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Abstract Periodontal disease is an inflammatory disease of the periodontium characterized by progressive destruction of the tissues supporting the tooth, the aim of periodontal treatment is to arrest the progressive destruction of the periodontal tissues and to restore them to a healthy state which the patient can maintain. Although periodontal disease is a multifactorial infectious disease, microbial plaque is recognized as the primary etiologic agent for initiation and progression of the disease. chronic periodontal disease can be successfully treated by non-surgical or surgical mechanical therapy provided adequate plaque control is maintained during the supportive phase of treatment. The present investigation was conducted to evaluate clinically and radiographically the effect of vitamin C (ascorbic acid), vitamin E and Zinc on chronic periodontitis patients. The study was performed on twenty male medically free patients having chronic periodontitis. Radiographic bone density evaluation, the clinical parameters which included; plaque index, gingival index, probing depth and clinical attachment loss as well as gingival crevicular fluid samples to be examined for matrix metalloproteinase (MMP8) were recorded at baseline, one and three months. |