Background: Periodontal pathogens can induce free radicals over-formation and thus may cause collagen and
periodontal destruction. Anti-oxidants are used as supplements to counteract the over production of free radicals in
periodontal disease, that can reduce of collagen destruction. Coenzyme Q10 serves as an endogenous antioxidant,
regenerates other antioxidants, stimulates cell growth, and inhibits cell death. Because it is an antioxidant, coenzyme
Q10 has received much research attention associated with periodontal diseases. Perio Q gel may possibly be
effective as a topical agent and as an adjunct to scaling& root planing in treatment of gingivitis and chronic
periodontitis.
Aim of study:Determine the periodontal health status in a follow up study for 6 weeks of a group of patients with
chronic periodontitis by measuring clinical periodontal parameters, which included (Plaque index, Gingival index,
Bleeding on Probing, Probing Pocket Depth and Relative Attachment Level) and to evaluate the effect of intra
pocket application of perio Q gel (coenzyme Q10) alone & as adjunct to scaling,& root planing on the periodontal
clinical parameters in the management of patients with chronic periodontitis.
Materials and methods: A total of 323 sites with pocket depth (5-8) mm in patients with chronic periodontitis were
randomly divided in three groups. The Gel group, 111 sites were treated with intra-pocket application of Perio Q gel
alone. In the Combination group, 106 sites were treated with scaling and root planning (SRP) plus intra- pocket
application of Perio Q gel, in Scaling and root planing group, 106 sites were treated with scaling and root planing
alone. Clinical periodontal parameters such as Plaque index (PI), Gingival index (GI), Bleeding on probing (BOP),
Probing pocket depth (PPD), Relative attachment level (RAL) were assessed at first visit, 3weeks and 6weeks.
Results: on intra-group analysis, all groups showed highly significant reduction in PI, GI, BOP, PPD and RAL among the
three visits .On inter-group analysis, the results showed significant reduction in the clinical parameters PPD and RAL of
combination group in comparison to SRP group.
Conclusion: The results of the research were encouraging and suggested the possibility to use the gel as a sole agent
to support standard treatment procedures in periodontitis. The clinical parameters significantly improved in the phase
of periodontal treatment, indicating that CoQ10 opens new treatment options by improving the host response to
disease activity. |