Diode Laser Therapy As An Adjunct To Scaling And Root Planing

NCT ID: NCT03028727

Last Updated: 2017-01-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2013-03-31
• Study Completion Date: 2013-09-30

Brief Summary

Laser therapy has been proposed as a novel treatment option in controlling subgingival microorganisms. This randomized controlled clinical trial evaluates the effect of 980nm diode laser as an adjunct to scaling and root planing (SRP) in the management of chronic periodontitis (CP).

Detailed Description

Conventional mechanical debridement can achieve a temporary decrease in the subgingival levels of Pg along with other pathogens. However, mechanical therapy alone may fail to eliminate pathogenic bacterial niches in inaccessible areas like deep pockets, root concavities, furcation areas etc. In search of more efficient and less traumatic techniques to improve periodontal healing, researchers proposed the use of lasers in periodontal therapy.

The adjunctive use of lasers with conventional tools may facilitate treatment and have the potential to improve healing. The diode laser is highly absorbed in hemoglobin and other pigments and is excellent for use in soft tissue surgical procedures.Laser application in improving clinical outcome in periodontal therapy, needs to be further investigated with well designed clinical trials. The investigators attempted to evaluate the efficacy of diode laser as an adjunct to SRP in the management of CP by evaluating clinical parameters coupled with quantitative estimation of P.gingivalis using Real-time Polymerase chain reaction (RT-PCR) assay.

Conditions

Chronic Periodontitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Ultrasonic Scaling, Root planing

Ultrasonic Scaling and Root planing at day 0 and at 1 week.

Group Type: ACTIVE_COMPARATOR

Ultrasonic Scaling and root planing

Intervention Type: PROCEDURE

Procedure of scaling and root planing at day 0 and at 1 week

980 nm diode Laser irradiation

Irradiation of periodontal pockets with with 980 nm diode Laser after scaling and root planing at day 0 and after 1 week.

Group Type: EXPERIMENTAL

Ultrasonic Scaling and root planing

Intervention Type: PROCEDURE

Procedure of scaling and root planing at day 0 and at 1 week

980 nm diode laser irradiation

Intervention Type: PROCEDURE

Procedure of scaling and root planing and application of 980 nm diode laser at day 0 and at 1 week

Interventions

Ultrasonic Scaling and root planing

Procedure of scaling and root planing at day 0 and at 1 week

Intervention Type: PROCEDURE

980 nm diode laser irradiation

Procedure of scaling and root planing and application of 980 nm diode laser at day 0 and at 1 week

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• 40 systemically healthy subjects diagnosed with generalized moderate CP in the age group of 30 to 50 years.
• Minimum of 20 teeth having atleast two non-adjacent sites per quadrant with probing pocket depth of ≥ 5mm and clinical attachment loss of 3- 4 mm

Exclusion Criteria

• Patients who had undergone periodontal therapy 6 months prior to the commencement of the study.
• Subjects on antibiotics or immunosuppressants.
• Chronic smokers, alcoholics, smokeless tobacco users.
• Subjects with acute illnesses/acute intraoral lesions.
• Pregnant women
• Subjects who had undergone extensive restorative dental treatment.

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

KLE Society's Institute of Dental Sciences

OTHER

Sponsor Role: lead

Responsible Party

Veena H.R

Reader, Department of Periodontics

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

KLESocietyIDS

Identifier Type: -

Identifier Source: org_study_id