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
Tutkimuksen yleiskatsaus
Tila
Yksityiskohtainen kuvaus
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Pamukkale
-
Denizli, Pamukkale, Turkki (Türkiye), 20160
- Pamukkale University
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
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
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Tukevaa hoitoa
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Kaksinkertainen
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Active Comparator: Quadrant based scaling and root plannig
|
Quadrant-Based Treatment treats one quadrants at a time over four weeks
Muut nimet:
|
|
Kokeellinen: Full mouth disinfection
|
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
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Quality of life questionnaires
Aikaikkuna: Before treatment, 1 and 3 months after treatment
|
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.
|
Before treatment, 1 and 3 months after treatment
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Percentage of Deep (≥ 7 mm) Probed Pockets
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
|
Percentage of Pockets Detected at Medium Depth (4-6 mm)
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
|
Clinical Attachment Level
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
|
Probed Pocket Depth
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
|
Bleeding on Probing
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
|
Plaque Index
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
|
Gingival Index
Aikaikkuna: Before treatment, month after treatment and 3 months after treatment
|
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
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Gizem Torumtay Cin, Assoc. Prof., Pamukkale University, Faculty of Dentistry, Department of Periodontology
- Päätutkija: Emine Ece Barlay, Pamukkale University Faculty of Dentistry, Department of Periodontology
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- E-60116787-020-601323
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
Yhdysvalloissa valmistettu ja sieltä viety tuote
Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .