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Trial registered on ANZCTR
Registration number
ACTRN12607000129482
Ethics application status
Approved
Date submitted
13/02/2007
Date registered
14/02/2007
Date last updated
12/03/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
Laser therapy for the treatment of chronic periodontitis
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Scientific title
A comparison of fluorescence-guided Er: YAG Laser (ERL) and mechanical scaling and root planing (SRP) for non-surgical sub-gingival debridement for the treatment of chronic periodontitis: a controlled prospective clinical study.
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Universal Trial Number (UTN)
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Trial acronym
No acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Moderate to advanced chronic periodontitis
1621
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Condition category
Condition code
Oral and Gastrointestinal
1729
1729
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0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Using a split-mouth design each patient’s mouth will be divided into test and control quadrants.
The test quadrants will be debrided using an Er:YAG laser (KEY3®, Kavo, Biberach, Germany).The laser parameters are set at an energy level of 160mJ/pulse and a repetition rate of 10Hz. The Kavo periodontal P2061 handpiece will be used with water irrigation. The operator chooses the Kavo fibre tips as the situation dictates.
All treatments will be terminated when the operator is satisfied that the root surfaces are smooth and thoroughly debrided. An independent examiner will verify the clinical end point. There will be no time limit for instrumentation.
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Intervention code [1]
1598
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Treatment: Devices
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Comparator / control treatment
The control quadrants will receive sub-gingival SRP using an ultrasonic scaler and Gracey hand instruments.
All treatments will be terminated when the operator is satisfied that the root surfaces are smooth and thoroughly debrided. An independent examiner will verify the clinical end point. There will be no time limit for instrumentation.
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Control group
Active
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Outcomes
Primary outcome [1]
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Bleeding on probing (BOP)
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Assessment method [1]
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Timepoint [1]
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At baseline and at 6 and 12 weeks after intervention commencement
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Primary outcome [2]
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Probing depth (PD)
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Assessment method [2]
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Timepoint [2]
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At baseline and at 6 and 12 weeks after intervention commencement
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Primary outcome [3]
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Clinical attachment level (CAL)
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Assessment method [3]
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Timepoint [3]
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At baseline and at 6 and 12 weeks after intervention commencement
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Secondary outcome [1]
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Patient perception of each treatment modality (Questionnaire format).
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Assessment method [1]
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Timepoint [1]
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Immediately following each treatment. 24 hours following treatment and 1 week following treatment.
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Secondary outcome [2]
4175
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Visual analogue score (VAS) for discomfort
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Assessment method [2]
4175
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Timepoint [2]
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Immediately following each treatment.
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Secondary outcome [3]
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Visual analogue score for pain
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Assessment method [3]
4176
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Timepoint [3]
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Immediately following each treatment.
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Eligibility
Key inclusion criteria
All participants will have a minimum 16 teeth (4 per quadrant) and a diagnosis of moderate or advanced chronic periodontitis defined as PD =5mm, attachment loss of =2mm and bleeding on probing in 6 or more sites distributed throughout the mouth. They will be in good general health, and will have received no periodontal treatment within the previous 6 months. All patients must comprehend the visual analogue scale (VAS) and will sign informed consent forms.
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Minimum age
30
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will be excluded from the study if they suffer from systemic diseases which could influence the outcome of therapy; require antibiotic coverage prior to dental treatment; use of medications such as antibiotics, steroids and anti-inflammatories in the 3 months prior to treatment; are pregnant; or are heavy smokers ( = 10 cigarettes per day).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
consecutively recruitment, concealed in sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random sequences
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
The assessor will be blinded
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
485
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New Zealand
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State/province [1]
485
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Funding & Sponsors
Funding source category [1]
1878
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Commercial sector/Industry
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Name [1]
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KaVo Dental ASIA-PACIFIC Pte. Ltd
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Address [1]
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7500 A
Beach Road
No. 09-303/309
The Plaza
199591
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Country [1]
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Singapore
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Primary sponsor type
University
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Name
Department of Oral Sciences, School of Dentistry, University of Otago, New Zealand
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Address
PO BOX 647
Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
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Country [1]
1693
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Lower South Regional Ethics Committee
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Ethics committee address [1]
3503
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Ethics committee country [1]
3503
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New Zealand
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Date submitted for ethics approval [1]
3503
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Approval date [1]
3503
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16/11/2006
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Ethics approval number [1]
3503
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LRS/06/10/044
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Summary
Brief summary
Patients often find having their teeth scaled an unpleasant experience. The purpose of this research is to determine whether a laser is as effective as conventional instruments (powered and hand scalers) for the treatment of chronic periodontitis (gum disease). The effectiveness of each treatment method will be assessed using patient-centred outcomes such as clinical periodontal measurements and patients’ overall experience. The study design is such that it is as close to normal daily practice as possible.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
27532
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Lingfeng Soo
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Address
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Department of Oral Sciences
School of Dentistry
University of Otago
PO BOX 647
Dunedin 9016
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Country
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New Zealand
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Phone
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+64 3 4797036
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Fax
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+64 3 4790673
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Lingfeng Soo
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Address
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Department of Oral Sciences
School of Dentistry
University of Otago
PO BOX 647
Dunedin 9016
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Country
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New Zealand
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Phone
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+64 3 4797036
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Fax
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+64 3 4790673
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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