Mechanisms of Acute Inflammation Following Periodontal Treatment

NCT ID: NCT05178563

Last Updated: 2023-11-29

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-01

Study Completion Date

2026-12-31

Brief Summary

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Periodontitis (gum disease) is a chronic inflammatory disease linked to a imbalance of oral microbiome. The most usual treatment involves removal of sub and supra-gingival plaque and calculus otherwise known as Non-surgical periodontal therapy (NSPT). Ample evidence now indicates that Periodontitis and NSPT are linked to both local and systemic inflammation. This in turn also explains the association between periodontitis and a number of systemic diseases including cardiovascular diseases.

Vascular endothelium (the innermost lining of blood vessels) exerts protective, anti-inflammatory and anti-clotting functions. As the endothelium ages, and is exposed to the damaging effects of traditional cardiovascular risk factors such as elevated blood pressure, serum cholesterol, glucose and cigarette smoking; these protective properties appear diminished, leading to a state of endothelial dysfunction (ED). Understanding the mechanisms of ED in humans could lead to new therapeutic and/or preventive strategies of CV diseases. Sufficient evidence now suggests that periodontitis and its treatment (removal of sub and supra-gingival plaque and calculus-periodontal therapy) are linked to endothelial dysfunction. Studies have extensively characterized the time-course of a single session of non surgical periodontal treatment (IPT) associated with a one week acute inflammatory response. This substantial inflammatory response is also associated with ED assessed by flow-mediated dilation (FMD) of the brachial artery at 24 hrs.

Photodynamic therapy (PDT) helps kill the local pathogens, thus preventing their systemic dissemination; which may ultimately reduce the systemic host inflammatory response generated.

Detailed Description

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Periodontitis (gum disease) is a chronic inflammatory disease linked to a imbalance of oral microbiome. The most usual treatment involves removal of sub and supra-gingival plaque and calculus otherwise known as Non-surgical periodontal therapy (NSPT). Ample evidence now indicates that Periodontitis and NSPT are linked to both local and systemic inflammation. This in turn also explains the association between periodontitis and a number of systemic diseases including cardiovascular diseases.

Vascular endothelium (the innermost lining of blood vessels) exerts protective, anti-inflammatory and anti-clotting functions. As the endothelium ages, and is exposed to the damaging effects of traditional cardiovascular risk factors such as elevated blood pressure, serum cholesterol, glucose and cigarette smoking; these protective properties appear diminished, leading to a state of endothelial dysfunction (ED). Understanding the mechanisms of ED in humans could lead to new therapeutic and/or preventive strategies of CV diseases. Sufficient evidence now suggests that periodontitis and its treatment (removal of sub and supra-gingival plaque and calculus-periodontal therapy) are linked to endothelial dysfunction. Studies have extensively characterised the time-course of a single session of intense non surgical periodontal treatment (IPT) associated with a one week acute inflammatory response. This substantial inflammatory response is also associated with ED assessed by flow-mediated dilation (FMD) of the brachial artery at 24 hrs.

The efficacy of periodontal therapy is directly related to the ability of treatment to control the infection sustained by gum bacteria. Several chemical agents, such as antiseptic/bacteriostatic liquids, gels or membranes have been added to the conventional periodontal therapy with the view of improving clinical outcomes. The latest evidence advocates the use of lasers to eliminate bacteria in the periodontal pockets. Photodynamic therapy (PDT) is the process of eradication of target cells by reactive oxygen compound produced after activation of a photo-sensitiser by light of appropriate wavelength. Dental lasers used for PDT can be high-level lasers, low-level laser, and diode lasers. PDT used in dentistry for microbial killing, usually involves the use of low-intensity diode laser irradiation along with photosensitises as a means of arresting the anti-microbial activity.

Researchers and clinicians don't fully understand the mechanism underlying the local and systemic pathways involved in the role of periodontal/oral inflammation on systemic health and diseases Based on the evidence that PDT could kill the local pathogens, thus preventing their systemic dissemination; which may ultimately reduce the systemic host inflammatory response generated. The investigators hypothesized that using PDT before NSPT would result in less local and systemic inflammation/ED Understanding the mechanisms of ED in humans could lead to new beneficial and/or preventive strategies for cardio vascular disease.

Conditions

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Inflammation Periodontal Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
This study is a double blind, CONSORT-based randomized, controlled clinical trial comparing the use of local use of photodynamic therapy (PDT) pretreatment on systemic inflammation, vascular dysfunction and patient discomfort following a single session of non surgical periodontal therapy (IPT) vs. IPT alone.

Study Groups

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IPT+PDT

The experimental arm consist of performing IPT in randomly assigning patients to receive local use of photodynamic therapy (PDT).

Group Type EXPERIMENTAL

IPT+PDT

Intervention Type PROCEDURE

The experimental arm consist of performing IPT in randomly assigning patients to receive local use of photodynamic therapy (PDT).

; IPT+Placebo

This experimental arm consist of performing IPT in randomly assigning patients to receive sham use of photodynamic therapy(PDT).

Group Type SHAM_COMPARATOR

IPT+Placebo

Intervention Type PROCEDURE

IPT+Placebo

Interventions

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IPT+PDT

The experimental arm consist of performing IPT in randomly assigning patients to receive local use of photodynamic therapy (PDT).

Intervention Type PROCEDURE

IPT+Placebo

IPT+Placebo

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Male/Female subject must be 18 years of age or over.
2. Affected by periodontitis, with at least 20 sites with PPD\>4mm and have at least 20 teeth (excluding wisdom teeth).
3. Have voluntarily signed the informed consent.

Exclusion Criteria

1. Presence of any systemic diseases (e.g., diabetes mellitus or cardiovascular, kidney, liver or lung disease).
2. Pregnant or breastfeeding.
3. Regular use of analgesic or antibiotics within 1 month before entering the study.
4. Have untreated gross carious lesions and/or insufficient restorations.
5. Allergic to any ingredient in the products provided within the trial as determined by the dental/medical professional monitoring the study.
6. Concurrent participation in other clinical studies.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University College, London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Eastman Dental Hospital

London, , United Kingdom

Site Status

Countries

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United Kingdom

Facility Contacts

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Francesco D'Aiuto, PhD

Role: primary

Other Identifiers

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IRAS Project number 279840

Identifier Type: -

Identifier Source: org_study_id