A Comparison of Single-Stage Full-Mouth Disinfection With Quadrant-Based Scaling and Root Planing in Patients With Uncontrolled Type 2 Diabetes and Severe Periodontitis: An Assessment of Its Impact on Quality of Life
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Pamukkale
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Denizli, Pamukkale, Turquía (Türkiye), 20160
- Pamukkale University
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Individuals with poorly controlled diabetes and HbA1c levels between 7% and 9%
- At least 15 natural teeth and, from a periodontal perspective: probing pocket depth (PPD) ≥ 6 mm, clinical attachment loss (CAL) ≥ 5 mm, radiographic bone loss extending to the middle or apical third of the root, and periodontitis-related tooth loss of ≤ 4 in different quadrants
Exclusion Criteria:
- Individuals who were pregnant or breastfeeding
- Patients with a history of acute or chronic infection within the past 6 months
- Patients who had undergone periodontal treatment within the past 6 months
- Patients receiving systemic antibiotic therapy during the same period
- Patients using non-steroidal anti-inflammatory drugs, phenytoin, calcium channel blockers or cyclosporine
- Patients undergoing hormone therapy
- Individuals who had used antibiotics or anti-inflammatory drugs regularly during the 3-month period following the start of the study
- İndividuals with medical or psychological conditions that could affect the accurate understanding and completion of the questionnaires
- Smokers
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Comparador activo: Quadrant based scaling and root plannig
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Quadrant-Based Treatment treats one quadrants at a time over four weeks
Otros nombres:
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Experimental: Full mouth disinfection
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Full Mouth Disinfection involves scaling and root planing all teeth within 24 hours, often paired with intensive antiseptics to prevent re-infection from remaining pockets
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Quality of life questionnaires
Periodo de tiempo: Before treatment, 1 and 3 months after treatment
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The impact of periodontal treatments on patients' quality of life was investigated by administering the OHIP-14 and OIDP questionnaires at baseline, one month post-treatment, and three months post-treatment.
Responses obtained from participants via the OHIP-14 questionnaire were assessed using a five-point Likert scale for each item.
The scale was scored as follows: 0 (never), 1 (rarely), 2 (occasionally), 3 (often) and 4 (very often).
The total oral health-related quality of life score for each individual was calculated by summing the scores given for each question.
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Before treatment, 1 and 3 months after treatment
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Percentage of Deep (≥ 7 mm) Probed Pockets
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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During measurements taken using a Williams periodontal probe (Hu Friedy, Chicago, Illinois, USA), the probe was positioned parallel to the long axis of the teeth without applying pressure, and the distance from the gingival margin to the base of the periodontal pocket was measured and recorded. The percentage of pocket depths of 7 mm or more, measured from the six regions of each tooth (mesiobuccal, buccal, distobuccal, mesiolingual, lingual and distolingual), was calculated relative to the total number of tooth surfaces measured in the mouth. The percentage of all pocket depths of 7 mm or more in the individual's mouth was calculated using the following formula. % ≥ 7 mm PD = Total of pocket depths of 7 mm or more × 100 / Total number of teeth × 6 |
Before treatment, month after treatment and 3 months after treatment
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Percentage of Pockets Detected at Medium Depth (4-6 mm)
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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During measurements taken using a Williams periodontal probe (Hu Friedy, Chicago, Illinois, USA), the probe was positioned parallel to the long axis of the teeth without applying pressure, and the distance from the gingival margin to the base of the periodontal pocket was measured and recorded. The percentage of pocket depths within the 4-6 mm range, measured from six regions of each tooth (mesiobuccal, buccal, distobuccal, mesiolingual, lingual and distolingual), was calculated relative to the total number of tooth surfaces measured in the mouth. The percentage of pocket depths within the 4-6 mm range for the entire mouth was calculated using the following formula. %4-6 mm PD = (Total of 4-6 mm pocket depths × 100) / (Total number of teeth × 6) |
Before treatment, month after treatment and 3 months after treatment
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Clinical Attachment Level
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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The distance from the enamel-cementum junction to the sulcus/pocket floor was measured in millimetres on six surfaces of the tooth-mesiobuccal, buccal, distobuccal, mesiolingual, lingual and distolingual-using a Williams periodontal probe (Williams periodontal probe, Hu Friedy, Chicago, IL, USA). The average CAL value for the entire mouth was calculated using the following formula: CAL = Sum of clinical attachment levels / Number of existing teeth × 6 |
Before treatment, month after treatment and 3 months after treatment
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Probed Pocket Depth
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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Pocket depth was measured in six regions: mesiobuccal, buccal, distobuccal, mesiolingual, lingual and distolingual. A Williams periodontal probe was used for the measurements (Hu Friedy, Chicago, Illinois, USA). During the measurements, the periodontal probe was positioned parallel to the long axis of the teeth without applying pressure, and the distance from the gingival margin to the base of the periodontal pocket was measured and recorded. The following formula was used to determine the average PD for the individual's entire mouth. PD = Sum of probed pocket depths / Number of existing teeth × 6 |
Before treatment, month after treatment and 3 months after treatment
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Bleeding on Probing
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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When the periodontal probe was gently moved along the gingival sulcus, a score of (+) was assigned if bleeding occurred, and (-) if no bleeding occurred. The final score was calculated as a percentage (%). Bleeding Score (%) = Number of teeth with bleeding × 100 / Total number of teeth |
Before treatment, month after treatment and 3 months after treatment
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Plaque Index
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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The Silness-Löe plaque index (PI) was used to measure the degree of plaque formation and accumulation in the mouth. According to this index: 0 = No bacterial plaque in the gingival region,
The individual's PI score was calculated using the following formula after summing the PI scores obtained from the mesiobuccal, buccal, distobuccal and lingual surfaces of each tooth. PI = Total of PI scores for all teeth / Number of teeth present × 4 |
Before treatment, month after treatment and 3 months after treatment
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Gingival Index
Periodo de tiempo: Before treatment, month after treatment and 3 months after treatment
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The Löe-Silness gingival index (GI) was used to diagnose gingival inflammation. According to this classification: 0=Healthy gums
The individual's GI score was calculated using the following formula after summing the GI scores obtained from the mesiobuccal, buccal, distobuccal and lingual surfaces of each tooth. GI = Total of GI scores for all teeth / Number of existing teeth × 4 |
Before treatment, month after treatment and 3 months after treatment
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Director de estudio: Gizem Torumtay Cin, Assoc. Prof., Pamukkale University, Faculty of Dentistry, Department of Periodontology
- Investigador principal: Emine Ece Barlay, Pamukkale University Faculty of Dentistry, Department of Periodontology
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- E-60116787-020-601323
Plan de datos de participantes individuales (IPD)
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Información sobre medicamentos y dispositivos, documentos del estudio
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