Clarithromycin is an Adjunct to Scaling and Root Planing

Background & Objectives: Along with conventional non-surgical periodontal therapy (NSPT) systemic antimicrobials may provide more effective treatment for chronic periodontitis by targeting tissue-invasive bacteria. The aim of this study was to evaluate the adjunctive effects of oral clarithromycin (CLM) to nonsurgical periodontal therapy for chronic periodontitis.

Materials and Methods: 30 patients were categorized into two groups: test group - Base line scaling and root planing(SRP) was done. Clarithromycin tablet 500 mg( Clarino-500) was given for a period of 7 days orally two times per day. control group -only SRP done . Clinical parameters were recorded at baseline , 3 months, and six months interval .They included gingival index (GI), probing depth (PD), and clinical attachment level (CAL). Also microbial analysis of subgingival plaque samples was done at baseline, 3months and six months interval to estimate the levels of Pg and Aa bacteria using culture methods. Immunological parameter like estimation of C-Reactive protein was done in both groups at baseline 3 months and 6 months period. tests were used for statistical analysis.

Inclusion criteria

• Patients age ranged between 30- 50 years with chronic periodontitis
• Patients with Probing Depth (PD)- >5mm, Clinical Attachment Level( CAL)- >3mm
• Systemically healthy individuals

Exclusion criteria

• Patients below the age of 30 years
• Patients who have undergone periodontal therapy 3 months prior to study
• Active /passive smokers
• Any antibiotic use 3 months prior to study
• Pregnant women and lactating mothers
• Un co- operative/ retarded patients
• Drug allergy/ other allergies
• Any systemic diseases