Non-surgical Treatment of Peri-implant Pockets With H42

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age25-65
SponsorBioteck S.p.A.

About this trial

This prospective, observational study evaluates the efficacy and safety of H42 non-surgical treatment for peri-implant pockets. The trial involves 56 patients, with 28 subjects receiving the H42 treatment and 28 acting as a control group to monitor soft tissue healing and bone level changes.

Clinical outcomes focus on Pocket Probing Depth (PPD) and Silness and Löe Plaque Index (PI) measured at baseline, 1 month, and 3 months. Gingival inflammation, pain intensity on a 0-10 NRS scale, and absence of infection are monitored at baseline, 7, 14, and 21 days, and at 1 and 3 months. Additionally, a five-point tissue assessment evaluates color, suppuration, granulation tissue, bleeding, and incision margins. Radiographic analysis at baseline and 3 months uses standardized periapical x-rays to measure bone level, intra-bony defect height, width, and angulation. Safety is assessed through the continuous registration of adverse events.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Men or women with age ≥ 25 and ≤ 65 years.

Subjects affected by peri-implant pockets with probing depth (PD) in the range between 6 to 8 mm.

Each subject can have from 1 to 5 defects.

Subjects willing to provide signed informed consent to clinical investigation participation.

Disqualifiers

Use of aspirin and antiplatelet agents a week before treatment.

Subjects smokers ≥ 10 cigarettes per day.

Subjects presenting current or previous bleeding disorders.

Subjects taking or having indications for anticoagulant therapy.

Trial population

Adult patients diagnosed with peri-implantitis and treated at the Department of Stomatology, Faculty of Dentistry, University of Seville, Spain. Participants are recruited from patients seeking care at the university dental clinic and are allocated to the study groups according to the study protocol and predefined inclusion and exclusion criteria. The study evaluates the adjunctive use of H42 hydrogel in the non-surgical treatment of peri-implantitis using a case-control design.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

56 Participants
are grouped into 2 trial groups
Group A: H42 treated group
Group B: Control group

Trial outcomes

Primary outcomes

1

Pocket Probing Depth (PPD)

The distance measured from the base of the pocket to the most apical point on the gingival margin, and it will be measured with an electronic Florida probe at controlled pressure

Time frame
At 1 month and 3 months in comparison with the baseline value
2

Plaque Index (PI)

For each tooth, the four-point scale Silness and Löe Plaque Index is used (Score 0: Excellent; 3: poor)

Time frame
At 1 month and 3 months in comparison with the baseline
3

Degree of inflammation

Not inflamed, mild inflamed, Moderately inflamed, Very inflamed

Time frame
Baseline and 7 days, at 14 days, at 21 days, at 1 month and 3 months of follow-up
4

NRS scale

Numeric Rating Scale is a simple, reliable tool used to measure pain intensity on a scale from 0 to 10 (0: no pain; 10: maximum pain)

Time frame
Baseline and 7 days, at 14 days, at 21 days, at 1 month and 3 months of follow-up

Secondary outcomes

1

Tissue assessment

Color, suppuration, granulation tissue, bleeding on palpation and incision margins on a five-point scale: 1 is very poor, 2 is poor, 3 is good, 4 is very good, and 5 is excellent

Time frame
Baseline and 7 days, at 14 days, at 21 days, at 1 month and 3 months of follow-up
2

Radiographic image (x-ray)

Periapical radiographs were taken using the parallel long cone technique using a customized film-holder device and a bite block. - Bone level (BL): distance (mm) between the implant shoulder and the base of the defect.

Time frame
Baseline and 3 months follow-up

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Bioteck S.p.A.

Lead sponsor

University of Seville

Collaborator