The Flapless Approach in Periodontal Regeneration

NCT ID: NCT05456555

Last Updated: 2023-12-19

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

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-01

Study Completion Date

2023-12-15

Brief Summary

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The present investigation is designed in order to compare the radiographic and clinical effectiveness of flapless procedure performed alone or in combination with enamel matrix derivatives in the periodontal regenerative treatment of deep intrabony defects in patients with moderate or severe periodontitis. The study will have a follow-up of 12 months.

Detailed Description

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Conditions

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Periodontitis, Adult Intrabony Periodontal Defect

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Flapless with Enamel Matrix Derivatives (EMD)

Closed non-surgical treatment of periodontal intrabony defects with the combined use of Enamel Matrix Derivatives (EMD).

Group Type EXPERIMENTAL

Flapless with Enamel Matrix Derivatives (EMD)

Intervention Type PROCEDURE

Experimental sites will receive a closed non-surgical treatment with a combined use of minicurettes and ultrasonic instruments with thin and delicate tips. Teeth will be instrumented until no residual calculus could be detected. A visualization of the root surface will be accomplished under magnification by using dental loups 4.0X. In the test group, the roots will be conditioned with 24% ethylenediaminetetraacetic acid (EDTA) for 2 minutes. After rinsing with sterile saline, enamel matrix derivatives (EMD) will be applied on the dried root surface.

Flapless alone

Closed non-surgical treatment of periodontal intrabony defects without any adjunct.

Group Type ACTIVE_COMPARATOR

Flapless without Enamel Matrix Derivatives (EMD)

Intervention Type PROCEDURE

Experimental sites will receive a closed non-surgical treatment with a combined use of minicurettes and ultrasonic instruments with thin and delicate tips. Teeth will be instrumented until no residual calculus could be detected. A visualization of the root surface will be accomplished under magnification by using dental loups 4.0X. No adjunct will be administered.

Interventions

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Flapless with Enamel Matrix Derivatives (EMD)

Experimental sites will receive a closed non-surgical treatment with a combined use of minicurettes and ultrasonic instruments with thin and delicate tips. Teeth will be instrumented until no residual calculus could be detected. A visualization of the root surface will be accomplished under magnification by using dental loups 4.0X. In the test group, the roots will be conditioned with 24% ethylenediaminetetraacetic acid (EDTA) for 2 minutes. After rinsing with sterile saline, enamel matrix derivatives (EMD) will be applied on the dried root surface.

Intervention Type PROCEDURE

Flapless without Enamel Matrix Derivatives (EMD)

Experimental sites will receive a closed non-surgical treatment with a combined use of minicurettes and ultrasonic instruments with thin and delicate tips. Teeth will be instrumented until no residual calculus could be detected. A visualization of the root surface will be accomplished under magnification by using dental loups 4.0X. No adjunct will be administered.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* diagnosis of periodontitis stage III or IV;
* presence of at least one tooth with ≥6 mm associated with a radiographic intrabony defect ≥3 mm at least 2 months after the completion of non-surgical therapy;
* a full-mouth plaque score and full-mouth bleeding score \<15% at the time of the experimental procedure;
* signed informed consent.

Exclusion Criteria

* relevant medical disorders contraindicating periodontal surgery or detrimental to periodontal healing;
* consumption of drugs known to affect periodontal status;
* pregnancy and lactation;
* third molars, teeth with furcation involvement or inadequate endodontic treatment and/or prosthetic restoration;
* heavy smokers \>10 cigarettes per day.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Turin, Italy

OTHER

Sponsor Role lead

Responsible Party

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Mario Aimetti

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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CIR Dental School

Turin, , Italy

Site Status

Countries

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Italy

References

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Aimetti M, Stasikelyte M, Mariani GM, Cricenti L, Baima G, Romano F. The flapless approach with and without enamel matrix derivatives for the treatment of intrabony defects: A randomized controlled clinical trial. J Clin Periodontol. 2024 Sep;51(9):1112-1121. doi: 10.1111/jcpe.14028. Epub 2024 Jun 10.

Reference Type DERIVED
PMID: 38859627 (View on PubMed)

Other Identifiers

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EMDTurin1

Identifier Type: -

Identifier Source: org_study_id