Periodontal Bone Loss
Conditions
Brief summary
The main aim of this prospective, randomized controlled clinical study is to: • To evaluate and compare the effect of a combined orthodontic -periodontal treatment protocol versus periodontal treatment alone on osseous and non -osseous parameters in periodontally compromised patients.
Detailed description
All the patients of both the groups will receive a detailed periodontal evaluation and then therapeutic management of patients will be done as per their periodontal requirement. This will include oral hygiene instruction, scaling and root planning and re-evaluation after 2 weeks and periodontal surgical treatment if indicated will be re-evaluated 4-6 weeks. After an observation period of 2 months confirming patient cooperation and their ability to maintain good oral hygiene as well as stability of the periodontal results orthodontic treatment will be started in the test group whereas the control group will be kept on monthly recall for the first 3 months and then every 3 months as per the oral hygiene status requirement of the patient.periodontal charting will be done at every 3 months till finish of treatment and supra gingival scaling will be provided as per requirement in both the groups.Changes in periodontal status in terms of clinical and radiographic parameters will be compared between the groups. cone beam Computed tomography will be taken at the baseline T0 and study end point T2 for assessment of changes in the bone level around maxillary and mandibular teeth
Interventions
PROCEDUREPeriodontal and orthodontic treatment
Eighteen periodontally compromised patients who give be given both periodontal and orthodontic treatment
PROCEDUREperiodontal treatment
Eighteen periodontally compromised patients who give be given periodontal treatment alone.
Sponsors
Postgraduate Institute of Dental Sciences Rohtak
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
.• Patient age criteria 20-40 years. * Periodontally Compromised dentition with moderate to severe periodontitis ≥2 teeth with pocket depth (PD) ≥5 mm and loss of clinical attachment level (CAL) ≥ 4mm. and radiographic bone loss * Good general health status. * Malocclusion that needs orthodontic treatment
Exclusion criteria
* Systemic illness known to affect the periodontium or outcome of periodontal and orthodontic therapy. * Patient taking medications such as corticosteroids or calcium channel blockers, which are known to interfere periodontal wound healing or patient on long term NSAID therapy. * Pregnant or lactating women. * Smokers(≥5 cigarettes∕ day). * Noncompliance to oral hygiene measures after Phase I therapy. * Presence of trauma from occlusion (TFO). * Patients with aggressive periodontitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| • Alveolar crest bone level | 12 months | measured from Cemento- enamel junction to bone crest. |
| Clinical attachment level (CAL). | 12 months | • pocket to cemento- enamel junction . |
Countries
India
Contacts
Primary ContactRekha sharma, MDS
Backup Contactmeenu gehlot, BDS
Outcome results
None listed