Chronic PeriodontitisPhase 2NCT02643771
Clinical and Microbiological Evaluation of Periodontal Treatment of Diabetic Patients: A Longitudinal Study
A Phase 2 study testing Full Mouth Scaling and Root Planing in people with Chronic Periodontitis and Diabetes Mellitus, Type 2, run by Eduardo Aleixo Figueira at 1 site in Brazil.
Trial summary
The purpose of this study is to determine whether periodontal treatment improves the periodontal clinical parameters in the periodontal patients with diabetes regarding non-diabetics: two years follow-up. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Chronic Periodontitis, Diabetes Mellitus, Type 2
- What is being tested?
- Full Mouth Scaling and Root Planing
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 144 participants
- Where
- 1 siteBrazil
- Study dates
- Jan 2013to Oct 2017
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Clinical diagnosis of chronical periodontitis according to Lopez et al. 2002 (one or more teeth with at least one site with PD >= 4mm or CAL >= 3mm);
- And have at least 8 natural teeth (excluding third molars), and older than 18 years and of both genders.
Who cannot join
- Any systemic diseases or complications (except Type 2 Diabetes Mellitus) such as cardiovascular disease, Alzheimer's, lung or brain diseases and metabolic syndrome;
- Use of antibiotics or periodontal treatment within the past 6 months;
- Long-term administration of anti-inflammatory or/and immunosuppressive agents;
- Current smoker or former smoker for the past 5 years;
- Pregnant or breastfeeding;
- And presence of orthodontic appliances.
Trial locations and contacts
1 site in 1 country.
Brazil1 site, 1 recruiting
- Recruiting
Departamento de Odontologia; Universidade Federal do Rio Grande do Norte
Natal, Rio Grande do Norte, 59056-000
Bruno CV Gurgel, Doctor, +558432154136, bcgurgel@yahoo.com.br
Eduardo A Figueira, Doctor, +5584999521370, edufigueira@yahoo.com.br
About this study
Official title: Clinical and Microbiological Evaluation of Non-surgical Periodontal Treatment of Diabetic and Non-diabetic Patients: A Longitudinal Study
The purpose of this study is to determine whether periodontal treatment improves the periodontal clinical parameters in the periodontal patients with diabetes regarding non-diabetics: two years follow-up.
Read the detailed description
All the subjects in the study will receive non surgical periodontal treatment in one session (full-mouth scaling and root planing). Clinical parameters will be assessed in all teeth (except third molars) by one experienced and trained examiner before treatment and every 3 months for 2 years. Visible plaque index (VPI) will be represented a mean percentage of sites with visible plaque calculated for all teeth analyzed (four sites per tooth). Others parameters will be assessed at six sites per tooth using a manual periodontal probe (15mm). Bleeding on probing (BOP) will be represented the mean percentage of sites with bleeding (up to 15 seconds after probing) calculated for all teeth analyzed. Probing depth (PD - distance between the gingival margin and the bottom of the sulcus/pocket), gingival recession (GR - distance between the cementoenamel junction and gingival margin) and clinical attachment level (CAL - distance between the cementoenamel junction and the bottom of the sulcus/pocket) will be represented a mean distance calculated per site for all teeth analyzed. For blood parameters, an outside laboratory will perform all blood analysis. It will be requested for each subject with diabetes (DG) at baseline, each 3 months post-treatment. Fasting plasma glucose (FPG) will be expressed in milligrams per deciliter and HbA1c will be expressed as a percentage. Statistical analysis will be performed using an available software program and the patient will be considered as the unit of analysis.The data will be processed and analyzed by descriptive and inferential statistics, probably nonparametric.
- Conditions
- Chronic Periodontitis, Diabetes Mellitus, Type 2
- Being tested
- Full Mouth Scaling and Root Planing
- Keywords
- Dental Scaling, Blood Glucose, Hemoglobin A, Glycosylated
- Medical subject headings
- Chronic Periodontitis, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Full Mouth Scaling and Root PlaningProcedure or surgery
This procedure was performed as described by Quirynen et al. 2005 with some modifications
| Study group | Role | What they receive |
|---|---|---|
| Diabetic group | Experimental | Subjects with Chronic Periodontitis and Type 2 Diabetes Mellitus treated with non surgical periodontal therapy (Full Mouth Scaling and Root Planing) Receives: Procedure: Full Mouth Scaling and Root Planing |
| Nondiabetic group | Experimental | Subjects with Chronic Periodontitis and without Type 2 Diabetes Mellitus treated with non surgical periodontal therapy (Full Mouth Scaling and Root Planing) Receives: Procedure: Full Mouth Scaling and Root Planing |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: Baseline
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: at three months
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: at six months
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: at nine months
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: at twelve months
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: at eighteen months
Percentage of bleeding on probing
The mean percentage of periodontal sites with bleeding on probing
Measured: at twenty four months
Secondary outcomes (3)
Percentage of visible plaque index
The mean percentage of periodontal sites with visible plaque
Measured: Baseline and at three, six, nine, twelve, eighteen and twenty four months
Probing depth (mm)
The mean of probing depth in millimeters calculated for periodontal sites.
