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CompletedNCT07904455Updated Oct 29, 2026

Trabecular Bone Changes After Periodontal Treatment in Patients With and Without Bruxism

An observational study in Periodontitis and Bruxism, sponsored by Mustafa Kemal University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Mustafa Kemal University · Observational

Updated Oct 29, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
65
Ages
18 Years and older
Sex
All
01

Study summary

This prospective observational cohort study evaluated changes in the trabecular bone structure around teeth after nonsurgical periodontal treatment in patients with periodontitis, with and without bruxism. Fractal dimension was measured on standardized periapical radiographs taken at baseline and six months after treatment. Clinical periodontal measurements were also recorded at both time points. The main objective was to determine whether changes in fractal dimension after periodontal treatment differed between patients with and without bruxism.

02

Conditions studied

  • Periodontitis
  • Bruxism

Keywords

  • Periodontitis
  • Bruxism
  • Fractal analysis
03

In context

Periodontitis

1,231 studies on the registry are indexed under Periodontitis; 295 are open to participants now.

This study's enrollment of 65 is below the median of 90 across 372 observational studies indexed under Periodontitis.

Browse Periodontitis studies →

Lead sponsor

Mustafa Kemal University is the lead sponsor of 77 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults with Stage II-III, Grade B periodontitis who presented to the Department of Periodontology, Faculty of Dentistry, Hatay Mustafa Kemal University and met the predefined eligibility criteria were enrolled. Participants were classified according to the presence or absence of probable bruxism and were prospectively followed for six months after nonsurgical periodontal treatment.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Individuals diagnosed with periodontitis according to the criteria of the 2017 Classification of Periodontal and Peri-Implant Diseases and Conditions
  2. Patients who had not received any periodontal treatment within the preceding six months
  3. Individuals older than 18 years
  4. Individuals with Angle Class I occlusion
  5. Individuals without missing teeth in the posterior region that could compromise the occlusal relationship
  6. Participants who provided written and voluntarily agreed to take part in the study

Exclusion criteria

Exclusion Criteria:

  1. Patients with systemic diseases or conditions such as diabetes, cancer, /AIDS, acute infections, hepatic or renal failure/dysfunction, or disorders
  2. Pregnant women
  3. Individuals regularly using nonsteroidal anti-inflammatory drugs, , bisphosphonates, or denosumab (an anti-RANKL monoclonal antibody)
  4. Individuals with diseases affecting bone metabolism, such as osteoporosis or ankylosing spondylitis
  5. Individuals with prosthetic restorations or extensive fillings, premature occlusal contacts caused by restorations, or severe malocclusion
  6. Individuals with endodontically treated teeth
  7. Individuals with temporomandibular joint disorders
  8. Individuals with psychiatric disorders who were using psychotropic medications
  9. Individuals with alcohol or substance dependence
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
65 participants (actual)
Patient registry
No

Groups and cohorts

  • Periodontitis With Bruxism

    Patients with Stage II-III, Grade B periodontitis who met the predefined study criteria for bruxism and were followed for six months after nonsurgical periodontal treatment.

    Other: Bruxism Status

  • Periodontitis Without Bruxism

    Patients with Stage II-III, Grade B periodontitis who did not meet the predefined study criteria for bruxism and were followed for six months after nonsurgical periodontal treatment.

Interventions

  • OtherBruxism Status

    Participants were classified according to the presence or absence of probable bruxism based on self-reported information and clinical examination findings using predefined study criteria. Sleep and awake bruxism were not assessed separately, and no instrument-based assessment was performed. Bruxism status was observed and was not assigned by the investigators.

06

What researchers measure

Primary outcomes

  1. Change in Alveolar Trabecular Bone Fractal Dimension

    Fractal dimension was calculated from standardized periapical radiographs of the mandibular first molar region using the box-counting method in ImageJ. The change in fractal dimension from baseline to six months after nonsurgical periodontal treatment was evaluated and compared between patients with and without bruxism.

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Change in Plaque Index

    Plaque index was recorded at baseline and six months after nonsurgical periodontal treatment, and the change over time was evaluated.

    Time frame: Baseline to 6 months

  2. Change in Gingival Index

    Gingival index was recorded at baseline and six months after nonsurgical periodontal treatment, and the change over time was evaluated.

    Time frame: Baseline to 6 months

  3. Change in Bleeding on Probing

    Bleeding on probing was recorded as a percentage at baseline and six months after nonsurgical periodontal treatment, and the change over time was evaluated.

    Time frame: Baseline to 6 months

  4. Change in Probing Pocket Depth

    Probing pocket depth was measured in millimeters at baseline and six months after nonsurgical periodontal treatment, and the change over time was evaluated.

    Time frame: Baseline to 6 months

  5. Change in Clinical Attachment Level

    Clinical attachment level was measured in millimeters at baseline and six months after nonsurgical periodontal treatment, and the change over time was evaluated.

    Time frame: Baseline to 6 months

07

Study locations

1 site
  • Hatay Mustafa Kemal University Faculty of Dentistry
    Hatay, ANTAKYA, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2025 to primary completion in Apr 2026, 11 months.

Of 85 non-industry observational studies under Periodontitis, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's 11 months is below that.

Counting every sponsor, half of 86 studies reached it within 13 months; a quarter within 7 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 23, 2026
First posted
Oct 29, 2026
StartActual
May 5, 2025
Primary completionActual
Apr 29, 2026
CompletionActual
May 18, 2026
Last update
Oct 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07904455
Lead sponsor
Mustafa Kemal University
Responsible party
Halil Ibrahim SIK (Assistant Professor, Mustafa Kemal University) — Principal investigator
First posted
Oct 29, 2026
Start date
May 5, 2025
Primary completion
Apr 29, 2026
Completion
May 18, 2026
Last update
Oct 29, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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