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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02170857
Other study ID # UDDS-Perio-05-2014
Secondary ID
Status Completed
Phase N/A
First received June 20, 2014
Last updated July 26, 2017
Start date June 2014
Est. completion date February 2017

Study information

Verified date July 2017
Source Damascus University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of this study is to evaluate the effect of hyaluronic acid in the surgical treatment of periodontal pockets in people with gum disease.

This research consists of clinical and radiographic studies. Participants should have symmetric periodontal pockets in the upper or lower jaw.

Participants will be treated surgically using hyaluronic acid on one side of the jaw.

Clinical indexes and radiographic cone-beam computed tomographic (CBCT) images will be taken for each participant before surgical treatment and 12 months after surgical treatment.


Description:

The aim of this study is to evaluate the effect of hyaluronic acid in the surgical treatment of infra-bony pockets in chronic periodontitis patients.

This research consists of clinical and radiographic studies.

1- The clinical study: is a randomized controlled trial with a split mouth technique.

Chronic periodontitis patients with Infra-bony pockets will be collected from the Department of Periodontics in faculty of dentistry - Damascus university.

Participants should have symmetric infra-bony pockets in the upper or lower premolar area with pocket probing depth more than 6 mm.

Participants will be treated surgically using open flap curettage.

Open flap curettage will be done for each patient in both sides of the jaw, but hyaluronic acid will be used in one of the two sides with random allocation of the site that in going to be treated with hyaluronic acid.

Plaque index, gingival index, bleeding on probing, tooth mobility index, pocket probing depth and clinical attachment loss will be taken for each participant four times; before surgical treatment, 3 months, six months and 12 months after surgical treatment.

Radiographic study: will be done using CBCT radiography technique. CBCT will be taken for each participant before and after 12 months of surgical treatment. Different distances, vertical bone fill and depth of infra-bony defect will be measured on CBCT images.


Recruitment information / eligibility

Status Completed
Enrollment 30
Est. completion date February 2017
Est. primary completion date February 2016
Accepts healthy volunteers No
Gender All
Age group 35 Years to 65 Years
Eligibility Inclusion Criteria:

- Patients with chronic periodontitis

- Symmetric Infra-bony defects with periodontal pocket depth more than 6 mm.

- in upper or lower premolar area.

- All participants will be collected from patients attending department of Periodontology - faculty of dentistry for periodontal disease treatment.

- Males and females.

- 35-65 years old.

- Systematically healthy.

- Accepting to participate in the study. Informed written consent will be required.

Exclusion Criteria:

- A history of previous scaling and root planning in the last 6 months

- Smokers

- Pregnant women

- Diabetes mellitus

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Hyaluronic Acid
This material will be used in conjunction with the ordinary surgical procedure

Locations

Country Name City State
Syrian Arab Republic Department of Periodontics, University of Damascus Dental School Damascus

Sponsors (1)

Lead Sponsor Collaborator
Damascus University

Country where clinical trial is conducted

Syrian Arab Republic, 

References & Publications (6)

Baldini A, Zaffe D, Nicolini G. Bone-defects healing by high-molecular hyaluronic acid: preliminary results. Ann Stomatol (Roma). 2010 Jan;1(1):2-7. Epub 2010 Jun 29. — View Citation

Ballini A, Cantore S, Capodiferro S, Grassi FR. Esterified hyaluronic acid and autologous bone in the surgical correction of the infra-bone defects. Int J Med Sci. 2009;6(2):65-71. Epub 2009 Feb 26. — View Citation

Bansal J, Kedige SD, Anand S. Hyaluronic acid: a promising mediator for periodontal regeneration. Indian J Dent Res. 2010 Oct-Dec;21(4):575-8. doi: 10.4103/0970-9290.74232. Review. — View Citation

Briguglio F, Briguglio E, Briguglio R, Cafiero C, Isola G. Treatment of infrabony periodontal defects using a resorbable biopolymer of hyaluronic acid: a randomized clinical trial. Quintessence Int. 2013 Mar;44(3):231-40. doi: 10.3290/j.qi.a29054. — View Citation

Gontiya G, Galgali SR. Effect of hyaluronan on periodontitis: A clinical and histological study. J Indian Soc Periodontol. 2012 Apr;16(2):184-92. doi: 10.4103/0972-124X.99260. — View Citation

Vanden Bogaerde L. Treatment of infrabony periodontal defects with esterified hyaluronic acid: clinical report of 19 consecutive lesions. Int J Periodontics Restorative Dent. 2009 Jun;29(3):315-23. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Change in the Clinical Attachment Loss (CAL) Clinical Attachment Loss (CAL): it is the distance between the cement-enamel junction of the tooth and the bottom of the pocket.
CAL will be performed using a dental probe.
CAL will be measured at four times in this study: one week before surgical treatment, 3 months post-surgery, six months post-surgery and 12 months post-surgery
Primary Vertical bone fill Vertical bone fill: it is the distance between the base of the infra-bony defect and cement-enamel junction before surgery minus the distance between base of the infra-bony defect and cement enamel junction after surgery.
It will be measured on CBCT images.
at 12 months post-surgery
Secondary Change in the Pocket Probing Depth (PPD) Pocket Probing Depth (PPD): it is the distance from the gingival margin to the bottom of the pocket at four sites per tooth. PPD will be measured using a dental probe. PPD will be measured at four times in this study: one week before surgical treatment, 3 months post-surgery, six months post-surgery and 12 months post-surgery
Secondary Buccolingual distance Buccolingual distance: is the distance between buccal wall and lingual wall of the infra-bony pocket. at 12 months post-surgery
Secondary Mesiodistal distance Mesiodistal distance: is the distance between mesial wall and distal wall of the infra-bony pocket. at 12 months post-surgery
Secondary Depth of infra-bony defect Depth of infra-bony defect: is the distance between the base of the infra-bony defect and the most coronal level of alveolar crest. at 12 months post-surgery