AzTrials
AzTrials

DENT IMPLANTSPhase 4NCT04187053

Clinical and Microbiologic Outcomes of aPDT in the Non-surgical Treatment of Implant Inflammation

A Phase 4 study testing Conventional mechanical therapy, Saline and Methylene Blue in people with DENT IMPLANTS and LASER, run by The University of Texas Health Science Center, Houston at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to compare clinical outcomes (change in bleeding sites (BOP) and probing depth reduction (PPD) after mechanical debridement of implant surfaces at sites exhibiting plaque induced inflammation with or without adjunctive antimicrobial photodynamic therapy (aPDT) and assess the microbiologic… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
DENT IMPLANTS, LASER
What is being tested?
Conventional mechanical therapy, Saline and Methylene Blue
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
1 siteUnited States
Study dates
14 Feb 2020to 6 Dec 2022
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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-implant inflammation that requires non-surgical treatment.
  • Peri-implant diseases included are peri-implant mucositis and peri-implantitis
  • Criteria for diagnosis of peri-implant mucositis or peri-implantitis:
  • Red, swollen gingival tissues surrounding the implant
  • Presence of bleeding and/or suppuration on gentle probing around the implant
  • Increased probing depth compared to probing depth after restoration of the implant (greater than 2mm increase in probing depth)
  • May or may not have progressive bone loss in relation to radiographic bone levels assessed either 1 year following restoration of the implant OR ≥3mm of radiographic bone loss from the implant platform -systemically healthy or with controlled common systemic conditions, such as hypertension, that will not affect wound healing.

Who cannot join

  • current heavy smokers (>10 cigarettes/day)
  • have diabetes or other systemic diseases that may comprise healing
  • take antibiotics within 3 months before the procedure

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas Health Science Center at Houston School of Dentistry

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: Clinical and Microbiologic Outcomes of Adjunctive Antimicrobial Photodynamic Therapy in the Non-surgical Treatment of Peri-implant Disease

The purpose of this study is to compare clinical outcomes (change in bleeding sites (BOP) and probing depth reduction (PPD) after mechanical debridement of implant surfaces at sites exhibiting plaque induced inflammation with or without adjunctive antimicrobial photodynamic therapy (aPDT) and assess the microbiologic profile of plaque samples before and after treatment with or without aPDT samples.

Conditions
DENT IMPLANTS, LASER
Being tested
Conventional mechanical therapy, Saline, Methylene Blue, Light emitting laser, Non-light emitting laser
Keywords
Dental implants, Laser, Antimicrobial photodynamic therapy, Low level laser therapy, Peri-implant mucositis, Peri-implantitis
Medical subject headings
Peri-Implantitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Conventional mechanical therapyProcedure or surgery

    Both experimental and sham arms will receive the Conventional mechanical therapy

  • SalineDrug

    Sham group will receive saline as a sham for methylene blue

  • Methylene BlueDrug

    Experimental arm will receive methylene blue

  • Light emitting laserDevice

    Experimental arm will receive Light emitting laser

  • Non-light emitting laserDevice

    Sham group will receive Non-light emitting laser

Study groups in NCT04187053
Study groupRoleWhat they receive
Conventional mechanical therapy with aPDT adjunctExperimentalTraditional non-surgical mechanical debridement along with antimicrobial photodynamic therapy will be done at implant sites by applying a photosensitizing dye methylene blue (0.1mg/ml) with a disposable syringe from the bottom of pocket in a coronal direction. The dye will be applied topically confined to the epithelialized space surrounding the implant fixture and will not be internalized. After 5 minutes in situ, the surrounding gingival tissues will be irradiated at six sites around the implant using a diode laser with a wavelength of 660nm, providing an energy density of 10 J/site, 100mW power, time equal to 100 seconds. After irradiation, the site will be thoroughly rinsed with saline.
Receives: Procedure: Conventional mechanical therapy; Drug: Methylene Blue; Device: Light emitting laser
Conventional mechanical therapy with sham aPDT treatmentSham comparatorControl group will have conventional mechanical instrumentation of implant site with "Sham" aPDT treatment with saline and non-light emitting laser
Receives: Procedure: Conventional mechanical therapy; Drug: Saline; Device: Non-light emitting laser

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Probing Pocket Depth

    Periodontal pocket depth was measured from the free gingival margin to the base of the pocket, with a UNC periodontal probe with 1mm measurement units. It was assessed at 6 sites per implant: mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual. For each participant, an average of the depths of the 6 sites is reported.

    Measured: Baseline

  2. Mean Probing Pocket Depth

    Periodontal pocket depth was measured from the free gingival margin to the base of the pocket, with a UNC periodontal probe with 1mm measurement units. It was assessed at 6 sites per implant: mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual. For each participant, an average of the depths of the 6 sites is reported.

    Measured: 6 weeks post treatment

  3. Mean Probing Pocket Depth

    Periodontal pocket depth was measured from the free gingival margin to the base of the pocket, with a UNC periodontal probe with 1mm measurement units. It was assessed at 6 sites per implant: mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual. For each participant, an average of the depths of the 6 sites is reported.

    Measured: 12 weeks post treatment

  4. Improvement in Sites as Indicated by Reduction in Inflammation as Assessed by Clinical Attachment Loss

    Measured: Baseline

  5. Improvement in Sites as Indicated by Reduction in Inflammation as Assessed by Clinical Attachment Loss

    Measured: 6 weeks post treatment

  6. Improvement in Sites as Indicated by Reduction in Inflammation as Assessed by Clinical Attachment Loss

    Measured: 12 weeks post treatment

  7. Number of Bleeding Sites Per Participant as Assessed by Bleeding on Probing

    Bleeding on probing (BOP) will be assessed, where each of 6 gingival areas (mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual) around each tooth will be gently swept by the periodontal probe just within the gingival sulcus of the implant and the presence or absence of bleeding will be recorded.

