Diamond Burs Versus Gracey Curettes and Efficacy of Root Planing in Chronic Periodontitis Patients
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 12
- 主要终点
- Clinical tissue healing
研究概览
简要总结
This study compares the efficacy of diamond burs and Gracey curettes in non-surgical periodontal treatment of chronic periodontitis by clinical, microbiological, biochemical parameters and scanning electron microscopic investigations on root surfaces. Two quadrants of each of the 12 patients were treated with diamond burs whereas other 2 quadrants were treated with Gracey curettes. Also 21 hopeless teeth received root planing either with diamond burs or curettes or no treatment at all and were then extracted for microscopic evaluations.
详细描述
Gracey curettes are the most widely used instruments for root planing and regarded as the gold standard, but their usage is technic sensitive and time consuming for the clinician and efficacy reduces in deep pockets, root irregularities, and furcations. Alternative sonic, ultrasonic and rotary instruments have been investigated for potential benefits in improving mechanical access. Sonic and ultrasonic instruments are used for scaling, but they cannot provide smooth root surfaces.
Intensiv Perio Set is a rotating diamond bur system developed for odontoplasty, scaling and root planing. It is used only in right angle hand piece, at rotation speeds of 6000 rpm, with reduced pressure application. These burs have two different head types for morphologically different areas; flame or tapered, three different grains; 75, 40, or 15 μm, with either a short or long neck for each unit. Burs with 75 μm grain are used only in odontoplasty, whereas, 40 and 15 μm burs are used for scaling and root planing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 37 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •clinical diagnosis of generalized chronic periodontitis (Armitage 1999)
- •presence of at least 3 teeth (1 molar, 2 non-molar teeth) with probing depth ≥ 5 mm in each quadrant
排除标准
- •presence of any known systemic disease or using medications that affect periodontal tissues
- •antibiotic treatment and/or periodontal treatment within the past 6 months
- •tobacco usage during the last 12 months
- •being pregnant or in the lactation period
研究组 & 干预措施
Intensiv Perio Set
Root planing with diamond burs
干预措施: Intensiv Perio Set (Device)
Gracey curette
Root planing with Gracey curettes
干预措施: Gracey curette (Device)
结局指标
主要结局
Clinical tissue healing
时间窗: 6 month
次要结局
- Changing of the amount of pathogen microorganisms(1 month)
- Changing of the gingival crevicular fluid biomarkers(1 month)
- Root surface characteristic according to Scanning Electron Microscope(6 month)
研究者
Fatma Türktekin
Principal investigator
Ege University