- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04477551
The Effects of Diode Laser as an Adjunct to Non-surgical Periodontal Treatment on Periodontal Status in Patients With Stage III-IV Periodontitis
The Effects of Diode Laser as an Adjunct to Non-surgical Periodontal Treatment on Periodontal Status in Patients With Stage III-IV Periodontitis: a Randomized Controlled Trial
Periodontal disease is serious and global chronic disease. The prevalence of periodontal diseases in United Arab Emirates is not clear but data from Dubai Health Authority showed that one in five patients has received periodontal treatment in recent years.
Several studies reported the additional benefits provided by the use of diode laser in combination with ultrasonic debridement in the treatment of gum disease. The use of diode laser may debridement of deep pocketing areas while improving healing of gum tissues.
The aim of the study is to compare the effect of removing bacterial deposit (biofilm) from deep tooth pocket using combined diode laser and conventional pocket debridement versus conventional pocket debridement alone on tooth supporting tissue parameters in patients with advanced gum disease (periodontitis).
Methodology: A total of 22 patients with advanced gum disease will be randomly allocated to two groups: a control group, which will receive conventional pocket debridement and a test group which will receive ultrasonic debridement with diode laser. Gum measurements will be recorded by a masked calibrated examiner at six points for each tooth and patients' postoperative experience and satisfaction will be assessed using special forms.
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Momen A Atieh, BDS, MSc, DClinDent, PhD
- Phone Number: +97143838905
- Email: momen.atieh@mbru.ac.ae
Study Locations
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-
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Dubai, United Arab Emirates, 505097
- Recruiting
- Dubai Dental Hospital
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Contact:
- Momen A Atieh, BDS, MSc, DClinDent, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged 18 or over.
- Diagnosed with unstable generalised periodontitis, stage III-IV and grade B or C.
- Good compliance and commitment to attend follow-up review appointments.
- Willing to provide informed consent.
Exclusion Criteria:
- Received periodontal treatment in the last 12 months.
- Received systemic antibiotic in the last 6 months.
- Pregnancy or lactating participants
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Diode laser (device) with scaling and root planing
Diode laser (device) with conventional scaling and root planing
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Combined use of diode laser device and scaling instruments to remove plaque and calculus from the surface of the roots of teeth.
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ACTIVE_COMPARATOR: Conventional scaling and root planing
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Use of scaling instruments to remove plaque and calculus from the surface of the roots of teeth.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Full mouth plaque score (FMPS).
Time Frame: Change from baseline FMPS at six months
|
The plaque score is calculated by expressing as a percentage the number of surfaces harbouring plaque related to the total number of tooth surfaces.
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Change from baseline FMPS at six months
|
Full mouth bleeding score (FMBS).
Time Frame: Change from baseline FMBS at six months
|
The bleeding score is calculated by expressing as a percentage the number of sites that bleed upon probing in relation to the total number of tooth sites.
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Change from baseline FMBS at six months
|
Probing pocket depth (PPD).
Time Frame: Change from baseline PPDs at six months
|
PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
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Change from baseline PPDs at six months
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Clinical attachment level (CAL).
Time Frame: Change from baseline CALs at six months
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CAL is calculated from a fixed reference point (cementoenamel junction or CEJ), and it is computed by calculating the distance from the CEJ to the base of the pocket in millimeters.
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Change from baseline CALs at six months
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Number of sites PPDs ≥ 6 mm.
Time Frame: Change from baseline number of sites with PPDs ≥ 6 mm at six months
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Number of sites with PPDs ≥ 6 mm.
PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
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Change from baseline number of sites with PPDs ≥ 6 mm at six months
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Percentages of sites PPDs ≥ 6 mm.
Time Frame: Change from baseline percentages of sites with PPDs ≥ 6 mm at six months
|
Percentages of sites with PPDs ≥ 6 mm.
PPD is the depth from the free gingival margin to the base of the sulcus and it is measured in millimeters at several locations around the whole circumference of the tooth.
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Change from baseline percentages of sites with PPDs ≥ 6 mm at six months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Operating time
Time Frame: Outcome measures will be recorded at baseline
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Time required to complete the procedure
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Outcome measures will be recorded at baseline
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Postoperative pain
Time Frame: Change from baseline pain at seven days
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Patient-related outcomes (pain) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
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Change from baseline pain at seven days
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Postoperative swelling
Time Frame: Change from baseline swelling at seven days
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Patient-related outcomes (swelling) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
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Change from baseline swelling at seven days
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Postoperative bleeding
Time Frame: Change from baseline bleeding at seven days
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Patient-related outcomes (bleeding) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
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Change from baseline bleeding at seven days
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Postoperative bruising
Time Frame: Change from baseline bruising at seven days
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Patient-related outcomes (bruising) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
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Change from baseline bruising at seven days
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Postoperative root sensitivity
Time Frame: Change from baseline root sensitivity at seven days
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Patient-related outcomes (root sensitivity) will be measured using visual analogue scale Minimum score 0 Maximum score 10 Higher score indicates worse outcome
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Change from baseline root sensitivity at seven days
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Quality of life measures
Time Frame: Change from baseline GOHAI score at six months days
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Patient's quality of life will be evaluated using general oral health assessment index (GOHAI). The GOHAI has 12 negatively and positively worded items evaluating three dimensions of oral health related quality of life (physical function, pain or discomfort and psychosocial function). The score ranged from 0 to 60. The scores are maintained for the three items "able to swallow comfortably", able to eat without discomfort", "pleased with look of teeth", and reversed for the remaining nine items, so that a higher score was associated with a more positive oral health. |
Change from baseline GOHAI score at six months days
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Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MBRU/IRB/2020/006
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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