Comparing the Efficacy of Metronidazole and Minocycline Gels for the Treatment of Diabetic Periodontitis Patients
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ClinicalTrials.gov Identifier: NCT06027151 |
Recruitment Status :
Completed
First Posted : September 7, 2023
Last Update Posted : September 7, 2023
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Condition or disease | Intervention/treatment | Phase |
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Periodontitis Diabetes Mellitus | Drug: 1ml of 1% metronidazole gel Drug: 1ml of 2% minocycline gel Drug: 1ml of combination of 1% metronidazole gel and 2% minocycline | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 380 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Participant) |
Masking Description: | single blind, patient was unaware of which drug they were administered. It was done by covering the syringes with colored tapes |
Primary Purpose: | Treatment |
Official Title: | Comparing the Efficacy of Metronidazole and Minocycline Gels for the Treatment of Diabetic Periodontitis Patients |
Actual Study Start Date : | October 6, 2022 |
Actual Primary Completion Date : | July 31, 2023 |
Actual Study Completion Date : | July 31, 2023 |
Arm | Intervention/treatment |
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No Intervention: Scaling and root planning
Once the patients fulfill the inclusion criteria and are randomly assigned to this group, they undergo scaling and root planning by the consultant. Baseline values are recorded, and patients are advised oral hygiene instructions i.e., proper brushing and flossing. They are recalled after 7 and 15 days and all clinical parameters are rerecorded.
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Experimental: Scaling and root planning plus metronidazole gel
After fulfilling the inclusion criteria and randomly assigning to this group, they undergo scaling and root planning by the consultant. Baseline values are recorded, and 1ml of 1% metronidazole gel is applied subgingivally. The patients are instructed not to spit or rinse for at least one hour. Then patients are advised oral hygiene instructions i.e., proper brushing and flossing. They are recalled after 7 and 15 days and all clinical parameters are rerecorded.
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Drug: 1ml of 1% metronidazole gel
1ml of 1% metronidazole gel subgingivally at baseline visit |
Experimental: Scaling and root planning plus minocycline gel
After fulfilling the inclusion criteria and being randomly assigned to this group, the patients undergo scaling and root planning by the consultant. Baseline values are recorded, and 1ml of 2% minocycline gel is applied subgingivally. The patients are instructed not to spit or rinse for at least one hour. Then patients are advised oral hygiene instructions i.e., proper brushing and flossing. They are recalled after 7 and 15 days and all clinical parameters are rerecorded.
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Drug: 1ml of 2% minocycline gel
1ml of 2% minocycline gel sub gingivally at baseline visit |
Experimental: Scaling and root planning plus combination of metronidazole and minocycline gels
After fulfilling the inclusion criteria and being randomly assigned to this group, the patients undergo scaling and root planning by the consultant. Baseline values are recorded, 1ml of the combination of 1% metronidazole gel and 2% minocycline gel is applied subgingivally. The patients are instructed not to spit or rinse for at least one hour. Then patients are advised oral hygiene instructions i.e., proper brushing and flossing. They are recalled after 7 and 15 days and all clinical parameters are rerecorded.
|
Drug: 1ml of combination of 1% metronidazole gel and 2% minocycline
1ml of the combination of 1% metronidazole gel and 2% minocycline subgingivally at baseline visit |
- PERIODONTAL POCKET DEPTH (PPD) [ Time Frame: 15 days ]
Periodontal pocket depth was measured in mm using a WHO (CPITN) periodontal probe.
Baseline periodontal probing depth was measured before application of drug. It was remeasured on 7th day and 15th day. Reduction in probing depth indicates improvement on follow up visits.
- COLOR OF GINGIVA [ Time Frame: 15 days ]Color of gingiva is observed at baseline visit, on 7th day and 15th day. Healthy gingiva is coral pink in color while diseased gingiva is erythematous cyanotic.
- TEXTURE OF GINGIVA [ Time Frame: 15 days ]Texture of gingiva is observed at baseline visit, on 7th day and 15th day. Healthy gingiva is matte and stippled. Diseased gingiva is smooth and shiny.
- BLEEDING ON PROBING (BOP) [ Time Frame: 15 days ]It was determined whether the site was bleeding on probing or not. Bleeding on probing is observed on the baseline visit, 7th day, and 15th day. If the gingiva is not bleeding then it is considered as normal.
- CLINICAL ATTACHMENT Level [ Time Frame: 15 days ]
Distance from cementoenamel junction to depth of pocket is measured with the help of CPITN probe. Readings are taken on baseline visit, 7th day and 15th day. Severity index is as follows.
Healthy gingiva- 0mm CAL Mild: 1- or 2-mm CAL Moderate: 3- or 4-mm CAL Severe: ≥ 5mm CAL
- RECESIION OF GINGIVAL MARGIN: [ Time Frame: 15 days ]
Recession is measured from CEJ to margin of gingiva with the help of CPITN probe on baseline visit, 7th day and 15th day. Severity of disease is assessed as follows
CLASS I:
Marginal tissue recession that does not extend to the mucogingival junction. There is no loss of bone or soft tissue in the interdental area. This can be narrow or wide.
CLASS II:
Marginal tissue recession that extends to or beyond the mucogingival junction. There is no loss of bone or soft tissue in the interdental area. This can be narrow or wide.
CLASS III:
Marginal tissue recession that extends to or beyond the mucogingival junction. In addition, there is loss of bone and/or soft tissue in the interdental area or there is malpositioning of the tooth.
CLASS IV:
Marginal tissue recession that extends to or beyond the mucogingival junction with severe loss of bone and soft tissue interdentally and/or severe malpositioning of the tooth.
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Ages Eligible for Study: | Child, Adult, Older Adult |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Previously diagnosed diabetic patients on either hypoglycemics or insulin therapy suffering from periodontitis
Exclusion Criteria:
Pregnant or nursing mothers Patients with gestational diabetes Alcoholics Patients under any anti-inflammatory or antibiotic drugs (daily for ˃7 consecutive days) within the last two months of elimination before entering the study.
Known allergy to minocycline, or metronidazole. Periodontal surgeries in the past Smoking
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06027151
Pakistan | |
Islamic International Medical Collège, IIMC | |
Rawalpindi, Punjab, Pakistan, 44000 |
Principal Investigator: | Aeman Choudhary, BDS | Riphah International University, Rawalpindi |
Responsible Party: | Riphah International University |
ClinicalTrials.gov Identifier: | NCT06027151 |
Other Study ID Numbers: |
Riphah/IIMC/IRC/22/2070 |
First Posted: | September 7, 2023 Key Record Dates |
Last Update Posted: | September 7, 2023 |
Last Verified: | August 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | No |
Chronic periodontitis Minocycline gel Scaling and root planning |
Metronidazole gel Efficacy of local administration Diabetes mellitus |
Periodontitis Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Periodontal Diseases Mouth Diseases |
Stomatognathic Diseases Metronidazole Minocycline Anti-Infective Agents Anti-Bacterial Agents Antiprotozoal Agents Antiparasitic Agents |