Chronic Periodontitis Clinical Trial
Official title:
Periodontal Intervention Improves Vascular Function Among Chinese Prehypertensive Adults With Periodontitis
The purpose of this study is to determine the effect of periodontal intervention on vascular dysfunction among Chinese prehypertensive adults with moderate to severe periodontal disease.
Periodontitis is one of the low-grade chronic diseases, and it is the principal cause of
tooth loss among middle-aged and elderly. Recently, epidemiological data indicate that
patients with periodontitis are associated with increases in blood pressure levels and
hypertension prevalence. Furthermore, studies from cross-sectional investigations
demonstrate that hypertensive patients with periodontitis may enhance the risk and degree of
vascular damage. Therefore, periodontal therapy is a novel therapeutic strategy to prevent
the occurrence of BP elevation and retard the development vascular injury.
The term "prehypertension" indicates those with BPs ranging from 120 to 139 mm Hg systolic
and/or 80 to 89 mm Hg diastolic blood pressure. Accumulating evidence suggests that subjects
with prehypertension is associated with higher incidence of atherosclerotic vascular
disease. However, until now there are no available data to investigate the influence of
periodontitis on prehypertension and whether periodontal intervention may reduce the BP rise
in subjects with prehypertension and improve the vascular function. We hypothesized that
periodontitis leads to elevation in BP and periodontal therapy improves vascular function in
subjects with prehypertension. To address these assumptions, The present study is designed
to study the effect of periodontal intervention on blood pressure and vascular function and
inflammatory biomarkers among Chinese prehypertensive adults with moderate to severe
periodontal disease, and determine whether intensive periodontal therapy improves these
measures over a 6-month follow-up period.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention
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