Periodontitis, Adult
Conditions
Keywords
periodontitis, scaling, subgingival, Non-surgical periodontal therapy
Brief summary
The purpose of this study was to compare the clinical outcomes of teeth deep cleaning or scaling and root planing (SRP) using a periodontal endoscope (Perioscopy®) versus traditional SRP using magnifying loupes for up to twelve months, utilizing a split mouth design.
Detailed description
Twenty-five (25) patients were recruited for the study that exhibited mild to moderate periodontitis. SRP or deep cleaning was rendered by the same experienced hygienist, following random assignment of the left or right half of the mouth to either recieve deep cleaning by using a periodontal endoscope (Perioscopy®) or traditional deep cleaning using magnifying loupes. All the periodontal evaluations were done by the same periodontal resident at baseline, one month, three months, six months, and twelve months after deep cleaning.
Interventions
DEVICEUse of Periodontal Endoscope (Perioscopy®) to enhance visualization while performing teeth deep cleaning
Deep cleaning or scaling and root planing (SRP) using a Periodontal Endoscope or Perioscopy® for enhanced visualization, on teeth in one half of the mouth
DEVICEUse of traditional loupes to enhance magnification to enhance visualization while performing teeth deep cleaning
Deep cleaning or scaling and root planing (SRP) using tradional loupes for enhanced visualization on teeth, in the other half of the mouth
Sponsors
Louisiana State University Health Sciences Center in New Orleans
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
Follow up re-evaluation visits were performed by the same resident \ 1month, 3 months, 6 months, and 1 year, who was blinded to lknowing which side of the mouth recieved what type of deep cleaning treatment.
Intervention model description
prospective, randomized, split-mouth, single blinded
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age or older * in good general health * given a diagnosis of mild-moderate generalized chronic periodontitis per the 1999 world workshop classification of periodontal diseases and conditions * required whole mouth SRP * teeth had a maximum of 6mm probing pocket depth at any site * at least one molar present in each arch, excluding third molars.
Exclusion criteria
* any requirement for antibiotic premedication prior to dental treatment * uncontrolled hypertension * uncontrolled diabetes * subject unwilling to sign the informed consent * subject needed any antibiotic intervention for unrelated conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - clinical attachment level in mm | 3 months | Clinical attachment level (in mm) will be measured at six sites per tooth on all teeth per patient. |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - probing pocket depth in mm. | 3 months | Probing pocket depth (in mm) will be measured at six sites per tooth on all teeth per patient. |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - presence or absence of bleeding on probing. | 3 months | The presence or absence of bleeding on probing will be meaured at six sites per tooth on all teeth per patient. |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - clinical attachment level in mm. | 6 months | Clinical attachment level (in mm) will be measured at six sites per tooth on all teeth per patient. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of clinical measures of periodontal status of teeth (clinical attachment level) of subgroups of teeth following treatment with loupes vs perioscopy. | 3 months | Clinical attachment level (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. |
| Comparison of clinical measures of periodontal status of teeth (bleeding on probing) of subgroups of teeth following treatment with loupes vs perioscopy. | 3 months | Presence or absence of bleeding on probing around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. |
| Comparison of clinical measures of periodontal status of teeth (probing pocket depth) of subgroups of teeth following treatment with loupes vs perioscopy. | 3 months | Probing pocket depth (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. |
Countries
United States
Outcome results
None listed