Periodontal Maintenance and the COVID-19 Pandemic

NCT05125835 | Completed

• 1 other identifier: 21-037
• Study Type: observational
• Target: 428
• Locations: 1 country
• Sites: 1

Brief Summary

Periodontal disease is a chronic condition affecting the teeth and surrounding support structures, characterized by tooth loss and alveolar bone loss. Sanative therapy (ST) is the gold standard non-surgical treatment for periodontal disease and involves mechanically removing the subgingival bacteria from the periodontal pockets. Regular periodontal maintenance appointments are needed to maintain periodontal health after ST. Moreover, the periodontal health of individuals not requiring ST is also dependent on regular hygiene appointments. Due to Ontario's March 2020 COVID-19-related clinic closure for approximately 3 months along with a reduced numbers of appointments available due to guidelines of professional bodies and public health beyond this period of time, many appointments were considerably delayed or cancelled. The effects of this disruption to periodontal health in male and female patients who have undergone ST and continue with maintenance appointments or who attend for regular hygiene appointments have not yet been investigated.

Conditions

Periodontal Diseases; Periodontal Pocket

Keywords

Periodontal therapy; Periodontal maintenance; Hygiene appointment; Sanative therapy; COVID-19

Outcome Measures

Primary Outcomes (8)

• Probing Depth

  This is a routine clinical measure of periodontal health (measured in mm)

  Pre-sanative therapy

• Probing Depth

  This is a routine clinical measure of periodontal health (measured in mm)

  8-12 weeks post-sanative therapy

• Probing Depth

  This is a routine clinical measure of periodontal health (measured in mm) for patients who attend the clinic for maintenance appointments after sanative therapy

  At maintenance appointment (present day) and retrospectively from the clinical record from first maintenance appointment after the 8-12 weeks post-sanative therapy

• Probing Depth

  This is a routine clinical measure of periodontal health (measured in mm) in patients who attend the clinic for regular hygiene appointments

  At hygiene appointment (present day) and retrospectively from the clinical record from first hygiene appointment at clinic, up to 17 years previously

• Bleeding on Probing

  This is a clinical measure of inflammation and represented as the percent of bleeding sites that are measured at 6 sites per tooth.

  Pre-sanative therapy

• Bleeding on Probing

  This is a clinical measure of inflammation and represented as the percent of bleeding sites that are measured at 6 sites per tooth.

  8-12 weeks post-sanative therapy

• Bleeding on Probing

  This is a clinical measure of inflammation and represented as the percent of bleeding sites that are measured at 6 sites per tooth.

  At maintenance appointment (present day) and retrospectively from the clinical record from first maintenance appointment after the 8-12 weeks post-sanative therapy

• Bleeding on Probing

  This is a clinical measure of inflammation and represented as the percent of bleeding sites that are measured at 6 sites per tooth.

  At hygiene appointment (present day) and retrospectively from the clinical record from first hygiene appointment at clinic, up to 17 years previously

Secondary Outcomes (8)

• O'Leary Index of Plaque Control

  Pre-sanative therapy

• O'Leary Index of Plaque Control

  8-12 weeks post-sanative therapy

• O'Leary Index of Plaque Control

  At maintenance appointment (present day) and retrospectively from the clinical record from first maintenance appointment after the 8-12 weeks post-sanative therapy

• O'Leary Index of Plaque Control

  At hygiene appointment (present day) and retrospectively from the clinical record from first hygiene appointment at clinic, up to 17 years previously

• Tooth loss

  Pre-sanative therapy

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients who have undergone either sanative therapy plus at least one maintenance appointment or who attend regular hygiene appointments at this clinic.

You may qualify if:

• Have undergone sanative therapy or attend regular hygiene appointments at the clinic
• Age 19 years or older
• Willing and able to provide informed consent

You may not qualify if:

• Age \< 19 years
• Unable to provide informed consent

Sponsors & Collaborators

• Brock University: lead
• Dr. Peter C. Fritz, Periodontal Wellness & Implant Surgery: collaborator

Study Sites (1)

Dr. Peter C. Fritz, Periodontal Wellness & Implant Surgery

Fonthill, Ontario, L0S1E5, Canada

Location

MeSH Terms

Conditions

Periodontal Diseases; Periodontal Pocket; COVID-19

Condition Hierarchy (Ancestors)

Mouth Diseases; Stomatognathic Diseases; Periodontitis; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Wendy E Ward, PhD

  Brock University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor & Canada Research Chair

Study Record Dates

• First Submitted: November 15, 2021
• First Posted: November 18, 2021
• Study Start: November 21, 2021
• Primary Completion: March 30, 2023
• Study Completion: August 31, 2023
• Last Updated: August 13, 2025

Record last verified: 2025-08

Locations

CA (1)