Study to Compare Laser Assisted New Attachment Procedure (LANAP) to Traditional Treatments of Chronic Periodontitis
LANAP
A Multi-Center Single Blind Study of the Laser Assisted New Attachment Procedure Compared to Scaling and Root Planing Alone, Modified Widman Flap Surgery, and Coronal Debridement Alone in the Treatment of Chronic Periodontitis
1 other identifier
interventional
59
1 country
1
Brief Summary
The purpose of this study is to compare the Laser Assisted New Attachment Procedure (LANAP protocol) using the Free-running (FR) Pulsed Neodimium: Yttrium aluminium garnet (Nd:YAG) laser to Scaling and Root Planing (SRP) alone, Modified Widman Flap (MFF) surgery, and Coronal Debridement (CD) alone with respect to periodontal clinical attachment level gain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2010
Longer than P75 for not_applicable
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
October 1, 2010
CompletedFirst Submitted
Initial submission to the registry
January 13, 2011
CompletedFirst Posted
Study publicly available on registry
January 24, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2014
CompletedResults Posted
Study results publicly available
October 14, 2015
CompletedOctober 14, 2015
September 1, 2015
3.4 years
January 13, 2011
June 18, 2015
September 15, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Gain in Clinical Attachment Level of Periodontal Tissues
Periodontitis causes loss of attachment of the tooth root to the surrounding bone. Change in Clinical Attachment Level (CAL) estimates the number of mm's of reattachment gained as a result of the treatment.
Baseline, 6, 12 months
Secondary Outcomes (4)
Change in Probing Depth (PD)
Baseline, 6, 12 months
Change in Bleeding on Probing (BOP)
Baseline, 6, 12 months
Change in Gingival Index
Baseline, 6, 12 months
Discomfort
1-7 days
Study Arms (4)
LANAP Quadrant
ACTIVE COMPARATORTreated with LANAP
Modified Widman Flap
NO INTERVENTIONQuadrant treated with Modified Widman Flap surgery
Scaling and Root Planing
NO INTERVENTIONQuadrant treated with scaling and root planing alone
Coronal Debridement
NO INTERVENTIONQuadrant treated with coronal debridement
Interventions
Laser Assisted New Attachment Procedure (LANAP protocol) using the FR Pulsed Nd:YAG laser
Eligibility Criteria
You may qualify if:
- Subjects will have chronic adult periodontitis as characterized by all four quadrants of the mouth.
- Subjects will be 25-75 years of age.
- Subjects will be able to follow verbal and/or written instructions, perform Oral Hygiene according to the protocol, and return to the center for specified study visits.
- Subjects must have had no subgingival scaling instrumentation including scaling and root planing, regular periodontal maintenance procedures or any subgingival cleaning \< 12 (twelve) months prior to Baseline examination.
- Subjects must have had no history of periodontal surgical procedures of any type prior to Baseline examination.
- Subjects must be non-smokers of any type or former smokers (\>6 (six) months stopped), and not using or taking any nicotine product.
- Subjects will have clinical and/or radiographic evidence of subgingival calculus in each quadrant.
- Subjects have no more than one missing tooth per quadrant, excluding 3rd molars.
- Subjects will be able to sign the informed consent form.
You may not qualify if:
- Subject receiving subgingival scaling instrumentation including scaling and root planing, regular periodontal maintenance procedures or any subgingival cleaning less than twelve (12) months prior to Baseline examination.
- Subjects receiving periodontal surgery of any type prior to Baseline examination.
- Subjects with dental implants.
- Subjects with a compromised heart condition, history of rheumatic fever, or joint replacement requiring prophylaxis.
- Subjects having taken systemic cancer therapy and/or radiation therapy at any time
- Subjects with clinically significant acute or concurrent illness
- Subjects with clinically significant chronic illness.
- Subjects with a disease of the connective tissue.
- Subjects taking medications which are likely to cause gingival hyperplasia, within ONE MONTH prior to Baseline examination
- Subjects taking antimicrobials within ONE MONTH prior to Baseline examination
- Subjects taking non-steroidal anti-inflammatory drugs at a therapeutic dose within the TWO WEEKS prior to Baseline examination.
- Subjects taking steroids of any kind within ONE MONTH prior to baseline examination.
- Subjects taking continuous low doses of tetracycline within THREE MONTHS prior to Baseline examination
- Subjects taking an investigational drug within TWO MONTHS prior to Baseline examination
- Subjects taking or having taken bisphosphonates of any kind for any reason.
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Colorado
Denver, Colorado, 80045, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. David Harris
- Organization
- Millenium Dental Technologies, Inc
Study Officials
- STUDY DIRECTOR
Raymund A Yukna, DMD, MS
University of Colorado Scholl of Dentistry
- PRINCIPAL INVESTIGATOR
Henry Greenwell, DMD. MSD
University of Louisville, School of Dentistry
- PRINCIPAL INVESTIGATOR
Mark Reynolds, DDS, PhD
University of Maryland, School of Dentistry
- PRINCIPAL INVESTIGATOR
James Finley, DMD
Finley Periodontics
- PRINCIPAL INVESTIGATOR
Thomas McCawley, DDS
McCawly & DeTure
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 13, 2011
First Posted
January 24, 2011
Study Start
October 1, 2010
Primary Completion
March 1, 2014
Study Completion
October 1, 2014
Last Updated
October 14, 2015
Results First Posted
October 14, 2015
Record last verified: 2015-09