About this trial
The goal of this clinical trial is to assess whether adjunctive dental cleaning can enhance the effects of semaglutide in children with obesity. The main question\[s\] it aims to answer \[is/are\]:
if dental cleaning will improve both oral health and metabolic outcomes beyond the effects of semaglutide alone.
Participants will receive either dental cleaning and oral hygiene instruction or oral hygiene instruction alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
participants from the ongoing Mitigation of Cardiovascular Disease Risks in Children with Extreme Obesity (MODERN) study (NCT06967389)
Class 2 or 3 obesity (BMI =120% of the 95th percentile for age and sex)
Disqualifiers
Same exclusion as parent study.
Planning to receive or complete dental services during the 12-month course of the study
Ongoing orthodontic treatment
Use of any anti-inflammatory medication (other than steroids) within 1 month prior to enrollment
Trial design
Parallel
Treatments tested in this trial
Dental Cleaning and Oral Hygiene Instruction (OHI)
Procedure/SurgeryParticipants receive dental cleaning and oral hygiene instruction (OHI) and oral health assessments at baseline (prior to initiating weight-loss medication), 6 months (±2 weeks), and 12 months (±1 month) post-enrollment.
Oral Hygiene Instruction (OHI)
BehavioralParticipants will receive standard oral health care, including instructions on how to care for their teeth (OHI). Dental cleaning provided at 12 months.
Treatment groups
Trial outcomes
Primary outcomes
Change in gingival index
Based on visual assessment and gentle probing of the marginal periodontal tissues. Scored on a 0-3 scale and the higher score means increased inflammation.
Change in probing depth
Measuring the pocket depth at six sites per tooth (in millimeters) using a UNC-15 periodontal probe.
Change in BOP (Bleeding on probing)
Presence or absence of bleeding upon probing recorded at six sites per tooth.
Change in Plaque Index
Measured using a plaque score (0-3) at six specific Ramfjord teeth
Sponsors and contacts
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Oelisoa Andriankaja
Lead sponsor
University of Kentucky
Sponsor institution