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Association Between Periodontal Morphology and Non-Carious Cervical Lesions (NCCL-PM)

1. juni 2026 opdateret af: Bilecik Seyh Edebali Universitesi

Relationship Between Periodontal Morphology, Oral Habits, and Non-Carious Cervical Lesions: A Cross-Sectional Observational Study

This observational study aims to investigate the relationship between periodontal morphology, oral hygiene habits, and non-carious cervical lesions (NCCLs) in adults aged 18-65 years. The main questions it aims to answer are:

Is there an association between periodontal soft tissue characteristics and the presence of NCCLs? Are oral hygiene habits and parafunctional behaviors associated with NCCLs?

Participants will:

Complete a structured questionnaire about oral hygiene habits and oral behaviors Undergo a clinical periodontal examination including assessment of plaque index, gingival index, probing depth, gingival recession, keratinized tissue width, gingival phenotype, and NCCL presence on the maxillary first premolar tooth

Studieoversigt

Detaljeret beskrivelse

Periodontal morphology and oral hygiene behaviors may play an important role in the development of non-carious cervical lesions (NCCLs), which are characterized by the loss of dental hard tissue at the cervical region of the tooth without the presence of dental caries. NCCLs are considered multifactorial conditions associated with mechanical stress, toothbrushing habits, parafunctional behaviors, and periodontal soft tissue characteristics.

This cross-sectional observational study is designed to investigate the relationship between periodontal morphology, oral hygiene habits, and the presence of NCCLs in adults aged 18-65 years attending the Faculty of Dentistry of Necmettin Erbakan University. A total of 180 participants are planned to be included.

Clinical periodontal examination will be performed on the maxillary first premolar tooth. The evaluated parameters will include probing depth, gingival recession, clinical attachment level, keratinized tissue width, gingival phenotype, plaque index, gingival index, dentin hypersensitivity, and the presence of NCCLs. Tooth position and parafunctional habits associated with occlusal stress will also be recorded.

Participants will complete a structured questionnaire regarding demographic characteristics, oral hygiene practices, toothbrushing frequency and technique, toothbrush type, brushing force, and oral habits.

The primary objective of the study is to determine whether periodontal soft tissue characteristics and oral hygiene-related behaviors are associated with the presence of NCCLs. Statistical analyses will include descriptive statistics, group comparisons, and multivariable logistic regression analyses to identify factors independently associated with NCCLs.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

180

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Bilecik
      • Bilecik, Bilecik, Tyrkiet (Türkiye), 11100
        • Bilecik Seyh Edebali University Faculty of Dentistry

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Adult patients attending the Faculties of Dentistry at Necmettin Erbakan University and Bilecik Seyh Edebali University for routine dental examination or periodontal evaluation will be recruited for this observational study. Participants will be selected from individuals presenting to the university dental clinics during the study period. The study population consists of community-based dental patients undergoing routine clinical periodontal assessment and questionnaire-based oral health evaluation.

Beskrivelse

Inclusion Criteria:

  • Adults aged between 18 and 65 years
  • Presence of the maxillary first premolar tooth in the oral cavity
  • Presence of at least 20 natural teeth
  • Periodontally stable individuals without generalized active periodontal destruction
  • Systemically healthy individuals or individuals with controlled systemic diseases
  • Individuals who voluntarily agree to participate and provide informed consent

Exclusion Criteria:

  • Presence of extensive restoration, caries, endodontic treatment, cervical restoration, crown/bridge restoration, orthodontic brackets, or retainers on the maxillary first premolar tooth
  • Missing posterior teeth or edentulous posterior segments
  • Ongoing orthodontic treatment
  • Severe bruxism or use of occlusal splints/night guards
  • Gastroesophageal reflux disease or bulimia nervosa
  • Frequent acidic beverage consumption
  • Smoking ≥5 cigarettes per day
  • Pregnancy or lactation
  • Individuals unable to comply with the clinical examination procedures

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
NCCL Present
Participants presenting with non-carious cervical lesions on the maxillary first premolar tooth during clinical examination.
Clinical periodontal examination and questionnaire-based assessment will be performed to evaluate periodontal morphology, oral hygiene habits, and the presence of non-carious cervical lesions (NCCLs). Clinical parameters including probing depth, gingival recession, clinical attachment level, keratinized tissue width, gingival phenotype, plaque index, gingival index, dentin hypersensitivity, and tooth position will be recorded on the maxillary first premolar tooth. Participants will also complete a structured questionnaire regarding oral hygiene behaviors, toothbrushing habits, and parafunctional activities.
NCCL Absent
Participants without non-carious cervical lesions on the maxillary first premolar tooth during clinical examination.
Clinical periodontal examination and questionnaire-based assessment will be performed to evaluate periodontal morphology, oral hygiene habits, and the presence of non-carious cervical lesions (NCCLs). Clinical parameters including probing depth, gingival recession, clinical attachment level, keratinized tissue width, gingival phenotype, plaque index, gingival index, dentin hypersensitivity, and tooth position will be recorded on the maxillary first premolar tooth. Participants will also complete a structured questionnaire regarding oral hygiene behaviors, toothbrushing habits, and parafunctional activities.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Presence of Non-Carious Cervical Lesions
Tidsramme: At baseline / single clinical examination
The presence or absence of non-carious cervical lesions on the maxillary first premolar tooth will be assessed by clinical examination. NCCL will be recorded as a binary outcome: present or absent.
At baseline / single clinical examination

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Keratinized Tissue Width
Tidsramme: At baseline / single clinical examination
Keratinized tissue width will be measured in millimeters from the free gingival margin to the mucogingival junction at the mid-buccal aspect of the maxillary first premolar tooth.
At baseline / single clinical examination
Gingival Phenotype
Tidsramme: At baseline / single clinical examination
Gingival phenotype will be evaluated using periodontal probe transparency and classified as thin or thick phenotype.
At baseline / single clinical examination
Oral Hygiene Habits
Tidsramme: At baseline / single assessment
Oral hygiene habits including toothbrushing frequency, toothbrush type, brushing technique, and brushing force will be assessed using a structured questionnaire.
At baseline / single assessment

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

26. februar 2026

Primær færdiggørelse (Faktiske)

15. maj 2026

Studieafslutning (Faktiske)

15. maj 2026

Datoer for studieregistrering

Først indsendt

1. juni 2026

Først indsendt, der opfyldte QC-kriterier

1. juni 2026

Først opslået (Faktiske)

5. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. juni 2026

Sidst verificeret

1. maj 2026

Mere information

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