Burs Versus Curettes in Root Planing.

Sponsor

Ege University (Other)

Overall Status

Completed

CT.gov ID

NCT02875470

Collaborator

University of Glasgow (Other)

Enrollment

Arms

Duration (Months)

Study Details

Study Description

Brief Summary

This study compares the efficacy of diamond burs and Gracey curettes in non-surgical periodontal treatment of chronic periodontitis by clinical, microbiological, biochemical parameters and scanning electron microscopic investigations on root surfaces. Two quadrants of each of the 12 patients were treated with diamond burs whereas other 2 quadrants were treated with Gracey curettes. Also 21 hopeless teeth received root planing either with diamond burs or curettes or no treatment at all and were then extracted for microscopic evaluations.

Condition or Disease	Intervention/Treatment	Phase
Chronic Periodontitis	Device: Intensiv Perio Set Device: Gracey curette	Phase 1

Detailed Description

Gracey curettes are the most widely used instruments for root planing and regarded as the gold standard, but their usage is technic sensitive and time consuming for the clinician and efficacy reduces in deep pockets, root irregularities, and furcations. Alternative sonic, ultrasonic and rotary instruments have been investigated for potential benefits in improving mechanical access. Sonic and ultrasonic instruments are used for scaling, but they cannot provide smooth root surfaces.

Intensiv Perio Set is a rotating diamond bur system developed for odontoplasty, scaling and root planing. It is used only in right angle hand piece, at rotation speeds of 6000 rpm, with reduced pressure application. These burs have two different head types for morphologically different areas; flame or tapered, three different grains; 75, 40, or 15 μm, with either a short or long neck for each unit. Burs with 75 μm grain are used only in odontoplasty, whereas, 40 and 15 μm burs are used for scaling and root planing.

Study Design

Study Type:

Interventional

Actual Enrollment :

12 participants

Allocation:

Randomized

Intervention Model:

Crossover Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Diamond Burs Versus Gracey Curettes and Efficacy of Root Planing in Chronic Periodontitis Patients

Study Start Date :

Oct 1, 2013

Actual Primary Completion Date :

Aug 1, 2014

Actual Study Completion Date :

Apr 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Intensiv Perio Set Root planing with diamond burs	Device: Intensiv Perio Set Diamond burs for root planing
Active Comparator: Gracey curette Root planing with Gracey curettes	Device: Gracey curette

Arm

Intervention/Treatment

Experimental: Intensiv Perio Set

Root planing with diamond burs

Device: Intensiv Perio Set

Diamond burs for root planing

Active Comparator: Gracey curette

Root planing with Gracey curettes

Device: Gracey curette

Outcome Measures

Primary Outcome Measures

Clinical tissue healing [6 month]

Secondary Outcome Measures

Changing of the amount of pathogen microorganisms [1 month]
Changing of the gingival crevicular fluid biomarkers [1 month]
Root surface characteristic according to Scanning Electron Microscope [6 month]

Eligibility Criteria

Criteria

Ages Eligible for Study:

37 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

clinical diagnosis of generalized chronic periodontitis (Armitage 1999)
presence of at least 3 teeth (1 molar, 2 non-molar teeth) with probing depth ≥ 5 mm in each quadrant

Exclusion Criteria:

presence of any known systemic disease or using medications that affect periodontal tissues
antibiotic treatment and/or periodontal treatment within the past 6 months
tobacco usage during the last 12 months
being pregnant or in the lactation period