Chronic Periodontitis
Conditions
Brief summary
Conventional non-surgical periodontal treatment, that is, root debridement using manual and ultrasonic means at baseline and surgery using the same means after 6 months in case of persistent deep pockets (Group 1)/ Er:YAG laser used in a non-surgical approach at baseline and surgery using the same laser after 6 months in case of persistent deep pockets (Group 2)/ Surgery at baseline using manual and ultrasonic means (Group 3). All patients will undergo supragingival maintenance on a yearly basis.
Interventions
Scaling and root planing at baseline and surgery for remaining deep pockets after 6 months both using Er:YAG laser
Scaling and root planing at baseline and surgery for remaining deep pockets after 6 months both using conventional methods : ultrasonic and manual means
Surgery at baseline for all deep pockets using conventional methods: ultrasonic and manual means
Sponsors
Study design
Eligibility
Inclusion criteria
* at least 35 years of age * at least 18 teeth present that can be retained by means of therapy among which 4 multirooted teeth or more(wisdom teeth excluded) * presence of at least one deep pocket per quadrant (6 mm PPD or more) with radiographic evidence of bone loss (\>= 30% of root length)
Exclusion criteria
* pregnancy * removable prosthesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Probing pocket depth, Clinical attachment level and microbiological analysis | At baseline, 3, 6, 12, 24, 36, 48 and 60 months |
Secondary
| Measure | Time frame |
|---|---|
| Gingivitis index, plaque index, bleeding on probing at the same time intervals + the number of interventions | After 5 years |
| Consumed time per treatment/ Patient satisfaction/comfort ( Oral Health impact Profile : OHIP )/ The estimated financial costs based on average data delivered for instance by the Belgian Society of Periodontology | After 5 years |
| Adverse effects described by the patient (number of painkillers taken, visual analogue scale to monitor post-operative pain, tooth sensitivity) | After 5 years |
Countries
Belgium