Periodontitis
Conditions
Keywords
Periodontitis, Periodontal disease
Brief summary
A randomized clinical trial will be performed single-blind to evaluate the effectiveness of sublingual metronidazole hydrogel 25 % in periodontitis.
Detailed description
A randomized clinical trial will be performed single-blind to evaluate the effectiveness of sublingual metronidazole hydrogel 25 % in periodontitis in stage II and III. At least 40 volunteers between the age of 18 and 80, will be enlisted, with the need to perform the SRP. In half of the mouth will be used the metronidazole hydrogel 25%, while in the other half no drugs will be used of delivered. The study will be carried out in accordance with the Helsinki Declaration and the Protocol will be submitted to the Internal Review Board of the University to obtain authorization. Afterwards, the protocol will be recorded on the databa-se clinicaltrials.gov for clinical trials. The protocol respects the SPIRIT parameters for the compilation of protocols on clinical trials and the study will respect the parameters of CONSORT sta-tement on randomized clinical trials.
Interventions
scaling and root planning in adjunct to the use of metronidazole in the periodontal pocket
scaling and root planning
Sponsors
Study design
Eligibility
Inclusion criteria
* 10% of sites with survey depth 5 mm * Comparable pockets in 4 mouth quadrants * Health at systemic level
Exclusion criteria
* Changes in oral mucosa * Depth at the poll 5 mm * Presence of removable prostheses or orthodontic equipment * Allergies to even a single component of a product in testing• Antibiotic-based treatments during the 6 months preceding the start of testing * History of previous periodontal treatments in the 12 months preceding the start of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Concentration of OPG | baseline - 1 week | osteoprotegerin (pg/ml) |
| Concentration of IL6 | baseline - 1 week | interleukin (pg/ml) |
| Concentration of IL8 | baseline - 1 week | interleukin (pg/ml) |
| Concentration of IL17 | baseline - 1 week | interleukin (pg/ml) |
| Concentration of TNF alfa | baseline - 1 week | tumor necrosis factor alfa (pg/ml) |
| Concentration of RANK-L | baseline - 1 week | Receptor activator of nuclear factor kappa-Β ligand (pg/ml) |
| Concentration of MMP8 | baseline - 1 week | matrix metalloproteinases (ng/ml) |
| Concentration of MMP9 | baseline - 1 week | matrix metalloproteinases (ng/ml) |
| Concentration of IL1 | baseline - 1 week | interleukin (pg/ml) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PPD | baseline - 1 week | Probing Pocket Depth (mm) |
| GI | baseline - 1 week | gingival index (0-3) |
| FMPS | baseline - 1 week | full mouth plaque score (0-100%) |
| FMBS | baseline - 1 week | full mouth bleeding score (0-100%) |
| CAL | baseline - 1 week | clinical attack level (mm) |
Countries
Italy