Measured: Baseline and at three, six, nine, twelve, eighteen and twenty four months
Clinical attachment level (mm)
The mean of clinical attachment level in millimeters calculated for periodontal sites.
Measured: Baseline and at three, six, nine, twelve, eighteen and twenty four months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Dec 2015 (estimated)
- Study startJan 2013
- Primary completionOct 2016 (estimated)
- Study completionOct 2017 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Chronic PeriodontitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 144 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Eduardo Aleixo Figueira
- Sponsor type
- University, hospital or other
- Collaborators
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
- Responsible party
- Sponsor-investigator, Eduardo Aleixo Figueira, Universidade Federal do Rio Grande do Norte
- Investigators
- Bruno CV Gurgel, Doctor, Principal investigator, Universidade Federal do Rio Grande do Norte
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02643771
- Sponsor's protocol ID
- U1111-1175-5481
- Status last verified
- Dec 2015
- First submitted
- 28 Dec 2015
- Last updated
- 31 Dec 2015
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Quirynen M, Bollen CM, Vandekerckhove BN, Dekeyser C, Papaioannou W, Eyssen H. Full- vs. partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations. J Dent Res. 1995 Aug;74(8):1459-67. doi: 10.1177/00220345950740080501.
PubMed 7560400Lopez NJ, Smith PC, Gutierrez J. Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: a randomized controlled trial. J Periodontol. 2002 Aug;73(8):911-24. doi: 10.1902/jop.2002.73.8.911.
PubMed 12211502Almeida ML, Duarte PM, Figueira EA, Lemos JC, Nobre CMG, Miranda TS, de Vasconcelos Gurgel BC. Effects of a full-mouth disinfection protocol on the treatment of type-2 diabetic and non-diabetic subjects with mild-to-moderate periodontitis: one-year clinical outcomes. Clin Oral Investig. 2020 Jan;24(1):333-341. doi: 10.1007/s00784-019-02927-8. Epub 2019 May 17.
PubMed 31102044
Study at a glance
From the registry record, last updated by the sponsor on 31 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical and Microbiological Evaluation of Non-surgical Periodontal Treatment of Diabetic and Non-diabetic Patients: A Longitudinal Study
- ClinicalTrials.gov ID
- NCT02643771
- Acronym / sponsor ID
- U1111-1175-5481
- Conditions
- Chronic Periodontitis, Diabetes Mellitus, Type 2
- Keywords
- Dental Scaling, Blood Glucose, Hemoglobin A, Glycosylated
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 144 participants (estimated)
- Lead sponsor
- Eduardo Aleixo FigueiraUniversity, hospital or other
- Collaborators
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
- Study start
- Jan 2013
- Primary completion
- Oct 2016 (estimated)
- Study completion
- Oct 2017 (estimated)
- First posted
- 31 Dec 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether periodontal treatment improves the periodontal clinical parameters in the periodontal patients with diabetes regarding non-diabetics: two years follow-up.
