Periodontal Diseases
Conditions
Keywords
LANAP, LASER, OHRQoL, periodontal disease
Brief summary
This study compared SRP alone and SRP combined with LANAP in 120 patients with chronic periodontitis. Clinical outcomes and oral health-related quality of life (OHRQoL) were assessed before and 12 weeks after treatment. The study aimed to determine how these treatments affect both periodontal health and patients' quality of life.
Detailed description
This study examined two non-surgical treatments for chronic periodontitis, a common inflammatory disease that damages the gums and supporting structures of the teeth and may eventually lead to tooth loss. A total of 120 patients aged 18-65 years were randomly assigned to receive either conventional scaling and root planning (SRP) alone or SRP combined with laser-assisted new attachment procedure (LANAP). Clinical indicators of periodontal health, including gum inflammation, plaque accumulation, pocket depth, and attachment loss, were assessed before treatment and after 12 weeks. The study also evaluated patients' perceptions of their oral health and quality of life using the OHIP-14 questionnaire.
Interventions
PROCEDURESRP with laser assisted new attachment procedure
SRP with laser assisted new attachment procedure along with implementation of OHIP 14 to assess oral health related quality of life
participants received scaling and root planning with implementation of OHIP 14
Sponsors
Mahe Nigar
H.P. Government Dental College and Hospital Shimla
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
This study compared SRP alone with SRP + LANAP in patients with chronic periodontitis.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Patients with at least \>18 teeth. 2. Patients with periodontal pocket depth (PPD) ≥4mm or having ≥3mm clinical attachment loss on at least one of the four surfaces examined. 3. Patients with gingival recession defects. 4. Patients without occlusal problems or who have received an occlusal correction. 5. Patients with no history of periodontal treatment in the last 12 months. 6. Patients who are willing to fill out a questionnaire before and after NSPT.
Exclusion criteria
1. Patients with cognitive disorders were unable to answer or interpret the questions. 2. Pregnant or lactating women. 3. Patients with systemic diseases, including immunosuppression, cardiovascular disease, diabetes mellitus, and blood disorders. 4. Patients who took antibiotics or immunosuppressants within the last 6 months. 5. Patients with acute illnesses and/or active intraoral lesions. 6. Patient having teeth with grade III mobility. 7. Patients who were chronic smokers or alcoholics. 8. Patients with gingival enlargement or pseudo pockets.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| gingival index | From enrollment to the end of treatment at 12 weeks | Gingival index scores each site on a 0 to 3 scale, with 0 being normal and 3 being severe inflammation. Clinical examination was performed on the six index teeth. Each of the four surfaces of the teeth (buccal, lingual, mesial and distal) is given a score from 0-3. The scores from the four areas of the tooth were added and divided by four in order to give the GI for the tooth. Finally, by adding the scores for the teeth and dividing by the number of teeth examined, the GI for the individual was obtained |
| plaque index | From enrollment to the end of treatment at 12 weeks | Plaque index was calculated as the percentage of teeth with visible plaque on any surface of the tooth. For this, clinical examination was performed on the six index teeth. Each of the four surfaces of the teeth (buccal, lingual, mesial and distal) is given a score from 0-3. The scores from the four areas of the tooth were added and divided by four in order to give the plaque index for the tooth. Plaque index for the individual was obtained by adding the scores for the teeth and dividing by the number of teeth examined |
| periodontal pocket depth | From enrollment to the end of treatment at 12 weeks | periodontal pocket depth is the distance between the base of the pocket and gingival margin, measured with a periodontal probe (UNC-15) inserted parallel to the vertical axis of tooth. The measurements were made at four sites per tooth \[mesial, buccal, distal and palatal/lingual\] for all teeth, excluding third molar. |
| clinical attachment level | From enrollment to the end of treatment at 12 weeks | clinical attachment level is the distance between the base of the pocket and a fixed point on crown such as cementoenamel junction. This was assessed using UNC-15 probe from the cementoenamel junction to the base of the pocket at 4 sites \[mesial, buccal, distal and palatal/lingual\]. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| OHIP 14 | From enrollment to the end of treatment at 12 weeks | The OHIP-14 questionnaire was administered in its original English version, with a Hindi adaptation provided to facilitate understanding among patients who were not proficient in English. The questionnaire comprises seven dimensions (or domains), each containing two subdomains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. Responses were recorded using a Likert scale ranging from 0 to 4, where 0 = never, 1 = hardly ever, 2 = occasionally, 3 = fairly often, and 4 = very often. |
Countries
India
Contacts
STUDY_DIRECTORAjay Mahajan, MDS
HP GDC SHIMLA
Outcome results
None listed