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Objectives: The aim of this study was to compare the clinical effect of subgingival application of 25% metronidazole gel or 1% chlorhexidine gel as an adjunctive to scaling and root planing over a root planing alone. Materials and Methods: Ten adults (6 females and 4 males) with an age range of (30-60) years, each with at least three non-adjacent periodontally involved teeth with a probing pocket depth of ≥ 5mm and bleeding on probing participated in this randomized, split mouth, clinical study. A total of (394) sites were included in the study, the selected sites in each patient were divided into: Group 1 (root planing plus 25% metronidazole gel), Group 2 (root planing plus 1% chlorhexidine gel) and Group 3 (root planing alone).Clinical evaluation included: plaque index PLI (Silness and Loe, 1964), gingival index GI (Loe and Silness, 1963), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment level

sulaimani dental journal

Subgingival application of 25% metronidazole gel, 1% chlorhexidine gel as adjunctive therapy to scaling and root planing in treatment of chronic periodontitis