Bruxism, Periodontitis
Conditions
Keywords
Inflammation
Brief summary
This study aims to explore the mechanisms by which periodontal disease affects the bruxers and to assess the impact of subgingival instrumentation on jaw symptoms of probable bruxers among patients with periodontitis .
Detailed description
Patients with chronic periodontitis usually describe itching and persistent pain of moderate intensity. Applying masticatory pressure provides relief in these symptoms. However, this practice may lead to the development of bruxism habits in patients over time. A deeper comprehension of the dynamic interplay between periodontal health and bruxism is crucial for crafting holistic treatment approaches aimed at addressing both symptoms and root causes effectively. Till now, there has been no report examining the effect of subgingival instrumentation on probable bruxers in periodontitis patients. . This study aims to assess the impact of subgingival instrumentation on jaw symptoms of probable bruxers in patients with periodontitis
Interventions
All the participants will undergo subgingival instrumentation with hand scalers, curettes and ultrasonic scaler. Parameters will be recorded at baseline and two, three and six months of time points after subgingival instrumentation.
Sponsors
Postgraduate Institute of Dental Sciences Rohtak
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* 1\. Systemically healthy patients 2. Patient having habit of bruxism diagnosed with periodontitis 3. Age between 30-40 years 4. Minimum 20 teeth present in oral cavity
Exclusion criteria
1. History of systemic disease such as diabetes or autoimmune disease 2. History of drugs having the potential impact on periodontal status like phenytoin, cyclosporin, calcium-channel blockers or antidepressant drugs. 3. Pregnant or lactating females. 4. Post-menopausal women. 5. Patients diagnosed with temporomandibular disorders- pain and tenderness in the masticatory muscles 6. Patients receiving interventions for bruxism. 7. History of Psychological disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Jaw symptoms | baseline , 2 months , 3 months and 6 months | Improvement in frequency and intensity of Jaw Symptoms (pain, unpleasantness, sensitivity, tiredness, tension and stiffness) as perceived by the patient. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bleeding on probing | baseline , 2 months , 3 months and 6 months | BOP recorded as 1 if bleeding occurs within 15 seconds of probing and 0 (absent) if no bleeding occurred. It will be calculated in %. After adding all the scores, total score will be divided by the total no. of surfaces accessed and multiplied by 100 |
| Gingival index | baseline , 2 months , 3 months and 6 months | Gingival index by Loe and Silness (1963) will be used to assess severity of gingival inflammation. |
| Probing pocket depth | baseline , 2 months , 3 months and 6 months | Probing Pocket Depth (PPD): Probing pocket depth will be measured as the distance from gingival margin to the base of pocket. The probing depth measurements will be assessed using the Periodontal probe. The probe will be inserted in the bottom of pocket and maintained parallel to vertical axis of the tooth. Measurements will be noted at 6sites of a tooth (mesio-buccal, mid-buccal, disto- buccal, mesio-lingual, mid-lingual and disto- lingual). Measurements will be rounded to the nearest whole millimeter. |
| tooth mobility | baseline , 2 months , 3 months and 6 months | Tooth mobility is assessed using Miller Mobility Index |
Countries
India
Contacts
PRINCIPAL_INVESTIGATORVARSHA KAPOOR, BDS
PGIDS, ROHTAK
Outcome results
None listed