Use of membranes containing 20% chlorhexidine and 40% doxycycline for treatment of chronic periodontal pockets

J Nihon Univ Sch Dent. 1994 Sep;36(3):191-8. doi: 10.2334/josnusd1959.36.191.

Abstract

A study was carried out to compare the effects of subgingival applications of resorbable hydroxypropylmethylcellulose (HPMC) membranes containing 20% chlorhexidine (CHx) and 40% doxycycline (DOXY) placed subgingivally in periodontal pockets greater than 5 mm in depth. Each of 11 patients had at least four pockets. HPMC strips containing CHx and DOXY were inserted into each pocket twice a week for 6 w. One pocket was kept as a control and the other received subgingival scaling and root planing at 0, 1, 3 and 6 w. The microbial flora of 44 pockets from the 11 patients was examined using dark-field microscopy at the baseline and at 1, 3, 6 and 10 w. Clinical parameters including probing depth, crevicular fluid flow, bleeding on probing and gingival shrinkage were also recorded. The CHx and DOXY-administered or root-planed pockets showed marked reduction of both pocket depth and the number of motile organisms. Less bleeding was also observed in CHx and DOXY-inserted pockets.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Analysis of Variance
  • Biodegradation, Environmental
  • Chlorhexidine / administration & dosage*
  • Chronic Disease
  • Delayed-Action Preparations
  • Doxycycline / administration & dosage*
  • Female
  • Humans
  • Hypromellose Derivatives
  • Male
  • Membranes, Artificial
  • Methylcellulose / analogs & derivatives
  • Middle Aged
  • Periodontal Index
  • Periodontal Pocket / drug therapy*
  • Periodontal Pocket / microbiology

Substances

  • Delayed-Action Preparations
  • Membranes, Artificial
  • Hypromellose Derivatives
  • Methylcellulose
  • Doxycycline
  • Chlorhexidine