AzTrials
AzTrials

Peri-ImplantitisNCT05275894

Non-surgical Electrolytic Cleaning Peri-implantitis

A study testing Implant hygiene instructions and removal of the prosthesis, Non-surgical peri-implantitis treatment /microsurgery and Implant surface decontamination 1(ultrasonic device) in people with Peri-Implantitis, run by Universidad Complutense de Madrid at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Electrolytic cleaning is a promising treatment for dental implant decontamination, but this mode of therapy has not yet been clinically tested as an adjunct to the non-surgical treatment of periimplantitis. 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?
Implant hygiene instructions and removal of the prosthesis, Non-surgical peri-implantitis treatment /microsurgery and Implant surface decontamination 1(ultrasonic device)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteSpain
Study dates
12 Oct 2022to 30 Dec 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

  • Male or female age > 18 years.
  • Presence of at least 1 implant with the diagnose of peri-implantitis (Berglundh et al. 2018; Renvert et al. 2018)
  • Peri-implant bone loss < 2/3
  • History of treated periodontal diseases (Caton 2018).
  • Screw retained prosthesis that can be easily unscrewed.
  • Prosthesis that allows access to biofilm control by the patient, or which can be modified accordingly.
  • Absence of implant mobility

Who cannot join

  • Systemic exclusion criteria
  • Pregnant or lactating women Non-surgical electrolytic cleaning CONFIDENTIAL
  • Patients chronically treated (i.e., two weeks or more) with any medication known to affect periodontal/peri-implant status (i.e., antibiotics intake within 3 months prior to the initiation)
  • Medical conditions requiring prolonged use of steroids and/or with medications that could interfere with bone metabolism.
  • History of leukocyte dysfunction and deficiencies.
  • History of neoplastic disease requiring the use of radiation or chemotherapy.
Show all 18Show fewer
  • Patients with chronic renal failure requiring dialysis.
  • Patients with metabolic bone disorders such as osteoporosis treated with antiresoptive medications.
  • History of uncontrolled endocrine disorders: hypothyroidism or diabetes.
  • Physical handicaps that would interfere with the ability to perform adequate oral hygiene or patients unable to use daily interproximal cleaning.
  • Alcoholism or drug abuse.
  • History of immunodeficiency syndromes.
  • Tobacco consumption (smoking more than 10 cigarettes per day)
  • Conditions or circumstances, which in the opinion of the investigator, would avoid the completion of study participation, or interfere with analysis of study results, such as history of non-compliance or unreliability, or do have any additional medical condition that contraindicates non-surgical treatment
  • Local exclusion criteria
  • Mucosal diseases such as erosive lichen planus in the area to be treated.
  • History of local irradiation therapy.
  • Implants with peri-implant bone loss beyond 2/3 of the implant length

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Ana Carrillo de Albornoz

    Madrid, 28040

Other trials in Spain

About this study

Official title: Non-surgical Treatment of Peri-implantitis With Electrolytic Cleaning: a Pilot Study

Electrolytic cleaning is a promising treatment for dental implant decontamination, but this mode of therapy has not yet been clinically tested as an adjunct to the non-surgical treatment of periimplantitis.

A prospective clinical and radiographic case series study will be performed to evaluate the clinical performance of the adjunctive use of electrolytic cleaning as an adjunct to a non-surgical therapy protocol that includes curettage of the peri-implant soft tissue. This is study is a proof of principle study, thus, a case series study is selected to start with. If the results of this case series study are favourable, a future study with a clinical trial design is then planned to do.

Read the detailed description

Electrolytic cleaning is a promising treatment for dental implant decontamination, but this mode of therapy has not yet been clinically tested as an adjunct to the non-surgical treatment of periimplantitis. Electrolytic cleaning is a promising treatment for dental implant decontamination, but this mode of therapy has not yet been clinically tested as an adjunct to the non-surgical treatment of periimplantitis.This is study is a proof of principle study, thus, a case series study is selected to start with. As this is a pilot study to test for the first time the electrolytic cleaning under non-surgical therapy, the sample size has been estimated in a minimum of 25 patients. If the results of this case series study are favourable, a future study with a clinical trial design is then planned to do.

Therapeutic success is defined as as a composite index (Sanz \& Chapple 2012 criteria of disease resolution) that includes: (1) probing pocket depth < 5 mm, (2) no bleeding on probing/suppuration and (3) no additional bone loss, at 6 and 12 months). Secondary objectives are: Changes in the clinical outcomes measurements.Changes in the radiological outcomes measurements. Changes in the patient-reported outcomes (PROMs). Evaluation of the outcomes related to the prosthetic restoration.

