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,(IndiLase™ 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. |