Chronic Periodontitis Clinical Trial
Official title:
Effectiveness of an Oral Decontaminant Agent in Addition to Non-surgical Therapy of Chronic Periodontitis: A Split Mouth Study
In light of the controversy that are already approved but that however still exists
regarding the efficacy and influence of the decontaminant tools for the management of
Chronic Periodontitis (cp), the aim of this study was to evaluates, at 1 year follow-up, the
post-treatment clinical parameters and immunological and gingival microbial profiles in
patients with CP, treated by either SRP in addition to desiccant or SRP alone.
The null hypothesis to invalidate was that, after a one year follow-up, there were no
variations, in relation to clinical, anti-microbial and anti-inflammatory parameters between
SRP + desiccant and SRP alone treatment.
This trial was conducted in accordance with the World Medical Association's Declaration of
Helsinki of 1975, and reviewed in 2008. The local ethical committee of the University of
Messina approved the study protocol and each patient was carefully informed about the
possible inherent risks of the study and provided their informed written consent. Subjects
with a diagnosis of CP (Chronic Periodontitis) were enrolled in this clinical trial.
Study design Thirty-six patients, 19 men and 17 women, aged 27 to 65 (mean age 46.7) were
assessed for eligibility at the Department of Biomedical, Odontostomatological Sciences and
Morphological and Functional Images at the University of Messina, Messina, Italy. This trial
was conducted in agreement with the CONSORT guidelines.
In all subjects, subgingival plaque was acquired from 4 separate proximal sites at 365 days
after therapy.
To permit the noninvasive specimen, all the sites chosen for analysis were isolated using
cotton rolls. Subsequently, by one #40 sterilized paper point present in the commercial kit†
introduced into the base of the selected site for 30 s, a subgingival plaque sample was
collected.
The Gingival Crevicular Fluid (GCF) was gathered, at the same time from other four different
non-contiguous interproximal sites using filter paper strips‡ as previously described. The
levels of IL-1β, IL-10 and TNF-α were recognized by conventional enzyme-linked immunosorbent
assay using an equation with software using a five polynomial parameter.
Each selected subject underwent randomly, without anaesthesia, at the same time and after
recording periodontal parameters, the two following treatments: in one, maxillary quadrants
were treated as conventional Scaling and Root Planing (SRP) + desiccant (Hybenx), while the
contra-lateral quadrants were treated as conventional SRP alone.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Supportive Care
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