Periodontitis
Conditions
Brief summary
Periodontitis is a destructive inflammatory disease of tooth supporting tissues and it adversely affects oral and general health as well as lowering the quality of life. Nonsurgical periodontal therapy is a gold standard technique for treating mild to moderate periodontitis and it was reported to significantly improve oral health related quality of life.
Detailed description
Periodontitis is a chronic disease characterized by progressive loss of tooth-supporting tissues. It is adversely affecting function, esthetic, and general wellbeing. Oral health related quality of life (OHRQoL) is the part of quality of life which is affected by oral cavity-related status. Majority of clinical studies emphasize on periodontal outcomes after periodontal therapy. However, tangible outcomes perceived by the patient such as need for re-treatment, tooth survival, and OHRQoL are mostly neglected. OHRQoL is mainly measured by using self-reported questionnaires and the most commonly used one is Oral Health Impact Profile (OHIP). Nonsurgical periodontal therapy (NSPT) is the gold-standard technique for treating shallow to moderately deep periodontal pockets. The principle of this technique is based on mechanically disrupting subgingival dysbiotic biofilm, consequently; restoring homeostasis and healthy state of periodontal tissues. Indeed, halting progressive periodontitis is a major contributor for improving oral health and increasing tooth survival rate which are positively perceived by the patients. Previous studies consistently reporting improvement of OHRQoL following periodontal treatment. Therefore, this study aimed to investigate the impact of NSPT on OHRQoL for Stage (S)2 and S3 periodontitis patient and the factors predicting the outcomes.
Interventions
PROCEDURERoot surface debridement
Periodontitis patients are treated non-surgically by supra- and subgingival debridement followed by root surface debridement for moderately deep periodontal pockets (4 to 6mm)
Sponsors
University of Baghdad
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adults (\>18 years) * Not reporting history of any systemic disease * Non-smoker * Can read and understand the questionnaire.
Exclusion criteria
* Patients with depression or any psychological issues * Those not willing to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Probing pocket depth | PPD is assessed at baseline and 3 months after treatment | The distance from the gingival margin to the base of the sulcus/pocket |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bleeding on probing | Baseline and 3 months after treatment | Sign of bleeding after gentle probing of the sulcus/periodontal pocket |
| Clinical attachment level | Baseline and 3 months after treatment | The distance from the CEJ to the base of the sulcus/pocket |
| Oral Health Impact Profile-14 | Baseline and 3 months after treatment | A questionnaire designed to determine oral health related quality of life consists of seven domains reflecting Functional limitation, Physical pain, Psychological discomfort, Physical disability, Psychological disability, Social disability, Handicap. Each domain composed of two questions and the scores calculation are based on a Likert scale (Never, Hardly ever, Occasionally, Often, Very often) which receive scores from 0 to 4. The higher total scores indicate worse oral health related quality of life |
Countries
Iraq
Contacts
Primary ContactAli A Abdulkareem, PhD
Outcome results
None listed