The Effects of Subgingival Air-polishing, as an Adjunct to Non-surgical Periodontal Treatment on Periodontal Parameters and Patient Satisfaction in Patients With Periodontitis: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Periodontal Diseases
- Sponsor
- Mohammed Bin Rashid University of Medicine and Health Sciences
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Full mouth plaque score (FMPS)
- Last Updated
- 4 years ago
Overview
Brief Summary
Periodontal disease is serious and global chronic disease. The prevalence of periodontal diseases in United Arab Emirates is not clear but data from Dubai Health Authority showed that one in five patients has received periodontal treatment in recent years.
Several studies reported the additional benefits provided by the use of air-polishing devices in combination with ultrasonic debridement in the treatment of gum disease, their use may reduce postoperative pain and discomfort while providing improvement in gum status.
The aim of the study is to compare the effect of removing bacterial deposit (biofilm) from deep tooth pocket using combined air-polishing and conventional pocket debridement versus conventional pocket debridement alone on tooth supporting tissue parameters in patients with advanced gum disease (periodontitis).
Methodology: A total of 22 patients with advanced gum disease will be randomly allocated to two groups: a control group, which will receive conventional pocket debridement and a test group which will receive ultrasonic debridement with air-polishing (Airflow Prophylaxis Master, EMS, Nyon, Switzerland). Gum measurements will be recorded by a masked calibrated examiner at six points for each tooth and patients' postoperative experience and satisfaction will be assessed using special forms.
Investigators
Associate Professor Momen Atieh
Chair and Associate Professor (Periodontology)
Mohammed Bin Rashid University of Medicine and Health Sciences
Eligibility Criteria
Inclusion Criteria
- •Aged 18 or over.
- •Diagnosed with unstable generalised periodontitis, stage III-IV and grade B or C.
- •Good compliance and commitment to attend follow-up review appointments.
- •Absence of systemic disease that will may affect the treatment outcome.
- •Willing to provide informed consent.
Exclusion Criteria
- •Received periodontal treatment in the last 12 months.
- •Received systemic anti-inflammatory or antibiotic in the last 6 months or during the study period.
- •Use of medication known to affect the gingival growth.
- •Chronic bronchitis.
- •Participants that require prophylactic antibiotic.
- •Pregnant or breastfeeding participants
Outcomes
Primary Outcomes
Full mouth plaque score (FMPS)
Time Frame: Change from baseline FMPS at six months
The plaque score is calculated by expressing as a percentage the number of surfaces harbouring plaque related to the total number of tooth surfaces.
Percentages of sites with PPDs ≥ 6 mm
Time Frame: Change from baseline percentages of sites with PPDs ≥ 6 mm at six months
Percentages of sites with PPDs ≥ 6 mm. PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
Full mouth bleeding score (FMBS)
Time Frame: Change from baseline FMBS at six months
The bleeding score is calculated by expressing as a percentage the number of sites that bleed upon probing in relation to the total number of tooth sites.
Probing pocket depths (PPDs)
Time Frame: Change from baseline PPDs at six months
PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
Clinical attachment levels (CALs)
Time Frame: Change from baseline CALs at six months
CAL is calculated from a fixed reference point (cementoenamel junction or CEJ), and it is computed by calculating the distance from the CEJ to the base of the pocket in millimeters.
Number of sites with PPDs ≥ 6 mm
Time Frame: Change from baseline number of sites with PPDs ≥ 6 mm at six months
Number of sites with PPDs ≥ 6 mm. PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
Secondary Outcomes
- Postoperative swelling(Change from baseline swelling at seven days)
- Postoperative bruising(Change from baseline bruising at seven days)
- Operating time(Baseline)
- Postoperative pain(Change from baseline pain at seven days)
- Postoperative bleeding(Change from baseline bleeding at seven days)
- Postoperative root sensitivity(Change from baseline root sensitivity at seven days)
- Quality of life measures(Change from baseline GOHAI score at six months days)