Chronic Periodontitis
Conditions
Keywords
chronic periodontitis, dental scaling, gingival crevicular fluid, lasers, periodontal pocket, root planing
Brief summary
Background: Aim of this randomized controlled parallel-designed study was to evaluate the effects of diode laser as an adjunct to mechanical periodontal treatment on clinical parameters and gingival crevicular fluid (GCF) volume of the residual pockets diagnosed following initial periodontal treatment in chronic periodontitis (CP) patients. Methods: A total of 84 residual pockets on single-rooted teeth in 11 CP patients were included and randomly assigned into 3 groups. Residual pockets were treated either only by mechanical treatment (Group M) (n=28), only by diode laser disinfection (Group L) (n=28) or by combination of these techniques (Group M+L) (n=28). Plaque index, gingival index (GI), bleeding on probing (BoP), probing depth (PD), clinical attachment level and gingival recession were assessed at baseline and 8 weeks after treatment of residual pockets. GCF samples were collected at baseline, 1 and 8 weeks after treatment.
Interventions
DEVICE810 Nanometer Wavelenght GaAlAs Diode Laser
FDA approved 810 nanometer GaAlAs Diode Laser
DEVICEGracey curettes
Sponsors
Marmara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
35 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Systemically healthy, * Non-smoker, * Chronic periodontitis diagnosed according to Armitage 1, * Aged between 35 and 65, * Not received any periodontal treatment within the last 3 months, * Have horizontal bone loss radiographically, * Presence at least 20 natural teeth except third molars * Consent to participate in the study.
Exclusion criteria
* Any systemic disease that might interfere with the prognosis of periodontal disease (i.e. diabetes mellitus, HIV infection), * Smoking, * Antibiotics, anti-inflammatory drugs or any other medication taken within the previous 6 months that may affect the outcome of the study, * Any physical limitations or restrictions that might preclude normal oral hygiene procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Probing depth | 8 week | Probing depth is defined as the distance from the free gingival margin to the bottom of the periodontal pocket. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plaque index | 8 week | — |
| Gingival index | 8 week | — |
| Clinical attachment level | 8 week | Clinical attachment level is defined as the distance from the cementoenamel junction to the bottom of the periodontal pocket |
| Bleeding on probing via periodontal probe | 8 week | Bleeding on probing is defined as presence of bleeding from gingival sulcus during the probing of this area via periodontal probe. |
| Change of gingival crevicular fluid volume | Baseline, 8 weeks | Gingival crevicular fluid is a blood-originated fluid playing important determinanat role in the ecology of the gingival sulcus and periodontal pocket |
Countries
Turkey (Türkiye)
Outcome results
None listed