- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03499184
Adjunctive Probiotics in Chronic Periodontitis
March 10, 2019 updated by: Sana Ikram, MPhil Trainee, Ziauddin Hospital
Effect of Probiotic Along With Scaling and Root Planing in the Treatment of Chronic Periodontitis
This study will assess clinical and microbiological efficacy of probiotics and antibiotics in patients of chronic periodontitis as an adjunctive to scaling and root planing (SRP) in reducing bacterial count and in improving clinical periodontal parameters over the period of 12 weeks.Also the comparison between these adjunctives will be made for clinical assessment clinical periodontal parameters will be taken .these
parameters plaque index (PI), gingival index (GI), clinical attachment loss (CAL) and pocket probing depth (PPD) for microbiological assessment plaque sample will be taken, DNA will be extracted and then sample will be processed through quantitative polymerase chain reaction (qPCR) for quantitative analysis of bacterial count of porphyromonas gingivalis.
Study Overview
Status
Completed
Conditions
Detailed Description
In this clinical trial total 60 participants of clinically diagnosed chronic periodontitis will be recruited after taking a written consent for their approval.
Participants will be divided into 3 groups A, B and C through the process of randomization using a method of opaque sealed envelopes.
A research assistant will be hired for the purpose of randomization and allocation concealment.
All participants will be asked to pick an opaque envelope containing the details of treatment products.
After randomization plaque sample will be obtained from the depth of periodontal pockets and all the clinical periodontal parameters will be recorded in every participant.
Then all the participants will undergo SRP.
After SRP group A will be given antibiotics Amoxicillin 500 milligrams (mg) for 3 times a day (TDS) and Metronidazole 400 milligrams (mg) for twice a day (BD) for 5 days.
Group B will be given probiotics lactobacillus reuteri 1.2 billion colony forming unit (CFU) sachets twice daily for swallowing with water for 12 weeks.
Group C will be given lactobacillus sachets of same amount and participant will be asked to mix it with little amount of water and apply it on teeth with the toothbrush twice daily after brushing with standard tooth paste for 12 weeks.
Patients will be recalled at the interval of 3, 6, 9 and 12 weeks for the recording of clinical periodontal parameters.
After completion of trial plaque sample will be taken again from every participant and will be processed through qPCR to check bacterial count of porphyromonas gingivalis before and after treatment.
Whereas comparison between clinical periodontal parameters will be made at the interval of 0, 3, 6, 9, 12 weeks.
Study Type
Interventional
Enrollment (Actual)
60
Phase
- Not Applicable
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
-
-
Sindh
-
Karachi, Sindh, Pakistan, 75600
- Ziauddin Dental College
-
-
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
30 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with clinically diagnosed chronic periodontitis with a pocket depth of ≥4mm.
- Patients with age ≥30 years.
Exclusion Criteria:
- Handicapped patients who are physically or mentally unable to maintain their oral hygiene.
- Pregnant and lactating females.
- Patients with habits of smoking, chewing tobacco and alcohol consumption.
- Patients on local or systemic antibiotic treatment.
- Patients with any systemic diseases.
- Patients with the history of any periodontal therapy within last 6 months.
- Patients undergoing orthodontic treatment.
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: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Local Probiotics
P Flor (Lactobacillus reuteri 1.2 billion CFU) will be delivered locally every 12 hours for 12 weeks
|
Locally delivered Lactobacillus reuteri 1.2 CFU per gram
|
Experimental: Systemic Probiotics
P Flor (Lactobacillus reuteri 1.2 billion CFU) will be administered every 12 hours for 12 weeks
|
Systemically administered Lactobacillus reuteri 1.2 CFU per gram
|
Active Comparator: Systemic Antibiotics
Amoxil 500 mg capsule and Flagyl 400 mg tablet by mouth, will be given every 8 hours for 5 days
|
Systemically administered Amoxil 500 mg thrice daily
Systemically administered Metronidazole 400 mg twice daily
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in periodontal pocket depth (PPD)
Time Frame: Baseline, 3, 6, 9 and 12 weeks
|
It is the distance from tip of free gingival margin to the base of pocket
|
Baseline, 3, 6, 9 and 12 weeks
|
Change in clinical attachment level (CAL)
Time Frame: Baseline, 3, 6, 9 and 12 weeks
|
It is the distance from cementoenamel junction to the base of the pocket around the tooth
|
Baseline, 3, 6, 9 and 12 weeks
|
Change in bacterial load of Porphyromonas gingivalis
Time Frame: Baseline and 12 weeks after completion of trial
|
Bacterial count or the quantity of porphyromonas gingivalis in the sample
|
Baseline and 12 weeks after completion of trial
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in the Plaque index (PI)
Time Frame: Baseline, 3, 6, 9 and 12 weeks
|
How much surface of tooth is covered by the plaque will be recorded.
|
Baseline, 3, 6, 9 and 12 weeks
|
Change in Gingival index (GI)
Time Frame: Baseline, 3, 6, 9 and 12 weeks
|
Gingival color texture and inflammation will be recorded.
|
Baseline, 3, 6, 9 and 12 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
November 1, 2017
Primary Completion (Actual)
September 1, 2018
Study Completion (Actual)
October 1, 2018
Study Registration Dates
First Submitted
April 3, 2018
First Submitted That Met QC Criteria
April 13, 2018
First Posted (Actual)
April 17, 2018
Study Record Updates
Last Update Posted (Actual)
March 12, 2019
Last Update Submitted That Met QC Criteria
March 10, 2019
Last Verified
March 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0220817SIOB
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
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.
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