Nonsurgical Periodontal Therapy on Banded First Molars

Study Overview
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Brief Summary
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The aim of this study was to evaluate the effect of nonsurgical periodontal therapy on first molars banded for fixed orthodontic treatment.

Detailed Description
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A total of 30 patients who were about to undergo fixed orthodontic therapy were selected and divided into two groups. Group A comprised of 15 patients who were treated with routine full-mouth supragingival scaling and subgingival scaling only around all banded first molars. Group B comprised of 15 patients who were treated with full-mouth supragingival scaling and subgingival scaling only around all banded first molars followed by irrigation with 0.2% chlorhexidine gluconate solution (Trade name: HEXIDINE), an antiseptic - antiplaque agent. Treatment for both the groups was performed at 3rd month, 6th month and 9th month. Parameters such as radiographic evidence of alveolar crestal bone level, gingival index, probing pocket depth and clinical attachment level around the banded first molars and full-mouth plaque index were recorded as a change from baseline to 12th month. The differences between the values were assessed and sent for statistical analysis.

Official Title
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Effect on Nonsurgical Periodontal Therapy on First Molars Banded for Fixed Orthodontic Treatment

Conditions
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Periodontitis

Intervention / Treatment
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* Procedure: Full-mouth supragingival scaling
* Procedure: Subgingival scaling
* Drug: Subgingival irrigation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both male and female patients within the age group 16 to 25 years. Patients diagnosed with malocclusion undergoing fixed orthodontic treatment having banded first molars. Systemically healthy patients. Exclusion Criteria: Congenital malformations in the oral cavity. Patients who had undergone periodontal therapy within the previous 6 months. Patients using removable orthodontic appliances. Patients who were administered antibiotics or other systemic or topical antimicrobial agents. Smokers.

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Supragingival and subgingival scaling<br>Supragingival and subgingival scaling group comprised of 15 orthodontic patients treated with routine full-mouth supragingival scaling and subgingival scaling only around all banded first molars. Parameters such as radiographic evidence of alveolar crestal bone level, gingival index, probing pocket depth and clinical attachment level around the banded first molars and full-mouth plaque index were recorded as a change from baseline to 12th month. | Procedure: Full-mouth supragingival scaling<br>* Control group comprised of 15 patients who were treated with routine full-mouth supragingival scaling.<br>* Other names: Oral prophylaxis;Procedure: Subgingival scaling<br>* Test group comprised of 15 patients who were treated with subgingival scaling only around all banded first molars.<br>* Other names: Deep scaling;|
| Active Comparator: Subgingival irrigation<br>Subgingival irrigation group comprised of 15 orthodontic patients treated with full-mouth supragingival scaling and subgingival scaling only around all banded first molars followed by irrigation with 0.2% chlorhexidine gluconate solution (Trade name: HEXIDINE), an antiseptic - antiplaque agent. Parameters such as radiographic evidence of alveolar crestal bone level, gingival index, probing pocket depth and clinical attachment level around the banded first molars and full-mouth plaque index were recorded as a change from baseline to 12th month. | Procedure: Full-mouth supragingival scaling<br>* Control group comprised of 15 patients who were treated with routine full-mouth supragingival scaling.<br>* Other names: Oral prophylaxis;Procedure: Subgingival scaling<br>* Test group comprised of 15 patients who were treated with subgingival scaling only around all banded first molars.<br>* Other names: Deep scaling;Drug: Subgingival irrigation<br>* Test group comprised of 15 patients who were treated with subgingival irrigation only around all banded first molars with 0.2% chlorhexidine gluconate solution (Trade name: HEXIDINE), an antiseptic - antiplaque agent.<br>* Other names: Chemical plaque control;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline radiographic evidence of alveolar crestal bone level at 12th month | Radiographic evidence of alveolar crestal bone level was measured around each banded first molar | Baseline to 12th month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline plaque index at 12th month | Full-mouth plaque index measurements were carried out at four sites around each tooth (mesiobuccal, buccal, distobuccal and lingual). | Baseline to 12 month | 
| Change from baseline gingival index at 12th month | The measurements were carried out around all the banded first molars at four sites (mesiobuccal, buccal, distobuccal and lingual). | Baseline to 12th month | 
| Change from baseline probing pocket depth at 12th month | The probing pocket depth was measured clinically using Williams periodontal probe at six sites (mesiobuccal, buccal, distobuccal, mesiolingual, distolingual and lingual) of each banded first molar. | Baseline to 12th month | 
| Change from baseline clinical attachment level at 12th month | Clinical attachment level (CAL) was measured as the distance between a fixed point on the crown such as cementoenamel junction to the base of the pocket. | Baseline to 12th month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nonsurgical periodontal therapy, Orthodontic bands