Laser Assisted Nonsurgical Periodontal Treatment
- Conditions
- Chronic Periodontitis
- Interventions
- Device: Gracey CurettesDevice: Ultrasonics
- Registration Number
- NCT03387371
- Lead Sponsor
- Bezmialem Vakif University
- Brief Summary
Periodontitis is a chronic inflammatory disease caused by mixed infections with the subgingival microbiota being organized as a biofilm that, if untreated, may result in breakdown of the periodontal tissues in susceptible individuals. Evidence from intervention studies shows that mechanical root debridement significantly improves periodontal health by halting the progression of periodontal tissue breakdown. In order to improve effectiveness and efficacy of the removal of the subgingival biofilm, Er:YAG laser therapy has recently been recommended as an alternative to conventional scaling procedures.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 38
Greater than 25 years, Clinical diagnosis of moderate to advanced chronic periodontitis, Pocket depth ≥ 5 mm or clinic attachment level ≥ 4 mm at least in two interproximal areas (not on the same tooth), Along with very good oral hygiene scores (GI≤1and PI≤1), At least 4 teeth in each quadrant, Teeth with subgingival plaque sample is collected has no restoration or prothesis
Periodontal treatment ( root planning or surgical periodontal treatment) had done before, Systemic disease that could influence the outcome of periodontal therapy, Prophylaxis regime mandatory during periodontal treatment, Use of any drug that could influence the outcome of periodontal therapy, Use of antibiotics within the last 3 months, Use of anti-inflammatory drugs within the last 3 months, Use of removable prothesis Pregnancy, lactation or use of hormone contraceptives, Smoking
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Ultrasonics & Gracey Curettes & Laser Gracey Curettes Scaling and root planning is done with ultrasonics, gracey curettes and Er:YAG laser in 24 hours with two visits. Ultrasonics & Gracey Curettes Ultrasonics Scaling and root planning is done with ultrasonics and gracey curettes in 24 hours with two visits. Ultrasonics & Gracey Curettes Gracey Curettes Scaling and root planning is done with ultrasonics and gracey curettes in 24 hours with two visits.
- Primary Outcome Measures
Name Time Method Subgingival Plak Sample 1 1. month quantitative changes on red complex bacterias
Clinic Attachment Level 6 6. month to measure the Clinic Attachment Level of all teeth
Subgingival Plak Sample 3 3. month quantitative changes on red complex bacterias
Probing Pocket Depth 3 3. month to measure the probing pocket depth of all teeth
Clinic Attachment Level 3 3. month to measure the Clinic Attachment Level of all teeth
Subgingival Plak Sample 6 6. month quantitative changes on red complex bacterias
Probing Pocket Depth 6 6. month to measure theProbing Pocket Depth of all teeth
- Secondary Outcome Measures
Name Time Method Bleeding On Probing 3 3. month to record the Bleeding On Probing of all teeth
Plak Index 3 3. month to record the plak index of all teeth
Plak Index 6 6. month to record the plak index of all teeth
Bleeding On Probing 6 6. month to record the Bleeding On Probing of all teeth