The Efficacy of Stabilized Chlorine Dioxide Rinse as a Chemical Adjuvant for Treatment of Per-implant Mucositis

NCT ID: NCT04838054

Last Updated: 2022-04-14

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-15

Study Completion Date

2020-03-04

Brief Summary

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A full understanding of etiology and diagnosis of peri-implant diseases is crucial for finding effective treatments for these diseases that are more widely accessible to dentists. Several treatment protocols for peri-implant diseases have been proposed, but no gold standard has been established to date. Thus, the purpose of this study is to analyze efficacy of stabilized chlorine dioxide as a chemical adjuvant for treatment of peri-implant mucositis in a non-surgical treatment protocol with a 3-month follow-up.

Detailed Description

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Fifty individuals with peri-implant mucositis will be identified to participate in this study and randomized into two groups to analyze clinical parameters and results of this study: 1) test group (stabilized chlorine dioxide rinse) and 2) control group (placebo). Each group will be associated with periodontal basic therapy.

Treatment Protocol After inclusion of the patients, medical history and initial examination are performed, patients will be randomly divided into the following two groups: 1) test (stabilized chlorine dioxide rinse associated with periodontal basic therapy); and 2) control (placebo associated with periodontal basic therapy).

Periodontal basic therapy will consist of oral hygiene instruction, motivation, retentive factor removal, and an adaptation of the protocol of full-mouth scaling and root planing (stabilized chlorine dioxide mouthwash will be used). Plastic currets are used to instrument the implants and metal currets to instrument teeth. Immediately after instrumentation, chemical solutions of chlorine dioxide or placebo will be dispensed to the subjects.

The subjects will follow their normal oral-hygiene procedures with the addition of using the study rinse toothbrush and toothpaste provided to them.

Conditions

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Peri-implant Mucositis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects will receive an Oral Hygiene Kit at Visit 1. The MGI, BOP and PI, Pocket depth and radiographs will be measured and all oral tissues examined (baseline examination). Subjects will return for Visit 2 in 14 days ± 3 days to: 1) assess and record changes in indices and oral health and any adverse conditions. Visit 3 (45 days ± 7) will be a compliance visit for study drug utilization. Visit 4 (90 days ± 7) will be a repeat of Visit 1.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Once a subject has been screened and qualified for study participation, that subject will be enrolled and assigned the next available randomization number. The study randomization table will be generated by a third-party statistician. This procedure will be used to keep the Study Statistician blinded to subject treatments prior to database lock.

Study Groups

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Test - stabilized chlorine dioxide rinse

Subjects will receive CloSYS Ultra Sensitive Rinse

Group Type EXPERIMENTAL

Stabilized chlorine dioxide oral rinse

Intervention Type DRUG

Patients received stabilized chlorine dioxide rinse associated with periodontal basic therapy.

Placebo - oral rinse, no active ingredients

Subjects will receive oral rinse - no active ingredients

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Patients received a rinse containing no active ingredients and periodontal basic therapy.

Interventions

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Stabilized chlorine dioxide oral rinse

Patients received stabilized chlorine dioxide rinse associated with periodontal basic therapy.

Intervention Type DRUG

Placebo

Patients received a rinse containing no active ingredients and periodontal basic therapy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* diagnosis of peri-implant mucositis
* at least one implant
* probing depth (PD) ≤5mm
* BOP (bleeding on probing)
* No radiographic evidence of bone loss beyond the first two threads of the implant

Exclusion Criteria

* Active Periodontitis or Peri-implantitis which requires definitive treatment.
* Presence of oral local mechanical factors that could (in the opinion of the PI) influence the outcome of the study.
* Presence of orthodontic appliances, or any removable appliances, that impinges on the tissues being assessed.
* Presence of soft or hard tissue tumors of the oral cavity.
* Patients treated with systemic antibiotic therapy or periodontal/mechanical/local delivery therapy within 12 weeks prior to study entry and throughout the study duration.
* Patients chronically (i.e. two weeks or more) treated with non-steroidal anti-inflammatory drugs (NSAIDs) or any medications know to affect soft tissue condition (excluding treatment of Acetylsalicylic acid ≤ 100 mg/day).
* Patients with uncontrolled diabetes, of any type, and/or patients with HbA1c test value \>7.5% dated 3 months prior to the screening visit.
* Patients receiving radiation therapy to the head and neck area and/or receiving immunosuppressive therapy.
* The presence of any medical or psychiatric condition or any other condition that, in the opinion of the Investigator, could affect the successful participation of the patient in the study.
* Drug and alcohol abuse.
* Patient participates in any other clinical study 30 days prior to the start of the study and throughout the study duration.
* Subject is pregnant (based on pregnancy result) or lactating.
* Subject is a smoker, or has been a smoker within the past 6 months.
* Any other condition that may interfere with the study as judged by the PI
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stony Brook University

OTHER

Sponsor Role collaborator

Rowpar Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Srinivas RM Venkatasatya, DDS, PhD

Role: PRINCIPAL_INVESTIGATOR

Stony Brook University

Locations

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Stony Brook University

Stony Brook, New York, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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Pro00024706

Identifier Type: -

Identifier Source: org_study_id

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