Clinical and Microbiological Relationships Between Periodontitis and Abdominal Aorta Aneurism: an Case Control Study

Periodontitis Clinical Trial

Official title:

Clinical and Microbiological Relationships Between Periodontitis and Abdominal Aorta Aneurism: an Case Control Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03767023
• Other study ID #: H2014-3 AAA
• Status: Completed
• Start date: February 2015
• Est. completion date: March 2018

Study information

• Verified date: December 2018
• Source: University Hospital of Liege
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Aorta Abdominal aneurism (AAA) is a chronic degenerative disorder leading to the dilation and eventually to the rupture of the aortic wall. The pathology presents risk factors such as aging, atherosclerosis, male gender, cigarette smoking, pulmonary emphysema and high blood pressure.The vascular wall destruction is characterized by a remodeling of the extracellular matrix (ECM), the presence of an inflammatory infiltrate of macrophages and lymphocytes associated increase in production of MMPs. A similar destruction mechanisms is found in periodontitis a chronic inflammatory diseases characterized by gram-negative bacteria species that are able to degrade ECM of the tooth supporting tissues and leading finally to tooth loss .Moreover, relationships between periodontitis and cardiovascular disease have already been demonstrated. These associations are considered to be initiated by transient or prolonged bacteremia due to dissemination of oral bacteria or their products into the bloodstream . The periopathogens, more specifically Porphyromonas gingivalis (Pg), were observed in atherosclerosis and aneurysm specimens as well as in coronary heart disease and endocarditis The association between periodontitis and Abdominal Aortic Aneurysms (AAA) has not often been studied especially from a clinical aspect. The mechanisms that induce the initiation, the development or the recurrence and the rupture of AAA after a period of quiescence not well studied and are therefore still unknown.

The aim of this clinical observational case controlled study is to search for a possible relationship between periodontal disease and rapid growth of AAA. Patients presenting stable or unstable AAA will be screened for the degree of periodontitis, for the type of oral microbiology and periodontopathogen markers present in the blood stream.

Description:

31 consecutive dentulous patients diagnosed for AAA requiring a cardiovascular surgery (instable AAA) and 31 consecutive dentulous patients with stable AAA (no need for cardiovascular surgery) will be recruited from the Cardiovascular Surgery Department of the University Hospital of Liège (Faculty of Medicine, University of Liège, Belgium - Pr. N. Sakalihasan). The 62 patients will be subjected to:

1. Full clinical periodontal parameter assessment

2. Microbiological analyses of saliva,

3. Supra- and sub- gingival microbiological test

4. Blood test for biomarker analysis.

5. Imaging (echography, CT-Scans)measurments

Recruitment information / eligibility

• Status: Completed
• Enrollment: 61
• Est. completion date: March 2018
• Est. primary completion date: June 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• AAA

• dentulous

• ability to come in Hospital

Exclusion Criteria:

• diseases of connective tissue: rheumatoid arthritis, systemic lupus erythematosus, systemic sclerodermia, Crohn disease, Marfan syndrome, Heler Danlos syndrome, polymyosite/dermatomyosite, mix connectivite (MCDT)

• aneurysms of the lower limbs (femoral or popliteal)

• contraindication to the scanner

• participation of another clinical trial 30 days before baseline

• patient with risk oslerien

• taking antibiotics during the 3 months preceding the inclusion

• obese patients (BMI = 30 kg/m2)

• immunosuppressant drugs or chemotherapy

Related Conditions & MeSH terms

• Abdominal Aorta Aneurism
• Aneurysm
• Aortic Aneurysm
• Aortic Aneurysm, Abdominal
• Dentulous
• Periodontitis

Intervention

Other:
• cross sectional

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital of Liege	KU Leuven

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	pocked depth correlated with AAA stability	Periodontal clinical parameters such as pocked depth (PD, millimeter) will be correlated with AAA stability.	june 2017
Secondary	pocked depth correlated with abdominal aortic aneurysm diametres such as anterior -posterior	Periodontal clinical parameters such as pocked depth (PD, millimeter) will be correlated with abdominal aortic aneurysm diametres such as anterior -posterior (AP,millimeter)	March 2018