Prevention of Dental Implant Diseases

NCT ID: NCT05871229

Last Updated: 2023-08-09

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-13

Study Completion Date

2023-07-14

Brief Summary

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The aim of this study is to determine the effect of regular antibacterial photodynamic Lumoral® treatment on gingival health and plaque volume, and anti-inflammatory effect of daily double light therapy on implant teeth. The study will use a medical device containing a light-activated Lumorinse® mouthwash and a Lumoral® light activator.

Detailed Description

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The hypothesis is that antibacterial photodynamic therapy improves tissue health by reducing inflammation without any side effect.

Study participants will be invited from a dental clinic in Tampere, Finland, from the patients of an oral hygienist's office. Participants will be randomized to the treatment and control groups using the closed envelope method. Participants in the treatment group will receive Lumoral® treatment according to the manufacturer's protocol, once daily for 10 min for 15 days and then twice daily for 15 days.

Conditions

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Peri-Implantitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Participants will be randomized at the end of baseline visit

Study Groups

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Study group

Lumoral and standard treatment

Group Type EXPERIMENTAL

Lumoral Treatment

Intervention Type DEVICE

Photodynamic antibacterial dual-light device with a marker substance

Standard treatment for peri-implantitis

Intervention Type OTHER

Standard treatment for peri-implantitis as per international, national and clinic guidelines

Control group

Standard treatment only

Group Type OTHER

Standard treatment for peri-implantitis

Intervention Type OTHER

Standard treatment for peri-implantitis as per international, national and clinic guidelines

Interventions

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Lumoral Treatment

Photodynamic antibacterial dual-light device with a marker substance

Intervention Type DEVICE

Standard treatment for peri-implantitis

Standard treatment for peri-implantitis as per international, national and clinic guidelines

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* One or more dental implants
* Diagnosis of peri-implantitis
* Challenges in keeping high self-care oral care standards
* Over 25 years of age

Exclusion Criteria

\- Any antibiotic medication within 6 months prior to study participation
Minimum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Helsinki

OTHER

Sponsor Role collaborator

Koite Health Oy

INDUSTRY

Sponsor Role collaborator

Hammasklinikka Kruunu

UNKNOWN

Sponsor Role collaborator

Hanna Lähteenmäki

INDUSTRY

Sponsor Role lead

Responsible Party

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Hanna Lähteenmäki

PhD, Dental Hygienist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Hanna Lähteenmäki, Doctor

Role: PRINCIPAL_INVESTIGATOR

Hammasklinikka Kruunu

Locations

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Hammasklinikka Kruunu Oy

Tampere, Pirkanmaa, Finland

Site Status

Countries

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Finland

References

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Dhir S, Mahesh L, Kurtzman GM, Vandana KL. Peri-implant and periodontal tissues: a review of differences and similarities. Compend Contin Educ Dent. 2013 Jul-Aug;34(7):e69-75.

Reference Type BACKGROUND
PMID: 24428439 (View on PubMed)

Matsubara T, Kusuzaki K, Matsumine A, Satonaka H, Shintani K, Nakamura T, Uchida A. Methylene blue in place of acridine orange as a photosensitizer in photodynamic therapy of osteosarcoma. In Vivo. 2008 May-Jun;22(3):297-303.

Reference Type BACKGROUND
PMID: 18610739 (View on PubMed)

Raisanen IT, Heikkinen AM, Nwhator SO, Umeizudike KA, Tervahartiala T, Sorsa T. On the diagnostic discrimination ability of mouthrinse and salivary aMMP-8 point-of-care testing regarding periodontal health and disease. Diagn Microbiol Infect Dis. 2019 Dec;95(4):114871. doi: 10.1016/j.diagmicrobio.2019.114871. Epub 2019 Jul 26.

Reference Type BACKGROUND
PMID: 31473032 (View on PubMed)

Salvi GE, Zitzmann NU. The effects of anti-infective preventive measures on the occurrence of biologic implant complications and implant loss: a systematic review. Int J Oral Maxillofac Implants. 2014;29 Suppl:292-307. doi: 10.11607/jomi.2014suppl.g5.1.

