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Impact of Nonsurgical Periodontal Therapy on Oral Health Related Quality of Life

Not Applicable
Recruiting
Conditions
Periodontitis
Interventions
Procedure: Root surface debridement
Registration Number
NCT06143085
Lead Sponsor
University of Baghdad
Brief Summary

Periodontitis is a destructive inflammatory disease of tooth supporting tissues and it adversely affects oral and general health as well as lowering the quality of life. Nonsurgical periodontal therapy is a gold standard technique for treating mild to moderate periodontitis and it was reported to significantly improve oral health related quality of life.

Detailed Description

Periodontitis is a chronic disease characterized by progressive loss of tooth-supporting tissues. It is adversely affecting function, esthetic, and general wellbeing. Oral health related quality of life (OHRQoL) is the part of quality of life which is affected by oral cavity-related status. Majority of clinical studies emphasize on periodontal outcomes after periodontal therapy. However, tangible outcomes perceived by the patient such as need for re-treatment, tooth survival, and OHRQoL are mostly neglected. OHRQoL is mainly measured by using self-reported questionnaires and the most commonly used one is Oral Health Impact Profile (OHIP).

Nonsurgical periodontal therapy (NSPT) is the gold-standard technique for treating shallow to moderately deep periodontal pockets. The principle of this technique is based on mechanically disrupting subgingival dysbiotic biofilm, consequently; restoring homeostasis and healthy state of periodontal tissues. Indeed, halting progressive periodontitis is a major contributor for improving oral health and increasing tooth survival rate which are positively perceived by the patients. Previous studies consistently reporting improvement of OHRQoL following periodontal treatment. Therefore, this study aimed to investigate the impact of NSPT on OHRQoL for Stage (S)2 and S3 periodontitis patient and the factors predicting the outcomes.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
72
Inclusion Criteria
  • Adults (>18 years)
  • Not reporting history of any systemic disease
  • Non-smoker
  • Can read and understand the questionnaire.
Exclusion Criteria
  • Patients with depression or any psychological issues
  • Those not willing to participate

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Generalized periodontitisRoot surface debridementPatients diagnosed with generalized periodontitis of different severities exhibiting periodontal pockets not exceeding 6mm.
Primary Outcome Measures
NameTimeMethod
Probing pocket depthPPD is assessed at baseline and 3 months after treatment

The distance from the gingival margin to the base of the sulcus/pocket

Secondary Outcome Measures
NameTimeMethod
Clinical attachment levelBaseline and 3 months after treatment

The distance from the CEJ to the base of the sulcus/pocket

Bleeding on probingBaseline and 3 months after treatment

Sign of bleeding after gentle probing of the sulcus/periodontal pocket

Oral Health Impact Profile-14Baseline and 3 months after treatment

A questionnaire designed to determine oral health related quality of life consists of seven domains reflecting Functional limitation, Physical pain, Psychological discomfort, Physical disability, Psychological disability, Social disability, Handicap. Each domain composed of two questions and the scores calculation are based on a Likert scale (Never, Hardly ever, Occasionally, Often, Very often) which receive scores from 0 to 4. The higher total scores indicate worse oral health related quality of life

Trial Locations

Locations (1)

College of Dentistry/ University of Baghdad

🇮🇶

Baghdad, Iraq

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