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Non-surgical periodontal treatment leads to periodontal inflammation resolution and amelioration of the clinical periodontal indices via the microbial load reduction. Additionally, non-surgical periodontal treatment can be performed with different instruments. Ultrasonic scalers with or without hand scalers are more frequently used during Phase I periodontal treatment, however the one who performs the treatment is committed to choose the tools that according to his judgment will lead to the best clinical outcomes following non-surgical periodontal therapy. The aim of this study was to evaluate the effectiveness of non-surgical periodontal treatment with a new oscillating ultrasonic device (Paro) with adjunctive root polishing versus traditional scaling and root planing with ultrasonic device and hand instruments, 3 and 6 months after treatment, at patients diagnosed with chronic periodontitis stage II, III and IV.
Non-surgical periodontal treatment leads to periodontal inflammation resolution and amelioration of the clinical periodontal indices via the microbial load reduction. Additionally, non-surgical periodontal treatment can be performed with different instruments. Ultrasonic scalers with or without hand scalers are more frequently used during Phase I periodontal treatment, however the one who performs the treatment is committed to choose the tools that according to his judgment will lead to the best clinical outcomes following non-surgical periodontal therapy. The aim of this study was to evaluate the effectiveness of non-surgical periodontal treatment with a new oscillating ultrasonic device (Paro) with adjunctive root polishing versus traditional scaling and root planing with ultrasonic device and hand instruments, 3 and 6 months after treatment, at patients diagnosed with chronic periodontitis stage II, III and IV.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Active Comparator | Conventional Periodontal Treatment, scaling and root planing with ultrasonic device and hand instruments |
|
| Group 2 | Experimental | Periodontal treatment with Vector/Paro |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-surgical periodontal treatment with U/S scalers and hand instruments | Procedure | Treatment of Group 1 was performed with U/S scalers (P3 & P1), hand instruments( Gracey curettes) and sub-gingival polishing. |
| Measure | Description | Time Frame |
|---|---|---|
| Probing Pocket Depth | Measurement from Free Gingival Margin to the base of the sulcus/pocket, in millimeters | From enrollment to the end of post-treatment monitoring at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Attachment Levels | DIstance from cementoenamel junction to the base of sulcus/pocket, in millimeters | From enrollment to the end of post-treatment monitoring at 6 months |
| Bleeding on probing |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Panagiotis Theodorelos, DDS, MSc | 251 Hellenic Airforce Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 251 Hellenic Airforce Hospital | Athens | 11525 | Greece |
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Systematically healthy adults with a periodontal disease diagnosis, but absence of any periodontal treatment in the previous 12 months were chosen. At baseline, patient's demographics were recorded together with a medical and dental history report and a panoramic X- ray was performed. Oral hygiene instructions were given individually. The clinical measurements concerning the periodontal tissues were fully recorded in a Florida Probe periodontal chart pre-therapeutically and 3 to 6 months after treatment. Subsequently, all patients received non-surgical periodontal treatment with the novel vertically oscillating ultrasonic device (Vector/Paro,Durr Dental) with adjunctive subgingival root air-polishing(Lunos Perio Combi trehalose powder).
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| Periodontal treatment with U/S scalers and Vector/Paro | Procedure | Treatment of Group 2 was performed with U/S scalers (P3 & P1), Vector-Paro System and sub- gingival polishing. In both groups, completion was decided upon the feeling of the operator that the root surfaces are smooth enough. |
|
Presence/Absence of bleeding on probing
| From enrollment to the end of post-treatment monitoring at 6 months |
| Root Dentin Hypersensitivity | Feeling of sensitivity to cold stimuli measured with VAS scale | From enrollment to the end of post-treatment monitoring at 6 months |
| Pain perception after treatment | Feeling of pain after treatmetn measured in VAS scale | From enrollment to the end of post-treatment monitoring at 6 months |
| Recession | Distance from cemento-enamel junction to the free gingival margin in millimeters | From enrollment to the end of post-treatment monitoring at 6 months |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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