Obstetrics and Periodontal Therapy (OPT) Study
OPT
Effects of Periodontal Therapy on Preterm Birth
2 other identifiers
interventional
823
1 country
1
Brief Summary
The purpose of this study is to determine if non-surgical periodontal (gum) treatment can reduce the incidence of preterm birth and low birth weight babies in mothers with periodontitis (gum disease).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Mar 2003
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2003
CompletedFirst Submitted
Initial submission to the registry
August 4, 2003
CompletedFirst Posted
Study publicly available on registry
August 5, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2006
CompletedJuly 27, 2015
July 1, 2015
2.8 years
August 4, 2003
July 24, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Gestational age at birth
At delivery
Secondary Outcomes (4)
Infant birth weight
At delivery
Periodontal probing depth
29-32 weeks of gestation
Clinical attachment loss
29-32 weeks of gestation
Bleeding following periodontal probing
29-32 weeks
Study Arms (2)
Scaling and root planing
ACTIVE COMPARATORScaling and root planing delivered prior to 21 weeks of gestation.
Placebo
NO INTERVENTIONDelayed treatment group. Controls monitored clinically from baseline to 29-32 weeks of gestation. Scaling and root planing provided after delivery.
Interventions
Hard and soft tisse deposits (plaque and calculus) are removed from the tooth and tooth root using hand and ultrasonic instruments.
Delivered using hand and powered scalers and with topical or local (injected) anesthetics as needed. Procedures performed over 1 to 4 90-minute visits.
Eligibility Criteria
You may qualify if:
- Be pregnant in the first 13-16 weeks of gestation as determined by menstrual history and obstetrical ultrasound
- Be at least 16 years of age
- Have at least 20 natural teeth,
- Have bleeding on probing (BOP) on at least 35% of all tooth sites
- Have 4 or more teeth with pockets greater than or equal to 4 mm and attachment loss greater than or equal to 2 mm
You may not qualify if:
- Are unable to provide informed consent or are unable to cooperate with the study protocol.
- May be placed at medical risk as a result of participation (i.e. subjects with hematologic disease or other disorders tha preclude routine non-surgical periodontal therapy).
- Have multiple fetuses as diagnosed by ultrasound.
- Require antibiotic prophylaxis for periodontal procedures
- Require greater than 3 essential dental care visits because of extensive decay and/or broken teeth and are likely to have less than 20 natural teeth following essential dental care
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Univerisity of Minnesota School Of Dentistry
Minneapolis, Minnesota, 55455, United States
Related Publications (1)
Michalowicz BS, Hodges JS, DiAngelis AJ, Lupo VR, Novak MJ, Ferguson JE, Buchanan W, Bofill J, Papapanou PN, Mitchell DA, Matseoane S, Tschida PA; OPT Study. Treatment of periodontal disease and the risk of preterm birth. N Engl J Med. 2006 Nov 2;355(18):1885-94. doi: 10.1056/NEJMoa062249.
PMID: 17079762RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Panos Papapanou, DDS, PhD
Harlem Hospital
- STUDY DIRECTOR
Anthony DiAngelis, DMD
Hennepin County Medical Center, Minneapolis
- STUDY DIRECTOR
William Buchanan, DDS
Jackson Medical Mall
- STUDY DIRECTOR
John Novak, DDS
University of Kentucky
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 4, 2003
First Posted
August 5, 2003
Study Start
March 1, 2003
Primary Completion
December 1, 2005
Study Completion
February 1, 2006
Last Updated
July 27, 2015
Record last verified: 2015-07