Study of Scaling and Root Planing (SRP) With PerioWave vs. SRP Alone in Chronic Periodontitis
A Multicenter, Randomized, Examiner Blinded Study of Photoactivated Disinfection With Scaling and Root Planing in the Treatment of Chronic Periodontitis
1 other identifier
interventional
40
1 country
2
Brief Summary
This study is to determine whether scaling and root planning (SRP) followed by photodynamic disinfection results in improved outcomes that persist over time in adults with chronic periodontitis when compared with subjects with SRP alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Mar 2006
Shorter than P25 for phase_4
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 24, 2006
CompletedFirst Posted
Study publicly available on registry
February 28, 2006
CompletedStudy Start
First participant enrolled
March 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2007
CompletedMay 21, 2007
May 1, 2007
February 24, 2006
May 17, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Increase in Clinical Attachment Level
6, 12 weeks
Secondary Outcomes (2)
Reduction in Periodontal Pocket Depth
6, 12 weeks
Reduction in Bleeding on Probing
6, 12 weeks
Interventions
Eligibility Criteria
You may qualify if:
- The subject is capable of giving informed consent
- The subject is willing to sign a consent form
- The subject is an adult male or female \> 18
- The subject is diagnosed with chronic periodontitis
- The subject has \>18 fully erupted teeth
- The subject has at least 4 measurement sites with pocket depth of 6-9 mm in at least two quadrants of the mouth.
- Subject is willing and able to return for treatment and evaluation procedures scheduled throughout the course of this clinical study
You may not qualify if:
- The subject is pregnant or nursing or who plans to become pregnant in the next 4 months
- The subject has significant liver disease by subject report
- The subject has an active malignancy of any type by subject report
- The subject has chronic disease or diminished mental capacity that would mitigate the ability to comply with the protocol
- The subject has any significant disease (either acute or chronic) or who is taking a medication with concomitant oral manifestations that in the opinion of the investigator would interfere with evaluation of safety or efficacy of PERIOWAVE®
- The subject has an active periapical abscess or periodontal abscess or a history of acute necrotizing ulcerative gingivitis
- The subject has been treated with antibiotics within the 1-month period prior to beginning the study or any systemic condition which requires antibiotic coverage for routine periodontal procedures (e.g. heart conditions, joint replacements, etc.) by report of the subject
- The subject has a known allergy to Methylene Blue
- Has glucose-6-phosphate dehydrogenase (G6PD) deficiency by subject report
- The subject currently uses anti-coagulant therapy at therapeutic doses
- The subject is currently using any photosensitizing medications
- The subject has participated in investigational treatment in the last 30 days or has the expectation for using a separate investigational treatment during the time of the study
- The subject has smoked tobacco products in the last year
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Office of Dr. Sonia Leziy
North Vancouver, British Columbia, Canada
University of British Columbia School of Dentistry
Vancouver, British Columbia, Canada
Related Publications (43)
Albandar JM, Brunelle JA, Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999 Jan;70(1):13-29. doi: 10.1902/jop.1999.70.1.13.
PMID: 10052767BACKGROUNDBrown LJ, Johns BA, Wall TP. The economics of periodontal diseases. Periodontol 2000. 2002;29:223-34. doi: 10.1034/j.1600-0757.2002.290111.x. No abstract available.
PMID: 12102710BACKGROUNDAlbandar JM, Kingman A. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999 Jan;70(1):30-43. doi: 10.1902/jop.1999.70.1.30.
PMID: 10052768BACKGROUNDOral health in America: a report of the Surgeon General. J Calif Dent Assoc. 2000 Sep;28(9):685-95.
PMID: 11324049BACKGROUNDSocransky SS, Haffajee AD. Evidence of bacterial etiology: a historical perspective. Periodontol 2000. 1994 Jun;5:7-25. doi: 10.1111/j.1600-0757.1994.tb00016.x. No abstract available.
