Peri-ImplantitisNCT03819075
Combined Er:YAG And Nd:YAG Laser Protocol For Treatment Of Peri-Implantitis
A study testing Lightwalker Laser (Fotona) and standard in people with Peri-Implantitis, run by Luis Monteiro at 1 site in Portugal.
Trial summary
A laser treatment for periimplantitis using two different wavelengths (Er:YAG and Nd:YAG) will be compared to standard treatment in a randomized clinical trial. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Peri-Implantitis
- What is being tested?
- Lightwalker Laser (Fotona) and standard
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 62 participants
- Where
- 1 sitePortugal
- Study dates
- 3 Mar 2018to May 2024
- Phase
- Interventional
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- at least one implant with peri-implantitis
- no serious mobility of the implants
- written informed consent of the voluntary participant in the study
- availability of participant for control visits for a follow-up of at least 12 months without interruptions
Who cannot join
- serious systematic disease
- pregnancy
- current use of photosensitive drugs, bisphosphonate medication or antibiotics
- patients who do not want to follow post treatment recommendation of oral hygiene and follow-up visits
Trial locations and contacts
1 site in 1 country.
Portugal1 site, 1 recruiting
- Recruiting
Instituto Universitário de Ciências da Saude, CESPU
Porto, 4585-116
Luis Monteiro, +351 919120226, luis.monteiro@iucs.cespu.pt
About this study
Official title: An Evaluation Of Effectiveness Of A Combined Er:YAG And Nd:YAG Laser Protocol For Treatment Of Peri-Implantitis: A Randomized Controlled Trial
A laser treatment for periimplantitis using two different wavelengths (Er:YAG and Nd:YAG) will be compared to standard treatment in a randomized clinical trial.
Read the detailed description
The general aim of this study is to evaluate the clinical outcome of the treatment of peri-implantitis using a combination of a Er:YAG and Nd:YAG laser protocol or using a conventional mechanical treatment in patients with a diagnosis of peri-implantitis.
- Conditions
- Peri-Implantitis
- Being tested
- Lightwalker Laser (Fotona), standard
- Keywords
- laser, Er:YAG, Nd:YAG, periimplantitis, randomized controlled trial
- Medical subject headings
- Peri-Implantitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lightwalker Laser (Fotona)Device
Also called TwinLight periimplantitis
For the laser group we will use a Lightwalker Laser (Fotona) with a Er:YAG 2940 nm and Nd:YAG 1064 nm wavelengths units. The laser protocol will follow the instructions of the manufacturer (TwinLight protocol) and consists of degranulation of necrotic soft tissue and bone, implant surface disinfection and creating spot bleeding in bone with Er:YAG and deep disinfection and biomodulation with Nd:YAG.
standardOther
Granulation tissue elimination, mechanical instrumentation of the implant surface and curettage of intraosseous or supracrestally bone defects will be accomplished using plastic curets, under irrigation with sterile saline solution. Cotton pellets soaked in sterile saline solution will be use to clean debris and remains of removed tissue.
| Study group | Role | What they receive |
|---|---|---|
| Laser | Experimental | For the laser group we will use a Lightwalker Laser (Fotona) with a Er:YAG 2940 nm and Nd:YAG 1064 nm wavelengths units. Receives: Device: Lightwalker Laser (Fotona) |
| Control | Active comparator | Standard periimplantitis treatment will be conducted in the control group. Receives: Other: standard |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of participants with treatment success
Treatment success defined as implant survival with the absence of peri-implant probing depths (PD) greater than 5 mm with concomitant bleeding/suppuration and absence of progression of peri-implant bone loss.
Measured: 6 months
Secondary outcomes (25)
Plaque index
(PI)
Measured: 1 month
Plaque index
(PI)
Measured: 3 months
Plaque index
(PI)
Measured: 6 months
Plaque index
(PI)
Measured: 12 months
Bleeding on probing
(BOP) evaluated as present if bleeding was evident within 30 s after probing, or absent, if no bleeding was noticed within 30 s after probing.
