This study aims to explore the mechanisms by which periodontal disease affects the bruxers and to assess the impact of subgingival instrumentation on jaw symptoms of probable bruxers among patients with periodontitis .
Patients with chronic periodontitis usually describe itching and persistent pain of moderate intensity. Applying masticatory pressure provides relief in these symptoms. However, this practice may lead to the development of bruxism habits in patients over time. A deeper comprehension of the dynamic interplay between periodontal health and bruxism is crucial for crafting holistic treatment approaches aimed at addressing both symptoms and root causes effectively. Till now, there has been no report examining the effect of subgingival instrumentation on probable bruxers in periodontitis patients. . This study aims to assess the impact of subgingival instrumentation on jaw symptoms of probable bruxers in patients with periodontitis
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
All the participants will undergo subgingival instrumentation with hand scalers, curettes and ultrasonic scaler. Parameters will be recorded at baseline and two, three and six months of time points after subgingival instrumentation.
Post Graduate Institute of Dental Sciences
Rohtak, Haryana, India
Jaw symptoms
Improvement in frequency and intensity of Jaw Symptoms (pain, unpleasantness, sensitivity, tiredness, tension and stiffness) as perceived by the patient.
Time frame: baseline , 2 months , 3 months and 6 months
Bleeding on probing
BOP recorded as 1 if bleeding occurs within 15 seconds of probing and 0 (absent) if no bleeding occurred. It will be calculated in %. After adding all the scores, total score will be divided by the total no. of surfaces accessed and multiplied by 100
Time frame: baseline , 2 months , 3 months and 6 months
Gingival index
Gingival index by Loe and Silness (1963) will be used to assess severity of gingival inflammation.
Time frame: baseline , 2 months , 3 months and 6 months
Probing pocket depth
Probing Pocket Depth (PPD): Probing pocket depth will be measured as the distance from gingival margin to the base of pocket. The probing depth measurements will be assessed using the Periodontal probe. The probe will be inserted in the bottom of pocket and maintained parallel to vertical axis of the tooth. Measurements will be noted at 6sites of a tooth (mesio-buccal, mid-buccal, disto- buccal, mesio-lingual, mid-lingual and disto- lingual). Measurements will be rounded to the nearest whole millimeter.
Time frame: baseline , 2 months , 3 months and 6 months
tooth mobility
Tooth mobility is assessed using Miller Mobility Index
Time frame: baseline , 2 months , 3 months and 6 months
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