Gingival health Oral Health
Conditions
Interventions
Treatment group:
After a routine dental examination, the test group (group one) will receive a supra-gingival scale and polish of teeth without any adjunctive periodontal therapy such as anti-microbia
at baseline, six months, 12 months and 18 months.
Control groups - there will be two control groups:
Group two: will receive a one visit scale and polish from the hygienist at baseline and 12 months
Sponsors
The University of Manchester (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants must: 1. Be male and female adult patients aged between 18 to 60 years of age who are registered at either of the two dental practices on the Wirral and who have had two dental examinations in the last three years and a scale and polish in the last 18 months 2. Have the ability to understand and provide informed consent 3. Be available for the full duration of the study 4. Have a minimum of 20 teeth excluding third molars and not wear a removable prosthetic appliance
Exclusion criteria
Exclusion criteria: Patients with the following characteristics will be excluded from the study: 1. Patients who in their GDP?s opinion require periodontal treatment other than a one visit scale and polish (this would normally equate to a Basic Periodontal Examination [BPE] score of more than two, i.e. three or four) 2. Patients with acute periodontal disease characterised by the presence of pain, purulent exudate, or severe tooth mobility requiring immediate treatment intervention 3. Patients with a history of rheumatic fever, valvular heart disease or any condition requiring premedication to prevent endocarditis 4. Patients with extensive caries (three or more decayed teeth, requiring more than one visit for restoration) 5. Patients with a removable prosthetic appliance, with the exception of an acrylic splint to prevent nocturnal bruxism 6. Patients with soft or hard tissue tumours of the oral cavity 7. Patients who are pregnant or lactating at the commencement of the trial 8. Patients who are receiving long-term antibiotic, oral steroidal (i.e. except inhalers), or non-steroidal anti-inflammatory drugs 9. Subjects with diabetes, haemophilia or any other medical condition requiring medical support and/or drug therapy that may interfere with the parameters being investigated 10. Involvement in any concurrent study, the nature of which may affect the parameters being investigated in this study 11. Patients who have been formally diagnosed with, and who are receiving treatment for, either Sjogren?s syndrome or a dry mouth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bleeding: bleeding from gingival margin on light probing measured on a set of index teeth (Ramfjord teeth). This will be according to a dichotomous scale bleeding present\not present. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Plaque: visual presence on a set of index teeth (Ramfjord teeth). This will be according to a dichotomous scale present\not present 2. Calculus: this will involve one measurement, in millimetres using a periodontal probe, taken in the vertical axis of the tooth, on the tooth with the most calculus. The measurements will be confined to the lingual surfaces of the six mandibular incisor and canine teeth 3. Subjective assessment of oral cleanliness will be captured on a five point scale: a single, standardised question will be asked prior to the clinical examination of each participant: ?How clean does you mouth feel on a scale of one to five, where one is the least clean you can imagine and five is the cleanest you can imagine?? | — |
Countries
United Kingdom
Outcome results
None listed