Enamel Matrix Derivatives & Periodontal Therapy in Diabetic Patients

NCT ID: NCT04237662

Last Updated: 2020-11-04

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2023-12-31

Brief Summary

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The aim of this study is to compare periodontal treatment with or without the adjunct of an enamel matrix derivative in terms of periodontal healing in diabetic patients.

Detailed Description

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Patients with periodontitis will be randomly allocated to two groups. In both groups, periodontal root instrumentation will be performed. In the test group, an additional flapless application of enamel matrix derivatives will be granted for sites with pockets deeper than 5 mm.

Metabolic glucose control as measured through blood testing and local parameters of periodontal health will be measured at baseline and three months after treatment completion.

Conditions

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Periodontal Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Single-centre randomized, parallel design, clinical trial with a 3-month follow-up
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors
Opaque envelopes

Study Groups

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Control Group

Root Instrumentation

Periodontal treatment is delivered with ultrasonic instrumentation performed with fine tips. The approach chosen is the one- stage full-mouth ultrasonic debridement in which all the treatment of diseased sites is performed within one hour.

Group Type ACTIVE_COMPARATOR

Root Instrumentation

Intervention Type PROCEDURE

Instrumentation of the root surface in order to achieve debridement

Test Group

Root Instrumentation + Enamel Matrix Derivative Application

Periodontal treatment is delivered with ultrasonic instrumentation performed with fine tips. The approach chosen is the one- stage full-mouth ultrasonic debridement in which all the treatment of diseased sites is performed within one hour.

In this group, at the end of the instrumentation enamel matrix derivatives is placed in all sites with a periodontal pocket depth deeper than 5mm.

Group Type EXPERIMENTAL

Root Instrumentation

Intervention Type PROCEDURE

Instrumentation of the root surface in order to achieve debridement

Enamel Matrix Derivative application

Intervention Type DEVICE

Enamel Matrix Derivative will be applied in the sites with at least 6 mm of pocket depths

Interventions

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Root Instrumentation

Instrumentation of the root surface in order to achieve debridement

Intervention Type PROCEDURE

Enamel Matrix Derivative application

Enamel Matrix Derivative will be applied in the sites with at least 6 mm of pocket depths

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with diabetes mellitus type II and currently under treatment;
* No previous periodontal treatment in the last 6 months;
* Presence of Periodontitis (Clinical attachment loss of at least 3 mm in 2 or more non- adjacent teeth);
* Ability to understand the study procedures and comply with them through the length of the study.

Exclusion Criteria

* Pregnancy and breast feeding;
* Need for antibiotic treatment during periodontal therapy;
* Chronic infections;
* Systemic diseases;
* Patients who report current smoking over 20 cigarettes per day.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Pisa

OTHER

Sponsor Role lead

Responsible Party

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Filippo Graziani, DDS MClinDent PhD

Full Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Hospital of Pisa

Pisa, , Italy

Site Status RECRUITING

Countries

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Italy

Facility Contacts

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Filippo Graziani, DDS, PhD

Role: primary

0039050992939

References

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Graziani F, Gennai S, Petrini M, Bettini L, Tonetti M. Enamel matrix derivative stabilizes blood clot and improves clinical healing in deep pockets after flapless periodontal therapy: A Randomized Clinical Trial. J Clin Periodontol. 2019 Feb;46(2):231-240. doi: 10.1111/jcpe.13074.

Reference Type BACKGROUND
PMID: 30663788 (View on PubMed)

Other Identifiers

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3649-2019

Identifier Type: -

Identifier Source: org_study_id