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Trijani Suwandi, drg, Sp. Perio

• Dentist, graduated from Faculty of Dentistry, Trisakti University, year 1993
• Graduated in Periodontics, Faculty of Dentistry, University of Indonesia, year 2003
• Lecturer in Periodontology Department, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
• Practice :
     - Clinical Specialist in Periodontology, Dental Hospital Trisakti University, Jakarta, Indonesia.        Telp (+62 21) 5672731 ext. 1709
     - Citra Garden 1 ext. AD-2 no. 15 West Jakarta. Telp (+62 21) 5403753
CLINICAL EFFECTS OF THE SUB GINGIVAL APPLICATION BETWEEN 25% METRONIDAZOLE GEL
AND 10% POVIDINE-IODINE AS ADJUNCTIVE THERAPY OF SCALING
AND ROOT PLANING IN CHRONIC PERIODONTITIS
Trijani Suwandi
Participant of Educational Program for Periodontic Specialist
Trijani Suwandi : Clinical effects of the subgingival application between 25% metronidazole gel and 10% povidine-iodine as adjunctive therapy of Scaling Root Planing (SRP) in Chronic Periodontitis. Journal of Dentistry University of Indonesia, 2003:10 (Special Edition), 669-674.
          Metronidazole gel 25% as an adjunct to scaling and root planing showed clinical effect better than scaling and root-planing alone. In Indonesia metronidazole gel is not popular, since probably it is expensive and not easy to obtain, so there is an idea to make metronidazole gel 25% mixture with relative cheaper. The purpose of the study was to evaluate clinical effect of metronidazole gel 25%. Thirty Chronic Adult Periodontitis patients possessing at least 3 teeth 6mm pocket depth, 4mm attachment loss, and bleeding on probing were selected and grouped into metronidazole 25%, PVP-I 10%, and as controle respective. After SRP of all quadrant, 3 teeth were randomly selected as respectively metronidazole gel 25% and PVP-I 10% were applied on day 0 and day 7. BOP, PPD, and clinical attachment gain were recorded at baseline and 1 month post therapy. Bleeding on probing was analyzed using Kruskal-Wallis test, pocket depth and attachment gain were analyzed using Anova test. The result showed a significant difference in each group before and after the application. However, metronidazol group was the best compared to the other two groups.

Key words: Metronidazol gel 25%; PVP-I 10%; scaling and root planing; chronic adult periodontitis
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