Clinical Trial Details
— Status: Active, not recruiting
Administrative data
NCT number |
NCT05812391 |
Other study ID # |
745622 |
Secondary ID |
|
Status |
Active, not recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
March 10, 2023 |
Est. completion date |
October 2024 |
Study information
Verified date |
April 2023 |
Source |
University of Baghdad |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Periodontitis (PD) is an inflammatory condition that affects 20%-50% of the total global
population, with severe disease occurring in 9.8% of individuals. clinically characterized by
clinical attachment loss (CAL) and bleeding on probing (BOP) accompanied by increased probing
pocket depth (PPD) and/or gingival recession, it may end with tooth loss if left untreated.
non-surgical periodontal treatment (NSPT) represents the first line of treatment and involves
the physical debridement of subgingival plaque biofilms. "full-mouth debridement" (FMD)
approach, its NSPT delivers complete debridement within 24 hr. However, full-mouth NSPT has
been consistently shown to trigger a large systemic inflammatory response 24 hr following
treatment. Nevertheless, Interestingly, a positive correlation between treatment time and the
subsequent systemic inflammatory response has been reported. Given this previous link and the
different features of each instrumentation technique including air-polishing devices (APDs),
that have less time-consuming treatment, reduce patient discomfort and sensitivity, and only
minor alterations to surrounding soft and hard tissues. This study aims to evaluate the
systemic inflammatory response following full-mouth erythritol powder air polishing and
instrumentation.
Description:
Periodontitis is a common chronic inflammatory disease caused by specific oral dysbiosis and
characterized by a progressive loss of soft and hard tissues keeping the teeth. if left
untreated, it leads not only to tooth loss, negative influences on the patient's quality of
life and masticatory impairment may happen. There is significant evidence of clinical
improvements in PD patients following non-surgical periodontal treatment (NSPT), including
gains in clinical attachment level, reductions in gingival inflammation, and reduced
periodontal pocket depths.
A conventional Full-mouth hand debridement has been consistently shown to trigger a large
systemic inflammatory mediator, The reasons for such a response may be related to both the
transient post-operative bacteremia and the extension of the operative trauma.
a recent joint consensus statement advised against full-mouth debridement for some medically
compromised patients.
The erythritol powder is a water-soluble, non-toxic sugar alcohol and artificial sweetener,
has a mean particle size of 14 μm, and can be used for supra and subgingival removal of
biofilm and stains.
It has also been suggested that teeth with sites of furcation involvement and/or with reduced
access, which have traditionally been difficult to debride with conventional instrumentation,
may benefit from air-flow therapy
Comparing full-mouth ultrasonic debridement with polishing paste and full-mouth erythritol
powder air polishing followed by ultrasonic debridement. this study hypothesized that the
later procedure may reduce the extent of systemic inflammatory mediators they induce by
removing the biofilm before the conventional full-mouth (supra and sub-gingival) ultrasonic
debridement.