LASER Assisted New Attachment Procedure, Excisional New Attachment Procedure and Subgingival curettage in the treatment of chronic periodontitis

Phase 2

Not yet recruiting

Conditions: Chronic periodontitis,

Registration Number: CTRI/2023/09/057472

Lead Sponsor: Sardar Patel Post Graduate Institute of Dental and Medical Sciences

Brief Summary: The bacterial compositionof the microbial plaque biofilm is the most important causation factor forchronic periodontitis. Scaling and root planning (SRP) along with various flapsurgical procedures have been performed to reduce the microbial burden of theplaque biofilm.Laser therapy can be used as an adjunct to theconventional therapy without any major side effects, it decontaminates the softtissue wall as well as root surfaces of the periodontal pocket by promotingbacterial reduction. The diode laser is a semiconductor and the most commondiode wavelengths used in dentistry are 610 nm to 980 nm. It can be operated inboth continuous wave and pulsed wave modes. The ENAP has been described asâ€œcurettage with a scalpelâ€. Epithelium of the soft pocket wall is excised bymeans of reverse bevel incision, a mucosal flap is reflected without exposingthe alveolar bone, to allow for access to root surfaces then readapted in itsoriginal position with interdental sutures.The main aim ofsubgingival curettage is to remove all subgingival calculus deposits, removegranulation tissues in pockets, to cause haemorrhage which can reduce oedemaand congestion of gingiva and remove the epithelial linings of the pockets. Non-surgicaltherapy show decreased probing pocket depth, gain in clinical attachment levelbeen most effective means of treating periodontal disease.

In this study eighteen patients diagnosed withperiodontitis showing pocket depth >5mm and Clinical attachment loss >3mmwill be selected from department of Periodontology, SPPGIDMS, Lucknow. Thepatients will be divided into four groups. Group A (SRP), Group B (LANAP),Group C (ENAP) and Group D (subgingival curettage). Clinical periodontalparameters pocket probing depth (PPD), clinical attachment level (CAL), plaqueindex (PI), gingival index (GI), will be checked at baseline, 1 month and 3months after treatment.

This study will help us know the efficacy of LASER,ENAP and subgingival curettage for the treatment of chronic periodontitispatients. We anticipate that this will enable new or improved treatment ofchronic periodontitis.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 18

Inclusion Criteria

1-Patient diagnosed with chronic periodontitis.
2-Age between 35-60 years.
3-Teeth selection: All the teeth diagnosed with chronic periodontitis on clinical and radiographic evaluation.
4-The sites should exhibit clinical evidence of probing pocket depth of â‰¥ 5mm and clinical attachment loss â‰¥ 3mm.
5-Systemically healthy patients.
6-Patients with established willingness and ability to perform adequate oral hygiene.

Exclusion Criteria

1-Subjects who have received periodontal flap/regenerative therapy within the past 1 year 2-Patients who have received antibiotic therapy within the past six months 3-Pregnant and lactating patients 4-Smokers and tobacco chewers 5-Patients who demonstrate poor oral hygiene maintenance after Phase I therapy 6-Tooth with gingival recession and endodontic-pulpal involvement.
7-Systemic illness known to affect the outcomes of periodontal therapy; such as uncontrolled diabetes mellitus, cardiac diseases, immune-compromised (e.g., HIV individuals, under radiotherapy), patients taking medications such as corticosteroids or calcium channel blockers, which are known to interfere with periodontal wound healing 8-Patients with any known allergy to drugs.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The possible outcome of this study will be to see reduction in Probing depth and improvement in Clinical attachment level with ENAP and LANAP in chronic periodontitis cases	Baseline \| 1 Month \| 3 Months

Secondary Outcome Measures

Name	Time	Method
To assess gingival inflammation	Baseline

Trial Locations

Locations (1): Sardar Patel Post Graduate Institute of Dental and Medical Sciences
🇮🇳
Lucknow, UTTAR PRADESH, India
Sardar Patel Post Graduate Institute of Dental and Medical Sciences
🇮🇳Lucknow, UTTAR PRADESH, India
Dr Sweety Sonar
Principal investigator
9534784500
drsweetysonar@gmail.com