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Peri-implantitis clinical trials

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NCT ID: NCT01521260 Completed - Peri-implantitis Clinical Trials

Implant Surface Decontamination in Peri-implantitis Treatment

Start date: October 2009
Phase: N/A
Study type: Interventional

Peri-implantitis is an infectious disease that resides in the mucosa surrounding dental implants and also affects the supporting bone. Because the number of implants placed in everyday clinical practice is continuously increasing, it is reasonable to anticipate an increasing prevalence of peri-implantitis. However, from the literature there is very little reliable evidence suggesting which could be the most effective interventions for treating peri-implantitis. The primary objective of this controlled clinical study is to evaluate the microbiological effect of decontamination of the implant surface during the surgical treatment of peri-implantitis using a chlorhexidine or placebo solution. The secondary objectives are to assess both the clinical and the microbiological effectiveness of treatment of peri-implantitis. It is hypothesized that rinsing of the implant surface using a 0.12% chlorhexidine solution does not lead to better microbiological and clinical results compared to rinsing with a placebo solution. The present study is a double-blind, placebo-controlled, randomized clinical trial. Adult patients with at least one endosseous implant in the oral cavity with clinical and radiographical signs of peri-implantitis will be included in this study. Implants with peri-implantitis lesions will be surgically exposed, followed by mechanical cleansing using curettes and gauzes and cotton pellets soaked in saline followed by either 1 minute of rinsing with a placebo solution (saline with appearance of chlorhexidine) (control group) or 1 minute of chemical cleansing using 0,12% chlorhexidine + cetylpyridinium chloride (CPC) without alcohol (Perio-aid®) (test group). After 1 minute of saline rinsing the gingival flap will be returned slightly apical (in order to reduce pockets) and will be firmly sutured. For both groups the surgery is followed by 2 weeks of mouthrinses with 0,12% chlorhexidine + Cetylpyridinium Chloride (CPC) without alcohol (Perio-aid®) two times daily during 30 seconds. The main study parameter is the microbial composition of the biofilm on the dental implant surface. Secondary study parameters are bleeding on probing, probing pocket depth, suppuration on probing, microbiological composition of the peri-implant sulcus, radiographic marginal bone level on standardized intraoral radiographs, presence of plaque, presence of calculus, marginal soft tissue recession implant failure, complications and adverse events.

NCT ID: NCT01517334 Completed - Peri-Implantitis Clinical Trials

Arestin - Use in Subjects With Peri-Implantitis (With Subgingival Microbiological Evaluation)

Start date: May 2012
Phase: Phase 3
Study type: Interventional

The objective of the study is to evaluate the safety, effectiveness and anti-microbial effects of Arestin (minocycline HCl) 1 mg Microspheres in the treatment of subjects with peri-implantitis, when used in combination with mechanical debridement. The hypothesis of the study is that Arestin in combination with mechanical debridement is more effective in the treatment of peri-implantitis when compared to mechanical debridement alone. The primary efficacy measure will be the reduction of probing depth at Day 180 as measured at qualifying implant sites.

NCT ID: NCT01509898 Recruiting - Peri-implantitis Clinical Trials

The Use of Water Jet for Initial Treatment FOR Peri-Implant Disease

Start date: July 18, 2012
Phase: N/A
Study type: Interventional

The aim of this study was to evaluate the effect of a dental water jet on initial peri-implant disease resolution.

NCT ID: NCT01256996 Enrolling by invitation - Peri-implantitis Clinical Trials

Therapy of Peri-implantitis: Scaling Versus Low Abrasive Powder

Start date: January 2011
Phase: Phase 2
Study type: Interventional

In the last decade, the number of dental implantations continuously increases. However, at the same time, the prevalence of peri-implantitis increases, too. Although both surgical and non-surgical interventions are available for the therapy, there is no efficient and satisfying therapy option resulting in an adequate improvement of this disease. An innovative, low abrasive powder has been introduced for the therapy of periodontitis. However, the powder might be suitable for the peri-implantitis therapy, also, and could improve the effectiveness of the therapy. The usage of this powder in peri-implantitis patients has not been assessed in a clinical trial although the effectiveness in natural teeth has been demonstrated. The aim of this prospective, randomised, multi-centre trial is to assess the effectiveness of the aforementioned powder in peri-implantitis patients.

NCT ID: NCT01079663 Completed - Peri-implantitis Clinical Trials

The Efficacy and Safety of Chlorhexidine Gluconate Chip (Periochip®) in Therapy of Symptoms in Patients With Peri-implantitis

Start date: March 2010
Phase: Phase 2
Study type: Interventional

The purpose of the study is to assess the efficacy and the safety of Chlorhexidine Gluconate chip (Periochip®) versus Placebo Chip in treatment of symptoms in patients with Peri-Implantitis.

NCT ID: NCT00921583 Completed - Dental Implants Clinical Trials

Long-term Examination of Titanium Dental Implants With a TPS Surface: A Prospective 20-year Case Series Study

Start date: June 2009
Phase: N/A
Study type: Observational

Since 1986, newly developed titanium implants with a TPS surface have been utilized for the treatment of partially edentulous patients with implant supported fixed dental prostheses (FTP). In the beginning, these implant types have been sold by Straumann under the brand name "Bonefit implants", later "ITI Dental Implant System" From the beginning, the first 75 patients have been documented in a prospective case series study, and clinical and radiographic results have been reported at 1-year, 3-years, 5-years and 8-years. The aim of the present study is to examine the long-term outcomes of this original group of patients with at 20 years of clinical function, and to assess the frequency of biological and technical complications during this follow-up period.

NCT ID: NCT00662532 Completed - Periodontitis Clinical Trials

Antibiotic Study for Dental Implants

Start date: April 2008
Phase: Phase 3
Study type: Interventional

This study is for people at least 21 years old who have signs of problems, like swollen gums and shrinking bones, by dental implants.

NCT ID: NCT00454038 Recruiting - Periimplantitis Clinical Trials

Study of Collagen Membrane in Guided Bone Regeneration

GBR
Start date: June 2007
Phase: Phase 1/Phase 2
Study type: Interventional

The main purpose of this study is to investigate the efficacy of Hypro-Sorb® F, a bilayered bioabsorbable membrane in inducing bone regeneration in different dental procedures requiring GBR.