Detailed description
All the subjects in the study will receive non surgical periodontal treatment in one session (full-mouth scaling and root planing). Clinical parameters will be assessed in all teeth (except third molars) by one experienced and trained examiner before treatment and every 3 months for 2 years. Visible plaque index (VPI) will be represented a mean percentage of sites with visible plaque calculated for all teeth analyzed (four sites per tooth). Others parameters will be assessed at six sites per tooth using a manual periodontal probe (15mm). Bleeding on probing (BOP) will be represented the mean percentage of sites with bleeding (up to 15 seconds after probing) calculated for all teeth analyzed. Probing depth (PD - distance between the gingival margin and the bottom of the sulcus/pocket), gingival recession (GR - distance between the cementoenamel junction and gingival margin) and clinical attachment level (CAL - distance between the cementoenamel junction and the bottom of the sulcus/pocket) will be represented a mean distance calculated per site for all teeth analyzed. For blood parameters, an outside laboratory will perform all blood analysis. It will be requested for each subject with diabetes (DG) at baseline, each 3 months post-treatment. Fasting plasma glucose (FPG) will be expressed in milligrams per deciliter and HbA1c will be expressed as a percentage. Statistical analysis will be performed using an available software program and the patient will be considered as the unit of analysis.The data will be processed and analyzed by descriptive and inferential statistics, probably nonparametric.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Diabetic group | Experimental | Procedure: Full Mouth Scaling and Root PlaningSubjects with Chronic Periodontitis and Type 2 Diabetes Mellitus treated with non surgical periodontal therapy (Full Mouth Scaling and Root Planing) |
| Nondiabetic group | Experimental | Procedure: Full Mouth Scaling and Root PlaningSubjects with Chronic Periodontitis and without Type 2 Diabetes Mellitus treated with non surgical periodontal therapy (Full Mouth Scaling and Root Planing) |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Clinical diagnosis of chronical periodontitis according to Lopez et al. 2002 (one or more teeth with at least one site with PD >= 4mm or CAL >= 3mm);
- And have at least 8 natural teeth (excluding third molars), and older than 18 years and of both genders.
Key exclusion criteria (6 listed)
- Any systemic diseases or complications (except Type 2 Diabetes Mellitus) such as cardiovascular disease, Alzheimer's, lung or brain diseases and metabolic syndrome;
- Use of antibiotics or periodontal treatment within the past 6 months;
- Long-term administration of anti-inflammatory or/and immunosuppressive agents;
- Current smoker or former smoker for the past 5 years;
- Pregnant or breastfeeding;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Full Mouth Scaling and Root PlaningThis procedure was performed as described by Quirynen et al. 2005 with some modifications | Procedure or surgery | Diabetic group, Nondiabetic group |
Primary outcome
Percentage of bleeding on probing
Time frame: Baseline
The mean percentage of periodontal sites with bleeding on probing
Percentage of bleeding on probing
Time frame: at three months
The mean percentage of periodontal sites with bleeding on probing
Percentage of bleeding on probing
Time frame: at six months
The mean percentage of periodontal sites with bleeding on probing
Percentage of bleeding on probing
Time frame: at nine months
The mean percentage of periodontal sites with bleeding on probing
Percentage of bleeding on probing
Time frame: at twelve months
The mean percentage of periodontal sites with bleeding on probing
Percentage of bleeding on probing
Time frame: at eighteen months
The mean percentage of periodontal sites with bleeding on probing
Percentage of bleeding on probing
Time frame: at twenty four months
The mean percentage of periodontal sites with bleeding on probing
3 secondary outcomes
Percentage of visible plaque index
Time frame: Baseline and at three, six, nine, twelve, eighteen and twenty four months
Probing depth (mm)
Time frame: Baseline and at three, six, nine, twelve, eighteen and twenty four months
Clinical attachment level (mm)
Time frame: Baseline and at three, six, nine, twelve, eighteen and twenty four months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Dec 2015.
- Background: PubMed 7560400Quirynen M, Bollen CM, Vandekerckhove BN, Dekeyser C, Papaioannou W, Eyssen H. Full- vs. partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations. J Dent Res. 1995 Aug;74(8):1459-67. doi: 10.1177/00220345950740080501.
- Background: PubMed 12211502Lopez NJ, Smith PC, Gutierrez J. Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: a randomized controlled trial. J Periodontol. 2002 Aug;73(8):911-24. doi: 10.1902/jop.2002.73.8.911.
- Derived from this study: PubMed 31102044Almeida ML, Duarte PM, Figueira EA, Lemos JC, Nobre CMG, Miranda TS, de Vasconcelos Gurgel BC. Effects of a full-mouth disinfection protocol on the treatment of type-2 diabetic and non-diabetic subjects with mild-to-moderate periodontitis: one-year clinical outcomes. Clin Oral Investig. 2020 Jan;24(1):333-341. doi: 10.1007/s00784-019-02927-8. Epub 2019 May 17.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bruno CV Gurgel, Doctor principal investigator
Universidade Federal do Rio Grande do Norte
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Full Mouth Scaling and Root Planing in people with Chronic Periodontitis and Diabetes Mellitus, Type 2, run by Eduardo Aleixo Figueira at 1 site in Brazil.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 31 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Bruno CV Gurgel, Doctor (+558432154136, bcgurgel@yahoo.com.br), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of bleeding on probing (time frame: Baseline). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02643771, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Dec 2015.