Measured: 1 month
Bleeding on probing
evaluated as present if bleeding was evident within 30 s after probing, or absent, if no bleeding was noticed within 30 s after probing.
Measured: 3 months
Bleeding on probing
evaluated as present if bleeding was evident within 30 s after probing, or absent, if no bleeding was noticed within 30 s after probing.
Measured: 6 months
Bleeding on probing
evaluated as present if bleeding was evident within 30 s after probing, or absent, if no bleeding was noticed within 30 s after probing.
Measured: 12 months
Probing depth
measured from the mucosal margin to the bottom of the pocket.
Measured: 1 month
Probing depth
measured from the mucosal margin to the bottom of the pocket.
Measured: 3 months
Probing depth
measured from the mucosal margin to the bottom of the pocket.
Measured: 6 months
Probing depth
measured from the mucosal margin to the bottom of the pocket.
Measured: 12 months
Mucosal recession
measured from the mucosal margin to the bottom of the pocket.
Measured: 1 month
Mucosal recession
measured from the mucosal margin to the bottom of the pocket.
Measured: 3 months
Mucosal recession
measured from the mucosal margin to the bottom of the pocket.
Measured: 6 months
Mucosal recession
measured from the mucosal margin to the bottom of the pocket.
Measured: 12 months
Clinical attachment level gain
Difference in clinical attachment level at baseline and follow up.
Measured: 1 month
Clinical attachment level gain
Difference in clinical attachment level at baseline and follow up.
Measured: 3 months
Clinical attachment level gain
Difference in clinical attachment level at baseline and follow up.
Measured: 6 months
Clinical attachment level gain
Difference in clinical attachment level at baseline and follow up.
Measured: 12 months
Quality of life questionnaire
Oral Health Impact Profile-14 on the scale from 0 to 56 with higher scores indicating a poorer oral health-related quality of life.
Measured: 0 months
Quality of life questionnaire
Oral Health Impact Profile-14 on the scale from 0 to 56 with higher scores indicating a poorer oral health-related quality of life.
Measured: 1 month
Quality of life questionnaire
Oral Health Impact Profile-14 on the scale from 0 to 56 with higher scores indicating a poorer oral health-related quality of life.
Measured: 3 months
Quality of life questionnaire
Oral Health Impact Profile-14 on the scale from 0 to 56 with higher scores indicating a poorer oral health-related quality of life.
Measured: 6 months
Quality of life questionnaire
Oral Health Impact Profile-14 on the scale from 0 to 56 with higher scores indicating a poorer oral health-related quality of life.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jan 2019
- Study start3 Mar 2018
- Primary completionDec 2023 (estimated)
- Study completionMay 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Peri-ImplantitisStudies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Two groups; laser and control
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 62 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Luis Monteiro
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Luis Monteiro, Cooperativa de Ensino Superior, Politécnico e Universitário
- Investigators
- Luis Monteiro, DMD, PhD, Principal investigator, Instituto Universitário de Ciências da Saude, CESPU
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03819075
- Sponsor's protocol ID
- 26/CE-IUCS/2018
- Status last verified
- Aug 2023
- First submitted
- 25 Jan 2019
- Last updated
- 1 Sep 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Evaluation Of Effectiveness Of A Combined Er:YAG And Nd:YAG Laser Protocol For Treatment Of Peri-Implantitis: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT03819075
- Acronym / sponsor ID
- 26/CE-IUCS/2018
- Conditions
- Peri-Implantitis
- Keywords
- laser, Er:YAG, Nd:YAG, periimplantitis, randomized controlled trial
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 62 participants (estimated)
- Lead sponsor
- Luis MonteiroUniversity, hospital or other
- Study start
- 3 Mar 2018 (actual)
- Primary completion
- Dec 2023 (estimated)
- Study completion
- May 2024 (estimated)
- First posted
- 28 Jan 2019 (actual)
- 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.
A laser treatment for periimplantitis using two different wavelengths (Er:YAG and Nd:YAG) will be compared to standard treatment in a randomized clinical trial.
