Comparison of low level laser therapy and oxygen based oral gel as an adjunct to scaling and root planing on gingival inflammation in orthodontic patients with fixed appliances A split mouth randomized trial.

Research question - What are the comparative effects of low level laser therapy and oxygen based oral gel on reducing gingival inflammation in orthodontic patients with fixed appliances?

-OBJECTIVE OF THE STUDY-

1. To assess the efficacy of –

- Low level LASER therapy (LLLT) in the treatment of gingival inflammation in patients undergoing fixed orthodontic treatment.

- Oxygen based oral gel in the treatment of gingival inflammation in patients undergoing fixed orthodontic treatment.

- Scaling and root planing in the treatment of gingival inflammation in patients undergoing fixed orthodontic treatment.

 2. To compare the efficacy of above treatment modalities

INCLUSION CRITERIA-

• Aged between 17 and 25 years who received active orthodontic treatment for at least 4 to 6 months.

• Participants with at least 24 natural teeth (excluding 3rd molars).

• Participants with gingival index score of more than 1 (Loe and Silness, 1963)

 EXCLUSION CRITERIA-

• Medically compromised patients

• Those requiring special health care needs

• Patients having a history of antibiotic intake for last 3 months.

• Patients who had used any type of antibacterial mouthwash 2 weeks before the study Ø smokers

• Pregnant or lactating women

 STUDY PROCEDURE

- Screening for selection of patients

- Full mouth scaling and root planning will be done for all patients

- Allocation of groups (split mouth technique)

GROUP  A- oxygen based oral gel(blue®m gel)

GROUP B -Low-level LASER therapy,(IndiLaseâ„¢ 660nm wavelength)

GROUP C1-Control (Scaling and root planing)

GROUP C2-Control (Scaling and root paning)

The following clinical parameters will be recorded at baseline,

7th and 14th day –

1.      Gingival index (GI) [Loe and Silness, 1963]

2.      Plaque index (PI) [Silness and Loe, 1964]

3.      Gingival bleeding index (GBI) [Ainamo and Bay, 1975]

Patients of all groups will be given uniform oral hygiene instructions.

 Benefits from study –

Fixed orthodontic appliances make oral hygiene maintenance difficult and may result in gingivitis. Adjunctive oral hygiene procedures such as SRP, application of topical gel or laser irradiation may be beneficial.