Mechanical debridement .: On the conventional non-surgical periodontal therapy side, a power-driven piezo•electric ultrasonic scaling device with scaling tips will be used the majority of the time to debride subgingival biofilm and calculus. and manual standard gracey curette instruments will be used to refine residuals from root surfaces.
minimally invasive mechanical debridement: Briefly. the root surface of teeth will be thoroughly debrided by a minimally invasive approach using specific thin and delicate piezo-electric scaling tips (Woodpecker � Tip P3. Am Perfect sp. z o .• � Poland) and manual miniature periodontal curettes {� Dent Solutions. Cairo. Egypt) for reducing periodontal tissue trauma. Adjunctive use of magnification loupes will be performed.
Study summary
the aim of this study is to investigate the clinical outcomes of Minimally Invasive Non-Surgical Therapy(MINST) compared to Conventional non-surgical periodontal therapy (CNST)
Eligibility
Sex
ALL
Min age
20 Years
Max age
40 Years
Healthy volunteers
Accepted
Inclusion Criteria:
* • Patients with stage III pericdontitis, according to the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) periodontal classification system .
* Medically free patients.
* Non-smokers
* Patients with good oral hygiene.
Exclusion Criteria:
* Pregnant or lactating females.
* Patients with systemic diseases that might affect periodontal health
* previous periodontal treatment within 6 months before baseline examination.
* prior antibiotic regimen use within 1 month before baseline examination
Primary outcome measure(s)
Plaque index (PI) — basline, 1 month , 3 months 1\. Plaque index (PI):The index assigns a score to each tooth based on the amount of plaque present.
0: No plaque is visible.
1. A thin film of plaque is present at the gingival margin (gumline) and can be detected with a probe.
2. Visible plaque along the gingival margin.
3. Heavy plaque accumulation in the gingival margin and interdental spaces.
Bleeding on probing (BOP): — baseline, 1 month , 3 months ): "0" if no bleeding occurred within 10 second, and "1" if there was bleeding within 10 second.
Probing pocket Depth (PPD) — baseline , 1 month , 3 month ): will be measured from the gingival margin to the base of the periodontal pocket.
Clinical Attachment Level (CAL) — baseline ,1 month , 3 month will be measured from the cement-enamel junction to the base of the periodontal pocket.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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