the goal of this clinical trial is to compare the effect of vaping vs traditional smoking on non surgical periodontal therapy . the main question it aims to answer is what is the impact of traditional smoking and vaping on periodontal health and how do IL-1B and IL-20 serve as mediators in the inflammatory processes linked to periodontal disease?
the goal of this clinical trial is to compare the effect of vaping vs traditional smoking on non surgical periodontal therapy . the main question it aims to answer is what is the impact of traditional smoking and vaping on periodontal health and how do IL-1B and IL-20 serve as mediators in the inflammatory processes linked to periodontal disease? .A randomized controlled clinical trial will be conducted on patients with periodontitis stage II . participants will be allocated to one of three groups: traditional smokers , vapers and non-smokers . the randomization process will ensure unbiased distribution of participants across the groups . periodontal health will be evaluated through clinical assesment ( probing depth as primary outcome, clinical attachemt level, bleeding on probing and GI ) then cytokine levels (IL-1B , IL-20) will be assessed.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
117
participants in all groups will recieve non surgical periodontal therapy including scaling and root planning performed using ultrasonic and hand instruments at baseline. oral hygiene instructions will be provided. periodontal parameters and GCF samples will be collected at baseline and follow up visit.
faculty of dentistry , Ain shams university
Cairo, Cairo Governorate, Egypt
probing depth (PD)
assessment of periodontal probing depth measured in millimeters using a UNC -15 periodontal probe. PD will be measured from the gingival margin to the base of the periodontal pocket at six sites per tooth
Time frame: baseline and 2 months follow up
clinical attachment loss
assessment of CAL measured in millimeters using a UNC-15 periodontal probe. CAL will be measured from (CEJ) to the base of the pocket at 6 sites per tooth
Time frame: baseline and 2 months follow up after non surgical periodontal surgery
plaque index
assessment of plaque accumulation using plaque index ( Silness and Loe plaque index )
Time frame: baseline and 2 months follow up after NSPT
bleeding on probing
assessment of gingival bleeding following periodontal probing and recorded as the percentage of bleeding sites.
Time frame: baseline and 2 months follow up after NSPT
interleukin-1B level in GCF
assessment of IL-1B level in GCF using ( ELISA ). results will be expressed according to assay manufacturer's instructions
Time frame: baseline and 2 months after NSPT
IL-20 level in GCF
assessment of IL-20 levels in GCF samples using (ELISA ). results will be expressed according to assay manufacturer's instructions
Time frame: baseline and 2 month after NSPT
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