PMID: 9673160BACKGROUNDConsensus report. Periodontal diseases: epidemiology and diagnosis. Ann Periodontol. 1996 Nov;1(1):216-22. doi: 10.1902/annals.1996.1.1.216. No abstract available.
PMID: 9118258BACKGROUNDHaffajee AD, Socransky SS. Microbial etiological agents of destructive periodontal diseases. Periodontol 2000. 1994 Jun;5:78-111. doi: 10.1111/j.1600-0757.1994.tb00020.x. No abstract available.
PMID: 9673164BACKGROUNDHujoel PP, Powell LV, Kiyak HA. The effects of simple interventions on tooth mortality: findings in one trial and implications for future studies. J Dent Res. 1997 Apr;76(4):867-74. doi: 10.1177/00220345970760040801.
PMID: 9126183BACKGROUNDQuirynen M, Op Heij DG, Adriansens A, Opdebeeck HM, van Steenberghe D. Periodontal health of orthodontically extruded impacted teeth. A split-mouth, long-term clinical evaluation. J Periodontol. 2000 Nov;71(11):1708-14. doi: 10.1902/jop.2000.71.11.1708.
PMID: 11128918BACKGROUNDDe Soete M, Mongardini C, Peuwels M, Haffajee A, Socransky S, van Steenberghe D, Quirynen M. One-stage full-mouth disinfection. Long-term microbiological results analyzed by checkerboard DNA-DNA hybridization. J Periodontol. 2001 Mar;72(3):374-82. doi: 10.1902/jop.2001.72.3.374.
PMID: 11327066BACKGROUNDGoodson JM. Antimicrobial strategies for treatment of periodontal diseases. Periodontol 2000. 1994 Jun;5:142-68. doi: 10.1111/j.1600-0757.1994.tb00022.x. No abstract available.
PMID: 9673166BACKGROUNDJohnson V, Johnson BD, Sims TJ, Whitney CW, Moncla BJ, Engel LD, Page RC. Effects of treatment on antibody titer to Porphyromonas gingivalis in gingival crevicular fluid of patients with rapidly progressive periodontitis. J Periodontol. 1993 Jun;64(6):559-65. doi: 10.1902/jop.1993.64.6.559.
PMID: 8393109BACKGROUNDHung HC, Douglass CW. Meta-analysis of the effect of scaling and root planing, surgical treatment and antibiotic therapies on periodontal probing depth and attachment loss. J Clin Periodontol. 2002 Nov;29(11):975-86. doi: 10.1034/j.1600-051x.2002.291102.x.
PMID: 12472990BACKGROUNDLindhe J, Nyman S. Long-term maintenance of patients treated for advanced periodontal disease. J Clin Periodontol. 1984 Sep;11(8):504-14. doi: 10.1111/j.1600-051x.1984.tb00902.x.
PMID: 6384275BACKGROUNDAntczak-Bouckoms A, Joshipura K, Burdick E, Tulloch JF. Meta-analysis of surgical versus non-surgical methods of treatment for periodontal disease. J Clin Periodontol. 1993 Apr;20(4):259-68. doi: 10.1111/j.1600-051x.1993.tb00355.x.
PMID: 8473536BACKGROUNDKalkwarf KL, Kaldahl WB, Patil KD. Patient preference regarding 4 types of periodontal therapy following 3 years of maintenance follow-up. J Clin Periodontol. 1992 Nov;19(10):788-93. doi: 10.1111/j.1600-051x.1992.tb02172.x.
PMID: 1452806BACKGROUNDMcFall WT Jr. Tooth loss in 100 treated patients with periodontal disease. A long-term study. J Periodontol. 1982 Sep;53(9):539-49. doi: 10.1902/jop.1982.53.9.539.
PMID: 6957591BACKGROUNDRenvert S, Wikstrom M, Dahlen G, Slots J, Egelberg J. Effect of root debridement on the elimination of Actinobacillus actinomycetemcomitans and Bacteroides gingivalis from periodontal pockets. J Clin Periodontol. 1990 Jul;17(6):345-50. doi: 10.1111/j.1600-051x.1990.tb00029.x.
