made a part of our medicines too.…”

Behavior of partially hydrolyzed polyacrylamide/polyethyleneimine reinforced with coal fly ash for preformed particle hydrogels

“…[7,8] Polymeric gels can be hydrophilic, soft, and semisolid systems derived from polymers that form a threedimensional network structure that swells in the presence of water. [9] One way to use gel systems for conformance control is through pre-formed particles, which are easily prepared at the surface with polymer and crosslinkers before being injected into the target reservoir. [10] Nevertheless, because of the soft and fragile nature of hydrogels, studies have focused on developing new polymeric hydrogels reinforced with fillers that have improved mechanical properties.…”