Trial Outcomes & Findings for Laser-Assisted Regenerative Surgical Therapy for Peri-implantitis (NCT NCT03127228)

NCT ID: NCT03127228

Last Updated: 2019-11-15

Results Overview

PD will be measured in millimeters. Change in PD measurements were calculated between baseline and 24 weeks.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Baseline and 24 Week

Results posted on

2019-11-15

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Mechanical Debridement
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Overall Study
STARTED
12
12
Overall Study
COMPLETED
12
12
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Mechanical Debridement
n=12 Participants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
n=12 Participants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
63.41 years
STANDARD_DEVIATION 13.48 • n=12 Participants
66.41 years
STANDARD_DEVIATION 8.76 • n=12 Participants
64.91 years
STANDARD_DEVIATION 11.22 • n=24 Participants
Sex: Female, Male
Female
5 Participants
n=12 Participants
5 Participants
n=12 Participants
10 Participants
n=24 Participants
Sex: Female, Male
Male
7 Participants
n=12 Participants
7 Participants
n=12 Participants
14 Participants
n=24 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
12 participants
n=12 Participants
12 participants
n=12 Participants
24 participants
n=24 Participants

PRIMARY outcome

Timeframe: Baseline and 24 Week

PD will be measured in millimeters. Change in PD measurements were calculated between baseline and 24 weeks.

Outcome measures

Outcome measures
Measure
Standard Mechanical Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Change in Periodontal Probing Depths (PD)
1.85 millimeters
Standard Deviation 1.71
2.65 millimeters
Standard Deviation 2.14

PRIMARY outcome

Timeframe: Baseline and 24 Week

CAL will be measured in millimeters. Change in subject CAL measurements were calculated between baseline and 24 weeks.

Outcome measures

Outcome measures
Measure
Standard Mechanical Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Change in Clinical Attachment Level (CAL)
1.47 millimeters
Standard Deviation 1.76
1.90 millimeters
Standard Deviation 2.28

PRIMARY outcome

Timeframe: Baseline and 24 Week

BOP will be measured dichotomously as 0 or 1. Score 0=no bleeding present Score 1=bleeding present Change in subject BOP score was calculated between baseline and 24 weeks and reported as percent of sites with BOP.

Outcome measures

Outcome measures
Measure
Standard Mechanical Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Change in Bleeding on Probing (BOP)
-0.39 percentage of sites with BOP
Standard Deviation 0.55
-0.31 percentage of sites with BOP
Standard Deviation 0.62

PRIMARY outcome

Timeframe: Baseline and 24 Week

Peri-implant bony defect change will be measured compared to baseline. Participants' standardized radiographs were used to determine bone level changes between baseline and 24 weeks.

Outcome measures

Outcome measures
Measure
Standard Mechanical Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
n=12 Implants
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Change in Radiographic Bone Fill (RBF)
1.08 Millimeters
Standard Deviation 1.04
1.27 Millimeters
Standard Deviation 1.14

Adverse Events

Standard Mechanical Debridement

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Er:YAG Laser-assisted Debridement

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Standard Mechanical Debridement
n=12 participants at risk
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with dental scalers. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy
Er:YAG Laser-assisted Debridement
n=12 participants at risk
Debridement and surface detoxification of the implant surface and removal of the inflamed tissue with the aid of the laser treatment. Standard mechanical debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with dental scalers prior to bone grafting regenerative therapy Er:YAG laser-assisted debridement: Implantoplasty will be performed for peri-implant suprabony defect and infrabony defect will be debrided with the aid of the laser prior to bone grafting regenerative therapy
Respiratory, thoracic and mediastinal disorders
Sinus Tract Infection
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
General disorders
Tooth pain
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
Infections and infestations
Flu
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
General disorders
Jaw discomfort
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
General disorders
Broken filling
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
Injury, poisoning and procedural complications
Shoulder Pain
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
Infections and infestations
Fistula
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
Ear and labyrinth disorders
Ulcer on ear
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
General disorders
Residual suture
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
Immune system disorders
Shingles
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
General disorders
Crown off
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
Immune system disorders
Type 2 Diabetes
8.3%
1/12 • Number of events 1 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.
0.00%
0/12 • 6 months
The methods for gathering adverse events included a medical and dental history review at each study visit and an oral exam at each study visit. In addition, participants self-reported any adverse events.

Additional Information

Dr. Chin-Wei Wang

University of Michigan

Phone: 734-763-2105

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place