PMID: 2204636BACKGROUNDSbordone L, Ramaglia L, Gulletta E, Iacono V. Recolonization of the subgingival microflora after scaling and root planing in human periodontitis. J Periodontol. 1990 Sep;61(9):579-84. doi: 10.1902/jop.1990.61.9.579.
PMID: 2213468BACKGROUNDHaffajee AD, Cugini MA, Dibart S, Smith C, Kent RL Jr, Socransky SS. Clinical and microbiological features of subjects with adult periodontitis who responded poorly to scaling and root planing. J Clin Periodontol. 1997 Oct;24(10):767-76. doi: 10.1111/j.1600-051x.1997.tb00195.x.
PMID: 9350562BACKGROUNDNiederman R, Abdelshehid G, Goodson JM. Periodontal therapy using local delivery of antimicrobial agents. Dent Clin North Am. 2002 Oct;46(4):665-77, viii. doi: 10.1016/s0011-8532(02)00030-7.
PMID: 12436823BACKGROUNDHerrera D, Sanz M, Jepsen S, Needleman I, Roldan S. A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients. J Clin Periodontol. 2002;29 Suppl 3:136-59; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.8.x.
PMID: 12787214BACKGROUNDChung WO, Gabany J, Persson GR, Roberts MC. Distribution of erm(F) and tet(Q) genes in 4 oral bacterial species and genotypic variation between resistant and susceptible isolates. J Clin Periodontol. 2002 Feb;29(2):152-8. doi: 10.1034/j.1600-051x.2002.290210.x.
PMID: 11895543BACKGROUNDWilson M, Dobson J, Harvey W. Sensitization of oral bacteria to killing by low-power laser radiation. Curr Microbiol. 1992 Aug;25(2):77-81. doi: 10.1007/BF01570963.
PMID: 1369193BACKGROUNDMalik Z, Hanania J, Nitzan Y. Bactericidal effects of photoactivated porphyrins--an alternative approach to antimicrobial drugs. J Photochem Photobiol B. 1990 May;5(3-4):281-93. doi: 10.1016/1011-1344(90)85044-w.
PMID: 2115912BACKGROUNDMartinetto P, Gariglio M, Lombard GF, Fiscella B, Boggio F. Bactericidal effects induced by laser irradiation and haematoporphyrin against gram-positive and gram-negative microorganisms. Drugs Exp Clin Res. 1986;12(4):335-42.
PMID: 3522156BACKGROUNDDobson J, Wilson M. Sensitization of oral bacteria in biofilms to killing by light from a low-power laser. Arch Oral Biol. 1992 Nov;37(11):883-7. doi: 10.1016/0003-9969(92)90058-g.
PMID: 1334649BACKGROUNDWilson M, Dobson J, Sarkar S. Sensitization of periodontopathogenic bacteria to killing by light from a low-power laser. Oral Microbiol Immunol. 1993 Jun;8(3):182-7. doi: 10.1111/j.1399-302x.1993.tb00663.x.
PMID: 8233573BACKGROUNDFrentzen M, Koort HJ. Lasers in dentistry: new possibilities with advancing laser technology? Int Dent J. 1990 Dec;40(6):323-32.
PMID: 2276829BACKGROUNDBhatti M, MacRobert A, Meghji S, Henderson B, Wilson M. A study of the uptake of toluidine blue O by Porphyromonas gingivalis and the mechanism of lethal photosensitization. Photochem Photobiol. 1998 Sep;68(3):370-6.
PMID: 9747591BACKGROUNDDougherty TJ, Grindey GB, Fiel R, Weishaupt KR, Boyle DG. Photoradiation therapy. II. Cure of animal tumors with hematoporphyrin and light. J Natl Cancer Inst. 1975 Jul;55(1):115-21. doi: 10.1093/jnci/55.1.115.
