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NCT ID: NCT06235021 Recruiting - Clinical trials for Periodontal Diseases

Clinical Efficacy of Saffron Mouth Rinse in Periodontitis Patients With Renal Disease

Start date: January 1, 2024
Phase: N/A
Study type: Interventional

The commensal oral bacteria are responsible for the initiation and propagation of the disease through the process of dysbiosis, or microbial imbalance. The disease proceeds cyclically with periods of activity and quiescence until therapeutic action is taken, or the tooth and surrounding structures are destroyed by the disease process that may result in the loss of the tooth. As periodontal disease progresses from gingivitis to periodontitis, a greater number of anaerobic organisms colonize deeper periodontal pockets, such as Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis, which triggers the host inflammatory response. This response includes the production and dissemination of C-reactive protein (CRP), a biomarker of inflammation, as well as various neutrophil and macrophage compounds such as tumor necrosis factor-alpha (TNF-a), matrix metalloproteinases (MMPs), and interleukins (IL-1 and IL-8). An elevated serum CRP level suggests that the inflammation arising as a result of periodontitis may correlate with cardiovascular pathology. Additionally, smoking creates an increasingly favorable environment for the growth of periodontal pathogens, thus furthering the disease process. In recent meta-analysis, published articles on the effect of saffron supplementation on three inflammatory biomarkers (CRP, TNF-α, and IL-6) were evaluated. Combining eight eligible trials, it was demonstrated that saffron supplementation did not have a significant effect on serum levels of the three inflammatory biomarkers. However, in the subgroup analysis, saffron was found to significantly reduce CRP and TNF-α serum concentrations

NCT ID: NCT06233500 Recruiting - Macular Holes Clinical Trials

Macular Micro Vascular Changes Following Macular Hole Repair : Optical Coherence Tomography Angiography Study

Start date: December 1, 2021
Phase: N/A
Study type: Interventional

The goal of this prospective interventional study is to to compare the micro vascular and structural changes between surgery with and without ILM flap to repair macular hole. The main questions it aims to answer are: - What are the macular micro vascular and structural changes pre and post repair of idiopathic full thickness macular hole and what is the correlation between these changes and visual recovery. - Is there are any prognostic values of the micro vascular status of the macula could be assessed preoperatively. - What are the differences regarding these micro vascular and structural changes between repair with and without ILM flap. Participants will be: - Subjected to pars plana vitrectomy to repair macular hole. - Examined by optical coherence tomography angiography pre and post operative Researchers will compare: Group A: eyes treated without ILM flap Group B : eyes treated by ILM flap to see if there are differences regarding the micro vascular and structural changes in the macular area.

NCT ID: NCT06233175 Recruiting - Knee Osteoarthritis Clinical Trials

Combined Kinetic Chain Exercises on Knee Osteoarthritis

Start date: January 30, 2024
Phase: N/A
Study type: Interventional

study will be conducted at faculty of physical therapy cairo university to investigate the effect of combined kinetic chain exercises on static and dynamic hamstring and quadriceps strength in knee osteoarthritis patients

NCT ID: NCT06233032 Recruiting - Clinical trials for Prevention of Shivering With Spinal Anaesthesia

Could Ephedrine Replace Dexmedetomidine Fordexmedetomidine Prevention of Shivering in Women Undergoing Cesarean Section Under Spinal Anaesthesia

Start date: February 10, 2024
Phase: N/A
Study type: Interventional

Could ephedrine replace dexamedetomidine for prevention of shivering in women undergoing Cesarean section Under spinal anaesthesia

NCT ID: NCT06231888 Recruiting - Clinical trials for Orthodontic Aligners

Difference Between Pressing and Vacuum Techniques in Fabrication of Orthodontic Aligners in Cases With Crowding: A Cross-sectional Study

Start date: February 1, 2024
Phase:
Study type: Observational

This cross sectional study is aiming to compare 2 methods of clear aligner fabrication.

NCT ID: NCT06231875 Recruiting - Clinical trials for Orthodontic Aligners

Difference Between Pressing and Vacuum Techniques in Fabrication of Orthodontic Aligners in Cases With Spacing: A Cross-sectional Study

Start date: February 1, 2024
Phase:
Study type: Observational

This cross sectional study is aiming to compare 2 techniques of clear aligners fabrication identifying which is better.

NCT ID: NCT06231823 Recruiting - Caries Clinical Trials

Extraction of the Compromised First Permanent Molars

FPM
Start date: January 1, 2024
Phase: N/A
Study type: Interventional

Compromised first permanent molars (FPM), whether diagnosed with severe molar incisor hypomineralization (MIH), irreversible pulpities, or necrosis, require frequent re-treatment consequently entering the restorative cycle, which leads to their inevitable extraction and implant placement. Extraction of compromised first permanent molars in 8-10-year-old children allows the mesial migration of the second permanent molars during their eruption, thereby favoring spontaneous space closure as a permanent solution.

NCT ID: NCT06231758 Recruiting - Clinical trials for Osteo Arthritis Knee

Metformin Safety and Efficacy in Osteoarthritis.

Start date: January 30, 2024
Phase: Phase 3
Study type: Interventional

Knee osteoarthritis (OA) is a chronic, painful disease associated with considerable morbidity, costs and disability. It is estimated that over a third of people aged over 60 have radiographic knee OA2 and over 50% of these with knee OA will go on to have a total knee replacement in their lifetime. At present there are no licensed treatments that alter disease progress and management is primarily concerned with symptom control to retain or improve joint function, although a trial of strontium ranelate showed promising results.

NCT ID: NCT06231745 Recruiting - Clinical trials for Rheumatoid Arthritis

Paroxetine Safety and Efficacy in Rheumatoid Arthritis

Start date: January 31, 2024
Phase: Phase 3
Study type: Interventional

Rheumatoid arthritis (RA) is a systemic chronic auto-inflammatory disorder which imposes a remarkable burden of morbidity and mortality on global health. The complex interaction between genetics, environment, and immunological response contribute to RA pathogenesis. Current treatment comprises conventional disease-modifying anti-rheumatic drugs (DMARDs) followed by biological DMARDs, if necessary, to achieve low disease activity or remission. Therapeutics used in RA had limitations in tolerability, access, and response duration and magnitude. Consequently, implementation of safe adjunctive treatment for RA is urgently needed to boost the therapeutic response.

NCT ID: NCT06231290 Recruiting - Clinical trials for Irreversible Pulpitis

The Influence of Magnification and Clinical Experience on the Outcome of Pulpotomy in Mature Adult Teeth

Start date: March 20, 2024
Phase: N/A
Study type: Interventional

The goal of this interventional randomized clinical trial is to test the effect of magnification and clinical experience of the operator on the success rate of full pulpotomy in mature adult molar teeth. The main questions it aims to answer are: - Does the use of magnification raise the success rate of full pulpotomy of mature adult molars? - Does the clinical experience of the operator dentist raise the success rate of full pulpotomy of mature adult molars? Participants will be asked to do the following: - Receive the pulpotomy treatment of their target molar tooth. - Record the pain score in the pain assessment chart. - Attend the follow-up visits. They'll receive a full pulpotomy treatment of their target molar tooth. Researchers will evaluate the usage of magnification in performing the pulpotomy procedure of adult molar teeth by postgraduate or undergraduate operators in comparison to performing the same pulpotomy procedure without magnification to see if it raises the overall success rate of pulpotomy.