- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03262701
Adjunctive Hydrogen Peroxide for Periodontal Therapy (AHP)
November 29, 2022 updated by: Loma Linda University
Custom Tray Application of Peroxide Gel as an Adjunct to Scaling and Root Planing in the Treatment of Periodontitis: A 6-Month Randomized Trial
There have been many adjunctive treatments for the additional clinical benefits to scaling and root planing (SRP) in the treatment of chronic periodontitis.
Topical hydrogen peroxide (HP) delivered in a custom fabricated tray has been shown to improve pocket depth (PD) and inflammation.
The purpose of this study is to assess the adjunctive treatment outcome of HP gel in custom tray application in individuals with chronic periodontitis receiving SRP.
The purpose of this investigator-initiated study is to evaluate and compare the clinical effects of scaling and root planing (SRP) combined with local delivery of 1.7% hydrogen peroxide (HP) gel in customized trays to that of SRP alone.
Study Overview
Status
Terminated
Conditions
Detailed Description
Hydrogen peroxide (HP) has been used in for wound debridement and oral rinses in dentistry for a few decades.
It is widely available in a bottle of 3% in liquid.
The use of hydrogen peroxide in gel type in 1.7% as an adjunct to conventional periodontal therapy has been introduced but there are limited information on the efficacy.
The current study is to design to evaluate the adjunctive treatment outcome of hydrogen peroxide gel in custom tray application in individuals with chronic periodontitis receiving non surgical therapy, scaling and root planing(SRP).
To test the adjunct effect of HP gel in tray, there will be three parallel arms, one with the gel for the period of 26 week, one with the gel for 13 weeks and control group without the gel.
Study Type
Interventional
Enrollment (Actual)
42
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
Loma Linda, California, United States, 92354
- Loma Linda University Health
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 78 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Volunteers who can read and sign the Research Information and Consent Form
- Male and female adults, aged ≥18 years.
- The presence of twenty or more (at least 2 posterior teeth in contact per quadrant, one of which is a molar), natural teeth in a good state of repair with scorable surfaces.
- Show evidence of chronic periodontitis, minimum of one site with PD ≥5mm and Bleeding on Probing (BOP) in at least two quadrants and no mechanical debridement for six months prior to the start of the study.
- Agree to comply with the conditions and schedule of the study, i.e., willing to use the assigned products (see Treatment Phase and Standardize Oral Hygiene Instruction) according to instructions and be available for appointments.
- Agree not to have a dental prophylaxis, professional whitening treatment, or any other elective, non-emergency dental procedure (other than those provided) at any time during the study.
- Willing to refrain from using mouth rinses and tooth whitening products for the duration of the study.
Exclusion Criteria:
- Any systemic conditions or medication intake that can alter periodontal status (e.g. uncontrolled diabetes (with <3 month recent HbA1c of >8.5%), anti-seizure medication and immunosuppressants, and calcium channel blockers with clinical evidence of drug-influenced gingival enlargement)
- Immune-compromised state.
- Any current heavy smoking habits (>10 cigarettes/day)
- Any medical condition or history requiring prophylactic antibiotic coverage prior to dental treatment.
- Females who are lactating or pregnant (as determined by medical history) or planning to become pregnant for the duration of the study.
- Physical limitations/restrictions compromising oral hygiene procedures.
- The presence of significant oral soft tissue pathology and/or lesions associated with ill-fitting appliances or restorations.
- Tooth mobility associated with advanced periodontal disease (e.g. score of >2 using Miller Classification).
- Any temporomandibular joint disorders.
- Grossly carious, orthodontically banded, and third molars will not be included in the tooth count.
- The presence of any significantly tipped, crowded, or largely defective restorations.
- Any extreme adverse events relating to the use of hydrogen peroxide gel (e.g. prolonged
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Hydrogen Peroxide gel for 13weeks
Subjects will receive the standard of care which is conventional non-surgical therapy for chronic periodontitis and be given 1.7% hydrogen peroxide gel, oral, 0.75g, twice-daily for 15 minutes for 13 weeks.
|
13 weeks of twice-daily use of custom tray application of 1.7% peroxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis.
Other Names:
|
Experimental: Hydrogen Peroxide gel for 26weeks
Subjects will receive the standard of care which is conventional non-surgical therapy for chronic periodontitis and be given 1.7% hydrogen peroxide gel, oral, 0.75g, twice-daily for 15 minutes for 26 weeks.
|
26 weeks of twice-daily use of custom tray application of 1.7% peroxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis.