Detailed description
The general aim of this study is to evaluate the clinical outcome of the treatment of peri-implantitis using a combination of a Er:YAG and Nd:YAG laser protocol or using a conventional mechanical treatment in patients with a diagnosis of peri-implantitis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Two groups; laser and control
| Arm | Type | Receives |
|---|---|---|
| Laser | Experimental | Device: Lightwalker Laser (Fotona)For the laser group we will use a Lightwalker Laser (Fotona) with a Er:YAG 2940 nm and Nd:YAG 1064 nm wavelengths units. |
| Control | Active comparator | Other: standardStandard periimplantitis treatment will be conducted in the control group. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- at least one implant with peri-implantitis
- no serious mobility of the implants
- written informed consent of the voluntary participant in the study
- availability of participant for control visits for a follow-up of at least 12 months without interruptions
Key exclusion criteria (4 listed)
- serious systematic disease
- pregnancy
- current use of photosensitive drugs, bisphosphonate medication or antibiotics
- patients who do not want to follow post treatment recommendation of oral hygiene and follow-up visits
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 |
|---|---|---|
| Lightwalker Laser (Fotona)Also: TwinLight periimplantitisFor the laser group we will use a Lightwalker Laser (Fotona) with a Er:YAG 2940 nm and Nd:YAG 1064 nm wavelengths units. The laser protocol will follow the instructions of the manufacturer (TwinLight protocol) and consists of degranulation of necrotic soft tissue and bone, implant surface disinfection and creating spot bleeding in bone with Er:YAG and deep disinfection and biomodulation with Nd:YAG. | Device | Laser |
| standardGranulation tissue elimination, mechanical instrumentation of the implant surface and curettage of intraosseous or supracrestally bone defects will be accomplished using plastic curets, under irrigation with sterile saline solution. Cotton pellets soaked in sterile saline solution will be use to clean debris and remains of removed tissue. | Other | Control |
Primary outcome
Proportion of participants with treatment success
Time frame: 6 months
Treatment success defined as implant survival with the absence of peri-implant probing depths (PD) greater than 5 mm with concomitant bleeding/suppuration and absence of progression of peri-implant bone loss.
25 secondary outcomes
Plaque index
Time frame: 1 month
Plaque index
Time frame: 3 months
Plaque index
Time frame: 6 months
Plaque index
Time frame: 12 months
Bleeding on probing
Time frame: 1 month
Bleeding on probing
Time frame: 3 months
Bleeding on probing
Time frame: 6 months
Bleeding on probing
Time frame: 12 months
Probing depth
Time frame: 1 month
Probing depth
Time frame: 3 months
Probing depth
Time frame: 6 months
Probing depth
Time frame: 12 months
Mucosal recession
Time frame: 1 month
Mucosal recession
Time frame: 3 months
Mucosal recession
Time frame: 6 months
Mucosal recession
Time frame: 12 months
Clinical attachment level gain
Time frame: 1 month
Clinical attachment level gain
Time frame: 3 months
Clinical attachment level gain
Time frame: 6 months
Clinical attachment level gain
Time frame: 12 months
Quality of life questionnaire
Time frame: 0 months
Quality of life questionnaire
Time frame: 1 month
Quality of life questionnaire
Time frame: 3 months
Quality of life questionnaire
Time frame: 6 months
Quality of life questionnaire
Time frame: 12 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Sep 2023.
- Individual participant dataSharing planned: No
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Diagnostic Accuracy of Large Language Models for Peri-Implant Marginal Bone Loss on Panoramic Radiographs
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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.
Luis Monteiro, DMD, PhD principal investigator
Instituto Universitário de Ciências da Saude, CESPU
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Lightwalker Laser (Fotona) and standard in people with Peri-Implantitis, run by Luis Monteiro at 1 site in Portugal.
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 4 inclusion and 4 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 1 Sep 2023. 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 Portugal. 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.
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 Luis Monteiro, DMD, PhD (+351 919120226, luis.monteiro@iucs.cespu.pt), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of participants with treatment success (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 1 Sep 2023.