This study will be carried out in the following centers:

  • Postgraduate Periodontal Clinic at the Faculty of Odontology-Universidad Complutense of Madrid (Spain)
  • CEOSA-Madrid Private Dental Centre

After the non-surgical therapy, patients will be recalled for control visits, with supra- gingival removal of biofilm with air polishing without anaesthesia at:

  • 3 months.
  • 6 months.
  • 12 months. After non-surgical therapy, patients will be included in a strict peri-implant maintenance therapy program to avoid re-contamination of the affected implants. Removal of biofilm with air polishing without anaesthesia and oral hygiene instruction reinforcement will be performed at: 3 months, 6 months, 9 months and 12 months.
Being tested
Implant hygiene instructions and removal of the prosthesis, Non-surgical peri-implantitis treatment /microsurgery, Implant surface decontamination 1(ultrasonic device), Implant surface decontamination 2 (air polishing), Implant surface decontamination 3 (electrolytic cleaning)
Keywords
Peri-implantitis, Electrolytic cleaning, Implant decontamination, Non-surgical treatment
Medical subject headings
Peri-Implantitis

What participants receive

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

  • Implant hygiene instructions and removal of the prosthesisBehavioural

    Verbal instructions on implant hygiene practices and removal of the implant supported prosthesis

  • Non-surgical peri-implantitis treatment /microsurgeryProcedure or surgery

    Removal of the granulation tissue and mucosa and bone defect curettage with a steel curette 4R/4L (Hu-Friedy, Chicago, IL, USA) after applying local anestesia

  • Implant surface decontamination 1(ultrasonic device)Procedure or surgery

    Removal of supra and submucosal calculus with slim ultrasonic devices (Piezon PS instrument EMS; Nyon, Swiss).

  • Implant surface decontamination 2 (air polishing)Procedure or surgery

    Erythritol air powder-spray system (Air-flow ® master piezon, EMS, Nyon swiss) implant surface treatment. This will be performed by separating the soft tissue with the aim of a periodontal probe (CP 15, Hu-Friedy, Chicago, IL, USA).

  • Implant surface decontamination 3 (electrolytic cleaning)Procedure or surgery

    Electrolytic cleaning of the implant surface following manufacturer's instructions (GalvoSurge Dental AG, Widnau, Switzerland), with the help of a non-metal periodontal probe to separate the soft tissues and aim the implant surface in all its length.

  • Antibiotic treatment (Metronidazole)Drug

    Also called Metronidazole

    Antibiotic treatment (Metronidazole 500 mg, every day/ 7 day).

  • Modification and polishing of the prosthesisProcedure or surgery

    If necessary, modification and polishing of the prosthesis to make it cleanable.

Study groups in NCT05275894
Study groupRoleWhat they receive
Non-surgical electrolytic cleaningExperimental* Implant hygiene instructions and removal of the prosthesis * Local anaesthesia * Removal of the granulation tissue and mucosa and bone defect curettage with a steel curette 4R/4L (Hu-Friedy, Chicago, IL, USA) * Removal of supra and submucosal calculus with slim ultrasonic devices (Piezon PS instrument EMS; Nyon, Swiss). * Erythritol air powder-spray system (Air-flow ® master piezon, EMS, Nyon swiss) implant surface treatment. This will be performed by separating the soft tissue with the aim of a periodontal probe (CP 15, Hu-Friedy, Chicago, IL, USA). * Electrolytic cleaning of the implant surface following manufacturer's instructions (GalvoSurge Dental AG, Widnau, Switzerland), with the help of a non-metal periodontal probe to separate the soft tissues and aim the implant surface in all its length. * Antibiotic treatment (Metronidazole 500 mg, every day/ 7 day). * If necessary, modification and polishing of the prosthesis to make it cleanable.
Receives: Behavioral: Implant hygiene instructions and removal of the prosthesis; Procedure: Non-surgical peri-implantitis treatment /microsurgery; Procedure: Implant surface decontamination 1(ultrasonic device); Procedure: Implant surface decontamination 2 (air polishing); Procedure: Implant surface decontamination 3 (electrolytic cleaning); Drug: Antibiotic treatment (Metronidazole); Procedure: Modification and polishing of the prosthesis

What is being measured

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

  1. Peri-implant disease resolution at 6 month

    Probing depth < 5 mm, with absence of bleeding or suppuration and no additional bone loss (Sanz \& Chapple 2012)

    Measured: 6 months

  2. Peri-implant disease resolution at 12 month

    Probing depth < 5 mm, with absence of bleeding or suppuration and no additional

    Measured: 12 months

Secondary outcomes (18)
  1. Implant survival rate at 6 months

    Survival of installed implants as defined by Misch et al., 2007: presence in the mouth, no mobility, no pain upon function, radiographic bone loss less than 1⁄2, no uncontrolled infection.

    Measured: 6 months

  2. Implant survival rate at 12 months

    Survival of installed implants as defined by Misch et al., 2007: presence in the mouth, no mobility, no pain upon function, radiographic bone loss less than 1⁄2, no uncontrolled infection.

    Measured: 12 months

  3. Implant plaque index at 6 months

    Implant plaque index (PI) (at 6 sites/implant)(+/-).