    Measured: Baseline

  8. Number of Bleeding Sites Per Participant as Assessed by Bleeding on Probing

    Bleeding on probing (BOP) will be assessed, where each of 6 gingival areas (mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual) around each tooth will be gently swept by the periodontal probe just within the gingival sulcus of the implant and the presence or absence of bleeding will be recorded.

    Measured: 6 weeks post treatment

  9. Number of Bleeding Sites Per Participant as Assessed by Bleeding on Probing

    Bleeding on probing (BOP) will be assessed, where each of 6 gingival areas (mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual) around each tooth will be gently swept by the periodontal probe just within the gingival sulcus of the implant and the presence or absence of bleeding will be recorded.

    Measured: 12 weeks post treatment

  10. Number of Sites With Plaque Per Participant

    Presence of plaque was evaluated at six sites (mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual) around the implant surface and the presence of plaque will be recorded.

    Measured: Baseline

  11. Number of Sites With Plaque Per Participant

    Presence of plaque was evaluated at six sites (mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual) around the implant surface and the presence of plaque will be recorded.

    Measured: 6 weeks post treatment

  12. Number of Sites With Plaque Per Participant

    Presence of plaque was evaluated at six sites (mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual) around the implant surface and the presence of plaque will be recorded.

    Measured: 12 weeks post treatment

  13. Max Probing Pocket Depth

    Periodontal pocket depth was measured from the free gingival margin to the base of the pocket, with a UNC periodontal probe with 1mm measurement units. It was assessed at 6 sites per implant: mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual. For each participant, the depth of the deepest of the 6 sites is reported.

    Measured: Baseline

  14. Max Probing Pocket Depth

    Periodontal pocket depth was measured from the free gingival margin to the base of the pocket, with a UNC periodontal probe with 1mm measurement units. It was assessed at 6 sites per implant: mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual. For each participant, the depth of the deepest of the 6 sites is reported.

    Measured: 6 weeks post treatment

  15. Max Probing Pocket Depth

    Periodontal pocket depth was measured from the free gingival margin to the base of the pocket, with a UNC periodontal probe with 1mm measurement units. It was assessed at 6 sites per implant: mesiobuccal, mid-buccal, distobuccal, distolingual, mid-lingual, and mesiolingual. For each participant, the depth of the deepest of the 6 sites is reported.

    Measured: 12 weeks post treatment

Secondary outcomes (4)
  1. Alpha Diversity as Indicated by Analysis of 16S rRNA Gene Data From Plaque Samples

    Plaque samples will be taken from the deepest probing site of each implant at baseline and 12 weeks after aPDT. To assess bacteria in the sample, the V4 region of the 16S rRNA gene will be PCR amplified and sequenced, and 16S rRNA gene data will then be analyzed to determine the alpha diversity of the microbiota community at the implant site. In this study, the minimum alpha diversity is 1 and the maximum is 2501. A higher alpha diversity indicates a higher number of bacterial or taxonomic "units" in the sample.

    Measured: Baseline

  2. Alpha Diversity as Indicated by Analysis of 16S rRNA Gene Data From Plaque Samples

    Plaque samples will be taken from the deepest probing site of each implant at baseline and 12 weeks after aPDT. To assess bacteria in the sample, the V4 region of the 16S rRNA gene will be PCR amplified and sequenced, and 16S rRNA gene data will then be analyzed to determine the alpha diversity of the microbiota community at the implant site. In this study, the minimum alpha diversity is 1 and the maximum is 2501. A higher alpha diversity indicates a higher number of bacterial or taxonomic "units" in the sample.

    Measured: 12 weeks post treatment

  3. Levels of Immunologic Biomarkers in Peri-implant Sulcular Fluid (PISF) Sample as Assessed by Multiplexed Fluorescent Bead-based Immunoassay

    PISF samples will be taken from six sites of each implant at baseline and 12 weeks after aPDT. The levels of interleukin IL-1a, IL-1b, IL-6, IL-8, IL-10, IL-12, IL-7A, tumor necrosis factor (TNF)-a, C-reactive protein, osteoprotegerin, leptin, and adiponectin will be determined using multiplex proteomic immunoassays.

    Measured: Baseline

  4. Levels of Immunologic Biomarkers in Peri-implant Sulcular Fluid (PISF) Sample as Assessed by Multiplexed Fluorescent Bead-based Immunoassay

    PISF samples will be taken from six sites of each implant at baseline and 12 weeks after aPDT. The levels of interleukin IL-1a, IL-1b, IL-6, IL-8, IL-10, IL-12, IL-7A, tumor necrosis factor (TNF)-a, C-reactive protein, osteoprotegerin, leptin, and adiponectin will be determined using multiplex proteomic immunoassays.

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Dec 2019
  2. Study start14 Feb 2020
  3. Primary completion6 Dec 2022
  4. Study completion6 Dec 2022

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04187053
Sponsor's protocol ID
HSC-DB-19-0873
Status last verified
Jan 2024
First submitted
26 Nov 2019
Last updated
21 Feb 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Conventional mechanical therapy, Saline and Methylene Blue in people with DENT IMPLANTS and LASER, run by The University of Texas Health Science Center, Houston at 1 site in United States.

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 7 inclusion and 3 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: finished, as of the sponsor's last update on 21 Feb 2024. 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 United States. 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. Some participants in this study may receive a placebo. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Probing Pocket Depth (time frame: Baseline). The study lists 15 primary outcomes in all. 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 21 Feb 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in