健康去哪儿
健趣网登录 关闭
还没有账号?立即注册

Antibiotic and Probiotic Therapies in the Adjuvant Treatment of the Chronic Periodontitis.

赞助:
合作者:
信息的提供 (责任方):
Maria Aparecida Neves Jardini,Universidade Estadual Paulista Júlio de Mesquita Filho
September 6, 2018
October 2, 2018
October 2, 2018
May 2, 2018
May 3, 2019   (主要结果测量的最终数据收集日期)
Probing Depth change[ Time Frame: 30, 90 and 180 days ]
The change in the probing depth will be measure in millimeters before and after the treatment.

与当前相同
  • Plaque Index[ Time Frame: Baseline, 30, 90 and 180 days ]
    Number of teeth affected before and after periodontal treatment.
  • Gingival Index[ Time Frame: Baseline,30,90 and 180 days ]
    Number of teeth affected before and after the treatment.
  • Gingival Recession[ Time Frame: Baseline,30, 90 and 180 days ]
    Evaluated in milimeters before and after the treatment.
  • Clinical Attachment Level[ Time Frame: Baseline,30, 90 and 180 days ]
    Evaluated in milimeters before and after the treatment.
  • Periodontal Inflamed Surface Area (PISA)[ Time Frame: Baseline,30, 90 and 180 days ]
    Is calculated from data collected on probing the periodontal pocket and are placed in a table which gives the value of the periodontal inflamed surface area.
  • Microbiological Parameters[ Time Frame: Baseline,30, 90 and 180 days ]
    crevicular fluid samples will be analyzed by PCR (real time PCR) for detection and quantification of: Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola and Lactobacillus reuteri.
 
Antibiotic and Probiotic Therapies in the Adjuvant Treatment of the Chronic Periodontitis.
Effect of Antibiotic and Probiotic Therapies in the Adjuvant Treatment of Chronic Periodontitis: Randomized Controlled Clinical Trial.

Currently, with the increase of bacterial resistance to antibiotics associated with its side effects, it is necessary to find other adjuncts to combat the disease that are an alternative to the use of antibiotics. The use of probiotics has been proposed in the literature as an adjunct therapy for the treatment of periodontal diseases, however, few controlled and randomized clinical studies have been performed. The objective of this double-blind randomized controlled trial will be to evaluate the response of clinical and microbiological periodontal parameters to the comparison of two different adjuvant therapies (antibiotic and probiotic) for the treatment of chronic generalized periodontitis.

Currently, with the increase of bacterial resistance to antibiotics associated with its side effects, it is necessary to find other adjuncts to combat the disease that are an alternative to the use of antibiotics. The use of probiotics has been proposed in the literature as an adjunct therapy for the treatment of periodontal diseases, however, few controlled and randomized clinical studies have been performed. The objective of this double-blind randomized controlled trial will be to evaluate the response of clinical and microbiological periodontal parameters to the comparison of two different adjuvant therapies (antibiotic and probiotic) for the treatment of chronic generalized periodontitis. Patients will be randomized into 3 groups: Group 1 (n=17): periodontal debridement, Group 2 (n=17): periodontal debridement associated with antibiotic (Metronidazole 400 mg + Amoxicillin 500mg) and Group 3 (n=17): periodontal debridement associated with probiotic (Lactobacillus reuteri). Clinical (plaque index, gingival index, probing depth, gingival recession, relative clinical attachment level and periodontal inflamed surface area (PISA) index) and microbiological data obtained before and after periodontal therapy (baseline, 30, 90 and 180 days) will be consolidated and made available on average ± standard deviation and normality tested using the Shapiro-Wilk test. For statistical analysis, the software BioEstat 5.0 (Belém, PA, Brazil) will be used, with p-value < 0,05.
Interventional
N/A
分配: Randomized
干预模型: Parallel Assignment
干预模型描述: Parallel Assignment Prospective double-blind randomized controlled clinical study with a 180-days follow-up.
盲法: Interventional
盲法描述:In addition to concealment of randomization, the investigator responsible for the procedures of periodontal therapy (periodontal debridement) and the researcher responsible for the measurements will not know which treatment each group will receive, characterizing the blindness of the study.
主要目的: Treatment
  • Drug: Placebo Oral Tablet
    Non-surgical periodontal treatment will be performed by means of periodontal debridement in a single session.
  • Drug: Amoxicillin 500 Mg
    Non-surgical periodontal treatment will be performed by means of periodontal debridement in a single session after the therapy will be administered the antibiotic (Metronidazole 400mg + Amoxicillin 500mg) every 8 hours for 7 days
  • Drug: Lactobacillus reuteri Oral Drops
    Non-surgical periodontal treatment will be performed by means of periodontal debridement in a single session after the therapy will be administered the probiotic (Lactobacillus reuteri oral drops ) twice a day for 21 days.
  • Active Comparator: placebo
    Periodontal debridement treatment will be performed in a single session after the therapy will be administered the Placebo Oral Tablet twice a day for 21 days.
  • Experimental: Metronidazole and Amoxicillin
    Periodontal debridement treatment in a single session Metronidazole 400mg + Amoxicillin 500mg every 8 hours for 7 days.
  • Experimental: Lactobacillus reuteri
    Periodontal debridement treatment in a single session Lactobacillus reuteri Oral Drops twice a day for 21 days.
 
Recruiting
51
与当前相同
December 1, 2019
May 3, 2019   (主要结果测量的最终数据收集日期)
Inclusion Criteria: - Individuals between 35 and 50 years of age; - Be diagnosed with generalized chronic periodontitis: present a loss of interproximal clinical insertion> 3 mm in 2 nonadjacent teeth and loss of interproximal clinical insertion ≥5 mm, in 30% or more of the teeth present; - Present at least 16 teeth; - Present good systemic health; - Agree to participate in the study and sign the informed consent form Exclusion Criteria: - Patients with systemic problems (cardiovascular changes, blood dyscrasias, immunodeficiency, among others), which do not indicate the periodontal procedure; - Have undergone periodontal treatment in the last twelve months; - Have used antibiotics and/or anti-inflammatories for the past six months; - Smoking patients; - Pregnancy or Lactation; - Chronic use of medications that may alter the response of periodontal tissues.
参与研究的性别: All
最小年龄:35 Years ,最大年龄:50 Years  
没有
Brazil
 
No
研究美国FDA监管的药品: No
研究涉及美国FDA监管的设备产品: No
计划分享 IPD: No
Maria Aparecida Neves Jardini,Universidade Estadual Paulista Júlio de Mesquita Filho
Universidade Estadual Paulista Júlio de Mesquita Filho
Study Director: Maria Jardini, PhD Universidade Estadual Paulista Julio de Mesquita Filho
Universidade Estadual Paulista Júlio de Mesquita Filho
September 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
请使用微信扫码报名