the aim of this study is to investigate the clinical outcomes of Minimally Invasive Non-Surgical Therapy(MINST) compared to Conventional non-surgical periodontal therapy (CNST)
A total of thirty patients were included in the study, Inclusion Criteria: - * Patients with stage III pericdontitis, according to the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) periodontal classification system . * Medically free patients. * Non-smokers * Patients with good oral hygiene. Exclusion Criteria: - * Pregnant or lactating females. * Patients with systemic diseases that might affect periodontal health * previous periodontal treatment within 6 months before baseline examination. * prior antibiotic regimen use within 1 month before baseline examination All participants will receive oral hygiene instructions including toothbrushin, interdental cleaning, and plaque control behavior reinforcement with oral hygiene self-care regimens to be followed at home. * On the conventional non-surgical periodontal therapy side, a power-driven piezo•electric ultrasonic scaling device with scaling tips will be used the majority of the time to debride subgingival biofilm and calculus. and manual standard gracey curette instruments will be used to refine residuals from root surfaces. * Conversely, the treatment protocol of the minimally invasive non-surgical periodontal therapy side will be followed as in the previous study (5). * Briefly. the root surface of teeth will be thoroughly debrided by a minimally invasive approach using specific thin and delicate piezo-electric scaling tips (Woodpecker � Tip P3. Am Perfect sp. z o .• � Poland) and manual miniature periodontal curettes {� Dent Solutions. Cairo. Egypt) for reducing periodontal tissue trauma. Adjunctive use of magnification loupes will be performed. * Both modalities will be performed under local anesthesia. * All patients will be recalled 1 and 3 months after tre.alment for re-ev.almtion and professional supra-gingival plaque control study parameters are plaque index bleeding of probing periodontal pocket depth clinical attachment loss gingival index
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
On the conventional non-surgical periodontal therapy side, a power-driven piezo•electric ultrasonic scaling device with scaling tips will be used the majority of the time to debride subgingival biofilm and calculus. and manual standard gracey curette instruments will be used to refine residuals from root surfaces.
Briefly. the root surface of teeth will be thoroughly debrided by a minimally invasive approach using specific thin and delicate piezo-electric scaling tips (Woodpecker � Tip P3. Am Perfect sp. z o .• � Poland) and manual miniature periodontal curettes {� Dent Solutions. Cairo. Egypt) for reducing periodontal tissue trauma. Adjunctive use of magnification loupes will be performed.
Mansoura university Faculty of dentistry
Al Mansurah, Dakhlia, Egypt
RECRUITINGPlaque index (PI)
1\. Plaque index (PI):The index assigns a score to each tooth based on the amount of plaque present. 0: No plaque is visible. 1. A thin film of plaque is present at the gingival margin (gumline) and can be detected with a probe. 2. Visible plaque along the gingival margin. 3. Heavy plaque accumulation in the gingival margin and interdental spaces.
Time frame: basline, 1 month , 3 months
Bleeding on probing (BOP):
): "0" if no bleeding occurred within 10 second, and "1" if there was bleeding within 10 second.
Time frame: baseline, 1 month , 3 months
Probing pocket Depth (PPD)
): will be measured from the gingival margin to the base of the periodontal pocket.
Time frame: baseline , 1 month , 3 month
Clinical Attachment Level (CAL)
will be measured from the cement-enamel junction to the base of the periodontal pocket.
Time frame: baseline ,1 month , 3 month
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