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Peri-Implantitis and Peri-implant MucositisNCT06619158

Effectiveness of Zirconia Glaze Removal and Polish in the Treatment of Peri-implant Mucositis

A study testing Crown modification in people with Peri-Implantitis and Peri-implant Mucositis, run by University of Manitoba at 1 site in Canada.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This clinical trial is being conducted to study peri-implant mucositis (inflammation in the gums around dental implant that does not extend into the implant-supporting bone). There are currently no available treatment options able to provide long-term resolution of implant gum inflammation even with our current gold… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Crown modification
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteCanada
Study dates
1 Nov 2024to 30 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 1 single screw-retained zirconia glazed implant crown which is in function for at least 1 year, with adequate contact points, submucosal crown margins, no adjacent implants, adequate keratinized tissue (2mm or more), and peri-implant mucositis that persists despite recent (within the past 6 months) non-surgical debridement

Who cannot join

  • Contraindications to routine dental treatment Open interproximal contacts, splinted implant prosthesis, peri-implant health, peri-implantitis, cemented crown , removable implant prosthesis, recession past the implant platform Systemic antibiotic use within the last 2 weeks heavy smokers (more than 10 cigarettes/day) uncontrolled diabetes (HbA1C more than 7.0%)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Chrysi Stavropoulou, DDS, MDent(Perio) contact

204-272-3075

chrysi.stavropoulou@umanitoba.ca

Daniel Su, DMD contact

2047893426

sud4@myumanitoba.ca

Canada1 site
  • Dr Sam Borden Periodontology Specialty Clinic

    Winnipeg, Manitoba, R3E 0W2

    Daniel Su, DMD, 204-789-3426, perio.clinic@umanitoba.ca

Other trials in Canada

About this study

Official title: Long-term Effectiveness of Zirconia Glaze Removal and Polish As an Adjunct to Non-surgical Therapy in Treatment of Persistent Peri-implant Mucositis

This clinical trial is being conducted to study peri-implant mucositis (inflammation in the gums around dental implant that does not extend into the implant-supporting bone). There are currently no available treatment options able to provide long-term resolution of implant gum inflammation even with our current gold standard treatment of non-surgical cleanings and oral hygiene instructions. The purpose of the study is to compare the effect of crown glaze removal and subsequent polishing in addition to mechanical debridement compared to only mechanical debridement on the implant affected by implant gum inflammation.

In this study, participants will be randomized (put into a group by chance) into one of 2 study groups, groups A and B.

Read more

Group A: The implant crown will be cleaned with titanium scaling instruments and powered instruments. The screw-retained crown will be removed and the remaining build-up on the crown will be photographed. The crown will then be sent to a lab technician who will remove the glaze and polish the crown only in the areas that sit under the gums.

Group B: The implant crown will be cleaned with titanium scaling instruments and powered instruments. The screw-retained crown will be removed and the remaining build-up on the crown will be photographed. The crown will then be sent to a lab technician to perform a superficial cleaning only.

In both groups, the crown will be placed back on the implant and customized oral hygiene instructions will be provided.

The study will require four appointment. Appointment #1 is the screening appointment and will take 30-60 minutes. Appointment #2 is when treatment is delivered and will occur within 4 weeks of appointment #1. Appointment #3 is for the short-term follow-up and will occur within 60-70 days of appointment #2. Appointment #4 is for the long-term follow-up and will occur within 12-13 months of appointment #2. All these appointment will be in an outpatient setting at the institutional graduate periodontics clinic.

A total of 2 x-rays will be taken of the implant. One will be taken during appointment #1 to assess the bone around the implant. One will be taken during appointment #2 to ensure that the crown is fully seated when the crown is re-inserted.

The following information will be collected in appointment #1: gum measurements around the implants, how tight the implant contacts adjacent teeth, when the crown was delivered, previous cleanings around the implant, age, sex, gender, previous systemic antibiotic use in the last 2 weeks, smoking habits, presence of diabetes and HbA1C values.

At appointments #2, 3, and 4, the following information will be collected: plaque around implant, gum measurements around implants, previous systemic antibiotic use in the last 2 weeks, smoking habits, presence of diabetes and HbA1C values, gum fluid samples around the implant crown. In appointment #4, additionally, information on how the implant has been cleaned throughout the year will be collected.

