Trial Outcomes & Findings for Evaluation of Efficacy of Full-mouth Disinfection in Generalized Aggressive Periodontitis Patients (NCT NCT02466646)

NCT ID: NCT02466646

Last Updated: 2020-06-09

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

42 participants

Primary outcome timeframe

6 months after initial periodontal treatment

Results posted on

2020-06-09

Participant Flow

Total of 54 subjects were assessed for eligibility. Prior to assignment of participants, 2 subjects declined to participate and 10 participants were not meeting inclusion criteria

Participant milestones

Participant milestones
Measure
Full-mouth Disinfection IPT
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Overall Study
STARTED
14
14
14
Overall Study
COMPLETED
14
14
14
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of Efficacy of Full-mouth Disinfection in Generalized Aggressive Periodontitis Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Total
n=42 Participants
Total of all reporting groups
Age, Continuous
26.64 years
STANDARD_DEVIATION 5.65 • n=5 Participants
29.86 years
STANDARD_DEVIATION 6.41 • n=7 Participants
31.86 years
STANDARD_DEVIATION 4.56 • n=5 Participants
29.45 years
STANDARD_DEVIATION 5.87 • n=4 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
7 Participants
n=7 Participants
8 Participants
n=5 Participants
25 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
7 Participants
n=7 Participants
6 Participants
n=5 Participants
17 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
14 Participants
n=5 Participants
14 Participants
n=7 Participants
14 Participants
n=5 Participants
42 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
14 Participants
n=7 Participants
14 Participants
n=5 Participants
42 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Probing Depth
Baseline Probing Depth (PD)
4.55 mm
Standard Deviation 0.72
4.80 mm
Standard Deviation 0.62
4.90 mm
Standard Deviation 0.62
Probing Depth
6th month PD
2.71 mm
Standard Deviation 0.29
3.40 mm
Standard Deviation 0.50
3.04 mm
Standard Deviation 0.39

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Gingival Crevicular Fluid Interleukin-1β and Interleukin-17 Levels (pg)
3rd month IL-1β
2.07 Picogram
Standard Deviation 0.51
2.11 Picogram
Standard Deviation 0.39
2.06 Picogram
Standard Deviation 0.24
Gingival Crevicular Fluid Interleukin-1β and Interleukin-17 Levels (pg)
Baseline Interleukin-1β
2.53 Picogram
Standard Deviation 0.39
2.27 Picogram
Standard Deviation 0.62
2.15 Picogram
Standard Deviation 0.64
Gingival Crevicular Fluid Interleukin-1β and Interleukin-17 Levels (pg)
6th month IL-1β
2.11 Picogram
Standard Deviation 0.55
1.90 Picogram
Standard Deviation 0.49
1.96 Picogram
Standard Deviation 0.47
Gingival Crevicular Fluid Interleukin-1β and Interleukin-17 Levels (pg)
Baseline Interleukin-17
18.53 Picogram
Standard Deviation 7.29
19.91 Picogram
Standard Deviation 10.68
19.67 Picogram
Standard Deviation 7.60
Gingival Crevicular Fluid Interleukin-1β and Interleukin-17 Levels (pg)
3rd month IL-17
21.07 Picogram
Standard Deviation 10.94
21.02 Picogram
Standard Deviation 9.94
19.76 Picogram
Standard Deviation 4.83
Gingival Crevicular Fluid Interleukin-1β and Interleukin-17 Levels (pg)
6th month IL-17
20.05 Picogram
Standard Deviation 7.49
19.27 Picogram
Standard Deviation 7.56
18.46 Picogram
Standard Deviation 4.61

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Level of A. Actinomycetemcomitans
6th month A. actinomycetemcomitans level
2.92 log10(cells/ml)
Standard Deviation 0.64
3.59 log10(cells/ml)
Standard Deviation 1.10
3.47 log10(cells/ml)
Standard Deviation 1.21
Level of A. Actinomycetemcomitans
Baseline A. actinomycetemcomitans level
3.65 log10(cells/ml)
Standard Deviation 1.21
3.84 log10(cells/ml)
Standard Deviation 1.20
3.63 log10(cells/ml)
Standard Deviation 1.26
Level of A. Actinomycetemcomitans
3rd months A. actinomycetemcomitans level
3.27 log10(cells/ml)
Standard Deviation 0.71
3.73 log10(cells/ml)
Standard Deviation 1.28
3.47 log10(cells/ml)
Standard Deviation 1.10

