Peri-implantitis and Systemic Inflammation (LASSO)
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ClinicalTrials.gov Identifier: NCT05964127 |
Recruitment Status :
Recruiting
First Posted : July 27, 2023
Last Update Posted : July 27, 2023
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To investigate the effects of peri-implantitis (a disease around dental implants) and its treatment at both local and systemic levels using clinical and biological parameters.
One study with two parts which will run simultaneously. An initial observational study comparing cases and controls and a subsequent interventional study in which the cases will proceed to treatments and all participants will be followed up for 6 months.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Peri-Implantitis and Systemic Inflammation | Device: Air flow device Other: Hand instruments Procedure: Access flap surgery | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 138 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Local and Systemic Effects of Peri-implantitis and Its Treatment (LASSO). A Randomised Controlled Clinical Trial |
Actual Study Start Date : | July 19, 2023 |
Estimated Primary Completion Date : | July 31, 2025 |
Estimated Study Completion Date : | December 31, 2025 |
Arm | Intervention/treatment |
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Active Comparator: Group A - Non-surgical hand instruments
After appropriate local anaesthesia of the treatment site supragingival, subgingival and implant surface debridement will be undertaken with Hu-Friedy titanium implant hand instruments only. Any remaining supragingival deposits will be polished using a contra-angle handpiece, rubber cup and Cleanic polishing paste.
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Other: Hand instruments
Periodontal hand instruments |
Active Comparator: Group B - Non-surgical Air-flow
After appropriate local anaesthesia of the treatment site supragingival, subgingival and implant surface debridement will be undertaken using EMS PerioFlow with Plus powder (Erythritol) and supplemented with EMS Piezon and EMS AirFlow and Plus powder as required.
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Device: Air flow device
An air/powder device for surface decontamination |
Active Comparator: Group C - Surgical Air-flow
After appropriate local anaesthesia of the treatment site a full thickness mucoperiosteal flap will be raised to adequately expose the tissue defect. Supragingival, subgingival and implant surface debridement will be undertaken using EMS PerioFlow with Plus powder (Erythritol) and supplemented with EMS Piezon and EMS AirFlow and Plus powder as required.
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Device: Air flow device
An air/powder device for surface decontamination Procedure: Access flap surgery To improve the surgical access for implant decontamination |
- Inflammation [ Time Frame: 6-months after treatment ]Serum CRP
- Inflammation [ Time Frame: Baseline, 3 and 6-months after treatment ]IL-6
- Endothelial Function [ Time Frame: Baseline, 3 and 6 months after treatment ]FMD
- OCT [ Time Frame: Baseline, 3 and 6 months after treatment ]Gingival epithelial inflammatory status using Optical Coherence Tomography (OCT)
- Blood flow [ Time Frame: Baseline, 3 and 6 months ]Gingival vascularity using Laser Speckle Contrast Imager (LSCI)
- Gingival tissue thickness [ Time Frame: Baseline, 3 and 6 months after treatment ]Ultrasound gingival assessment
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- At least 18 years of age and in good general health
- A minimum of 20 teeth
- Participants must have at least one implant in situ with peri-implantitis as per its case definition
- Must voluntarily agree to sign the consent form
Exclusion Criteria:
- Currently on any weight reduction program
- History of diabetes
- Uncontrolled or currently undergoing treatment for systemic medical conditions
- Chronic treatment (defined as 2 weeks or more) of antibiotic, anti-inflammatory or anticoagulant therapy during the month preceding the baseline assessment
- Taking statins drugs
- History of alcohol or drug abuse
- Self-reported pregnancy or breastfeeding
- Patients who have active periodontitis as per its case definition and/or have had treatment for periodontitis within the last 1 year
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): NCT05964127
Contact: Jeanie Suvan | +442034561108 | j.suvan@ucl.ac.uk |
United Kingdom | |
University College London | Recruiting |
London, United Kingdom | |
Contact: Jean Suvan j.suvan@ucl.ac.uk | |
Contact: Francesco D'Aiuto f.daiuto@ucl.ac.uk | |
Principal Investigator: Francesco D'Aiuto | |
Sub-Investigator: Jeanie Suvan | |
Sub-Investigator: Marco Orlandi | |
Sub-Investigator: Yumeng Yan |
Responsible Party: | Prof Francesco D'Aiuto, Professor & Head of Department of Periodontology, Eastman Dental Insitute and Hospital |
ClinicalTrials.gov Identifier: | NCT05964127 |
Other Study ID Numbers: |
EDGE ID 124712 |
First Posted: | July 27, 2023 Key Record Dates |
Last Update Posted: | July 27, 2023 |
Last Verified: | July 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Peri-Implantitis Inflammation Pathologic Processes |
Periodontal Diseases Mouth Diseases Stomatognathic Diseases |