Read the detailed description

The study's objectives are:

  1. To determine whether a smooth crown surface (\<0.2 μm Ra) can be established in-vitro after glaze removal and polishing based on adapted protocol from Go et al., 2019.
  2. To determine the effectiveness of submucosal non-surgical hand and powered instrumentation in removal of plaque and calculus.
  3. To assess the short- and long-term effectiveness of submucosal zirconia glaze removal and polishing as an adjunct to non-surgical therapy for treatment of persistent peri-implant mucositis. The null hypothesis is that the polishing protocol will not produce any significant differences in the resolution of inflammation compared to crown removal as part of the non-surgical debridement.
Being tested
Crown modification
Keywords
zirconia glaze removal, crown modification
Medical subject headings
Peri-Implantitis

What participants receive

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

  • Crown modificationProcedure or surgery

    Zirconia glaze removal and polish after crown removal to reduce roughness and prohibit plaque adhesion

Study groups in NCT06619158
Study groupRoleWhat they receive
Group AExperimentalCrown modification with glaze removal and polish of implant crown
Receives: Procedure: Crown modification
Group BNo interventionNo intervention will be applied. The crown will be removed and superficially cleaned

What is being measured

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

  1. mBI long term

    modified Bleeding index (mBI) around the implant long term (12 months following treatment)

    Measured: 12 months following treatment

  2. mBI short term

    modified bleeding index (mBI) around the implant short term (60-70 days following treatment)

    Measured: 60-70 days following treatment

  3. residual plaque and calculus

    % of plaque and calculus on the subgingival surface of crown

    Measured: baseline

Secondary outcomes (28)
  1. PI long term

    plaque index (PI) around implant long term

    Measured: 12 months following treatment

  2. PD short term

    probing depth (PD) around implant short term

    Measured: 60-70 days following treatment

  3. PD long term

    probing depth (PD) around implant long term

    Measured: 12 months following treatment

  4. PI short term

    plaque index (PI) around implant short term

    Measured: 60-70 days following treatment

  5. IL-1β baseline

    level of IL-1β in the peri-implant crevicular fluid

    Measured: baseline

  6. IL-1β short-term

    level of IL-1β in the peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  7. IL-1β long-term

    level of IL-1β in the peri-implant crevicular fluid

    Measured: 12 months following treatment

  8. INF-γ baseline

    level of INF-γ in the peri-implant crevicular fluid

    Measured: baseline

  9. INF-γ short-term

    level of INF-γ in the peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  10. INF-γ long-term

    level of INF-γ in the peri-implant crevicular fluid

    Measured: 12 months following treatment

  11. IL-2 baseline

    level of IL-2 in peri-implant crevicular fluid

    Measured: baseline

  12. IL-2 short-term

    level of IL-2 in the peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  13. IL-2 long-term

    level of IL-2 in the peri-implant crevicular fluid

    Measured: 12 months following treatment

  14. IL-4 baseline

    level of IL-4 in the peri-implant crevicular fluid

    Measured: baseline

  15. IL-4 short-term

    level of peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  16. IL-4 long-term

    level of IL-4 in the peri-implant crevicular fluid

    Measured: 12 months following treatment

  17. IL-6 baseline

    level of IL-6 in peri-implant crevicular fluid

    Measured: baseline

  18. IL-6 short-term

    level of IL-6 in peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  19. Il-6 long-term

    level of IL-6 in the peri-implant crevicular fluid

    Measured: 12 months following treatment

  20. IL-8 baseline

    level of IL-8 in peri-implant crevicular fluid

    Measured: baseline

  21. IL-8 short-term

    level of IL-8 in peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  22. IL-8 long-term

    level of IL-8 in peri-implant crevicular fluid

    Measured: 12 months following treatment

  23. IL-10 baseline

    level of IL-10 in peri-implant crevicular fluid

    Measured: baseline

  24. IL-10 short term

    level of IL-10 in peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  25. IL-10 long-term

    level of IL-10 in peri-implant crevicular fluid

    Measured: 12 months following treatment

  26. TNF-α baseline

    level of TNF-α in peri-implant crevicular fluid

    Measured: baseline

  27. TNF-α short-term

    level of TNF-α in peri-implant crevicular fluid

    Measured: 60-70 days following treatment

  28. TNF-α long-term

    level of TNF-α in the peri-implant crevicular fluid

    Measured: 12 months following treatment

Timeline

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

  1. First posted1 Oct 2024
  2. Study start1 Nov 2024 (estimated)
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Dec 2026 (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
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
44 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06619158
Sponsor's protocol ID
H2024:048
Status last verified
Sep 2024
First submitted
26 Sep 2024
Last updated
1 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Yu P, Wang C, Zhou J, Jiang L, Xue J, Li W. Influence of Surface Properties on Adhesion Forces and Attachment of Streptococcus mutans to Zirconia In Vitro. Biomed Res Int. 2016;2016:8901253. doi: 10.1155/2016/8901253. Epub 2016 Nov 15.

    PubMed 27975061
  • Tete S, Zizzari VL, Borelli B, De Colli M, Zara S, Sorrentino R, Scarano A, Gherlone E, Cataldi A, Zarone F. Proliferation and adhesion capability of human gingival fibroblasts onto zirconia, lithium disilicate and feldspathic veneering ceramic in vitro. Dent Mater J. 2014;33(1):7-15. doi: 10.4012/dmj.2013-185.

