Effect of Endodontic Treatment on Inflammatory Markers, Disease Activity and Periapical Healing in Rheumatoid Arthritis Patients With Apical Periodontitis : A Prospective Interventional Study
NCT06433232 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 76
Last updated 2024-05-29
Summary
SUMMARY TITLE: "Effect of endodontic treatment on inflammatory markers, disease activity and periapical healing in rheumatoid arthritis patients with apical periodontitis"
RATIONALE: Chronic inflammation plays a pivotal role in rheumatoid arthritis as subjects present with elevated serum levels of numerous cytokines such as IL-1, IL-6, 1L-12, IL-17, tumour necrosis factor-alpha, RANK and RANK Ligand. Periodontal and pulpal inflammation are two major low grade chronic inflammatory diseases of the oral cavity. Apical periodontitis extends from the chronic inflammatory process that originated in the dental pulp to surround the apex of the tooth. Thus Rheumatoid arthritis and apical periodontitis converge upon common pathway of inflammation. The scientific literature has also shown to provide potential link between endodontic infection and rheumatoid arthritis. The evidence of increased prevalence of apical periodontitis in subjects of rheumatoid arthritis is provided mainly by cross-sectional and case control studies. Interventional studies have been performed in subjects with rheumatoid arthritis and periodontal disease, with results depicting beneficial effect of periodontal therapy in patients of rheumatoid arthritis. To best of our knowledge no interventional study has been performed to assess the healing pattern of apical periodontitis in subjects of rheumatoid arthritis and subsequently effect of endodontic intervention on inflammatory profile and disease burden in the same.
Conditions
- Rheumatoid Arthritis AND Apical Periodontitis
Interventions
- PROCEDURE
-
ROOT CANAL TREATMENT
ROOT CANAL TREATMENT
Sponsors & Collaborators
-
Postgraduate Institute of Dental Sciences Rohtak
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-05-31
- Primary Completion
- 2025-11-30
- Completion
- 2025-11-30
Countries
- India
Study Locations
More Related Trials
-
Impact of Periodontal Inflammation on Allostatic Load
NCT06978712 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Interleukin 8 and10 Levels Changes in Teeth With Necrotic Pulp and Apical Periodontitis
NCT06713174 ·Status: COMPLETED ·Phase: NA
-
Full Mouth Disinfection and Antibiotics for Periodontitis in High or Moderate Disease Activity Rheumatoid Arthritis
NCT02096120 ·Status: COMPLETED
-
Injectable Platelet Rich Fibrin With Non Surgical Periodontal Therapy
NCT04070729 ·Status: UNKNOWN ·Phase: NA
-
Effect of Intraorifice Barrier on Healing of Apical Periodontitis
NCT03409887 ·Status: COMPLETED ·Phase: NA
-
Inflammation-Related Endothelial Barrier Dysfunction in Patients With Apical Periodontitis
NCT07292363 ·Status: COMPLETED
-
Nonsurgical Periodontal Treatment Combined With Anti-TNF-α in Patients With Rheumatoid Arthritis and Periodontitis
NCT06818045 ·Status: COMPLETED ·Phase: NA
-
Periodontal Therapy in Patients With Rheumatoid Arthritis
NCT05502601 ·Status: UNKNOWN ·Phase: NA
-
Association of Apical Periodontitis With Systemic Level of Inflammatory Markers : A Longitudinal Intervention Study
NCT05814965 ·Status: RECRUITING ·Phase: NA
-
Periodontal Disease and Circulatory Microbial Components
NCT01154855 ·Status: COMPLETED
-
Comparison of Healing of Apical Periodontitis in Periodontally Diseased and Healthy Patients.
NCT03711942 ·Status: COMPLETED ·Phase: NA
-
Rheumatoid Arthritis and Treatment of Periodontitis: a Randomized Clinical Trial.
NCT05271890 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Locally Delivred 1.2% Rosuvastatin Gel in Chronic Periodontitis
NCT02283515 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Impact of Photodynamic Therapy as an Adjunct to Non-surgical Periodontal Treatment on Clinical and Biochemical Parameters Among Patients Having Mild Rheumatoid Arthritis With Periodontitis
NCT05122117 ·Status: COMPLETED ·Phase: NA
-
Treatment of Periodontal Disease in Systemic Lupus Erythematosus
NCT04046172 ·Status: UNKNOWN ·Phase: NA
-
Association of Apical Periodontitis With Hs-CRP and Hemogram Indices
NCT04980768 ·Status: UNKNOWN ·Phase: NA
-
Chronic Periodontitis and Tooth Loss in Patients With Rheumatoid Arthritis
NCT02441920 ·Status: TERMINATED
-
Periodontal Phenotype and Scaling and Root Planing
NCT05449938 ·Status: UNKNOWN ·Phase: NA
-
IL-10, IL-12 and IL-18 Levels in the Gingival Crevicular Fluid of Patients With Periodontitis and Healthy Controls
NCT05307068 ·Status: COMPLETED
-
Effect of Nonsurgical Periodontal Therapy (NSPT) on Rheumatoid Arthritis Subjects With Periodontitis
NCT05880303 ·Status: COMPLETED ·Phase: NA
-
Effect of Antibiotics on Systemic Inflammation
NCT05115201 ·Status: COMPLETED ·Phase: NA
-
Gut Microbial Changes After Periodontal Treatment
NCT04982302 ·Status: COMPLETED
-
Evaluation of Macrophage Inflammatory Protein-1α as a Periodontal Disease Biomarker
NCT06016023 ·Status: COMPLETED
-
Treatment of Periodontal Disease in Patients With Acute Myocardial Infarction
NCT02543502 ·Status: COMPLETED ·Phase: NA
-
Effects of Probiotic Therapy in the Treatment of Periodontitis.
NCT03408548 ·Status: COMPLETED ·Phase: PHASE2