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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03371446
Other study ID # CAAE: 57171816.2.0000.5419
Secondary ID
Status Completed
Phase N/A
First received November 30, 2017
Last updated December 11, 2017
Start date June 6, 2016
Est. completion date November 18, 2017

Study information

Verified date December 2017
Source University of Sao Paulo
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Periodontitis is related to host genetics, constitution of the dental biofilm and environmental factors such as smoking. DNA methylation is a mechanism of genetic expression that can inhibit or silence gene expression. In this way several researchers have been dedicated to study the genetic influence on the susceptibility and / or increased risk to periodontal disease. Studies have reported association between several epigenetic biomarkers with periodontal inflammation. Considering the hypothesis that there is an association between smoking and methylation in genes related to periodontal disease, the objective of this study was to verify the DNA methylation pattern in oral epithelial cells of patients with chronic periodontitis (CP) in the promoter of a specific gene involved in the control of inflammation, as suppressor of cytokine signaling (SOCS) 1 in smokers and nonsmokers patients.


Description:

This was an experimental type study with parallel controls, comparing two groups, a group with consumption of 10 minimum cigarettes per day, with a diagnosis of chronic periodontitis. And another control group were non-smokers with chronic periodontitis. For this, genomic DNA was purified from oral epithelial cells obtained by rinsing with 3% sucrose, for a single time of collection, patients received periodontal treatment after collection and data analysis. The DNA was modified by Sodium bisulfite and the methylation patterns of the DNA were analyzed with the MSPCR technique (Polymerase chain reaction). This study was approved by the Institutional Review Board of the School of Dentistry of Ribeirão Preto (CAAE:57171816.2.0000.5419 ), and all patients need to provide written informed consent.


Recruitment information / eligibility

Status Completed
Enrollment 60
Est. completion date November 18, 2017
Est. primary completion date October 16, 2017
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 30 Years and older
Eligibility Inclusion Criteria:

- Chronic Periodontitis carriers - presence of proximal insertion loss =5 mm in more than 30% of the teeth present.

- Periodontal pocket = 5mm

- Smokers who have smoked 10 or more cigarettes per day for the past five years.

- No positive history of basic periodontal treatment in the last six months.

Exclusion Criteria:

- Extensive prosthetic involvement.

- Using anti-inflammatories.

- Pregnant or nursing.

- Presence of systemic alterations that compromise host response or require prophylactic medication for treatment.

- History of constant use of oral antiseptics in the last six months.

Study Design


Intervention

Genetic:
oral epithelial cells obtained by rinsing with 3% sucrose
rinsing with 3% sucrose, for a single time of collection, patients received periodontal treatment after collection and data analysis.

Locations

Country Name City State
Brazil Arthur Belem Novaes Junior Ribeirão Preto SP

Sponsors (1)

Lead Sponsor Collaborator
University of Sao Paulo

Country where clinical trial is conducted

Brazil, 

Outcome

Type Measure Description Time frame Safety issue
Primary Extraction of genomic DNA from oral epithelial cells Epithelial cells were collected after mouthwash with 5ml dextrose autoclaved 3% and stored under refrigeration at -20ºC. After collection, the samples were taken to the Epigenetics and Reproduction Laboratory of the Department of Genetics of the Medical School of Ribeirão Preto-USP (FMRP-USP) where nucleic acid extraction and molecular analysis were performed.
After thawing the saliva, 2ml of each sample collected were transferred separately to eppendorf tubes, for processing. The material was then diluted in 50 µl of cobalt Mili-Q water, incubated at 37 ° C in a water bath for 1 hour and stored in a freezer at -20 ° C. At the end, DNA quality, purity and integrity were measured using a spectrophotometer (NanoDrop 2000-Thermo Scientific), using OD 260/280 and 260/230. Considering ideal values for both reasons, between 1.8 and 2.2.
Baseline (at the beginning of the study)
Secondary Probing pocket depth (PD) Clinical parameter was recorded at baseline by one trained periodontist.Probing pocket depth (PD) was measured from the free gingival margin to the bottom of the periodontal pocket and clinical attachment level ( CAL) was measured from the cementum-enamel junction (CEJ) to the bottom of periodontal pocket.
Probing measurement was performed using a manual University of North Carolina - UNC Periodontal probe (Hu- Friedy, Chicago, IL, USA).
Baseline (at the beginning of the study)
Secondary Plaque index (PI) Clinical parameter was recorded at baseline by one trained periodontist. Plaque index (PI) was used to assess the oral hygiene status of the patients, the evaluation was done with the unit of measure in percentage (%) whole mouth. Probing measurement was performed using a manual University of North Carolina - UNC Periodontal probe (Hu- Friedy, Chicago, IL, USA). Baseline (at the beginning of the study)
Secondary Bleeding on probing (BOP) Clinical parameter was recorded at baseline by one trained periodontist.Bleeding on probing (BOP) was recorded based on the presence or absence of bleeding up to 30 seconds after probing on four sides of each tooth,the evaluation was done with the unit of measure in percentage (%) whole mouth. Probing measurement was performed using a manual University of North Carolina - UNC Periodontal probe (Hu- Friedy, Chicago, IL, USA). Baseline (at the beginning of the study)
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