Comparison of Current Subgingival Debridement Methods

Hacettepe University

Status: Completed

Conditions: Guided Biofilm Therapy; Subgingival Debridement; Subgingival Plaque; Treatment of Periodontitis

Study type: Observational

Funder types: Other

Identifiers

NCT06835452

2023/65

Details and patient eligibility

About

Our study aimed to compare the effectiveness of current subgingival debridement methods used in the treatment of Stage 1 and Stage 2 periodontitis patients, the aesthetic condition achieved after these treatments, and the pain felt during treatment.

90 female patients who were diagnosed with chronic periodontitis (Stage 1-2) and required supra-subgingival scaling for treatment purposes, and who volunteered to participate in the study, were included in the study. Three treatment groups were determined. 30 people were included in each group. Periodontal examination was performed before and after the treatments in the 1st month, 3rd month and 6th month and the data on the collected periodontal parameters were analyzed.

Full description

Periodontal parametreler Gingival index, plaque index, periodontal pocket depth and bleeding index on probing.

It was evaluated with the visual analog scale for pain and aesthetics.

Enrollment: 90 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Systemically healthy patient (without known chronic disease)
• Periodontal diagnostic data (Gingival Index, Plaque Index, Periodontal pocket depths, Attachment loss, Radiological data-Bone loss data) are complete
• Treatments diagnosed with stage 1-2 periodontitis and those who have not had periodontal treatment in the last 6 months

Exclusion criteria

• Having a systemic disease
• Pregnant and lactating women
• smoker
• Those who do not want to participate in the study

Trial design

90 participants in 3 patient groups

Group 1- classic treatment

Description:

Subgingival debridement was performed using the Cavitron and Gracey curette (this is the method that is used routinely).

Group 2-Guided Biofilm Therapy

Description:

Subgingival debridement was performed with the Guided Biofilm Therapy (GBT+Airabrasion) method. This method is the most up-to-date method. The biofilm is shown to the patient with plate dye, and the biofilm is cleaned with air abrasion and perio flow (EMS device cavitron). In the patient's control sessions, the patient's oral hygiene motivation is tried to be increased by dyeing the biofilm.

Group 3- Classical treatment and with Plaque paint

Description:

the dental calculus and biofilm were stained with plaque paint, shown to the patient with the help of a mirror, and then routine subgingival debridement was performed.