Burs Versus Curettes in Root Planing.

August 17, 2016 updated by: Fatma Türktekin, Ege University

Diamond Burs Versus Gracey Curettes and Efficacy of Root Planing in Chronic Periodontitis Patients

This study compares the efficacy of diamond burs and Gracey curettes in non-surgical periodontal treatment of chronic periodontitis by clinical, microbiological, biochemical parameters and scanning electron microscopic investigations on root surfaces. Two quadrants of each of the 12 patients were treated with diamond burs whereas other 2 quadrants were treated with Gracey curettes. Also 21 hopeless teeth received root planing either with diamond burs or curettes or no treatment at all and were then extracted for microscopic evaluations.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Gracey curettes are the most widely used instruments for root planing and regarded as the gold standard, but their usage is technic sensitive and time consuming for the clinician and efficacy reduces in deep pockets, root irregularities, and furcations. Alternative sonic, ultrasonic and rotary instruments have been investigated for potential benefits in improving mechanical access. Sonic and ultrasonic instruments are used for scaling, but they cannot provide smooth root surfaces.

Intensiv Perio Set is a rotating diamond bur system developed for odontoplasty, scaling and root planing. It is used only in right angle hand piece, at rotation speeds of 6000 rpm, with reduced pressure application. These burs have two different head types for morphologically different areas; flame or tapered, three different grains; 75, 40, or 15 μm, with either a short or long neck for each unit. Burs with 75 μm grain are used only in odontoplasty, whereas, 40 and 15 μm burs are used for scaling and root planing.

Study Type

Interventional

Enrollment (Actual)

12

Phase

  • Phase 1

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

37 years to 60 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • clinical diagnosis of generalized chronic periodontitis (Armitage 1999)
  • presence of at least 3 teeth (1 molar, 2 non-molar teeth) with probing depth ≥ 5 mm in each quadrant

Exclusion Criteria:

  • presence of any known systemic disease or using medications that affect periodontal tissues
  • antibiotic treatment and/or periodontal treatment within the past 6 months
  • tobacco usage during the last 12 months
  • being pregnant or in the lactation period

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intensiv Perio Set
Root planing with diamond burs
Device: Intensiv Perio Set
Diamond burs for root planing
Active Comparator: Gracey curette
Root planing with Gracey curettes
Device: Gracey curette

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Clinical tissue healing
Time Frame: 6 month
6 month

Secondary Outcome Measures

Outcome Measure
Time Frame
Changing of the amount of pathogen microorganisms
Time Frame: 1 month
1 month
Changing of the gingival crevicular fluid biomarkers
Time Frame: 1 month
1 month
Root surface characteristic according to Scanning Electron Microscope
Time Frame: 6 month
6 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ege University

Collaborators

University of Glasgow

Investigators

  • Study Director: Eralp Buduneli, Proffessor, Department of Periodontology, Faculty of Dentistry, Ege University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2013

Primary Completion (Actual)

August 1, 2014

Study Completion (Actual)

April 1, 2015

Study Registration Dates

First Submitted

August 9, 2016

First Submitted That Met QC Criteria

August 17, 2016

First Posted (Estimate)

August 23, 2016

Study Record Updates

Last Update Posted (Estimate)

August 23, 2016

Last Update Submitted That Met QC Criteria

August 17, 2016

Last Verified

August 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • FTurktekin

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Yes

IPD Plan Description

De-identified individual data for all outcome measures will be made available within 3 years of study completion.

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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