Clinical and Microbiological Evaluation of Laser Assisted New Attachment Procedure (LANAP) Using Nd:Yag vs. Diode Laser in the Management Of Stage II Periodontitis

NCT ID: NCT06358937

Last Updated: 2024-04-11

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 27 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-01
• Study Completion Date: 2024-05-31

Brief Summary

The aim of the present study is to compare the efficacy of LANAP to conventional scaling and root planing in the management of stage II periodontitis.

Conditions

Periodontal Diseases

Study Design

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

Study Groups

Laser Assisted New Attachment Procedure using ND:YAG laser

Group Type: EXPERIMENTAL

Laser Assisted New Attachment Procedure using ND:YAG laser

Intervention Type: DEVICE

A free running, pulsed, 1064 nm wavelength-specific ND:YAG laser will be used. A thin 300 μm laser fiber optic will be placed parallel to the root surface, allows easy access into deep periodontal pockets. The initial pass with the laser is known as Laser Troughing, and it is done with a micro-short duration pulse, with a 4.0 watt power, 150 μs duration in pulsed mode and 20Hz frequency. Ultrasonic scaler will be then used to remove calculus. The second pass is carried out with 650 μs pulse duration, 10-30 seconds for each tooth, 4.0 watt power and 20HZ frequency, to improve the ability to generate a fibrin clot. The fibrin clot is then compressed. Relieving the occlusion is the last step of the LANAP protocol.

Laser Assisted New Attachment Procedure using diode laser

Group Type: EXPERIMENTAL

Laser Assisted New Attachment Procedure using diode laser

Intervention Type: DEVICE

Diode laser (Biolase) with 940 nm wavelength, a thin flexible fiber-optic cable 300 μm attached with a power average set at 0.5-1.5 watt will be used.

The first pass "laser troughing" is done using a thin flexible fiber-optic cable 300 μm placed parallel to the root surface, attached with a power average set at 0.5-1 watt, in continuous mode. Ultrasonic scaler will be then used to remove calculus which present on the root surface. The second pass is carried out with 1-1.5 watt power in continuous mode, 10-30 seconds for each tooth, and, to improve the ability to generate a fibrin clot. The fibrin clot is then compressed in order to enhance the healing

Scaling and Root Planing using ultrasonic and curettes

Group Type: ACTIVE_COMPARATOR

Scaling and Root Planing using ultrasonic and curettes

Intervention Type: PROCEDURE

Scaling and root planing (SRP) using ultrasonic device at a moderate setting and with the appropriate tips and curettes will be also used where indicated and time spent in SRP on each tooth will not be restricted.

Interventions

Laser Assisted New Attachment Procedure using ND:YAG laser

A free running, pulsed, 1064 nm wavelength-specific ND:YAG laser will be used. A thin 300 μm laser fiber optic will be placed parallel to the root surface, allows easy access into deep periodontal pockets. The initial pass with the laser is known as Laser Troughing, and it is done with a micro-short duration pulse, with a 4.0 watt power, 150 μs duration in pulsed mode and 20Hz frequency. Ultrasonic scaler will be then used to remove calculus. The second pass is carried out with 650 μs pulse duration, 10-30 seconds for each tooth, 4.0 watt power and 20HZ frequency, to improve the ability to generate a fibrin clot. The fibrin clot is then compressed. Relieving the occlusion is the last step of the LANAP protocol.

Intervention Type: DEVICE

Laser Assisted New Attachment Procedure using diode laser

Diode laser (Biolase) with 940 nm wavelength, a thin flexible fiber-optic cable 300 μm attached with a power average set at 0.5-1.5 watt will be used.

The first pass "laser troughing" is done using a thin flexible fiber-optic cable 300 μm placed parallel to the root surface, attached with a power average set at 0.5-1 watt, in continuous mode. Ultrasonic scaler will be then used to remove calculus which present on the root surface. The second pass is carried out with 1-1.5 watt power in continuous mode, 10-30 seconds for each tooth, and, to improve the ability to generate a fibrin clot. The fibrin clot is then compressed in order to enhance the healing

Intervention Type: DEVICE

Scaling and Root Planing using ultrasonic and curettes

Scaling and root planing (SRP) using ultrasonic device at a moderate setting and with the appropriate tips and curettes will be also used where indicated and time spent in SRP on each tooth will not be restricted.

Intervention Type: PROCEDURE

Other Intervention Names

LANAP using ND:YAG laser; LANAP using diode laser

Eligibility Criteria

Inclusion Criteria

• Patients with stage II generalized periodontitis PPD ≥ 5 mm with attachment loss 3-4 mm with horizontal bone loss

Exclusion Criteria

• Patients with vertical bone loss or furcation involvement.
• History of smoking more than (10 cigarettes / day).
• Patient with medical condition that contraindicate surgical procedures.
• Patients receiving antibiotics in the past three months prior to the procedure.
• Pregnant or lactating females.

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

Sponsors

Mahmoud Salem

OTHER

Sponsor Role: lead

Responsible Party

Mahmoud Salem

Master's candidate of Periodontology

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Faculty of Dentistry, Alexandria University

Alexandria, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Mahmoud Salem, BDS

Role: CONTACT

Masalem30192@gmail.com

111 144 7745 ext. +20

Facility Contacts

Mahmoud Salem, BDS

Role: primary

Masalem30192@gmail.com

111 144 7745 ext. +20

Other Identifiers

#7/2023

Identifier Type: -

Identifier Source: org_study_id