    Measured: 6 months

  4. Implant plaque index at 12 months

    Implant plaque index (PI) (at 6 sites/implant)(+/-).

    Measured: 12 months

  5. Peri-implant probing depth at 6 months

    Peri-implant probing depth (PD) (at 6 sites/implant) recorded using a CPC-15 periodontal probe at 6 sites/implant (Hu-Friedy, Leinmen, Germany).

    Measured: 6 months

  6. Peri-implant probing depth at 12 months

    Peri-implant probing depth (PD) (at 6 sites/implant) recorded using a CPC-15 periodontal probe at 6 sites/implant (Hu-Friedy, Leinmen, Germany).

    Measured: 12 months

  7. Bleeding on probing at 6 months

    Bleeding on probing (BOP) from the peri-implant mucosa (measured at 6 sites/implant) (+/-).

    Measured: 6 months

  8. Bleeding on probing at 12 months

    Bleeding on probing (BOP) from the peri-implant mucosa (measured at 6 sites/implant) (+/-).

    Measured: 12 months

  9. Suppuration at 6 months

    Presence or absence of suppuration from the peri-implant mucosa (measured at 6 sites/implant) (+/-) nice, regular, unpleasant, very unpleasant).

    Measured: 6 months

  10. Suppuration at 12 months

    Presence or absence of suppuration from the peri-implant mucosa (measured at 6 sites/implant) (+/-)

    Measured: 12 months

  11. Recession of the mucosal margin at 6 months

    Recession of the mucosal margin, keratinized mucosa (at 6 sites/implant) (+/-).recorded using a CPC-15 periodontal probe at 6 sites/implant (Hu-Friedy, Leinmen, Germany).

    Measured: 6 months

  12. Recession of the mucosal margin at 12 months

    Recession of the mucosal margin, keratinized mucosa (at 6 sites/implant) (+/-).recorded using a CPC-15 periodontal probe at 6 sites/implant (Hu-Friedy, Leinmen, Germany).

    Measured: 12 months

  13. Bone loss at 6 months

    Distance between bone crest and implant shoulder at mesial and distal site. For standardization of the periapical radiographs the same film holder-beam aiming device will be applied to each treated implant (i.e. Rinn System, RWT window x-ray system or Non-surgical electrolytic cleaning CONFIDENTIAL similar). The radiographs will be taken with the film placed parallel to the implants and the x-ray beam directed perpendicular to the implants. The quality/contrast should be good enough to clearly identify the complete implant and its essential structures.

    Digital radiographs will be evaluated using a software (OsiriX Imaging Software, Pixmeo, Geneva, Switzerland) calibrating the distances with implant wide and length.

    Measured: 6 months

  14. Bone loss at 12 months

    Distance between bone crest and implant shoulder at mesial and distal site. For standardization of the periapical radiographs the same film holder-beam aiming device will be applied to each treated implant (i.e. Rinn System, RWT window x-ray system or Non-surgical electrolytic cleaning CONFIDENTIAL similar). The radiographs will be taken with the film placed parallel to the implants and the x-ray beam directed perpendicular to the implants. The quality/contrast should be good enough to clearly identify the complete implant and its essential structures.

    Digital radiographs will be evaluated using a software (OsiriX Imaging Software, Pixmeo, Geneva, Switzerland) calibrating the distances with implant wide and length.

    Measured: 12 months

  15. Patient centred outcomes of the electrolytic cleaning after 6 months

    Patient centred outcomes of the electrolytic cleaning with a 5 options semi-quantitative scale (very nice, nice, regular, unpleasant, very unpleasant).

    Measured: 6 months

  16. Patient centred outcomes of the electrolytic cleaning after 12 months

    Patient centred outcomes of the electrolytic cleaning with a 5 options semi-quantitative scale (very nice, nice, regular, unpleasant, very unpleasant).

    Measured: 12 months

  17. Overall satisfaction after 6 months

    Overall satisfaction on a 5 options semi-quantitative scale (very nice, nice, regular, unpleasant, very unpleasant).

    Measured: 6 months

  18. Overall satisfaction after 12 months

    Overall satisfaction on a 5 options semi-quantitative scale (very nice, nice, regular, unpleasant, very unpleasant).

    Measured: 12 months

Timeline

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

  1. First posted11 Mar 2022
  2. Study start12 Oct 2022
  3. Primary completion30 Mar 2024 (estimated)
  4. Study completion30 Dec 2024 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05275894
Sponsor's protocol ID
UCM ACA
Status last verified
Oct 2023
First submitted
2 Feb 2022
Last updated
24 Nov 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Implant hygiene instructions and removal of the prosthesis, Non-surgical peri-implantitis treatment /microsurgery and Implant surface decontamination 1(ultrasonic device) in people with Peri-Implantitis, run by Universidad Complutense de Madrid at 1 site in Spain.

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 18 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 24 Nov 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 Spain. 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?

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?

Peri-implant disease resolution at 6 month (time frame: 6 months). The study lists 2 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 24 Nov 2023.

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