Periodontitis
Conditions
Keywords
periodontal endoscopy, perioscopy
Brief summary
The study aims to comparatively assess clinical parameters, biochemical and microbiological parameters after treatment of periodontitis using subgingival mechanotherapy traditional and subgingival mechanotherapy using a perioscope.
Detailed description
Non-surgical treatment is the basic form of disease treatment periodontitis. Its first stage is the mechanical removal of dental plaque along with the control of risk factors. Subgingival mechanotherapy, also known as scaling and root planing (SRP) is the next stage, aimed at the subgingival area. Perioscopy makes possible direct real-time visualization of the root surface during the procedure. The research results published so far indicate improvement or no significant differences clinical parameters after SRP procedure using a perioscope vs traditional subgingival instrumentation. The aim of this study is to indicate, or not, clinical, biochemical (level of pro-inflammatory cytokines) and microbiological (A. actinomycetemcomitans, P. gingivalis, T. denticola) differences after periodontitis treatment using the traditional method vs. using a perioscope.
Interventions
DEVICEsubgingival mechanotherapy with perioscopy
Subgingival mechanotherapy using a machine scaler, curettes and a perioscope
DEVICEclassical subgingival mechanotherapy
Subgingival mechanotherapy using a machine scaler and curettes
Sponsors
Medical University of Warsaw
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* age 20-60; (II) * preserved lateral and anterior teeth; * no periodontal treatment in the last 12 months; * intermediate or advanced periodontitis (Stage II / III / IV) * in each quadrant at least three teeth with PPD\>5 mm after initial treatment (scaling, motivation, instruction)
Exclusion criteria
* antibiotic therapy in the last 6 months; * smoking; * systemic diseases affecting periodontal tissues; * pregnancy or lactation; * orthodontic treatment; * tooth mobility II / III degree; * involvement of third degree furcations according to Hamp classification; * endodontic issues
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Probing pocket depth (PPD) | 0 (before), 3 and 6 months after SRP | Distance from the gingival margin to the bottom of the gingival sulcus |
| Clinical attachment level (CAL) | 0 (before), 3 and 6 months after SRP | Distance from the cementoenamel junction to the bottom of the gingival sulcus |
| Bleeding on probing (BoP) | 0 (before), 3 and 6 months after SRP | Percentage of sites with bleeding provoked by applying a probe to the bottom of a sulcus/pocket. |
| Plaque index (PI) | 0 (before), 3 and 6 months after SRP | Percentage of sites with plaque |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Width of keratinized tissue (KTW) | 0 (before), 3 and 6 months after SRP | Distance between the most apical point of gingival margin and the mucogingival junction |
| Gingival thickness (GT) | 0 (before), 3 and 6 months after SRP | Thickness of the gingiva measured 2 mm apical to the gingival margin |
Countries
Poland
Contacts
PRINCIPAL_INVESTIGATORBartlomiej Górski, PhD
Department of Periodontology and Oral Mucosa Diseases, Medical University of Warsaw
Outcome results
None listed