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CTRI Number  CTRI/2026/01/101745 [Registered on: 21/01/2026] Trial Registered Prospectively
Last Modified On: 28/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Screening
Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Effect of Different Diode Laser Power Settings as an Adjunct to Scaling and Root Planing on Clinical Periodontal Parameters and Gingival Crevicular Fluid Levels in Patients with Chronic Periodontitis 
Scientific Title of Study   Comparative evaluation of 810 nm diode laser at various power settings as an adjunct to Scaling and Root Planing and Scaling and Root Planing alone on Gingival crevicular fluid levels of IL-1BETA and TNF-ALFHA in patients with chronic periodontitis: A split-mouth clinical study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pooja Hungund 
Designation  Post graduate student in Periodontology 
Affiliation  The Oxford Dental College 
Address  The Oxford Dental College, NH-44, Hosur road, cluster b, Bommanahalli, Near Hongasandra metro station, Bengaluru

Bangalore
KARNATAKA
560068
India 
Phone  7019971357  
Fax    
Email  drpoojahungund@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. B. S. Jagadish Pai 
Designation  Head of Department of Periodontology 
Affiliation  The Oxford Dental College 
Address  The Oxford Dental College, NH-44, Hosur road, cluster b, Bommanahalli, Near Hongasandra metro station, Bengaluru

Bangalore
KARNATAKA
560068
India 
Phone  7019971357  
Fax    
Email  drpoojahungund@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pooja Hungund 
Designation  Post graduate student in Periodontology 
Affiliation  The Oxford Dental College 
Address  The Oxford Dental College, NH-44, Hosur road, cluster b, Bommanahalli, Near Hongasandra metro station, Bengaluru


KARNATAKA
560068
India 
Phone  7019971357  
Fax    
Email  drpoojahungund@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Pooja Hungund 
Address  The Oxford Dental College, NH-44, Hosur road, cluster b, Bommanahalli, Near Hongasandra metro station, Bengaluru 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pooja Hungund  The oxford dental college  Department of Periodontology, Room no 3, The Oxford Dental College, NH-44, Hosur road, cluster, near Hongasandra metro station
Bangalore
KARNATAKA 
7019971357

pooja.hungund2609@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patients with chronic generalised periodontitis and greater than or equal to 5mm pocket in each quadrant 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Laser with 0.8W  In every patient full mouth SRP will be performed using hand instruments (Gracey curettes) and an ultrasonic device. The laser therapy using an 810 nm diode laser with the power output of 0.8W will be performed by inserting laser fibres into the pockets in such a way that they were in contact with the soft tissue wall of the pockets and parallel to the root surface and then they will be moved to the apical surface through a horizontal sweeping motion (1 mm/s) while remaining in contact with the soft tissue wall of the pockets. The application of the diode laser will be repeated at an interval of 1, 7 and 14 days respectively. 
Intervention  Laser with 1.5W  In every patient full mouth SRP will be performed using hand instruments (Gracey curettes) and an ultrasonic device. The laser therapy using an 810 nm diode laser with the power output of 1.5W will be performed by inserting laser fibres into the pockets in such a way that they were in contact with the soft tissue wall of the pockets and parallel to the root surface and then they will be moved to the apical surface through a horizontal sweeping motion (1 mm/s) while remaining in contact with the soft tissue wall of the pockets. The application of the diode laser will be repeated at an interval of 1, 7 and 14 days respectively. 
Intervention  Laser with 1W  In every patient full mouth SRP will be performed using hand instruments (Gracey curettes) and an ultrasonic device. The laser therapy using an 810 nm diode laser with the power output of 1W will be performed by inserting laser fibres into the pockets in such a way that they were in contact with the soft tissue wall of the pockets and parallel to the root surface and then they will be moved to the apical surface through a horizontal sweeping motion (1 mm/s) while remaining in contact with the soft tissue wall of the pockets. The application of the diode laser will be repeated at an interval of 1, 7 and 14 days respectively. 
Comparator Agent  Scaling and Root planing  Scaling and Root Planing will be done using hand instruments (Gracey curettes) and an ultrasonic device. Oral Hygiene Instructions will be given. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Patients who agreed to participate in the study by signing the written informed consent.
2. Patients older than 18 years with chronic periodontitis
3. Deepest probing pocket depth of 4-6 mm in at anterior or posterior teeth at each of the quadrants of the jaw.
4. Patients with no history of any periodontal treatment for at least the last 3 months.
5. Subjects who have never smoked, or who have smoked less than 100 cigarettes in their lifetime. (Glossary Of Centers for Disease Control and Prevention).
 
 
ExclusionCriteria 
Details  1. Patients with systemic disorders that could impact the outcome and prognosis of periodontal treatment, such as diabetes mellitus.
2. Patients who had taken antibiotics or anti-inflammatory drugs within the last three months.
3. Pregnant and lactating women.
4. Patients with periodontitis stage IV (Classification of periodontitis and peri-implant diseases and condition as proposed in 2017 World Workshop).
 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Clinical parameters which include gingival index, bleeding on probing, probing pocket depth, clinical attachment level will be measured on the first day (Day-0) and after 3 months.   Clinical parameters which include gingival index, bleeding on probing, probing pocket depth, clinical attachment level will be measured on the first day (Day-0) and after 3 months.  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

Periodontal disease is a chronic inflammatory condition that results from the buildup of microbial plaque on the teeth and can lead to gingivitis, gingival recession, formation of periodontal pockets, vertical or horizontal alveolar bone resorption, and eventually, mobility and loss of the teeth.  Although scaling and root planing is a popular non-surgical method for controlling inflammation, supplementing SRP with lasers has been hypothesized to help remove microbial plaque and reduce the number of periodontal pathogenic bacteria. Perpetuation of the host response by a persistent bacterial challenge disrupts homeostatic mechanisms and results in release of biologic mediators such as cytokines. These mediators of inflammation promote extra cellular matrix destruction in periodontium and stimulate bone resorption.

Lasers have been extensively used in the treatment of periodontal disease. Among the lasers, the diode laser is one of the most popular laser technologies considering its low price, portability, and ease of use. The choice of the correct laser parameters is of great importance. Low energy settings may be ineffective in the complete removal of pocket epithelium, and high energy settings may cause thermal damage to the surrounding tissues.

To our knowledge, studies suggesting the optimal range of power output and comparing the various power levels of diode laser as an adjuvant to SRP have not yet been conducted. In order to evaluate the efficiency of 810 nm diode laser as an adjuvant to scaling and root planing at various power settings  0.8W, 1W, and 1.5W, the current study also intends to evaluate the effect on GCF levels of IL-1BETA and TNF-ALPHA in Chronic Periodontitis patients.

 
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