Diode Laser Study for Periodontal Maintenance Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01215201
Recruitment Status : Unknown
Verified October 2010 by University of Nebraska.
Recruitment status was:  Active, not recruiting
First Posted : October 6, 2010
Last Update Posted : October 6, 2010
Information provided by:
University of Nebraska

Brief Summary:
This study tries to determine whether the additional use of laser with "cleaning" (known as scaling and root planning) will result in the reduction of inflammation, reduction of bleeding upon examination and reduction of pocket depth in patients who are being maintained on a regular basis but have pocket depths that are ≥5mm with bleeding. When a pocket is bleeding, it is inflamed. It is usually "cleaned" with periodontal instruments (root-planed) to establish health. Some research also advocates using laser therapy to treat a bleeding pocket. Laser therapy is presently being performed in some dental offices and dental colleges. This research is trying to see if the additional laser therapy is beneficial.

Condition or disease Intervention/treatment Phase
Periodontal Maintenance Patients With Chronic Periodontitis With ≥5mm Probing Depth That Have Bleeding on Probing and/or Suppuration. Device: Diode Laser Phase 2

Detailed Description:

The purpose of this study is to determine whether the adjunctive use of diode laser with scaling and root planing is more effective than scaling and root planing alone in clinically reducing periodontal pocket depth (PD), reducing bleeding on probing (BOP) and gaining of clinical attachment level (CAL). It also assesses whether diode laser with scaling and root planing will have an effect on cytokines and inflammatory biomarkers compared to root planing alone.

Any adult who is currently a routine periodontal maintenance patient and has one or more ≥ 5mm pockets with BOP will be invited to participate in the study. If they choose to participate, they will sign an informed consent. Crevicular fluid samples from each test site and another non-involved site in the mouth will be collected utilizing the standard protocol and frozen for later analyses of the presence of certain inflammatory biomarkers (IL-1β, PGE2, MMP-8). Baseline data (i.e., PD, CAL, BOP, suppuration, supragingival plaque, subgingival restorative margins, smoking status) will be collected. The involved teeth will then be randomly treated with scaling and root-planing with hand instruments and diode laser (test) or scaling and root-planing with hand instruments alone. The patient will return 3 months later for follow-up data collection. He/she will then receive his/her regular 3 month maintenance therapy.

The changes between baseline and 3 months for the clinical parameters and gingival crevicular fluids' inflammatory biomarkers will be compared between test and control experimental sites.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 110 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Adjunctive Non-Surgical Therapy of Inflamed Periodontal Pockets Using Diode Lasers During Maintenance Therapy
Study Start Date : May 2010
Estimated Primary Completion Date : June 2011
Estimated Study Completion Date : July 2011

Arm Intervention/treatment
Scaling and root planing
Control group
Device: Diode Laser
Diode Laser is used in addition to the standard Scaling and root planing procedure.

Primary Outcome Measures :
  1. Periodontal clinical parameters [ Time Frame: 3 months ]
    Reduction in Probing Depth, Gaining of clinical attachment level, Reduction of Bleeding upon Probing, Reduction of Plaque accumulation, reduction of IL-1B inflammatory marker.

Information from the National Library of Medicine

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Ages Eligible for Study:   30 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Any adult periodontal maintenance patient having had chronic periodontitis with last active therapy at least 3 months prior and with 1 or more sites/subject with ≥5mm probing depth that have bleeding on probing and/or suppuration. They have signed an informed consent form to participate in the study.

Exclusion Criteria:

  • Subjects who are un-controlled diabetics, use NSAIDS regularly for chronic disease/pain, used antibiotics for the last 3 months, require antibiotic coverage for therapy, are pregnant and below age 30.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01215201

United States, Nebraska
University of Nebraska Medical Center, College of Dentistry
Lincoln, Nebraska, United States, 68583
Sponsors and Collaborators
University of Nebraska
Principal Investigator: Naomi-Trang Nguyen, D.D.S. University of Nebraska Medical Center, College of Dentistry

Responsible Party: Naomi-Trang Nguyen, D.D.S., University of Nebraska Medical Center, College of Dentistry Identifier: NCT01215201     History of Changes
Other Study ID Numbers: 452-09-EP
First Posted: October 6, 2010    Key Record Dates
Last Update Posted: October 6, 2010
Last Verified: October 2010

Keywords provided by University of Nebraska:
Periodontal maintenance
≥5mm probing depth
bleeding on probing and/or suppuration

Additional relevant MeSH terms:
Chronic Periodontitis
Pathologic Processes
Periodontal Diseases
Mouth Diseases
Stomatognathic Diseases