COMPARISON OF FULL-MOUTH AND QUADRANT-WISE SCALING AND ROOT PLANING IN TERMS OF CLINICAL EFFECTIVENESS, ENVIRONMENTAL SUSTAINABILITY, AND PATIENT-REPORTED OUTCOMES
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Probing Pocket Depth (PPD)
研究概览
简要总结
This randomized clinical trial compares full-mouth and quadrant-wise scaling and root planing in patients with Stage III periodontitis. In addition to evaluating clinical effectiveness and patient-reported outcomes, the study investigates the environmental sustainability of both treatment protocols using life cycle assessment. The findings are expected to contribute to more sustainable and patient-centered periodontal treatment planning.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥18 years. Diagnosis of Stage III periodontitis according to the 2017 World Workshop -Classification of Periodontal and Peri-Implant Diseases and Conditions.
- •Presence of at least four teeth in each quadrant, including at least one molar, excluding third molars.
- •Absence of any systemic disease. No regular use of systemic medications. No history of periodontal treatment within the previous 6 months. No use of antibiotics, anti-inflammatory agents, or any other medications that could affect periodontal tissues within the previous 6 months.
- •Non-smokers or individuals who had ceased smoking for at least 1 year prior to enrollment.
- •Not pregnant or breastfeeding.
排除标准
- •Age <18 years. Presence of any systemic disease. Regular use of systemic medications. History of periodontal treatment within the previous 6 months. Failure to complete the treatment protocol or attend scheduled follow-up visits.
- •Current smoking. Use of antibiotics, anti-inflammatory agents, or any other medications that could affect the periodontal tissues within the previous 6 months.
- •Requirement for antibiotic prophylaxis prior to dental treatment.
研究组 & 干预措施
Full-Mouth Scaling and Root Planing (FM-SRP)
Participants received full-mouth scaling and root planing completed in a single treatment session. Periodontal clinical parameters, patient-reported outcomes, and environmental sustainability outcomes were evaluated during a 6-month follow-up period.
干预措施: Full-Mouth Scaling and Root Planing (Procedure)
Quadrant-Wise Scaling and Root Planing (Q-SRP)
Participants received quadrant-wise scaling and root planing performed over four treatment sessions at one-week intervals. Clinical effectiveness, patient-reported outcomes, and environmental sustainability were evaluated during a 6-month follow-up period.
干预措施: Quadrant-Wise Scaling and Root Planing (Procedure)
结局指标
主要结局
Probing Pocket Depth (PPD)
时间窗: Baseline, 1 month, 3 months, and 6 months
Mean probing pocket depth (PPD) was measured at six sites per tooth using a manual periodontal probe and recorded in millimeters (mm). Lower PPD values indicate improved periodontal status.
次要结局
- Clinical Attachment Level (CAL)(Baseline, 1 month, 3 months, and 6 months)
- Bleeding on Probing (BOP)(Baseline, 1 month, 3 months, and 6 months)
- Plaque Index (PI)(Baseline, 1 month, 3 months, and 6 months)
- Gingival Index (GI)(Baseline, 1 month, 3 months, and 6 months)
- Periodontal Inflamed Surface Area (PISA)(Baseline, 1 month, 3 months, and 6 months)
- Periodontal Epithelial Surface Area (PESA)(Baseline, 1 month, 3 months, and 6 months)
- Pain Intensity (Visual Analog Scale, VAS)(At the 1-month follow-up visit)
- Oral Health-Related Quality of Life (OHIP-14)(At the 1-month follow-up visit)
- Analgesic Use(At the 1-month follow-up visit)
- Preference for Future Periodontal Treatment(At the 6-month follow-up visit)
- Environmental Impact of Periodontal Treatment Approaches(During the 6-month study period)
研究者
Nida Kalaç
Research Assistant
Selcuk University