Reference Type BACKGROUND
PMID: 24660205 (View on PubMed)

Schwarz F, Becker K, Sager M. Efficacy of professionally administered plaque removal with or without adjunctive measures for the treatment of peri-implant mucositis. A systematic review and meta-analysis. J Clin Periodontol. 2015 Apr;42 Suppl 16:S202-13. doi: 10.1111/jcpe.12349.

Reference Type BACKGROUND
PMID: 25496187 (View on PubMed)

Shinwari MS, Tanwir F, Hyder PR, Bin Saeed MH. Host modulation therapeutics in periodontics: role as an adjunctive periodontal therapy. J Coll Physicians Surg Pak. 2014 Sep;24(9):676-84.

Reference Type BACKGROUND
PMID: 25233975 (View on PubMed)

Smeets R, Henningsen A, Jung O, Heiland M, Hammacher C, Stein JM. Definition, etiology, prevention and treatment of peri-implantitis--a review. Head Face Med. 2014 Sep 3;10:34. doi: 10.1186/1746-160X-10-34.

Reference Type BACKGROUND
PMID: 25185675 (View on PubMed)

Sorsa T, Gieselmann D, Arweiler NB, Hernandez M. A quantitative point-of-care test for periodontal and dental peri-implant diseases. Nat Rev Dis Primers. 2017 Sep 14;3:17069. doi: 10.1038/nrdp.2017.69. No abstract available.

Reference Type BACKGROUND
PMID: 28905941 (View on PubMed)

Sorsa T, Hernandez M, Leppilahti J, Munjal S, Netuschil L, Mantyla P. Detection of gingival crevicular fluid MMP-8 levels with different laboratory and chair-side methods. Oral Dis. 2010 Jan;16(1):39-45. doi: 10.1111/j.1601-0825.2009.01603.x. Epub 2009 Jul 8.

Reference Type BACKGROUND
PMID: 19627514 (View on PubMed)

Sorsa T, Tjaderhane L, Salo T. Matrix metalloproteinases (MMPs) in oral diseases. Oral Dis. 2004 Nov;10(6):311-8. doi: 10.1111/j.1601-0825.2004.01038.x.

Reference Type BACKGROUND
PMID: 15533204 (View on PubMed)

Suarez-Lopez Del Amo F, Yu SH, Wang HL. Non-Surgical Therapy for Peri-Implant Diseases: a Systematic Review. J Oral Maxillofac Res. 2016 Sep 9;7(3):e13. doi: 10.5037/jomr.2016.7313. eCollection 2016 Jul-Sep.

Reference Type BACKGROUND
PMID: 27833738 (View on PubMed)

Terheyden H, Stadlinger B, Sanz M, Garbe AI, Meyle J. Inflammatory reaction - communication of cells. Clin Oral Implants Res. 2014 Apr;25(4):399-407. doi: 10.1111/clr.12176. Epub 2013 Apr 21.

Reference Type BACKGROUND
PMID: 23600659 (View on PubMed)

Related Links

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https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/32084

Hentilä, J. et al. (2021). Dual-Light Photodynamic Therapy Effectively Eliminates Streptococcus Oralis Biofilms. Journal of Pharmacy \& Pharmaceutical Sciences, 24

https://www.nature.com/articles/sj.bdj.2016.865

Kilian, M. et al. (2016). The oral microbiome - An update for oral healthcare professionals. British Dental Journal, 221(10).

https://link.springer.com/article/10.1007/s00011-013-0704-2

Kormi, I et al. (2014) The effect of prolonged systemic doxycycline therapy on serum tissue degrading proteinases in coronary bypass patients: a randomized, double-masked, placebo-controlled clinical trial. Inflammation Research, 63(5), 329-334

https://doi.org/10.1371/journal.pone.0232775

Nikinmaa, S., et al. (2020). Dual-light photodynamic therapy administered daily provides a sustained antibacterial effect on biofilm and prevents Streptococcus mutans adaptation. PloS One, 15(5).

Other Identifiers

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IS-TRE

Identifier Type: -

Identifier Source: org_study_id

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