Periodontitis
Conditions
Keywords
Nonsurgical periodontal therapy, Orthodontic bands
Brief summary
The aim of this study was to evaluate the effect of nonsurgical periodontal therapy on first molars banded for fixed orthodontic treatment.
Detailed description
A total of 30 patients who were about to undergo fixed orthodontic therapy were selected and divided into two groups. Group A comprised of 15 patients who were treated with routine full-mouth supragingival scaling and subgingival scaling only around all banded first molars. Group B comprised of 15 patients who were treated with full-mouth supragingival scaling and subgingival scaling only around all banded first molars followed by irrigation with 0.2% chlorhexidine gluconate solution (Trade name: HEXIDINE), an antiseptic - antiplaque agent. Treatment for both the groups was performed at 3rd month, 6th month and 9th month. Parameters such as radiographic evidence of alveolar crestal bone level, gingival index, probing pocket depth and clinical attachment level around the banded first molars and full-mouth plaque index were recorded as a change from baseline to 12th month. The differences between the values were assessed and sent for statistical analysis.
Interventions
PROCEDUREFull-mouth supragingival scaling
Control group comprised of 15 patients who were treated with routine full-mouth supragingival scaling.
PROCEDURESubgingival scaling
Test group comprised of 15 patients who were treated with subgingival scaling only around all banded first molars.
DRUGSubgingival irrigation
Test group comprised of 15 patients who were treated with subgingival irrigation only around all banded first molars with 0.2% chlorhexidine gluconate solution (Trade name: HEXIDINE), an antiseptic - antiplaque agent.
Sponsors
Meenakshi Ammal Dental College and Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
16 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
1. Both male and female patients within the age group 16 to 25 years. 2. Patients diagnosed with malocclusion undergoing fixed orthodontic treatment having banded first molars. 3. Systemically healthy patients.
Exclusion criteria
1. Congenital malformations in the oral cavity. 2. Patients who had undergone periodontal therapy within the previous 6 months. 3. Patients using removable orthodontic appliances. 4. Patients who were administered antibiotics or other systemic or topical antimicrobial agents. 5. Smokers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline radiographic evidence of alveolar crestal bone level at 12th month | Baseline to 12th month | Radiographic evidence of alveolar crestal bone level was measured around each banded first molar |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline plaque index at 12th month | Baseline to 12 month | Full-mouth plaque index measurements were carried out at four sites around each tooth (mesiobuccal, buccal, distobuccal and lingual). |
| Change from baseline gingival index at 12th month | Baseline to 12th month | The measurements were carried out around all the banded first molars at four sites (mesiobuccal, buccal, distobuccal and lingual). |
| Change from baseline probing pocket depth at 12th month | Baseline to 12th month | The probing pocket depth was measured clinically using Williams periodontal probe at six sites (mesiobuccal, buccal, distobuccal, mesiolingual, distolingual and lingual) of each banded first molar. |
| Change from baseline clinical attachment level at 12th month | Baseline to 12th month | Clinical attachment level (CAL) was measured as the distance between a fixed point on the crown such as cementoenamel junction to the base of the pocket. |
Outcome results
None listed