Evaluation of Techniques for Scaling and Root Planing and One Stage Full Mouth Disinfection
- Conditions
- Periodontal DiseaseChronic Periodontitis
- Interventions
- Procedure: Full mouth disinfectionProcedure: Scaling and root planing
- Registration Number
- NCT02126267
- Lead Sponsor
- Centro Universitario de Lavras
- Brief Summary
Evaluate and compare the effectiveness in a clinical and microbial perspective one stage full-mouth disinfection technique in relation to scaling and root planing per quadrant associated with chlorhexidine or azithromycin.
- Detailed Description
Seventy -seven systemically healthy subjects with chronic periodontitis were randomly included in 6 different predefined groups. The following periodontal parameters were evaluated: probing depth , clinical attachment level , plaque index, gingival index and percentage of areas affected by periodontal disease. Microbiologically were evaluated the bacterial load and specific load of five bacterias: The quantification of the bacteria was performed by real-time Polymerase Chain Reaction . The clinical and microbial baseline evaluations were performed ( periodontal pre- therapy) , 90 and 180 days after treatment.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 77
- Diagnosis of slight-moderate chronic periodontitis
- Those who were making regular use of antibiotics or anti-inflammatory drugs or had done up to three months before the beginning of the study;
- those who were making regular use (twice a day) of oral rinses with chlorhexidine or essential oils or have made regular use within three months prior to study entry;
- individuals with a history of sensitivity to chlorhexidine or azithromycin;
- subjects undergoing periodontal therapy include dental scaling procedures in the 12 months preceding the start of the study;
- subjects with impaired bifurcation or trifurcation class III;
- who required antibiotic prophylaxis for conducting clinical periodontal examination
- subjects with removable partial dentures and removable or fixed orthodontic appliance.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Full mouth disinfection - FMD Full mouth disinfection n = 10: Procedures for scaling and root planing were performed in a single stage (24 hours) divided into two sessions (60 min per session) on two consecutive days FMD + chlorhexidine (FMD-CX) Full mouth disinfection n = 15: Same as FMD with the inclusion of chlorhexidine in office (application of chlorhexidine (CX) (1%) gel in pockets after scaling, brushing tongue for 1 min. with CX (1%) gel and mouthwash at the beginning and end of each session with CX 0.2% for 30 seconds (with the form of a gargle in the last 10 seconds)). In addition, use was made of homemade CX 0.2% for 60 days after the scaling in a single phase. FMD + chlorhexidine (FMD-CX) Chlorhexidine gel and gluconate n = 15: Same as FMD with the inclusion of chlorhexidine in office (application of chlorhexidine (CX) (1%) gel in pockets after scaling, brushing tongue for 1 min. with CX (1%) gel and mouthwash at the beginning and end of each session with CX 0.2% for 30 seconds (with the form of a gargle in the last 10 seconds)). In addition, use was made of homemade CX 0.2% for 60 days after the scaling in a single phase. FMD + chlorhexidine (FMD-CX) Chlorhexidine gluconate solution n = 15: Same as FMD with the inclusion of chlorhexidine in office (application of chlorhexidine (CX) (1%) gel in pockets after scaling, brushing tongue for 1 min. with CX (1%) gel and mouthwash at the beginning and end of each session with CX 0.2% for 30 seconds (with the form of a gargle in the last 10 seconds)). In addition, use was made of homemade CX 0.2% for 60 days after the scaling in a single phase. FMD + azithromycin (FMD-AZ) Full mouth disinfection n = 15: Same as with the FMD include the use of azithromycin (500 mg) once daily for 3 consecutive days. Medication was started the same day as the end of the scaling. FMD + azithromycin (FMD-AZ) Azithromycin n = 15: Same as with the FMD include the use of azithromycin (500 mg) once daily for 3 consecutive days. Medication was started the same day as the end of the scaling. Scaling and root planing (SRP) Scaling and root planing (n = 13): scaling procedures were performed per quadrant (30 min. per quadrant) at weekly intervals between sessions; SRP + azithromycin (SRP-AZ) Azithromycin n = 11: Same as scaling and root planing group (SRP) with inclusion of the use of azithromycin (500 mg) once daily for 3 consecutive days. Medication was started the same day as the end of the last scaling hemi-arch; SRP + chlorhexidine (SRP-CX) Scaling and root planing n = 13 : Same as group scaling and root planing (SRP) with the inclusion of home use of CX 0.2% for 60 consecutive days after the end of the first session of scaling SRP + azithromycin (SRP-AZ) Scaling and root planing n = 11: Same as scaling and root planing group (SRP) with inclusion of the use of azithromycin (500 mg) once daily for 3 consecutive days. Medication was started the same day as the end of the last scaling hemi-arch; SRP + chlorhexidine (SRP-CX) Chlorhexidine gluconate solution n = 13 : Same as group scaling and root planing (SRP) with the inclusion of home use of CX 0.2% for 60 consecutive days after the end of the first session of scaling
- Primary Outcome Measures
Name Time Method Change in clinical attachment Baseline and 180 days after treatment In this parameter we will evaluate the distance from the cement-enamel junction to the bottom of the periodontal pocket or gingival sulcus. This measurement is made with a periodontal probe graduated in millimeters
- Secondary Outcome Measures
Name Time Method Change in probing depth Baseline and 180 days after treatment In this parameter we will evaluate the distance between the gingival margin and the bottom of the periodontal pocket or gingival sulcus. This measurement is made with a periodontal probe graduated in millimeters
Trial Locations
- Locations (1)
Douglas Campideli Fonseca
🇧🇷Lavras, Minas Gerais, Brazil