Periodontitis Clinical Trial
Official title:
The Effects of Non -Surgical Periodontal Treatment on The Severity of Erectile Dysfunction (Randomized Controlled Clinical Trial)
The aim of the present study is to study the influence of periodontal therapy (non-surgical) on the severity of erectile dysfunction(ED) among patients with chronic periodontitis and moderate or severe ED.
there no sufficient data to determine a possible link between erectile dysfunction ( ED) and
periodontitis. Therefore, the purpose of this clinical trial is to study the influence of
periodontal therapy (non-surgical) on the severity of ED among patients with chronic
periodontitis and moderate or severe ED.
Sample size: The total number of patients in the current trial will be 140 to requite dropout
rate during follow-up period.
Patients and study design:
The current trial is a single-blinded, randomized, parallel, controlled clinical study.
The patients with severe or moderate ED will selected from attendants of Andrology
Outpatients Clinic, Tanta University Hospital and will referred to Periodontology Department,
Tanta University. Statistical software (STATA 13.1, Stata Corp, Texas, USA) will be used on
study participants for random allocation that identify to which group the patients will
enrolled, using 1:1 allocation ratio.
Intervention protocol The patients will included in this study if they met the inclusion
criteria. The IIEF is an appropriate questionnaire that is used for assessment of men sexual
function, especially the ED. . Subjects with scores > 25 will assessed as men with normal
sexual function while those with scores ≤ 25 will diagnosed as patients with ED. Following
this, participants will directed to periodontology department to assess their periodontal
health . After periodontal screening, all eligible patients will informed of potential risks,
study objective, and benefits of their participation in this study. Non-surgical periodontal
treatment that will be performed by the same periodontist for all participants within a test
group at baseline and after three months for patients in a control group. Therefore, no
periodontal treatment will be performed during the follow-up period in control group. D
Clinical and periodontal evaluation Thorough medical history, data on age, gender and
socio-demographic characteristics will be gathered for all participants in studied groups at
baseline. A full-mouth periodontal screening will be carried out by one specialist using a
manual probe (Hu-Friedy, Chicago, IL, USA). Prior the current study, test-retest exercises
will be performed in 20 patients to assess intra-examiner calibration. The periodontal
parameters will be assessed at baseline and at 3 months that consist of PD, CAL, visible
dental plaque (will be assessed at 4 sites per each tooth using a probe and will be recorded
as present or absent) and bleeding on probing (BOP) (will be recorded as ratio of sites
displaying bleeding after light probing) 10. After exclusion of third molars; for each tooth
BOP, CAL and PD will be monitored at 6 sites. The IIEF scores will be recorded at baseline
and 3 months for both groups.
Cytokine collection and evaluation:
Quantitative assessment of TNF-α in saliva and serum will be done by commercially available
kit (Ray Bio Human TNF-α Enzyme Immunoassay).
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