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Treatment of Peri-implant Mucositis by Means of Implant Decontamination and Modification of the Implant Supported-prosthesis

Primary Purpose

Peri-implant Mucositis

Status
Unknown status
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Modification of the implant supported prostheses in order to facilitate oral hygiene
Sponsored by
Universitat Internacional de Catalunya
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peri-implant Mucositis

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • (1) Presence of, at least, one titanium implant exhibiting peri-implant mucositis, defined as bleeding on gentle probing (0.15 N) in at least one peri-implant site.

    (2) No signs of loss of supporting bone after initial bone remodelling. In cases where baseline radiograph is available, it will be used for comparison, otherwise a maximum of 2 mm of crestal bone loss will be accepted (5).

    (3) Single tooth and bridgework restoration with an inappropriate prosthesis design or contour which difficult oral hygiene access (overcontoured prosthesis, prostheses presenting closed embrasures, an abrupt emergence profile or excessive buccal flanges).

    (4) Presence of >1 mm of keratinized peri-implant mucosa.

    (5) A good level of oral hygiene, defined as an O'Leary et al. plaque index <25% (16).

    (6) Absence of systemic diseases that could influence the outcome of the therapy (i.e. controlled diabetes, with HbA1c<7, patients will be included).

    (7) Non-smoker or light smoking status in smokers (<10 cigarettes/day).

Exclusion Criteria:

  • (1) Untreated periodontal conditions.

    (2) Pregnant or lactating women.

    (3) Patients who received systemic antibiotics in the last 3 months.

    (4) Patients who received treatment of PM in the past 3 months.

    (5) Patients receiving corticoids or medications known to have effect on gingival growth i.e. calcium channel antagonists, immunosuppressants or antiepileptic drugs.

In those cases diagnosed with peri-implantitis, individualized treatment will be provided, apart from the present study.

Sites / Locations

  • Universitat Internacional de CatalunyaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Mechanical instrumentation and oral hygiene instructions

Modification of the implant supported prostheses

Arm Description

Outcomes

Primary Outcome Measures

Evaluate modified sulcus Bleeding Index changes at 3 and 6 months, by the modification of the implant prosthesis in order to facilitate oral hygiene, hygiene instructions and surface decontamination

Secondary Outcome Measures

Full Information

First Posted
April 27, 2018
Last Updated
October 22, 2018
Sponsor
Universitat Internacional de Catalunya
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1. Study Identification

Unique Protocol Identification Number
NCT03540290
Brief Title
Treatment of Peri-implant Mucositis by Means of Implant Decontamination and Modification of the Implant Supported-prosthesis
Official Title
Treatment of Peri-implant Mucositis by Means of Implant Decontamination and Modification of the Implant Supported-prosthesis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Unknown status
Study Start Date
January 10, 2017 (Actual)
Primary Completion Date
December 12, 2018 (Anticipated)
Study Completion Date
June 20, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universitat Internacional de Catalunya

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To test the modification of the implant prosthesis, in order to facilitate access to biofilm control, in combination with decontamination of the implant surface by means of an ultrasonic device with a plastic tip and plastic curettes, in comparison with the decontamination of the implant surface by means of an ultrasonic device with a plastic tip and plastic curettes, and no modification of the implant prosthesis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peri-implant Mucositis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Mechanical instrumentation and oral hygiene instructions
Arm Type
Active Comparator
Arm Title
Modification of the implant supported prostheses
Arm Type
Experimental
Intervention Type
Procedure
Intervention Name(s)
Modification of the implant supported prostheses in order to facilitate oral hygiene
Intervention Description
Peri-implant mucositis will be treated by individualized oral hygiene instructions and decontamination of the implant surface by ultrasonic device with a plastic tip and plastic curettes plus the modification of the implant prosthesis in order to facilitate oral hygiene access
Primary Outcome Measure Information:
Title
Evaluate modified sulcus Bleeding Index changes at 3 and 6 months, by the modification of the implant prosthesis in order to facilitate oral hygiene, hygiene instructions and surface decontamination
Time Frame
1, 3 and 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: (1) Presence of, at least, one titanium implant exhibiting peri-implant mucositis, defined as bleeding on gentle probing (0.15 N) in at least one peri-implant site. (2) No signs of loss of supporting bone after initial bone remodelling. In cases where baseline radiograph is available, it will be used for comparison, otherwise a maximum of 2 mm of crestal bone loss will be accepted (5). (3) Single tooth and bridgework restoration with an inappropriate prosthesis design or contour which difficult oral hygiene access (overcontoured prosthesis, prostheses presenting closed embrasures, an abrupt emergence profile or excessive buccal flanges). (4) Presence of >1 mm of keratinized peri-implant mucosa. (5) A good level of oral hygiene, defined as an O'Leary et al. plaque index <25% (16). (6) Absence of systemic diseases that could influence the outcome of the therapy (i.e. controlled diabetes, with HbA1c<7, patients will be included). (7) Non-smoker or light smoking status in smokers (<10 cigarettes/day). Exclusion Criteria: (1) Untreated periodontal conditions. (2) Pregnant or lactating women. (3) Patients who received systemic antibiotics in the last 3 months. (4) Patients who received treatment of PM in the past 3 months. (5) Patients receiving corticoids or medications known to have effect on gingival growth i.e. calcium channel antagonists, immunosuppressants or antiepileptic drugs. In those cases diagnosed with peri-implantitis, individualized treatment will be provided, apart from the present study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Beatriz de Tapia
Phone
0034 646486084
Email
beatrizdetapia@gmail.com
Facility Information:
Facility Name
Universitat Internacional de Catalunya
City
Barcelona
State/Province
Sant Cugat Del Vallès
ZIP/Postal Code
08195
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Beatriz de Tapia
Phone
0034646486084
Email
beatrizdetapia@gmail.com
Phone
0034646486084
Email
beatrizdetapia@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
The results obtained are expected to be published in both national and international journals. In addition, the results will be disseminated national and international scientific events.

Learn more about this trial

Treatment of Peri-implant Mucositis by Means of Implant Decontamination and Modification of the Implant Supported-prosthesis

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