ABSTRAK Latar Belakang: Chlorine dioxide mempunyai efek antibakterial yang kuat, namun dalambidang kedokteran gigi chlorine dioxide masih jarang dilaporkan. Tujuan: membandingkanefektifitas antara skeling yang dikombinasikan pengolesan gel chlorine dioxide denganefektifitas skeling saja terhadap penyembuhan klinis gingivitis. Metode: Empat puluh subjekgingivitis telah menyetujui mengikuti penelitian ini, terdiri dari 20 subjek diterapi skelingdikombinasi gel chlorine dioxide, dan 20 subjek lainnya mendapat terapi skeling saja. Chlorinedioxide dioleskan oleh pasien pada marginal gingiva, dua kali sehari setelah menyikat gigiselama 14 hari. Dianjurkan tidak makan dan minum selama satu jam setelah diolesi chlorinedioxide. Indeks plak, PBI dan kedalaman poket dievaluasi sebelum dan sesudah terapi pada gigi16,21,11,21,22,24,26,36,32,31,41,42,44,46. Hasil: Terdapat perbedaan bermakna padapenurunan indeks plak( p<0,05); tidak terdapat perbedaan bermakna pada penurunan PBI(p>0,05);ada kecenderungan perbedaan bermakna pada kedalaman poket (p=0,053).Kesimpulan: Terapi skeling yang dikombinasi pengolesan chlorine dioxide pada gingivitis,lebih baik dibanding dengan skeling saja pada penyembuhan gingivitis. ABSTRACT Background: Chlorine dioxide has strong antibacterial effect, but there is still limited studyabout the use of chlorine dioxide in dentistry. Aim: To compare the effectiveness of scalingcombine with application of chlorine dioxide gel and scaling only in the healing of gingivitis.Methods: Forty subjects with gingivitis agreed to follow this study. Twenty subjects got scalingcombine with chlorine dioxide gel application and the remaining subjects got scaling only.Chlorine dioxide was applied at marginal gingiva by the patients, twice daily after tooth brushingduring 14 days. No food and drink in one hour after application of chlorine dioxide. Plaqueindex, Papilla Bleeding Index and pocket depth of gingival before and after treatment wasevaluated at teeth 16,21,11,21,22,24,26,36,32,31,41,42,44,46. Results: There is significantdifference statistically of reduction of plaque index (p<0.05); there is no significant differencestatistically of reduction of PBI (p>0.0.5); and there is tendency of significant differencestatistically of reduction of pocket depth (p=0.053). Conclusion: The treatment of scalingcombine with application of chlorine dioxide gel gives better outcome than scaling only, inhealing of gingivitis. |