Comparison of Subgingival Mechanotherapy With and Without the Use of a Perioscope: Clinical Trial

Medical University of Warsaw

Status: Enrolling

Conditions: Periodontitis

Treatments: Device: subgingival mechanotherapy with perioscopy; Device: classical subgingival mechanotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06366295

WUM.Perio.05

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 26 estimated patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 20-60; (II)
• preserved lateral and anterior teeth;
• no periodontal treatment in the last 12 months;
• intermediate or advanced periodontitis (Stage II / III / IV)
• in each quadrant at least three teeth with PPD>5 mm after initial treatment (scaling, motivation, instruction)

Exclusion criteria

• antibiotic therapy in the last 6 months;
• smoking;
• systemic diseases affecting periodontal tissues;
• pregnancy or lactation;
• orthodontic treatment;
• tooth mobility II / III degree;
• involvement of third degree furcations according to Hamp classification;
• endodontic issues

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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26 participants in 2 patient groups

Subgingival mechanotherapy with perioscopy

Experimental group

Description:

Scaling and root planing using ultrasonic scaler and curettes, under the control of a perioscope, enabling real-time, magnified imaging of the root surface.

Treatment:

Device: subgingival mechanotherapy with perioscopy

Classical subgingival mechanotherapy

Active Comparator group

Description:

Scaling and root planing using ultrasonic scaler and curettes.

Treatment:

Device: classical subgingival mechanotherapy