Adjunctive Photodynamic Therapy in Treatment of Chronic Periodontitis

NCT ID: NCT01034501

Last Updated: 2013-10-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2013-09-30

Brief Summary

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The aim of this study is to verify the efficacy of Photodynamic Therapy (PDT) as an adjunct to non-surgical treatment of chronic periodontitis by assessing clinical and microbiological and immunological parameters. This is a randomized, controlled, double-blind, parallel clinical trial. Thirty eight patients with chronic periodontitis will receive conventional periodontal treatment. After eight weeks, patients will be re-evaluated and sites with residual pockets (PD ≥ 5 mm ) will be selected as experimental sites, and will be allocated to test and control group randomly. The test group will receive the application of PDT and the control group will receive sham procedure. The clinical parameters will be evaluated at baseline, 3, 6 and 12 months after treatment. Subgingival plaque will be collected before PDT, a week after, 3, 6 and 12 months later. The microbiological evaluation will detect and quantify periodontal pathogens such as Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola and Aggregatibacter actinomycetencomitans with real time-PCR. During follow-up, patients will receive periodontal maintenance every 3 months, as well as the application of PDT or sham

Detailed Description

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The goal of periodontal treatment is to restore tissue health through the elimination and control of etiologic factors, reducing the microbial aggression. Some microorganisms persist in the root surface even after scraping. Thus, the conventional mechanical treatment may fail to reduce the number of periodontal pathogens to levels compatible with health. This study will verify the efficacy of Photodynamic Therapy (PDT) as an adjunct to non-surgical treatment of chronic periodontitis.

Conditions

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Chronic Periodontitis

Keywords

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periodontitis photodynamic therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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photodynamic therapy

photodynamic therapy 660 nm,40 mW,60 Hz

Group Type ACTIVE_COMPARATOR

photodynamic therapy

Intervention Type DEVICE

photodynamic therapy 660 nm,40 mW,60 Hz

sham procedure

Not activation of laser device

Group Type SHAM_COMPARATOR

sham procedure

Intervention Type DEVICE

non activated laser tip

Interventions

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sham procedure

non activated laser tip

Intervention Type DEVICE

photodynamic therapy

photodynamic therapy 660 nm,40 mW,60 Hz

Intervention Type DEVICE

Other Intervention Names

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Laser Hand - MM Optics (ANVISA: 80051420009) Laser Hand - MM Optics (ANVISA: 80051420009)

Eligibility Criteria

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Inclusion Criteria

* Chronic Periodontitis (Tonetti, Claffey, 2005)
* 10 or more teeth
* 2 or more site with probing pocket depth ≥ 5 mm, with or without bleeding on probing, after re-evaluation

Exclusion Criteria

* Profilatic antibiotics
* Diabetes, immunosuppression, pregnancy nursing mother
* Smoking
* Medication that might interfere with periodontal healing
* Previous periodontal treatment or antibiotics (6 months)
* Experimental teeth with mobility II or III, or endodontic problem
Minimum Eligible Age

30 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Giorgio De Micheli

Associated

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giorgio De Micheli, Professor

Role: PRINCIPAL_INVESTIGATOR

FOUSP

Locations

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Faculdade de Odontologia da Universidade de São Paulo (FOUSP)

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Christodoulides N, Nikolidakis D, Chondros P, Becker J, Schwarz F, Rossler R, Sculean A. Photodynamic therapy as an adjunct to non-surgical periodontal treatment: a randomized, controlled clinical trial. J Periodontol. 2008 Sep;79(9):1638-44. doi: 10.1902/jop.2008.070652.

Reference Type BACKGROUND
PMID: 18771363 (View on PubMed)

Braun A, Dehn C, Krause F, Jepsen S. Short-term clinical effects of adjunctive antimicrobial photodynamic therapy in periodontal treatment: a randomized clinical trial. J Clin Periodontol. 2008 Oct;35(10):877-84. doi: 10.1111/j.1600-051X.2008.01303.x. Epub 2008 Aug 17.

Reference Type BACKGROUND
PMID: 18713259 (View on PubMed)

Carvalho VF, Andrade PV, Rodrigues MF, Hirata MH, Hirata RD, Pannuti CM, De Micheli G, Conde MC. Antimicrobial photodynamic effect to treat residual pockets in periodontal patients: a randomized controlled clinical trial. J Clin Periodontol. 2015 May;42(5):440-7. doi: 10.1111/jcpe.12393. Epub 2015 Apr 22.

Reference Type DERIVED
PMID: 25808980 (View on PubMed)

Other Identifiers

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CEP2112008

Identifier Type: -

Identifier Source: org_study_id