Comparison of Current Subgingival Debridement Methods

Comparison of Current Subgingival Debridement Methods: Clinical Trial with 6 Months Follow-up

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.

Study Overview

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

Detailed 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.

• Study Type: Observational
• Enrollment (Actual): 90

Contacts and Locations

Study Locations

• Turkey
  • Niğde, Turkey
    • Nigde Omer Halisdemir University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

90 female patients with stage 1-2 periodontitis

Description

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

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort
Group 1- classic treatment; Subgingival debridement was performed using the Cavitron and Gracey curette (this is the method that is used routinely).
Group 2-Guided Biofilm Therapy; 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; 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Gingival index	4 surfaces of all teeth (distal, buccal, mesial, lingual) are evaluated 0= Normal gingiva; Mild inflammation - slight discoloration, slight edema. There is no bleeding after probing.; Moderate inflammation - redness, edema and shine. Bleeding after probing.; Severe inflammation - marked redness and edema. Ulceration. Tendency to spontaneous bleeding.	baseline, 1st month, 3rd month and 6th month

Collaborators and Investigators

• Sponsor: Hacettepe University
• Collaborators: Nigde Omer Halisdemir University

Study record dates

Study Major Dates

• Study Start (Actual): July 24, 2024
• Primary Completion (Actual): February 1, 2025
• Study Completion (Actual): February 7, 2025

Study Registration Dates

• First Submitted: February 14, 2025
• First Submitted That Met QC Criteria: February 14, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: February 14, 2025
• Last Verified: February 1, 2025

More Information

Terms related to this study

• Keywords: periodontitis; guided biofilm therapy; subgingival debridement
• Additional Relevant MeSH Terms: Periodontal Diseases; Mouth Diseases; Stomatognathic Diseases; Periodontitis
• Other Study ID Numbers: 2023/65

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No