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Level of Porphyromonas Gingivalis
Baseline P. gingivalis level
4.64 log10(cells/ml)
Standard Deviation 1.47
5.50 log10(cells/ml)
Standard Deviation 0.71
5.47 log10(cells/ml)
Standard Deviation 1.06
Level of Porphyromonas Gingivalis
3rd months P. gingivalis level
2.90 log10(cells/ml)
Standard Deviation 0.50
3.60 log10(cells/ml)
Standard Deviation 1.15
3.74 log10(cells/ml)
Standard Deviation 1.05
Level of Porphyromonas Gingivalis
6th month P. gingivalis level
3.25 log10(cells/ml)
Standard Deviation 0.98
4.00 log10(cells/ml)
Standard Deviation 1.13
3.84 log10(cells/ml)
Standard Deviation 0.76

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Level of Fusobacterium Nucleatum
Baseline F. nucleatum level
4.67 log10(cells/ml)
Standard Deviation 0.66
4.78 log10(cells/ml)
Standard Deviation 0.45
4.66 log10(cells/ml)
Standard Deviation 0.51
Level of Fusobacterium Nucleatum
3rd month F. nucleatum level
3.84 log10(cells/ml)
Standard Deviation 0.55
3.99 log10(cells/ml)
Standard Deviation 0.76
4.42 log10(cells/ml)
Standard Deviation 0.68
Level of Fusobacterium Nucleatum
6th month F. nucleatum level
3.73 log10(cells/ml)
Standard Deviation 1.00
3.84 log10(cells/ml)
Standard Deviation 1.03
4.17 log10(cells/ml)
Standard Deviation 0.61

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Level of Parvimonas Micra
3rd month P. micra level
4.22 log10(cells/ml)
Standard Deviation 0.49
4.34 log10(cells/ml)
Standard Deviation 0.43
4.51 log10(cells/ml)
Standard Deviation 0.52
Level of Parvimonas Micra
Baseline P. micra level
4.96 log10(cells/ml)
Standard Deviation 0.50
4.86 log10(cells/ml)
Standard Deviation 0.45
4.70 log10(cells/ml)
Standard Deviation 0.58
Level of Parvimonas Micra
6th month P. micra level
4.28 log10(cells/ml)
Standard Deviation 0.63
4.30 log10(cells/ml)
Standard Deviation 0.58
4.43 log10(cells/ml)
Standard Deviation 0.70

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Possible score for BOP range from %0 (no sites with bleeding on probing) to %100 (all sites with bleeding on probing). Higher scores mean worse outcome.

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Bleeding on Probing
Baseline Bleeding on Probing (BOP)
78.30 percentage of BOP positive sites
Standard Deviation 15.05
89.28 percentage of BOP positive sites
Standard Deviation 9.03
85.77 percentage of BOP positive sites
Standard Deviation 13.49
Bleeding on Probing
3rd month BOP
38.87 percentage of BOP positive sites
Standard Deviation 7.15
54.43 percentage of BOP positive sites
Standard Deviation 14.80
48.90 percentage of BOP positive sites
Standard Deviation 10.47
Bleeding on Probing
6th month BOP
42.78 percentage of BOP positive sites
Standard Deviation 5.91
60.19 percentage of BOP positive sites
Standard Deviation 16.33
49.74 percentage of BOP positive sites
Standard Deviation 13.03

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Possible scores for Plaque Index range from 0 (no plaque) to 3 (visible plaque all around the tooth). Higher scores mean a worse outcome

