Effect of Photodynamic Therapy as an Adjunct to Non-Surgical Treatment of Periodontitis

NCT ID: NCT07070453

Last Updated: 2025-07-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-08

Study Completion Date

2025-11-30

Brief Summary

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Photodynamic therapy (PDT) is an innovative technique that utilizes light-activated agents, known as photosensitizers, to produce reactive oxygen species capable of targeting and eliminating pathogens. This therapeutic approach has been explored in a variety of medical fields due to its versatility and minimal invasiveness. In the context of periodontal diseases, PDT has emerged as a promising adjunctive treatment in the non-surgical management of periodontitis. Periodontitis, a chronic inflammatory disease caused by the accumulation of pathogenic bacteria in the subgingival environment, is often treated with mechanical debridement, including scaling and root planing (SRP). However, these conventional methods may not always achieve complete bacterial eradication. PDT, when used in conjunction with SRP, has the potential to significantly enhance bacterial elimination. The use of photosensitizers, activated by specific wavelengths of light, leads to the generation of singlet oxygen, which can effectively kill a broad spectrum of periodontal pathogens, including those resistant to antibiotics. As an adjunctive therapy, PDT can improve the clinical outcomes of non-surgical periodontitis treatment by reducing bacterial load, promoting tissue healing, and potentially decreasing the need for more invasive procedures. The ability of PDT to target bacteria without harming surrounding tissues makes it an attractive option for patients who require a non-invasive treatment approach. In conclusion, photodynamic therapy is a valuable addition to periodontal treatment regimens, offering enhanced bacterial reduction and improved therapeutic outcomes in the management of periodontitis.

Detailed Description

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Conditions

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Periodontitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Non-surgical periodontal treatment

Conventional non-surgical treatment - scaling and root planing

Group Type ACTIVE_COMPARATOR

Non-surgical periodontal treatment

Intervention Type PROCEDURE

Removal of deposits above and below the gum line using hand or ultrasonic tools and thorough smoothing of root surfaces to discourage re-accumulation of bacteria.

Antimicrobial photodynamic therapy

Scaling and root planing + aPDT (antimicrobial photodynamic therapy)

Group Type EXPERIMENTAL

Scaling and root planing + aPDT

Intervention Type PROCEDURE

Non-invasive treatment that uses a combination of a light-sensitive compound (photosensitizer), specific light, and oxygen to generate reactive oxygen species (ROS) that kill bacteria.

Interventions

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Non-surgical periodontal treatment

Removal of deposits above and below the gum line using hand or ultrasonic tools and thorough smoothing of root surfaces to discourage re-accumulation of bacteria.

Intervention Type PROCEDURE

Scaling and root planing + aPDT

Non-invasive treatment that uses a combination of a light-sensitive compound (photosensitizer), specific light, and oxygen to generate reactive oxygen species (ROS) that kill bacteria.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18 years or older with periodontitis diagnosed according to EFP/APA 2018 criteria and with at least 10 teeth in the mouth.

Exclusion Criteria

* Periodontal treatment in the previous six months; use of antibiotics, NSAIDs or immunosuppressants in the previous six months; acute oral infection; pregnant or breastfeeding women; teeth with grade III mobility; pockets with PD \> 10 mm; use of antimicrobial mouthwash in the previous two months; patients with diabetes mellitus.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Egas Moniz - Cooperativa de Ensino Superior, CRL

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ricardo Dr. Alves, phd

Role: PRINCIPAL_INVESTIGATOR

Egas Moniz School of Science and Health

Locations

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Egas Moniz School of Health and Science

Almada, Monte Da Caparica, Portugal

Site Status RECRUITING

Egas Moniz School of Health and Science

Almada, Monte Da Caparica, Portugal

Site Status ACTIVE_NOT_RECRUITING

Countries

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Portugal

Central Contacts

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Filipa Sousa, Master

Role: CONTACT

00351 915028912

InĂªs Dra. Gomes, phd

Role: CONTACT

00351 212 946 748

Facility Contacts

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Filipa Sousa, Masters

Role: primary

+351 915028912

Related Links

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Other Identifiers

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CiiEM Investiga

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

aPDT FPS

Identifier Type: -

Identifier Source: org_study_id

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