Periodontal disease is serious and global chronic disease. The prevalence of periodontal diseases in United Arab Emirates is not clear but data from Dubai Health Authority showed that one in five patients has received periodontal treatment in recent years. Several studies reported the additional benefits provided by the use of diode laser in combination with ultrasonic debridement in the treatment of gum disease. The use of diode laser may debridement of deep pocketing areas while improving healing of gum tissues. The aim of the study is to compare the effect of removing bacterial deposit (biofilm) from deep tooth pocket using combined diode laser and conventional pocket debridement versus conventional pocket debridement alone on tooth supporting tissue parameters in patients with advanced gum disease (periodontitis). Methodology: A total of 22 patients with advanced gum disease will be randomly allocated to two groups: a control group, which will receive conventional pocket debridement and a test group which will receive ultrasonic debridement with diode laser. Gum measurements will be recorded by a masked calibrated examiner at six points for each tooth and patients' postoperative experience and satisfaction will be assessed using special forms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
22
Combined use of diode laser device and scaling instruments to remove plaque and calculus from the surface of the roots of teeth.
Use of scaling instruments to remove plaque and calculus from the surface of the roots of teeth.
Dubai Dental Hospital
Dubai, United Arab Emirates
RECRUITINGFull mouth plaque score (FMPS).
The plaque score is calculated by expressing as a percentage the number of surfaces harbouring plaque related to the total number of tooth surfaces.
Time frame: Change from baseline FMPS at six months
Full mouth bleeding score (FMBS).
The bleeding score is calculated by expressing as a percentage the number of sites that bleed upon probing in relation to the total number of tooth sites.
Time frame: Change from baseline FMBS at six months
Probing pocket depth (PPD).
PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
Time frame: Change from baseline PPDs at six months
Clinical attachment level (CAL).
CAL is calculated from a fixed reference point (cementoenamel junction or CEJ), and it is computed by calculating the distance from the CEJ to the base of the pocket in millimeters.
Time frame: Change from baseline CALs at six months
Number of sites PPDs ≥ 6 mm.
Number of sites with PPDs ≥ 6 mm. PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
Time frame: Change from baseline number of sites with PPDs ≥ 6 mm at six months
Percentages of sites PPDs ≥ 6 mm.
Percentages of sites with PPDs ≥ 6 mm. PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
Time frame: Change from baseline percentages of sites with PPDs ≥ 6 mm at six months
Operating time
Time required to complete the procedure
Time frame: Outcome measures will be recorded at baseline
Postoperative pain
Patient-related outcomes (pain) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
Time frame: Change from baseline pain at seven days
Postoperative swelling
Patient-related outcomes (swelling) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
Time frame: Change from baseline swelling at seven days
Postoperative bleeding
Patient-related outcomes (bleeding) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
Time frame: Change from baseline bleeding at seven days
Postoperative bruising
Patient-related outcomes (bruising) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
Time frame: Change from baseline bruising at seven days
Postoperative root sensitivity
Patient-related outcomes (root sensitivity) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
Time frame: Change from baseline root sensitivity at seven days
Quality of life measures
Patient's quality of life will be evaluated using general oral health assessment index (GOHAI). The GOHAI has 12 negatively and positively worded items evaluating three dimensions of oral health related quality of life (physical function, pain or discomfort and psychosocial function). The score ranged from 0 to 60. The scores are maintained for the three items "able to swallow comfortably", able to eat without discomfort", "pleased with look of teeth", and reversed for the remaining nine items, so that a higher score was associated with a more positive oral health.
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Time frame: Change from baseline GOHAI score at six months days