The study aims to comparatively assess clinical parameters, biochemical and microbiological parameters after treatment of periodontitis using subgingival mechanotherapy traditional and subgingival mechanotherapy using a perioscope.
Non-surgical treatment is the basic form of disease treatment periodontitis. Its first stage is the mechanical removal of dental plaque along with the control of risk factors. Subgingival mechanotherapy, also known as scaling and root planing (SRP) is the next stage, aimed at the subgingival area. Perioscopy makes possible direct real-time visualization of the root surface during the procedure. The research results published so far indicate improvement or no significant differences clinical parameters after SRP procedure using a perioscope vs traditional subgingival instrumentation. The aim of this study is to indicate, or not, clinical, biochemical (level of pro-inflammatory cytokines) and microbiological (A. actinomycetemcomitans, P. gingivalis, T. denticola) differences after periodontitis treatment using the traditional method vs. using a perioscope.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
26
Subgingival mechanotherapy using a machine scaler, curettes and a perioscope
Subgingival mechanotherapy using a machine scaler and curettes
Department of Periodontology and Oral Mucosa Diseases, Medical University of Warsaw
Warsaw, Masovian Voivodeship, Poland
RECRUITINGProbing pocket depth (PPD)
Distance from the gingival margin to the bottom of the gingival sulcus
Time frame: 0 (before), 3 and 6 months after SRP
Clinical attachment level (CAL)
Distance from the cementoenamel junction to the bottom of the gingival sulcus
Time frame: 0 (before), 3 and 6 months after SRP
Bleeding on probing (BoP)
Percentage of sites with bleeding provoked by applying a probe to the bottom of a sulcus/pocket.
Time frame: 0 (before), 3 and 6 months after SRP
Plaque index (PI)
Percentage of sites with plaque
Time frame: 0 (before), 3 and 6 months after SRP
Width of keratinized tissue (KTW)
Distance between the most apical point of gingival margin and the mucogingival junction
Time frame: 0 (before), 3 and 6 months after SRP
Gingival thickness (GT)
Thickness of the gingiva measured 2 mm apical to the gingival margin
Time frame: 0 (before), 3 and 6 months after SRP
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