Hypogonadism, Male, Periodontitis
Conditions
Brief summary
The aim of this study is to assess if hypogonadic men with periodontitis benefit from testosterone replacement therapy before being submitted to periodontal treatment. Fifty hypogonadic men (Total Testosterone \<200ng/dL) will be recruited from the Clinics Hospital at Federal University of Paraná and subjected to periodontal evaluation by a trained and calibrated researcher. The subjects presenting with periodontitis (assessed by clinical parameters) will be randomly allocated to testosterone replacement therapy (TRT) group or placebo for 3 months. After that time, all patients will receive nonsurgical periodontal treatment, which will be reassessed after 45 days. Clinical parameters (such as probing depth, gingival and plaque index, clinical attachment loss, bleeding on probing), sub gingival plaque and gingival crevicular fluid will be collected at baseline, just before therapy and 45 days after therapy.
Interventions
Androgel (50mg testosterone), gel, daily
Placebo, gel, daily
Sponsors
Study design
Masking description
Placebo
Intervention model description
Placebo and TRT groups
Eligibility
Inclusion criteria
total testosterone \<200ng/dL in two assessments; at least 20 teeth present. \-
Exclusion criteria
systemic diseases such as hormonal, inflammatory and immune alterations. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CAL | 4.5 months | Clinical Attachment Loss |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PPD | 4.5months | probing pocket depth |
| BOP | 3months | bleeding on probing |
| Micro-organisms concentration | 4.5months | DNA hybridization - checkerboard |
| Concentration of inflammatory markers in crevicular fluid | 3months | Multiplex assay |
Countries
Brazil