Erbium Chromium: YSGG Laser Effect on Surgical Treatment of Chronic Periodontitis

alaa34 enrolled

Overview

Microbiological and Clinical assessment of Er,Cr:YSGG laser in conjunction to open flap debridement (OFD) in treatment of chronic periodontitis through real time PCR assay for quantification of total bacterial load.

Two groups are randomly allocated (random number generation) by Microsoft excel into two groups : 1. Group (1) Open Flap debridement (OFD) surgery after conventional periodontal therapy (Scaling \&Curettage and root planing) combined by Er,Cr:YSGG Laser assisted pocket therapy (ELAPT) which will be applied to pocket epithelial lining and root surface. 2. Group (2) Open Flap debridement (OFD) surgery after conventional periodontal therapy (Scaling \&Curettage and root planing) will be performed.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Generalized Chronic Periodontitis

Interventions

laser device Er,Cr:YSGG laserDEVICE

laser device with open flap debridement

Eligibility

Sex: ALLMin age: 25 YearsMax age: 55 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients are diagnosed to have chronic periodontitis, having infrabony posterior periodontal pocket measuring 5 mm or more. * female or male. * 25 - 55 years. * Medically controlled according to medical coding of review of systems . * Patient without history of drug administration in last month . Exclusion criteria: * Tobacco smoking. * Pregnancy. * Patients not follow periodontal hygienic instructions. * Patients under any medication that affect periodontal healing. * The presence of any systemic disease that affect periodontal healing.

Outcomes

Primary Outcomes

Clinical Assessment of Plaque index(PI)

Visual Analog Score for plaque for detection amount of plaque accumulation so assess patient oral hygiene. recording is based on both soft and mineralized debris. Each surface will have a score from 0 to 3. 0: no plaque 1. plaque only detected by probe. 2. Moderate deposits detected by naked eye. 3. heavy deposits detected by naked eye.

Time frame: 6 months

Clinical Assessment of Gingival index(GI) to assess gingival inflammation. 0: normal gingiva. 1: mild inflammation . 2: moderate inflammation . 3: sever inflammation marked redness and edema and spontaneous bleeding.

Visual Analog Score for gingival inflammation

Time frame: 6 months

Clinical Assessment of Probing depth (PD).

measured by milli meters for detection of level of periodontal destruction.

Time frame: 6 months

Clinical Assessment of Clinical attachment level (CAL) .

measured by milli meters for detection of level of periodontal destruction.

Time frame: 6 months

Clinical Assessment of Gingival recession(GR)

measured by milli meters for detection of level of apical migration of gingival attachment.

Time frame: 6 months

Clinical Assessment of Modified sulcular bleeding index (MSBI)

Visual Analog Score of bleeding for detection of inflammatory status level. Modified Sulcus Bleeding Index(MSBI) 0 = No bleeding on bleeding. 1. =pin pointed bleeding. 2. = linear bleeding. 3. = Heavy or profuse bleeding.

Time frame: 6 months

Secondary Outcomes

Data from ClinicalTrials.gov

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