    PubMed 24492105
  • Tajti P, Solyom E, Czumbel LM, Szabo B, Fazekas R, Nemeth O, Hermann P, Gerber G, Hegyi P, Mikulas K. Monolithic zirconia as a valid alternative to metal-ceramic for implant-supported single crowns in the posterior region: A systematic review and meta-analysis of randomized controlled trials. J Prosthet Dent. 2024 Nov;132(5):881-889. doi: 10.1016/j.prosdent.2023.05.006. Epub 2023 Jun 21.

    PubMed 37349158
  • Sirinirund B, Siqueira R, Li J, Mendonca G, Zalucha J, Wang HL. Effects of crown contour on artificial biofilm removal efficacy with interdental cleaning aids: An in vitro study. Clin Oral Implants Res. 2023 Aug;34(8):783-792. doi: 10.1111/clr.14105. Epub 2023 Jun 3.

    PubMed 37269176
  • Scotti R, Zanini Kantorski K, Scotti N, Monaco C, Valandro LF, Bottino MA. Early biofilm colonization on polished- and glazed-zirconium ceramic surface. Preliminary results. Minerva Stomatol. 2006 Sep;55(9):493-502. English, Italian.

    PubMed 17146428
  • Renvert S, Hirooka H, Polyzois I, Kelekis-Cholakis A, Wang HL; Working Group 3. Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants - Consensus report of working group 3. Int Dent J. 2019 Sep;69(Suppl 2):12-17. doi: 10.1111/idj.12490.

    PubMed 31478575
  • Priest G. A Current Perspective on Screw-Retained Single-Implant Restorations: A Review of Pertinent Literature. J Esthet Restor Dent. 2017 May 6;29(3):161-171. doi: 10.1111/jerd.12283. Epub 2017 Jan 23.

    PubMed 28112854
  • Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987 Dec;2(4):145-51. doi: 10.1111/j.1399-302x.1987.tb00298.x. No abstract available.

    PubMed 3507627
  • Menezes KM, Fernandes-Costa AN, Silva-Neto RD, Calderon PS, Gurgel BC. Efficacy of 0.12% Chlorhexidine Gluconate for Non-Surgical Treatment of Peri-Implant Mucositis. J Periodontol. 2016 Nov;87(11):1305-1313. doi: 10.1902/jop.2016.160144. Epub 2016 Jul 8.

    PubMed 27389963
  • Lee CT, Huang YW, Zhu L, Weltman R. Prevalences of peri-implantitis and peri-implant mucositis: systematic review and meta-analysis. J Dent. 2017 Jul;62:1-12. doi: 10.1016/j.jdent.2017.04.011. Epub 2017 May 3.

    PubMed 28478213
  • Kim W, Li XC, Bidra AS. Clinical outcomes of implant-supported monolithic zirconia crowns and fixed partial dentures: A systematic review. J Prosthodont. 2023 Feb;32(2):102-107. doi: 10.1111/jopr.13575. Epub 2022 Aug 18.

    PubMed 35929416
  • Katafuchi M, Weinstein BF, Leroux BG, Chen YW, Daubert DM. Restoration contour is a risk indicator for peri-implantitis: A cross-sectional radiographic analysis. J Clin Periodontol. 2018 Feb;45(2):225-232. doi: 10.1111/jcpe.12829. Epub 2017 Dec 5.

    PubMed 28985447
  • Jepsen S, Berglundh T, Genco R, Aass AM, Demirel K, Derks J, Figuero E, Giovannoli JL, Goldstein M, Lambert F, Ortiz-Vigon A, Polyzois I, Salvi GE, Schwarz F, Serino G, Tomasi C, Zitzmann NU. Primary prevention of peri-implantitis: managing peri-implant mucositis. J Clin Periodontol. 2015 Apr;42 Suppl 16:S152-7. doi: 10.1111/jcpe.12369.

    PubMed 25626479
  • Heitz-Mayfield LJ, Salvi GE, Botticelli D, Mombelli A, Faddy M, Lang NP; Implant Complication Research Group. Anti-infective treatment of peri-implant mucositis: a randomised controlled clinical trial. Clin Oral Implants Res. 2011 Mar;22(3):237-41. doi: 10.1111/j.1600-0501.2010.02078.x. Epub 2011 Jan 20.

    PubMed 21251076
  • Hallstrom H, Persson GR, Lindgren S, Olofsson M, Renvert S. Systemic antibiotics and debridement of peri-implant mucositis. A randomized clinical trial. J Clin Periodontol. 2012 Jun;39(6):574-81. doi: 10.1111/j.1600-051X.2012.01884.x.

    PubMed 22571225

Questions about this trial

What is this clinical trial studying?

A study testing Crown modification in people with Peri-Implantitis and Peri-implant Mucositis, run by University of Manitoba at 1 site in Canada.

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 1 inclusion and 1 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: opening soon, as of the sponsor's last update on 1 Oct 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 Canada. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Chrysi Stavropoulou, DDS, MDent(Perio) (204-272-3075, chrysi.stavropoulou@umanitoba.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

mBI long term (time frame: 12 months following treatment). The study lists 3 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 NCT06619158, which also lists 21 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 1 Oct 2024.

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