Clinical evaluation of using erythritol powder as air polishing with ultrasonic scaling and root planing in the treatment of initial periodontal pockets. This trial will be split-mouth design, in which each patient will receive traditional treatment (ultrasonic mechanical therapy and polishing) in one side, while the contralateral two quadrants of the jaws will be treated with erythritol powder by means of air polishing and ultrasonic scaling and root planing.
The aim of the study is to evaluate the usage of erythritol powder by means of air polishing in hand of undergraduate dental students as a single way to remove biofilm and the adjunctive application of ultrasonic piezo afterward for calculus removal and root planing only in the treatment of initial periodontal pockets. The sample size will be 15 patients. Initially, oral hygiene instructions with scaling and root planing will consist of the treatment phase. Each subject will be informed comprehensively about oral hygiene instructions using disclosing solution (such as erythrosine) and hand mirror. The participant will be shown modified bass technique and the proper usage of dental floss and appropriate interdental brushes. The control side will be treated with supra- and subgingival ultrasonic piezo scalers then supragingival polishing with rubber cup and a special fluoride containing paste as a traditional way of removal of plaque and calculus, while the test side, will be confined to erythritol powder by means of air polishing as the only way to remove ultrasonic piezo scalers. At the end of treatment, hand instruments may be used to ensure the smoothness 0f the teeth surfaces. Clinical measurements will be performed at baseline and at 2 weeks, 4 and 6 weeks for the plaque index and gingival indices, whereas probing will be performed only after 6 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
13
An erythritol powder will be used by Electro Medical Systems AIRFLOW® and then Electro Medical Systems Piezo will be used for supra- and subgingival ultrasonic instrumentation
Electro Medical Systems Piezo will be used for supra- and subgingival ultrasonic instrumentation
Syrian Private University
Damascus, Syria
change in the papillary bleeding index
Probing is performed in all four quadrants. A quadrant 1 is probed only from the oral aspect, quadrant 2 from the facial, 3 again from oral, and from the facial in quadrant 4 Grade 1-Point: 20-30 seconds after probing the mesial and distal sulci with a periodontal probe, a single bleeding point is observed. Grade 2-Line/Points: A fine line of blood or several bleeding points become visible at the gingival margin. Grade 3-Triangle: The interdental triangle becomes more or less filled with blood. Grade 4-Drops: Profuse bleeding. Immediately after probing, blood flows into the interdental area to cover portions of the tooth and/or gingiva. Calculation: Papillary bleeding index= Bleeding Number/ Number of sites measured
Time frame: baseline, 2-weeks, 4-weeks, 6-weeks after the treatment
change in the percentage of study sites positive for bleeding on probing
All four surfaces of all teeth are assessed with regard to whether probing elicits bleeding (+) or not (-). The severity of gingivitis is expressed as a percentage. \- no bleeding upon probing (not recorded) \+ bleeding upon probing Calculation: Bleeding on probing= Number of bleeding sites x100 / Number of sites evaluated
Time frame: baseline, 6-weeks after the treatment
change in the full mouth Plaque Index
a score of 0 to 5 is assigned to each facial and lingual unrestored surface of all the teeth except third molars, as follows: The Plaque Index System Scores Criteria * 0 No plaque * 1 Separate flecks of plaque at the cervical margin of the tooth * 2 A thin continuous band of plaque (up to one mm) at the cervical margin of the tooth * 3 A band of plaque wider than one mm but covering less than one-third of the crown of the tooth * 4 Plaque covering at least one-third but less than two-thirds of the crown of the tooth * 5 Plaque covering two-thirds or more of the crown of the tooth
Time frame: baseline, 2-weeks, 4-weeks, 6-weeks after the treatment
change in the Calculus index
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
* 0, no calculus; * 1, mild supragingival calculus extending to marginal gingiva is present; * 2, moderate supra and subgingival calculus or only subgingival calculus is present; and * 3, excessive supra and subgingival calculus is present. it will be estimated visually
Time frame: baseline, 2-weeks, 4-weeks, 6-weeks after the treatment
change in the Modified Gingival Index
* 0 = Normal gingiva; * 1 = Mild inflammation - slight change in color and slight edema; * 2 = Moderate inflammation - redness, edema and glazing; * 3 = Severe inflammation - marked redness and edema, ulceration with tendency to spontaneous bleeding. it will be estimated visually
Time frame: baseline, 2-weeks, 4-weeks, 6-weeks after the treatment
change in the Probing pocket depth
measure as the change in distance from the gingival margin to the bottom of the gingival sulcus by using a periodontal probe (UNC 15 "University of North Carolina")
Time frame: baseline, 6- weeks after the treatment
The change of the root sensitivity
will be evaluated using a visual analogue scale (VAS). The VAS root sensitivity scores ranges between 0 to 10. (0: no root sensitivity, 5: moderate root sensitivity, 10: severe root sensitivity).
Time frame: baseline, 24- hours, 48- hours, 72-hours, 1- week, 2-weeks, 4-weeks, 6-weeks after the treatment