Generalized Chronic Periodontitis
Conditions
Brief summary
Microbiological and Clinical assessment of Er,Cr:YSGG laser in conjunction to open flap debridement (OFD) in treatment of chronic periodontitis through real time PCR assay for quantification of total bacterial load.
Detailed description
Two groups are randomly allocated (random number generation) by Microsoft excel into two groups : 1. Group (1) Open Flap debridement (OFD) surgery after conventional periodontal therapy (Scaling &Curettage and root planing) combined by Er,Cr:YSGG Laser assisted pocket therapy (ELAPT) which will be applied to pocket epithelial lining and root surface. 2. Group (2) Open Flap debridement (OFD) surgery after conventional periodontal therapy (Scaling &Curettage and root planing) will be performed.
Interventions
laser device with open flap debridement
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients are diagnosed to have chronic periodontitis, having infrabony posterior periodontal pocket measuring 5 mm or more. * female or male. * 25 - 55 years. * Medically controlled according to medical coding of review of systems . * Patient without history of drug administration in last month .
Exclusion criteria
* Tobacco smoking. * Pregnancy. * Patients not follow periodontal hygienic instructions. * Patients under any medication that affect periodontal healing. * The presence of any systemic disease that affect periodontal healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Assessment of Probing depth (PD). | 6 months | measured by milli meters for detection of level of periodontal destruction. |
| Clinical Assessment of Plaque index(PI) | 6 months | Visual Analog Score for plaque for detection amount of plaque accumulation so assess patient oral hygiene. recording is based on both soft and mineralized debris. Each surface will have a score from 0 to 3. 0: no plaque 1. plaque only detected by probe. 2. Moderate deposits detected by naked eye. 3. heavy deposits detected by naked eye. |
| Clinical Assessment of Gingival index(GI) to assess gingival inflammation. 0: normal gingiva. 1: mild inflammation . 2: moderate inflammation . 3: sever inflammation marked redness and edema and spontaneous bleeding. | 6 months | Visual Analog Score for gingival inflammation |
| Clinical Assessment of Modified sulcular bleeding index (MSBI) | 6 months | Visual Analog Score of bleeding for detection of inflammatory status level. Modified Sulcus Bleeding Index(MSBI) 0 = No bleeding on bleeding. 1. =pin pointed bleeding. 2. = linear bleeding. 3. = Heavy or profuse bleeding. |
| Clinical Assessment of Clinical attachment level (CAL) . | 6 months | measured by milli meters for detection of level of periodontal destruction. |
| Clinical Assessment of Gingival recession(GR) | 6 months | measured by milli meters for detection of level of apical migration of gingival attachment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Microbiological assessment through real time PCR assay for quantification of total bacterial load by universal probe and primer set (16sr RNA) | 3 months | quantification of total bacterial load |