Evidence map›Paper›PMID 42249403›Full record

Trial reportBMC oral health2026

Does minimally invasive non-surgical therapy improve outcomes in splinted mandibular incisors? Results from a randomized trial.

Shaimaa Hamdy, Mohammed Turky, Ahmed Y Gamal

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06772506 (Clinical and Patient-centered Outcomes After Minimally Invasive Non-surgical Therapy for the Treatment of Splinted Stage IV Periodontitis - Randomized Controlled Clinical Trial), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06772506 nacompletednot on this map

Clinical and Patient-centered Outcomes After Minimally Invasive Non-surgical Therapy for the Treatment of Splinted Stage IV Periodontitis - Randomized Controlled Clinical Trial

TypeinterventionalSponsorMinia UniversityRan2022 to 2024Enrolled40ConditionsPeriodontitis, Stage IV Periodontitis, Minimally Invasive Treatment, SplintsArmsNon Surgical Periodontal Treatment includes post operative mouth wash with Listerine® (ethanol 21.6%, methyl salicylate 0.06%, menthol 0.042%, thymol 0.064% and eucalyptol 0.092%), Minimally invasive non-surgical technique with mini five and after five minimally invasive instrument plus splint
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shaimaa HamdyDepartment of Oral Medicine, Oral Diagnosis and Periodontology, Faculty of Dentistry, Nahda University, Beni Swef, Egypt. shimaa.hamdy@nub.edu.eg.
Mohammed TurkyDepartment of Endodontics, Faculty of Dentistry, Minia University, Minia, Egypt.
Ahmed Y GamalDepartment of Oral Medicine, Oral Diagnosis and Periodontology, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional non-surgical periodontal therapy (CNST) is an effective method for managing mild to moderate periodontitis. However, in cases of severe periodontitis, CNST may leave residual pockets. Severe periodontitis, particularly in stages III and IV, often involves significant tooth mobility, which may require the use of a permanent splint. Minimally invasive non-surgical techniques (MINST) have been proposed to deliver better results and enhance patient satisfaction. However, current evidence does not decisively evaluate the outcomes of splinted teeth following MINST. Therefore, this research aimed to address the knowledge gap by assessing the clinical outcomes of MINST compared to CNST in the treatment of splinted teeth affected by stage III and IV periodontitis.

methodsA parallel-arm, single-blind randomized controlled trial was conducted on 39 patients (46 sites) with stage III-IV periodontitis and grade II-III mobility of mandibular incisors. Participants were randomly assigned to conventional non-surgical therapy (CNST) or minimally invasive non-surgical therapy (MINST), both of which included splinting. Outcomes were assessed at baseline, 3, and 6 months. The primary outcome was pocket reduction, assessed by changes in probing pocket depth (PPD) from baseline to follow-up. Secondary outcomes included pocket closure (PC), defined as the proportion of sites with PPD ≤ 4 mm and no bleeding on probing (BOP), derived from these measurements; clinical attachment level (CAL); defect bone fill (DBF); and patient satisfaction.

resultsBoth groups showed significant reductions in probing pocket depth and gains in CAL (p < 0.001). Pocket closure occurred more frequently in the MINST group (65.2%) compared to the CNST group (39.1%) at 6 months (p = 0.015). Radiographic bone fill improved significantly in both groups, with no intergroup difference. Patient satisfaction was similar (NPS: CNST = 38; MINST = 42; p = 0.39).

conclusionBoth MINST and CNST with splinting improved periodontal outcomes, but MINST achieved a higher rate of pocket closure, while radiographic bone fill and patient satisfaction were comparable between groups.

trial registrationCurrent Controlled Trials: NCT06772506. The date of registration in the (2025-01-03) "Retrospectively registered".

Indexed as

IncisorPeriodontal SplintsPeriodontitisAdultFemaleHumansMaleMandibleMiddle AgedPatient SatisfactionPeriodontal Attachment LossPeriodontal IndexPeriodontal PocketSingle-Blind MethodTooth MobilityTreatment OutcomeConventional non-surgical periodontal therapyIntrabony defectMinimally invasive non-surgical techniquesPeriodontitisSplinted teeth

Identifiers

PMID42249403
PMCPMC13335250

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.