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Previous studied have investigated the pathophysiological role and expression of Cathepsin K (Ctsk) , receptor activator of the NF-κB ligand (RANKL) and periostin in active periodontitis and peri-implantitis lesions. However, the potential influence of non-surgical periodontal therapy including scaling and root planning on the bone remodeling markers level over different trial times have not well determined. Thus, the current research is conducted to address this influence. Thus, the research question will be: In patients with periodontitis, does the level of bone remodeling markers altered after successful NSPT during different healing time periods?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Periodontitis treated with Root surface debridement | Experimental | Immediately after inclusion in the study, the patient's examination with saliva sampling will be conducted as follows: At a base line visit (Zero time visit), subjects will be examined for clinical periodontal parameters, their saliva samples will be collected, and then receiving full scaling using ultrasonic device, and oral hygiene instructions and motivation. After one week, the same clinical parameters, saliva sampling will be taken, and received full root surface debridement (RSD) using curette hand instruments (Gracey, USA) (First visit). One month and three months after first visit, the same clinical measurements, saliva will characterize as second and third visits, respectively. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Root surface debridement | Procedure | subjects will be examined for clinical periodontal parameters, their saliva samples will be collected, and then receiving full scaling using ultrasonic device, and oral hygiene instructions and motivation. After one week, the same clinical parameters, saliva sampling will be taken, and received full root surface debridement (RSD) using curette hand instruments (Gracey, USA) (First visit). One month and three months after first visit, the same clinical measurements, saliva will characterize as second and third visits, respectively. |
| Measure | Description | Time Frame |
|---|---|---|
| Bone remodeling markers including salivary RANKL | To investigate the alterations in the level of salivary RANKL pg/ml following Non-surgical periodontal therapy in unstable periodontitis patients during different healing time periods. | At a base line visit (Zero time visit), After one week (first visit), and One month and three months after first visit |
| Bone remodeling markers including salivary Cathepsin k | To investigate the alterations in the level of salivary Cathepsin k pg/ml following Non-surgical periodontal therapy in unstable periodontitis patients during different healing time periods. | At a base line visit (Zero time visit), After one week (first visit), and One month and three months after first visit |
| Bone remodeling markers including salivary periostin | To investigate the alterations in the level of salivary periostin pg/ml following Non-surgical periodontal therapy in unstable periodontitis patients during different healing time periods. | At a base line visit (Zero time visit), After one week (first visit), and One month and three months after first visit |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical periodontal parameters including Bleeding on probing | To measure Clinical periodontal parameters including Bleeding on probing following Non-surgical periodontal therapy in unstable periodontitis patients during different healing time periods. | At a base line visit (Zero time visit), After one week (first visit), and One month and three months after first visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Firas B. Al-Taweel, PhD | Periodontics department, College of Dentistry/University of Baghdad | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| College of Dentistry, University of Baghdad | Baghdad | +964 | Iraq |
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| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| Clinical periodontal parameters including probing pocket depth | To measure Clinical periodontal parameters including probing pocket depth following Non-surgical periodontal therapy in unstable periodontitis patients during different healing time periods. | At a base line visit (Zero time visit), After one week (first visit), and One month and three months after first visit |
| Clinical periodontal parameters including clinical attachment loss | To measure Clinical periodontal parameters including clinical attachment loss following Non-surgical periodontal therapy in unstable periodontitis patients during different healing time periods. | At a base line visit (Zero time visit), After one week (first visit), and One month and three months after first visit |