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The purpose of this study was to compare the clinical outcomes of teeth deep cleaning or scaling and root planing (SRP) using a periodontal endoscope (Perioscopy®) versus traditional SRP using magnifying loupes for up to twelve months, utilizing a split mouth design.
Twenty-five (25) patients were recruited for the study that exhibited mild to moderate periodontitis. SRP or deep cleaning was rendered by the same experienced hygienist, following random assignment of the left or right half of the mouth to either recieve deep cleaning by using a periodontal endoscope (Perioscopy®) or traditional deep cleaning using magnifying loupes. All the periodontal evaluations were done by the same periodontal resident at baseline, one month, three months, six months, and twelve months after deep cleaning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Periodontal Endosccope | Experimental | One randomly assigned side of the mouth received deep cleaning treatment with the operator using a periodontal endoscope or Perioscopy® for magnification |
|
| Traditional Loupes | Active Comparator | One randomly assigned side of the mouth received deep cleaning treatment with the operator using traditional loupe magnification |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Use of Periodontal Endoscope (Perioscopy®) to enhance visualization while performing teeth deep cleaning | Device | Deep cleaning or scaling and root planing (SRP) using a Periodontal Endoscope or Perioscopy® for enhanced visualization, on teeth in one half of the mouth |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - clinical attachment level in mm | Clinical attachment level (in mm) will be measured at six sites per tooth on all teeth per patient. | 3 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - probing pocket depth in mm. | Probing pocket depth (in mm) will be measured at six sites per tooth on all teeth per patient. | 3 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - presence or absence of bleeding on probing. | The presence or absence of bleeding on probing will be meaured at six sites per tooth on all teeth per patient. | 3 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - clinical attachment level in mm. | Clinical attachment level (in mm) will be measured at six sites per tooth on all teeth per patient. | 6 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - probing pocket depth in mm. | Probing pocket depth (in mm) will be measured at six sites per tooth on all teeth per patient. | 6 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - presence or absence of bleeding on probing. | The presence or absence of bleeding on probing will be meaured at six sites per tooth on all teeth per patient. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of clinical measures of periodontal status of teeth (probing pocket depth) of subgroups of teeth following treatment with loupes vs perioscopy. | Probing pocket depth (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth Mayer, RDH,MS | LSUHSC SCHOOL OF DENTISTRY (DEPT. OF PERIODONTICS) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| LSU Health New Orleans School of Dentistry (Dept of Periodontics) | New Orleans | Louisiana | 70119 | United States |
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prospective, randomized, split-mouth, single blinded
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Follow up re-evaluation visits were performed by the same resident ~1month, 3 months, 6 months, and 1 year, who was blinded to lknowing which side of the mouth recieved what type of deep cleaning treatment.
| Use of traditional loupes to enhance magnification to enhance visualization while performing teeth deep cleaning | Device | Deep cleaning or scaling and root planing (SRP) using tradional loupes for enhanced visualization on teeth, in the other half of the mouth |
|
| 6 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - clinical attachment level in mm. | Clinical attachment level (in mm) will be measured at six sites per tooth on all teeth per patient. | 12 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - probing pocket depth in mm. | Probing pocket depth (in mm) will be measured at six sites per tooth on all teeth per patient. | 12 months |
| Percentage of periodontal sites that improved following use of loupes vs perioscopy from baseline - presence or absence of bleeding on probing. | The presence or absence of bleeding on probing will be meaured at six sites per tooth on all teeth per patient. | 12 months |
| Comparison of clinical measures of periodontal status of teeth (clinical attachment level) of subgroups of teeth following treatment with loupes vs perioscopy. | Clinical attachment level (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 3 months |
| Comparison of clinical measures of periodontal status of teeth (bleeding on probing) of subgroups of teeth following treatment with loupes vs perioscopy. | Presence or absence of bleeding on probing around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 3 months |
| Comparison of clinical measures of periodontal status of teeth (probing pocket depth) of subgroups of teeth following treatment with loupes vs perioscopy. | Probing pocket depth (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 6 months |
| Comparison of clinical measures of periodontal status of teeth (clinical attachment level) of subgroups of teeth following treatment with loupes vs perioscopy. | Clinical attachment level (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 6 months |
| Comparison of clinical measures of periodontal status of teeth (bleeding on probing) of subgroups of teeth following treatment with loupes vs perioscopy. | Presence or absence of bleeding on probing around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 6 months |
| Comparison of clinical measures of periodontal status of teeth (probing pocket depth) of subgroups of teeth following treatment with loupes vs perioscopy. | Probing pocket depth around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 12 months |
| Comparison of clinical measures of periodontal status of teeth (clinical attachment level) of subgroups of teeth following treatment with loupes vs perioscopy. | Clinical attachment level (in mm) around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 12 months |
| Comparison of clinical measures of periodontal status of teeth (bleeding on probing) of subgroups of teeth following treatment with loupes vs perioscopy. | Presence or absence of bleeding on probing around teeth, will be compared between similar sites on different teeth, including; single-rooted vs multi-rooted teeth, maxillary vs mandibular teeth. | 12 months |
| ID | Term |
|---|---|
| D055113 | Chronic Periodontitis |
| D010518 | Periodontitis |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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