Other Names:
|
Other: Scaling and Root Planing
Subjects will receive the standard of care which is conventional non-surgical therapy for chronic periodontitis without any interventional hydrogen peroxide application in one or two visits.
|
Subjects will receive the standard of care which is conventional non-surgical therapy for chronic periodontitis without custom tray application of 1.7% peroxide gel
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Periodontal Pocket Depth Reduction
Time Frame: Change between baseline and Week 4
|
Periodontal pocket depth reduction as measured by the periodontal probe from the gingival margin to the bottom of the periodontal pocket measured in millimeters.
|
Change between baseline and Week 4
|
Periodontal Pocket Depth Reduction
Time Frame: Change between baseline and Week 13
|
Periodontal pocket depth reduction as measured by the periodontal probe from the gingival margin to the bottom of the periodontal pocket measured in millimeters.
|
Change between baseline and Week 13
|
Periodontal Pocket Depth Reduction
Time Frame: Change between baseline and Week 26
|
Periodontal pocket depth reduction as measured by the periodontal probe from the gingival margin to the bottom of the periodontal pocket measured in millimeters.
|
Change between baseline and Week 26
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Clinical Attachment Level
Time Frame: Change between baseline and Week 26
|
Change in clinical attachment level measured by using a periodontal probe with a stent used for reproducible reference in millimeters.
|
Change between baseline and Week 26
|
Change in Bleeding on Probing
Time Frame: Change between baseline and Week 26
|
Change in bleeding on probing measured by the presence of bleeding upon probing a periodontal pocket using a periodontal probe within 30 seconds measured in percentage.
|
Change between baseline and Week 26
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Yoon Jeong Kim, DDS, Loma Linda University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 2, 2018
Primary Completion (Actual)
February 8, 2021
Study Completion (Actual)
February 8, 2021
Study Registration Dates
First Submitted
August 22, 2017
First Submitted That Met QC Criteria
August 24, 2017
First Posted (Actual)
August 25, 2017
Study Record Updates
Last Update Posted (Actual)
December 21, 2022
Last Update Submitted That Met QC Criteria
November 29, 2022
Last Verified
November 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 5180025
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Periodontitis, Chronic
-
Columbia UniversityCompletedPeriodontal Diseases | Generalized Moderate Chronic Periodontitis | Generalized Severe Chronic PeriodontitisUnited States
-
Government College of Dentistry, IndoreUnknown
-
Jorge GamonalUnknown-Chronic PeriodontitisChile
-
Koite Health OyLithuanian University of Health Sciences; University of HelsinkiRecruitingPeriodontitis Chronic Generalized Moderate | Periodontitis Chronic Generalized SevereLithuania
-
Institute of Biophysics and Cell Engineering of...Belarusian Medical Academy of Post-Graduate EducationCompletedPeriodontitis, ChronicBelarus
-
Institute of Dental Sciences, Bareilly, Uttar Pradesh...UnknownCHRONIC PERIODONTITIS
-
Arab American University (Palestine)CompletedChronic Periodontitis, GeneralizedPalestinian Territory, occupied
-
alaaCompletedGeneralized Chronic Periodontitis
-
Universidade Estadual Paulista Júlio de Mesquita...CompletedChronic Periodontitis ComplexBrazil
-
Taibah UniversityCompletedChronic Periodontitis, Generalized
Clinical Trials on Hydrogen Peroxide Gel, 13 weeks
-
Universidade Federal do ParaCompletedColor | Bleaching SensitivityBrazil
-
University of Nove de JulhoUnknown
-
University of ChileCompleted
-
Wake Forest UniversityWithdrawn
-
Universidad IberoamericanaCompleted
-
Universidade IbirapueraFundação de Amparo à Pesquisa do Estado de São PauloUnknown
-
Federal University of UberlandiaCoordenação de Aperfeiçoamento de Pessoal de Nível Superior.; Fundação de Amparo...Completed
-
Universidade Federal do ParaCompletedTooth Discoloration | Tooth Sensitivity | Morphologic ChangeBrazil
-
Lawson Health Research InstituteRecruitingBasal Cell Carcinoma | Squamous Cell Carcinoma of Skin DifferentiatedCanada
-
University of MiamiCompleted