Impact of Subgingival Instrumentation on Jaw Symptoms of Probable Bruxers Among Patients With Periodontitis

Not Applicable

Not yet recruiting

Brief Summary: This study aims to explore the mechanisms by which periodontal disease affects the bruxers and to assess the impact of subgingival instrumentation on jaw symptoms of probable bruxers among patients with periodontitis .

Detailed Description: Patients with chronic periodontitis usually describe itching and persistent pain of moderate intensity. Applying masticatory pressure provides relief in these symptoms. However, this practice may lead to the development of bruxism habits in patients over time.

A deeper comprehension of the dynamic interplay between periodontal health and bruxism is crucial for crafting holistic treatment approaches aimed at addressing both symptoms and root causes effectively.

Till now, there has been no report examining the effect of subgingival instrumentation on probable bruxers in periodontitis patients.

. This study aims to assess the impact of subgingival instrumentation on jaw symptoms of probable bruxers in patients with periodontitis

Recruitment & Eligibility

Inclusion Criteria

1. Systemically healthy patients 2. Patient having habit of bruxism diagnosed with periodontitis 3. Age between 30-40 years 4. Minimum 20 teeth present in oral cavity

Exclusion Criteria

History of systemic disease such as diabetes or autoimmune disease
History of drugs having the potential impact on periodontal status like phenytoin, cyclosporin, calcium-channel blockers or antidepressant drugs.
Pregnant or lactating females.
Post-menopausal women.
Patients diagnosed with temporomandibular disorders- pain and tenderness in the masticatory muscles
Patients receiving interventions for bruxism.
History of Psychological disorders

Arm && Interventions

Group	Intervention	Description
Periodontitis with bruxism	Subgingival instrumentation	All the participants will undergo subgingival instrumentation with hand scalers, curettes and ultrasonic scaler. Parameters will be recorded at baseline and two, three and six months of time points after subgingival instrumentation.

Primary Outcome Measures

Name	Time	Method
Jaw symptoms	baseline , 2 months , 3 months and 6 months	Improvement in frequency and intensity of Jaw Symptoms (pain, unpleasantness, sensitivity, tiredness, tension and stiffness) as perceived by the patient.

Secondary Outcome Measures

Name	Time	Method
tooth mobility	baseline , 2 months , 3 months and 6 months	Tooth mobility is assessed using Miller Mobility Index
Gingival index	baseline , 2 months , 3 months and 6 months	Gingival index by Loe and Silness (1963) will be used to assess severity of gingival inflammation.
Bleeding on probing	baseline , 2 months , 3 months and 6 months	BOP recorded as 1 if bleeding occurs within 15 seconds of probing and 0 (absent) if no bleeding occurred. It will be calculated in %. After adding all the scores, total score will be divided by the total no. of surfaces accessed and multiplied by 100
Probing pocket depth	baseline , 2 months , 3 months and 6 months	Probing Pocket Depth (PPD): Probing pocket depth will be measured as the distance from gingival margin to the base of pocket. The probing depth measurements will be assessed using the Periodontal probe. The probe will be inserted in the bottom of pocket and maintained parallel to vertical axis of the tooth. Measurements will be noted at 6sites of a tooth (mesio-buccal, mid-buccal, disto- buccal, mesio-lingual, mid-lingual and disto- lingual). Measurements will be rounded to the nearest whole millimeter.

Locations (1): Post Graduate Institute of Dental Sciences
🇮🇳
Rohtak, Haryana, India

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