PMID: 1159805BACKGROUNDPaardekooper M, Van den Broek PJ, De Bruijne AW, Elferink JG, Dubbelman TM, Van Steveninck J. Photodynamic treatment of yeast cells with the dye toluidine blue: all-or-none loss of plasma membrane barrier properties. Biochim Biophys Acta. 1992 Jul 8;1108(1):86-90. doi: 10.1016/0005-2736(92)90117-5.
PMID: 1322699BACKGROUNDPaardekooper M, De Bruijne AW, Van Steveninck J, Van den Broek PJ. Inhibition of transport systems in yeast by photodynamic treatment with toluidine blue. Biochim Biophys Acta. 1993 Sep 19;1151(2):143-8. doi: 10.1016/0005-2736(93)90097-j.
PMID: 8373789BACKGROUNDPaardekooper M, De Bruijne AW, Van Steveninck J, Van den Broek PJ. Intracellular damage in yeast cells caused by photodynamic treatment with toluidine blue. Photochem Photobiol. 1995 Jan;61(1):84-9. doi: 10.1111/j.1751-1097.1995.tb09247.x.
PMID: 7899497BACKGROUNDWilson M, Mia N. Sensitisation of Candida albicans to killing by low-power laser light. J Oral Pathol Med. 1993 Sep;22(8):354-7. doi: 10.1111/j.1600-0714.1993.tb01088.x.
PMID: 7506775BACKGROUNDSmetana Z, Ben-Hur E, Mendelson E, Salzberg S, Wagner P, Malik Z. Herpes simplex virus proteins are damaged following photodynamic inactivation with phthalocyanines. J Photochem Photobiol B. 1998 Jun 15;44(1):77-83. doi: 10.1016/S1011-1344(98)00124-9.
PMID: 9745730BACKGROUNDPosition paper: epidemiology of periodontal diseases. American Academy of Periodontology. J Periodontol. 1996 Sep;67(9):935-45.
PMID: 8884652BACKGROUNDBirch JF, Mandley DJ, Williams SL, Worrall DR, Trotter PJ, Wilkinson F, Bell PR. Methylene blue based protein solder for vascular anastomoses: an in vitro burst pressure study. Lasers Surg Med. 2000;26(3):323-9. doi: 10.1002/(sici)1096-9101(2000)26:33.0.co;2-r.
PMID: 10738296BACKGROUNDLuksiene Z. Photodynamic therapy: mechanism of action and ways to improve the efficiency of treatment. Medicina (Kaunas). 2003;39(12):1137-50.
PMID: 14704501BACKGROUNDO'Neill J, Wilson M, Wainwright M. Comparative antistreptococcal activity of photobactericidal agents. J Chemother. 2003 Aug;15(4):329-34. doi: 10.1179/joc.2003.15.4.329.
PMID: 12962360BACKGROUNDWainwright M. Photodynamic antimicrobial chemotherapy (PACT). J Antimicrob Chemother. 1998 Jul;42(1):13-28. doi: 10.1093/jac/42.1.13.
PMID: 9700525BACKGROUNDBertoloni G, Zambotto F, Conventi L, Reddi E, Jori G. Role of specific cellular targets in the hematoporphyrin-sensitized photoinactivation of microbial cells. Photochem Photobiol. 1987 Nov;46(5):695-8. doi: 10.1111/j.1751-1097.1987.tb04834.x. No abstract available.
PMID: 3327061BACKGROUNDBhatti M, Nair SP, Macrobert AJ, Henderson B, Shepherd P, Cridland J, Wilson M. Identification of photolabile outer membrane proteins of Porphyromonas gingivalis. Curr Microbiol. 2001 Aug;43(2):96-9. doi: 10.1007/s002840010268.
PMID: 11391471BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Edward Putnins, DDS
University of British Columbia
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
February 24, 2006
First Posted
February 28, 2006
Study Start
March 1, 2006
Study Completion
January 1, 2007
Last Updated
May 21, 2007
Record last verified: 2007-05