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Locally Delivered 1% Metformin Gel in Peri-implantitis

Phase 4
Completed
Conditions
Peri-Implantitis
Interventions
Registration Number
NCT03312582
Lead Sponsor
King Saud University
Brief Summary

This study evaluates the efficacy of 1% local metformin gel in deep periimplant pockets of type 2 diabetes mellitus patients. Half of the participants will receive 1% metformin gel with manual debridement while the other half will receive a placebo with manual debridement.

Detailed Description

Metformin is an oral hypoglycemic drug categorized under biguanide and are considered the most efficient agents widely used in the treatment of type 2 diabetes mellitus.The general clinical benefits observed in therapy with MF seem to be greater than expected. They induce osteoblast cells to promote early bone formation through AMP kinase (AMPK) activity. Moreover, in a recent in vitro study, MF facilitated in the proliferation of MG63 osteoblast like cells. Thus, their action in stimulating bone formation has justified their use in the treatment of perimplantitis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
46
Inclusion Criteria
  • Type 2 diabetes mellitus patients.
  • Patients with peri-implantitis
Exclusion Criteria
  • History of any other systemic diseases
  • Cigarette smokers
  • Smokeless tobacco users
  • Patients who underwent scaling in the last 1 year
  • Patients who took antibiotics in tje past 6 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Manual debridement and placeboPlacebo-
Manual debridement and 1% metformin gel1% local metformin gel-
Primary Outcome Measures
NameTimeMethod
Peri-implant prpbing depth6 months

Will be measured with UNC-15 periodontal probe from crest of the gingival margin to the base of the peri-implant probing depth.

Marginal bone loss6 months

Marginal bone loss will be assessed on digital radiographs on calibrated computer screen.

Secondary Outcome Measures
NameTimeMethod
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