Diode Laser Therapy, Localized Aggressive Periodontitis, Omega 3
Conditions
Brief summary
This study aims to evaluate and compare the effect of combination therapy between diode laser and omega3 gel in the local drug delivery approach as an adjunct to scaling and root planning on the management of localized aggressive periodontitis clinically and immunologically.
Detailed description
Periodontitis is a disease of the periodontium occurring in an otherwise healthy adolescent, which is characterized by a rapid loss of alveolar bone about more than one tooth of the permanent dentition. The laser approach is an efficient and atraumatic technique to enhance its use for periodontal treatment. Within the limits of scientific data, treatment with diode laser and SRP showed a higher effect than SRP or laser alone. Omega3 Polyunsaturated fatty acids (PUFA) have well recognized anti-inflammatory properties. They decrease inflammation through multiple pathways.
Interventions
Thirteen sites \[scaling-root planning (SRP)\] were used as a control group.
Thirteen sites \[scaling-root planning (SRP)+ laser therapy with application of methyl cellulose gel at repeated times weekly for one month\].
Thirteen sites \[scaling-root planning (SRP) + omega 3 gel repeated time weekly for one month\].
Thirteen sites \[combination therapy between scaling-root planning (SRP) + laser + omega 3 gel in repeated time weekly for one month\].
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with localized aggressive periodontitis. * Patients must be medically free. * Optimal compliance as evidenced by no missed treatment appointments and a positive attitude to maintain oral hygiene. * Patients who are willing to participate in this study can enroll and complete it.
Exclusion criteria
* Patients with generalized aggressive periodontitis. Patients are over 35 years old. * Pregnancy. * Patients had scaling and root planning or antibiotic therapy in the last 6 months. * Patients with hypersensitivity to fish oil.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pocket depth | 6 months post-procedure | Probing pocket depth (PD) was recorded according to Ramfijord 1967. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plaque score | 6 months post-procedure | Plaque score was recorded according to Silness and loe 1964. |
| Bleeding on probing | 6 months post-procedure | Bleeding on probing (BOP) according to Ainamo and Bay 1975. |
| Clinical attachment level loss | 6 months post-procedure | Clinical attachment level loss (CAL) according to according to Ramfijord 1967. |
Countries
Egypt