Non-surgical Treatment of Peri-implant Mucositis: A Randomized Controlled Clinical Trial Comparing Standard Treatment and Comprehensive Treatment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Bleeding index change
研究概览
简要总结
This a Randomized Controlled Clinical Trial comparing two techniques for the nonsurgical treatment of peri-implant mucositis. The main objective of the present randomized controlled clinical trial is to determine whether the application of a novel treatment strategy for peri-implant mucositis could lead to significantly improved clinical parameters as compared to standard treatment. Half of the patients receives treatment with manual instruments and chlorhexidine gel 1%, half receives treatment with submucosal biofilm removal by erythritol powder.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 35 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects should have at least one implant (Renvert et al. 2009),
- •with bleeding on probing using a 0.2N probing force or spontaneous bleeding with local swelling (code 1, 2 or 3 as described in Corbella et al. 2011) and with bone resorption of no more of 1 mm (preferably no bone loss visible on radiographs) as evaluated through the use of standardized radiographs, taken with the use of an individualized radiograph holder in comparison with findings from radiographs taken immediately following placement of the implant prosthesis (similar to Renvert et al. 2009 and Algraffee et al. 2011).
- •females and males 35 to 65 years old; (IV) full mouth bleeding score % lower than 20%.
排除标准
- •systemic diseases that could affect the immune response or that could condition the bacterial colonization
- •use of anti-inflammatory prescription medications, or antibiotics within the preceding respectively 1 week and 3 months or during the study,
- •full-mouth plaque score (FMPS) >20%;
- •full-mouth bleeding score (FMBS) >20%,
- •smokers of more than 5 cigarettes a day,
- •Documented allergy or intolerance towards the components of the products used in the study,
- •Presence of active infection with suppuration.
- •Absence of periodontitis in the rest of the mouth
- •Pregnancy (certified by auto-declaration)
- •Patients suffering from upper respiratory tract infections, from chronic bronchitis
- •endocarditis, breast feeding, contagious disease, immune deficiency (neutropenia, angranulocytosis, diabetes, hemophilia), patients under treatment (radiotherapy, chemotherapy, antibiotics).
研究组 & 干预措施
Standard treatment
Manual treatment One application of Chlorhexidine 1% gel
干预措施: Chlorhexidine (Drug)
Comprehensive treatment
Supragingival biofilm removal with Erythritol air-powder Submucosal biofilm removal with Erythritol air-powder (30%-60% power)
干预措施: Air-powder (Device)
结局指标
主要结局
Bleeding index change
时间窗: 3 months
The primary outcome measure is the change in bleeding index between the baseline and the follow-up visit, on the basis of the following index: 0) no bleeding; 1) bleeding on probing without redness and swelling; 2) bleeding on probing, redness and swelling; and 3) spontaneous bleeding.
次要结局
- Limitations in daily activity(7 days)
- PPD changes(2 weeks, 1 month, 3, 6, 12, 24 months)
- Tissue level changes(2 weeks, 1 month, 3, 6, 12, 24 months)
- Marginal bone level changes(6 and 12 months)
- Pain perception: Visual Analogue Scale(Immediately after intervention)
- Taste sensation(7 days)
- PI changes(2 weeks, 1 month, 3, 6, 12, 24 months)
- BI changes(2 weeks, 1 month, 6, 12, 24 months)
- Taste alteration(7 days)