Periodontitis Clinical Trial
Official title:
Comparison of Effectiveness of Low Dose Aspirin Vs Omega 3 Fatty Acids as Adjuvants to Non-surgical Periodontal Therapy in Type II Diabetic Patients With Chronic Periodontitis
The main aim and objective of this study is to compare the effectiveness of low dose aspirin vs omega 3 fatty acids as adjuvants to non-surgical periodontal therapy and also to evaluate the levels of pentraxin 3 and glycosylated haemoglobin in diabetic patients with chronic periodontitis
There is an established bi-directional relationship between diabetes mellitus and
periodontitis. Periodontitis causes systemic inflammation by the entry of oral pathogens and
their virulence factors that adversely affect diabetic control in terms of elevated HbA1c
levels.
Host modulatory therapy (HMT) is a strategy prescribed as an adjunct to conventional
periodontal treatment by downregulating inflammation and promoting protective or regenerative
responses. Different drugs have been evaluated as HMT including NSAIDS, Doxycycline,
Bisphosphonates.
Aspirin has the unique position as HMT drug. It inhibits prostanoid production and induces
15- epi- lipoxins which are bioactive than native lipoxins.
Omega 3 fatty acids including Docosahexaenoic acid and Eicosapentaenoic acid due to their
anti-inflammatory, antithrombotic, hypolipidemia and vasodilator effect, reduce the
inflammatory mediators to levels of healthy tissues.
Pentraxins(PTX3) are classic acute phase proteins. They are a superfamily of evolutionarily
conserved proteins considered to be the markers of acute phase inflammation. PTX3 is also
known as TNF stimulated gene. It is produced abundantly in periodontal tissue by neutrophils,
fibroblasts, monocytes and epithelial cells. The plasma levels of PTX3 is raised in
inflammatory conditions. Hence it is taken as a biomarker.
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