The Adjunctive Effect of a Titanium Brush in the Non-Surgical Treatment of Peri-Implantitis
1 other identifier
interventional
36
1 country
1
Brief Summary
Peri-implantitis is a plaque-associated condition occurring around dental implants, characterized by inflammation in the peri-implant mucosa and loss of supporting bone. To stop this progression, mechanical debridement of biofilm and calculus is commonly used to treat peri-implant lesions as well as the use of adjunctive measures such as titanium brushes. As observed, they improved plaque removal when compared with steel curettes alone. Therefore, it is of interest to evaluate the impact of this procedure in terms of clinical, radiographic and microbiological outcomes to assess their efficacy.
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 Jun 2024
Typical duration 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
June 12, 2024
CompletedFirst Submitted
Initial submission to the registry
December 18, 2024
CompletedFirst Posted
Study publicly available on registry
February 25, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 17, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 16, 2026
CompletedFebruary 25, 2025
December 1, 2024
1.1 years
December 18, 2024
February 23, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Pocket depth changes
The primary outcome variable will be pocket depth changes at 1 year of follow-up.
12 Months
Secondary Outcomes (14)
Full mouth plaque index (FMPI)
12 Months
Full mouth bleeding index (FMBI)
12 Months
Modified plaque index (mPI)
12 Months
Modified bleeding index (mBI)
12 Months
Suppuration on probing (SoP)
12 Months
- +9 more secondary outcomes
Study Arms (2)
Control Group
ACTIVE COMPARATORParticipants will receive submucosal debridement alone
Test Group
EXPERIMENTALParticipants will receive submucosal debridement and titanium brushes
Interventions
Participants will undergo non-surgical submucosal debridement alone (SD)
Participants will undergo non-surgical submucosal debridement + titanium brushes (SD+TiBr)
Eligibility Criteria
You may qualify if:
- Adult patients with ≥18 years of age.
- Ability to understand all the study procedures and to comply with them along the entire study period. Ability and willingness to give written informed consent.
- An adequate level of oral hygiene (plaque index ≤ 25%) (O'Leary et al., 1972).
- Treated periodontal disease.
- Presence of at least one titanium implant with peri-implantitis \[i.e., presence of bleeding and/or suppuration on gentle probing with probing depth of ≥6 mm, and progressive bone loss. In the absence of initial radiographs, a bone level ≥2 mm apical to the most coronal part of the intrabony portion of the implant will be used as threshold of disease (Romandini et al., 2021)\].
- Horizontal and vertical peri-implant bone defects.
- Implant function time ≥ 1 year.
- Presence of ≥2mm of keratinized peri-implant mucosa.
- Screw-retained single and multiple restorations.
You may not qualify if:
- Untreated periodontitis.
- Smokers \> 10 cigarettes per day.
- Local or systemic diseases that would interfere with routine periodontal therapy (i.e., uncontrolled diabetes mellitus, cancer, HIV, chronic high-dose steroid therapy, metabolic bone disease, radiation, immunosuppressive disease, hepatic dysfunction, immunosuppressive disease, autoimmune disease).
- Pregnant or lactating women.
- Previous surgical and non-surgical treatment of affected implants at least 12 months prior to the beginning of the study.
- Radiographic peri-implant bone loss \> two-thirds.
- Mobility of the implant.
- Known allergy or intolerance to macrolides.
- Use of systemic antibiotics during the last 3 months.
- Need of endocarditis prophylaxis.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Universitat Internacional de Catalunya
Barcelona, Catalonia, 08195, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
December 18, 2024
First Posted
February 25, 2025
Study Start
June 12, 2024
Primary Completion
July 17, 2025
Study Completion
July 16, 2026
Last Updated
February 25, 2025
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share