Periodontal Disease
Conditions
Keywords
periodontal disease, oscillating, hand instruments, periodontal treatment
Brief summary
Non-surgical periodontal treatment leads to periodontal inflammation resolution and amelioration of the clinical periodontal indices via the microbial load reduction. Additionally, non-surgical periodontal treatment can be performed with different instruments. Ultrasonic scalers with or without hand scalers are more frequently used during Phase I periodontal treatment, however the one who performs the treatment is committed to choose the tools that according to his judgment will lead to the best clinical outcomes following non-surgical periodontal therapy. The aim of this study was to evaluate the effectiveness of non-surgical periodontal treatment with a new oscillating ultrasonic device (Paro) with adjunctive root polishing versus traditional scaling and root planing with ultrasonic device and hand instruments, 3 and 6 months after treatment, at patients diagnosed with chronic periodontitis stage II, III and IV.
Detailed description
Non-surgical periodontal treatment leads to periodontal inflammation resolution and amelioration of the clinical periodontal indices via the microbial load reduction. Additionally, non-surgical periodontal treatment can be performed with different instruments. Ultrasonic scalers with or without hand scalers are more frequently used during Phase I periodontal treatment, however the one who performs the treatment is committed to choose the tools that according to his judgment will lead to the best clinical outcomes following non-surgical periodontal therapy. The aim of this study was to evaluate the effectiveness of non-surgical periodontal treatment with a new oscillating ultrasonic device (Paro) with adjunctive root polishing versus traditional scaling and root planing with ultrasonic device and hand instruments, 3 and 6 months after treatment, at patients diagnosed with chronic periodontitis stage II, III and IV.
Interventions
PROCEDURENon-surgical periodontal treatment with U/S scalers and hand instruments
Treatment of Group 1 was performed with U/S scalers (P3 \& P1), hand instruments( Gracey curettes) and sub-gingival polishing.
PROCEDUREPeriodontal treatment with U/S scalers and Vector/Paro
Treatment of Group 2 was performed with U/S scalers (P3 \& P1), Vector-Paro System and sub- gingival polishing. In both groups, completion was decided upon the feeling of the operator that the root surfaces are smooth enough.
Sponsors
251 Hellenic Air Force & VA General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Systematically healthy adults with a periodontal disease diagnosis, but absence of any periodontal treatment in the previous 12 months were chosen. At baseline, patient's demographics were recorded together with a medical and dental history report and a panoramic X- ray was performed. Oral hygiene instructions were given individually. The clinical measurements concerning the periodontal tissues were fully recorded in a Florida Probe periodontal chart pre-therapeutically and 3 to 6 months after treatment. Subsequently, all patients received non-surgical periodontal treatment with the novel vertically oscillating ultrasonic device (Vector/Paro,Durr Dental) with adjunctive subgingival root air-polishing(Lunos Perio Combi trehalose powder).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Systematically healthy adults 2. Signed informed consent 3. Periodontal disease diagnosis 4. Absence of periodontal treatment the previous 12 months
Exclusion criteria
1. Medical history that interferes with the healing process (CVD, organ transplantation, renal or hepatic failure etc) 2. Antibiotic and anti-inflammatory intake up to 1 month before treatment initiation 3. Pharmaceutically induced gingival enlargement 4. Pregnancy/ lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Probing Pocket Depth | From enrollment to the end of post-treatment monitoring at 6 months | Measurement from Free Gingival Margin to the base of the sulcus/pocket, in millimeters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Attachment Levels | From enrollment to the end of post-treatment monitoring at 6 months | DIstance from cementoenamel junction to the base of sulcus/pocket, in millimeters |
| Bleeding on probing | From enrollment to the end of post-treatment monitoring at 6 months | Presence/Absence of bleeding on probing |
| Root Dentin Hypersensitivity | From enrollment to the end of post-treatment monitoring at 6 months | Feeling of sensitivity to cold stimuli measured with VAS scale |
| Pain perception after treatment | From enrollment to the end of post-treatment monitoring at 6 months | Feeling of pain after treatmetn measured in VAS scale |
| Recession | From enrollment to the end of post-treatment monitoring at 6 months | Distance from cemento-enamel junction to the free gingival margin in millimeters |
Countries
Greece
Contacts
PRINCIPAL_INVESTIGATORPanagiotis Theodorelos, DDS, MSc
251 Hellenic Airforce Hospital
Outcome results
None listed