Periodontal Phenotype and Scaling and Root Planing

Study Overview
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Brief Summary
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Periodontal phenotype has been recognized as one of the key factors that may potentially impact the outcome of a variety of periodontal surgical and non-surgical procedures. Taking into consideration the inconsistent findings of the studies done in this regard,outcomes of scaling and root planing with respect to periodontal phenotype. With this aim, the present study would be conducted to assess the influence of periodontal phenotype on outcome of scaling and root planing in periodontitis patients.

Detailed Description
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AIM: To evaluate the influence of periodontal phenotype on the outcomes of scaling and root planing in periodontitis patients. OBJECTIVES: To assess the improvement in pocket probing depth (PPD), clinical attachment level (CAL), bleeding in pocket probing (BOPP), bleeding on marginal probing (BOMP), gingival marginal position (GMP), gingival recession (GR), plaque index (PI), and gingival index (GI) after scaling and root planing (SRP) in periodontitis patients with thin or thick periodontal phenotype. SETTING: Department of periodontics and oral implantology, PGIDS, Rohtak, Haryana. STUDY DESIGN: Comparative Interventional study. TIME FRAME: 12 months (september 2021- August 2022) POPULATION: Systemically healthy patients with periodontitis (periodontitis stage II and stage III) and thin/thick periodontal phenotype in maxillary and mandibular incisors will be included.

Official Title
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Clinical Evaluation of Impact of Periodontal Phenotype on the Outcome of Scaling and Root Planing in Patients With Periodontitis: A Comparative Interventional Study

Conditions
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Periodontitis

Intervention / Treatment
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* Procedure: Scaling and root planing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Systemically healthy patients with periodontitis (periodontitis stage 2 and stage 3) and thin/thick periodontal phenotype in maxillary and mandibular incisors will be included. Exclusion Criteria: Systemic condition known to affect the course of periodontal disease like diabetes mellitus or immunogenic disorders. Patient on anti-inflammatory drugs or antibiotics or history of treatment with medication known to influence periodontal status or healing within last 2 years. Current or former smoker or use of tobacco in any form History of periodontal treatment in last 2 years Crowding in anterior teeth. Pregnant or lactating females. Individuals with restorations on anterior teeth.

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Thick periodontal phenotype<br>Stage II and stage III periodontitis Patient with thick periodontal phenotype will be enrolled using probe transparency method . | Procedure: Scaling and root planing<br>* Scaling and root planing involves removal of plaque and calculus on tooth surface.<br>|
| Active Comparator: Thin periodontal phenotype<br>Stage II and stage III periodontitis Patient with thin periodontal phenotype will be enrolled using probe transparency method. | Procedure: Scaling and root planing<br>* Scaling and root planing involves removal of plaque and calculus on tooth surface.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Probing pocket depth | Change in pocket probing depth from baseline to 6 months | 6 months | 
| BLEEDING ON POCKET PROBING (BOPP) | Change in bleeding on pocket probing depth from baseline to 6 months | 6 months |