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VOLUME 2 , ISSUE 2 ( July-December, 2025 ) > List of Articles

ORIGINAL RESEARCH

Examining Periodontal Wellness—Effectiveness of Nonsurgical Intervention Utilizing the Perio Protect Method: An Original Research

Surya P Uddandi, Sravani Korukonda, Bharath S Reddy, Sriram N Nimmala, Tripuraneni D Harika, Punugunta Jahnavi, Rahul VC Tiwari

Keywords : Chronic periodontitis, Hydrogen peroxide, Nonsurgical periodontal therapy, Perio Protect Method

Citation Information : Uddandi SP, Korukonda S, Reddy BS, Nimmala SN, Harika TD, Jahnavi P, Tiwari RV. Examining Periodontal Wellness—Effectiveness of Nonsurgical Intervention Utilizing the Perio Protect Method: An Original Research. 2025; 2 (2):35-39.

DOI: 10.5005/jihr-11055-0014

License: CC BY-NC 4.0

Published Online: 30-04-2026

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Background: Mechanical debridement alone may not fully eliminate pathogenic subgingival biofilm, particularly in deep periodontal pockets. Adjunctive therapies are therefore being explored to enhance treatment efficacy. The Perio Protect Method (PPM) employs customized trays to deliver a 1.7% hydrogen peroxide gel, with or without antimicrobials, directly into periodontal pockets, offering localized and sustained antimicrobial action with minimal invasiveness. Objectives: Evaluate the short-term clinical efficacy of PPM as an adjunct to scaling and root planning (SRP) in improving plaque control, gingival health, bleeding on probing (BOP), and probing pocket depth (PPD) in patients with chronic generalized periodontitis. Materials and methods: A prospective interventional study was conducted on 10 systemically healthy patients aged 30–60 years with chronic generalized periodontitis (PPD ≥4 mm in ≥30% of sites). Patients applied a 1.7% hydrogen peroxide gel containing doxycycline (50 mg/mL) in the trays once daily for 15–20 minutes over 3 months. Plaque index (PI), gingival index (GI), BOP, and PPD were recorded at baseline and at 3 months. Data were analyzed using paired t-tests (p < 0.05). Results: PI decreased from 2.7370 ± 0.8277 to 1.2190 ± 0.4015, GI from 2.2620 ± 0.8339 to 0.9710 ± 0.2210, BOP from 2.0400 ± 0.3565 to 0.6970 ± 0.4542, and PPD from 5.6000 ± 0.6992 to 2.6000 ± 0.5164 (all p < 0.001). Conclusion: Adjunctive use of PPM with SRP produced significant short-term reductions in PI, GI, BOP, and PPD, supporting PPM as a beneficial, noninvasive adjunct to conventional periodontal therapy.


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  1. Keller DC. HbA1c, and blood glucose, changes when treating periodontal disease with the Perio Protect MethodTM. Oral Health Dent Sci 2023;7(1);1–8. DOI: 10.33425/2639-9490.1119
  2. Putt MS, Proskin HM. Custom tray application of peroxide gel as an adjunct to scaling and root planing in the treatment of periodontitis: a randomized, controlled three-month clinical trial. J Clin Dent 2012;23(2):48–56. PMID: 22779217.
  3. Komara I, Winata EA, Susanto A, et al. Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis. Saudi Dent J 2020;32(4):194–199. DOI: 10.1016/j.sdentj.2019.08.006
  4. Dunlap T, Keller DC, Marshall MV, et al. Subgingival delivery of oral debriding agents: a proof of concept. J Clin Dent 2011;22(5):149–158. PMID: 22403980.
  5. Putt MS, Mallatt ME, Messmann LL, et al. A 6-month clinical investigation of custom tray application of peroxide gel with or without doxycycline as adjuncts to scaling and root planing for treatment of periodontitis. Am J Dent 2014;27(5):273–284. PMID: 25842461.
  6. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121–135. DOI: 10.3109/00016356408993968
  7. Mühlemann HR, Son S. Gingival sulcus bleeding—a leading symptom in initial gingivitis. Helv Odontol Acta 1971;15(2): 107–113. PMID: 5315729.
  8. Putt M, Proskin HM. Custom tray application of peroxide gel as an adjunct to scaling and root planing in the treatment of periodontitis: results of a randomized controlled trial after six months. J Clin Dent 2013;24(3):100–107. PMID: 24660272.
  9. Offenbacher S. Periodontal diseases: pathogenesis. Ann Periodontol 1996;1(1):821–878. DOI: 10.1902/annals.1996.1.1.821
  10. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions—introduction and key changes from the 1999 classification. J Clin Periodontol 2018;45(Suppl 20):S1–S8. DOI: 10.1111/jcpe.12935
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