Reconstructive Treatment of Peri-implantitis With Electrolytic Decontamination Versus Titanium Brushes (Galvo vs mech)
Reconstructive Treatment of Peri-implantitis With Electrolytic Decontamination Versus Titanium Brushes: a Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Lucrezia Paterno Holtzman, DDS, MS
- Phone Number: +393398035371
- Email: lucreziaph@gmail.com
Study Contact Backup
- Name: Luca Cordaro, DDS MD
- Email: lucacordaro@usa.net
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Implants with peri-implantitis (defined according to 2017 World Workshop definitions)
- contained defects with infra osseous component amenable to reconstructive treatment
- fixed and removable superstructures
- patients with no systemic conditions affecting healing (uncontrolled diabetes mellitus, chronic corticosteroid use, autoimmune conditions affecting connective tissue)
- smoking more than 10 cigarettes
Exclusion Criteria:
- mobile implants
- non removable crowns (both cement or screw retained) that cannot be removed prior to surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Test: Electrolytic decontamination
Electrolytic decontamination with GalvoSurge (Straumann AG)
|
Electrolytic decontamination
Other Names:
|
|
Experimental: Control: Mechanical decontamination with rotating titanium brush
Mechanical rotating brush used with titanium curettes to remove hard tissue deposits from the implant surface
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Probing pocket depth
Time Frame: from baseline to 12, 24 months post-surgery
|
distance (mm) between marginal mucosa and bottom of probable pocket
|
from baseline to 12, 24 months post-surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
change in recession
Time Frame: baseline to 12 and 24 months post-op
|
change between baseline and 24 months (mm)
|
baseline to 12 and 24 months post-op
|
|
change in CAL
Time Frame: between baseline and 24 months
|
change in CAL between baseline and 24 months (mm)
|
between baseline and 24 months
|
|
Suppuration on probing (SoP)
Time Frame: baseline, 12, 24 months
|
Dichotomic variable
|
baseline, 12, 24 months
|
|
Bleeding on probing
Time Frame: baseline, 12, 24 months
|
Dichotomic variable (yes/ no)
|
baseline, 12, 24 months
|
|
Keratinized mucosa (KM)
Time Frame: baseline, 12, 24 months
|
continuous, measured in mm, from the margin of the mucosa to the mucogingival junction
|
baseline, 12, 24 months
|
|
Treatment Success
Time Frame: 24 months
|
Composite outcome comprising implant not lost, no more than 1 mm of buccal recession, no more than 5 mm of PPD, no SOP, no more than 1 bleeding spot on probing, no loss of crestal bone (mm)
|
24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Bosshardt DD, Brodbeck UR, Rathe F, Stumpf T, Imber JC, Weigl P, Schlee M. Evidence of re-osseointegration after electrolytic cleaning and regenerative therapy of peri-implantitis in humans: a case report with four implants. Clin Oral Investig. 2022 Apr;26(4):3735-3746. doi: 10.1007/s00784-021-04345-1. Epub 2022 Mar 4.
- Schlee M, Rathe F, Brodbeck U, Ratka C, Weigl P, Zipprich H. Treatment of Peri-implantitis-Electrolytic Cleaning Versus Mechanical and Electrolytic Cleaning-A Randomized Controlled Clinical Trial-Six-Month Results. J Clin Med. 2019 Nov 7;8(11):1909. doi: 10.3390/jcm8111909.
- Zipprich H, Weigl P, Di Gianfilippo R, Steigmann L, Henrich D, Wang HL, Schlee M, Ratka C. Comparison of decontamination efficacy of two electrolyte cleaning methods to diode laser, plasma, and air-abrasive devices. Clin Oral Investig. 2022 Jun;26(6):4549-4558. doi: 10.1007/s00784-022-04421-0. Epub 2022 Mar 24.
- Bernardi S, Qorri E, Botticelli G, Scarano A, Marzo G, Gatto R, Greco Lucchina A, Mortellaro C, Lupi E, Rastelli C, Falisi G. Use of electrical field for biofilm implant removal. Eur Rev Med Pharmacol Sci. 2023 Apr;27(3 Suppl):114-121. doi: 10.26355/eurrev_202304_31328.
- Zhu Y, Xu Y, Ling Z, Zhao C, Xu A, He F. The biofilm removal effect and osteogenic potential on the titanium surface by electrolytic cleaning: An in vitro comparison of electrolytic parameters and five techniques. Clin Oral Implants Res. 2024 Apr;35(4):454-466. doi: 10.1111/clr.14245. Epub 2024 Feb 12.
- Gianfreda F, Punzo A, Pistilli V, Bollero P, Cervino G, D'Amico C, Cairo F, Cicciu M. Electrolytic Cleaning and Regenerative Therapy of Peri-implantitis in the Esthetic Area: A Case Report. Eur J Dent. 2022 Oct;16(4):950-956. doi: 10.1055/s-0042-1750773. Epub 2022 Jul 4.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 0801
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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