Effect of Non-surgical Periodontal Treatment

Study Overview
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Brief Summary
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Objective: The objective of this research was to compare the effect of a single session supragingival scaling in a group of pregnant women with periodontal disease with a group that received supra and subgingival scaling. Methods: The investigators included 34 pregnant women between 15 and 43 who had at least 4 teeth with probing depth ≥ 4 mm or clinical attachment loss ≥ 3 mm, with bleeding on probing in the same place. Women were divided into two groups, the group 1 received supra and subgingival scaling associated with oral hygiene orientation (OHO) and the group 2 received only supragingival scaling with OHO too.

Official Title
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Effect of Non-surgical Periodontal Treatment on Pregnant Women With Periodontitis: a Randomized Clinical Trial

Conditions
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Periodontal Diseases, Adverse Effects

Intervention / Treatment
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* Procedure: Supra/subgingival scaling using periodontal curette scraping
* Procedure: Supra and subgingival scaling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant women between 15 and 43 who had at least 4 teeth with probing depth ≥ 4 mm or clinical attachment loss ≥ 3 mm, with bleeding on probing in the same place. Exclusion Criteria: Patients with systemic disease or who used medications that interfere in the etiological factors of periodontal disease in the last six months, who wore braces and / or prosthetic devices, and women smokers who did not complete treatment.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 43 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Supra/subgingival therapy<br>The experimental group received supra and subgingival scaling associated with oral hygiene orientation (OHO) | Procedure: Supra/subgingival scaling using periodontal curette scraping<br>* The experimental group received supra and subgingival therapy with periodontal curettes<br>Procedure: Supra and subgingival scaling<br>* The experimental group received supra and subgingival scaling.<br>|
| Active Comparator: Control group<br>Control group received only supragingival scaling with OHO too. | Procedure: Supra/subgingival scaling using periodontal curette scraping<br>* The experimental group received supra and subgingival therapy with periodontal curettes<br>Procedure: Supra and subgingival scaling<br>* The experimental group received supra and subgingival scaling.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of non-surgical periodontal treatment in pregnancy with periodontal disease | A single calibrated examiner performed clinical examination in pregnant women participating in the measurement of parameters: probing depth, clinical attachment level, hyperplasia, recession, bleeding, presence of plaque and tooth mobility on a standardized form. Quantitative parameters were evaluated at six sites per tooth: mesio/medium/ distobuccal and mesio/medium/distolingual through millimeter periodontal probe-type Williams. The bleeding and the presence of plaque in dichotomous variables were measured: present and absent. All patients received oral hygiene orientation (OHO). | 30 days | 
| Effect of non-surgical periodontal treatment in pregnancy with periodontitis | The patients were randomly divided by lottery into two groups. The group 1, termed SUPRA/SUB received OHO, supra and subgingival scraping and the group 2: SUPRA supragingival scraping and OHO. In both groups, the scaling procedure was performed using periodontal curettes type Mc Call 13-14 and 17-18 (DUFLEX) in one session. Within 30 days after the initial session scraping clinical parameters were reevaluated, and now, according to every need, the patients were submitted to the supra and subgingival therapy. Noting that full dental care was provided to participants. | Assess periodontal disease at times: initial (when pregnancy arrived) and final (30 days after periodontal therapy). | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Treatment, pregnant women, periodontitis, dental scaling, dental plaque