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Plaque Index
Baseline PI
1.51 score on a scale
Standard Deviation 0.28
1.76 score on a scale
Standard Deviation 0.31
1.62 score on a scale
Standard Deviation 0.20
Plaque Index
3rd month PI
0.67 score on a scale
Standard Deviation 0.12
0.69 score on a scale
Standard Deviation 0.18
0.84 score on a scale
Standard Deviation 0.13
Plaque Index
6th month PI
0.72 score on a scale
Standard Deviation 0.16
0.77 score on a scale
Standard Deviation 0.20
0.82 score on a scale
Standard Deviation 0.20

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Possible score for Gingival Index range from 0 (healthy gingiva) to 3 (severe gingivitis with bleeding). Higher scores mean worse outcome

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Gingival Index
Baseline GI
1.61 score on a scale
Standard Deviation 0.28
1.80 score on a scale
Standard Deviation 0.22
1.74 score on a scale
Standard Deviation 0.23
Gingival Index
3rd month GI
1.17 score on a scale
Standard Deviation 0.10
1.15 score on a scale
Standard Deviation 0.29
1.24 score on a scale
Standard Deviation 0.09
Gingival Index
6th month GI
1.20 score on a scale
Standard Deviation 0.06
1.29 score on a scale
Standard Deviation 0.21
1.21 score on a scale
Standard Deviation 0.10

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Clinical Attachment Level
Baseline Clinical Attachment Level (CAL)
5.20 mm
Standard Deviation 0.93
5.67 mm
Standard Deviation 1.24
5.79 mm
Standard Deviation 0.67
Clinical Attachment Level
3rd month CAL
4.54 mm
Standard Deviation 0.75
4.94 mm
Standard Deviation 1.24
5.10 mm
Standard Deviation 0.75
Clinical Attachment Level
6th month CAL
4.51 mm
Standard Deviation 0.69
5.25 mm
Standard Deviation 1.37
5.13 mm
Standard Deviation 0.77

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Level of Prevotella Intermedia
Baseline P. intermedia level
4.24 log10(cells/ml)
Standard Deviation 1.07
5.51 log10(cells/ml)
Standard Deviation 0.86
4.84 log10(cells/ml)
Standard Deviation 0.98
Level of Prevotella Intermedia
3rd month P. intermedia level
2.73 log10(cells/ml)
Standard Deviation 0.79
3.70 log10(cells/ml)
Standard Deviation 1.20
3.81 log10(cells/ml)
Standard Deviation 1.40
Level of Prevotella Intermedia
6th month P. intermedia level
2.98 log10(cells/ml)
Standard Deviation 0.75
4.14 log10(cells/ml)
Standard Deviation 1.19
3.46 log10(cells/ml)
Standard Deviation 0.97

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months after initial periodontal treatment

Outcome measures

Outcome measures
Measure
Full-mouth Disinfection IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions with application of chlorhexidine to the intra-oral niches within 24 hours (Klorhex® Gel 1% for 10 minutes, Klorhex® Sprey 0,2% and Klorhex® rinse 0,2% for 3 weeks).
Conventional IPT
n=14 Participants
Initial periodontal treatment was performed in a quadrant-wise manner at 1-week intervals.
Full-mouth IPT
n=14 Participants
Initial periodontal treatment was performed in 2 sessions within 24 hours.
Level of Campylobacter Rectus
Baseline C. rectus level
5.95 log10(cells/ml)
Standard Deviation 0.70
6.19 log10(cells/ml)
Standard Deviation 0.60
5.99 log10(cells/ml)
Standard Deviation 0.72
Level of Campylobacter Rectus
3rd month C. rectus level
4.63 log10(cells/ml)
Standard Deviation 0.79
5.01 log10(cells/ml)
Standard Deviation 1.04
5.25 log10(cells/ml)
Standard Deviation 0.87
Level of Campylobacter Rectus
6th month C. rectus level
4.64 log10(cells/ml)
Standard Deviation 0.82
4.99 log10(cells/ml)
Standard Deviation 1.15
5.03 log10(cells/ml)
Standard Deviation 0.93

Adverse Events

Full-mouth Disinfection IPT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Conventional IPT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Full-mouth IPT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof. Dr. Basak Dogan

Marmara University Faculty of Dentistry, Department of Periodontology

Phone: 00905332621170

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place