Periodontal Diseases Clinical Trial
Official title:
Evaluation of Outcomes of Minimally Invasive Non- Surgical Versus Surgical Therapy in Patients With Furcation Involvement in Mandibular Molars - A Non-inferiority Randomized Controlled Trial
The reduced rate of success experienced in the treatment of Furcation involvement (FI) seems to result from the incomplete removal of subgingival plaque and calculus in the interradicular area owing to the peculiar anatomy of the furcation space. Regarding the therapeutic approach, although FI treated with a conservative approach may not yield the same satisfactory results as single rooted teeth; it has been shown that teeth with FI have a remarkable survival rate following conservative treatment in patients demonstrating a satisfactory plaque control. Minimally invasive techniques aim to retain the preoperative gingival architecture, create a minimal wound and gently handle soft and hard tissues. It becomes imperative to see the differences in clinical, and patient centered outcomes of minimally invasive non- surgical versus surgical technique in the management of furcation involvement in mandibulae molar.
Status | Recruiting |
Enrollment | 44 |
Est. completion date | February 28, 2025 |
Est. primary completion date | November 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Systemically healthy patients with diagnosis of generalized stage 3 periodontitis (Grade A or B) with at least one mandibular molar with FI (Degree 1 or 2-according to Hamp, 1975 and Subclass A or B- according to Tarnow and Fletcher, 1984), interproximal bone coronal to the furcation fornix and root trunk length = cervical two thirds of the root length as measured on a periapical radiograph. - Full mouth plaque score < 30% after initial therapy - Full mouth bleeding score < 30% after initial therapy - Having undergone a course of subgingival instrumentation in the past three months Exclusion Criteria: - Pregnant or lactating females - Requiring antibiotic premedication - Received antibiotic treatment in the previous 3 months - Previous periodontal surgery in the last 1 year - Smokers - Pulpal or periapical pathology - Third molar - Non restorable tooth - Trauma from occlusion |
Country | Name | City | State |
---|---|---|---|
India | Post Graduate Institute of Dental Sciences | Rohtak | Haryana |
Lead Sponsor | Collaborator |
---|---|
Postgraduate Institute of Dental Sciences Rohtak |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | change in horizontal clinical attachment level (HCAL) | change in horizontal clinical attachment level (HCAL) of the furcation as assessed | 3 months | |
Primary | change in horizontal clinical attachment level (HCAL) | change in horizontal clinical attachment level (HCAL) of the furcation as assessed | 6 months | |
Secondary | changes in vertical probing depth of the furcation | vertical probing depth will be assessed using UNC 15probe | 3 months | |
Secondary | changes in vertical probing depth of the furcation | vertical probing depth will be assessed using UNC 15probe | 6 months | |
Secondary | change in changes vertical clinical attachment level of furcation | change clinical vertical attachment will be assessed using UNC 15 probe | 3 months | |
Secondary | change in vertical clinical attachment level of furcation | change in vertical clinical attachment level of furcation will be assessed using UNC 15 probe | 6 months | |
Secondary | probing pocket depth (PPD)reduction | probing pocket depth (PPD)reduction will be calculated around the molar at 6 sites | 3 months | |
Secondary | probing pocket depth (PPD)reduction | probing pocket depth (PPD)reduction will be calculated around the molar at 6 sites | 6 months |
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