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CompletedNCT01046435Updated Mar 25, 2010

Effects of Periodontal Therapy on Systemic Inflammation

An interventional study of metronidazole and amoxicillin and Two placebos in Periodontal Disease, Cardiovascular Disease and Type 2 Diabetes, sponsored by University of Chile. Completed at 1 site in Chile. Open to participants aged 35 Years to 75 Years. Per ClinicalTrials.gov, last updated 2010-03-25.

Sponsored by University of Chile · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
35 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to determine if treating periodontal infections (gum disease) will reduce markers of systemic inflammation in patients at risk of cardiovascular diseases.

Read the detailed description

Aims: To determine the effects of periodontal treatment on systemic markers of inflammation in subjects with risk of coronary heart disease.

Methods: The current study is a randomized, double blind clinical trial, with two treatment groups.

Eligible participants will be allocated by restricted randomization using the minimization method to the treatment group or to the control group. The treatment group will receive periodontal therapy consisting of instructions of plaque control, supra and subgingival scaling and root planing, oral systemic metronidazole (250 mg) plus amoxicillin (500 mg) tid for 7 days. The control group will receive plaque control instructions, supragingival scaling and two placebos. The study plan to enroll 160 participants, 80 in ech arm, over a 6-month period. Follow-up clinic visits will be scheduled to occur every 3 months after finishing treatment. Baseline and follow-up clinic visits will include periodontal examination, blood collection and medical and dental histories. The following biochemical markers will be determined at baseline and at 3, 6, 9 and 12 months posttherapy: total, LDL and HDL lipoprotein cholesterol and triglycerides, glycemia, high sensitivity C-reactive protein, fibrinogen, erythrocyte sedimentation rate and white blood cells count. In diabetic patients, glycosylated hemoglobin will be also assessed.

The study will be conducted in a public health center in Santiago, Chile. To be eligible for the study, participants have to be older than 35 years and fulfill the medical and periodontal criteria. For the medical criteria participants have to have dyslipidemia, and at least one of the following coronary heart disease risk factors: obesity, smoking, diabetes, hypertension.

The periodontal inclusion criteria are: no history of periodontal treatment, the presence of at least 14 natural teeth, with at least 4 teeth with interproximal sites with probing depth equal or higher than 4 mm and concomitant attachment loss equal or higher than 3 mm, and >30 % of sites with bleeding on probing.

The outcomes measures will be levels of serum C-reactive protein, fibrinogen, erythrosedimentation rate, white blood cell count.The outcomes will be measured at 0, 3,6,9, and 6 months after periodontal therapy.

02

Conditions studied

  • Periodontal Disease
  • Cardiovascular Disease
  • Type 2 Diabetes
  • Obesity
  • Metabolic Syndrome

Keywords

  • periodontitis
  • cardiovascular disease
  • diabetes
03

In context

Periodontal Diseases

830 studies on the registry are indexed under Periodontal Diseases; 188 are open to participants now.

This study's enrollment of 186 is above the median of 45 across 530 interventional studies indexed under Periodontal Diseases.

Browse Periodontal Diseases studies →

Lead sponsor

University of Chile is the lead sponsor of 191 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Clinically diagnosis of marginal periodontitis
  • No history of periodontal treatment
  • At least 14 natural teeth present
  • Dyslipidemia
  • And at least one of the following factors:

    • obesity
    • diabetes
    • smoking, hypertension

Exclusion criteria

Exclusion Criteria:

  • Rheumatoid arthritis
  • Any type of cancer in the previous 2 years
  • Pregnancy and lactation
  • Indication of the use of antibiotic for invasive procedures
  • Use of antibiotics in previous three months.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
186 participants (actual)

Study arms

  • Placebo comparator
    Supragingival scaling plus placebo

    Plaque control instructions, supra gingival scaling and two placebos

    Procedure: metronidazole and amoxicillin · Procedure: Two placebos

  • Experimental
    Root planing plus antibiotics

    Plaque control instructions, subgingival scaling,root planing, metronidazole 250 mg and amoxicillin 500 mg. three times a day for 7 days

    Procedure: metronidazole and amoxicillin · Procedure: Two placebos

Interventions

  • Proceduremetronidazole and amoxicillin

    Metronidazole 250 mg three times a day per 7 days

    Also known as: Non-surgical periodontal therapy

  • ProcedureTwo placebos

    Two placebos 3 times a day for 7 days

    Also known as: Community periodontal treatment

06

What researchers measure

Primary outcomes

  1. Serum levels of C-reactive protein, fibrinogen,erythrosedimentation rate and white blood cell count

    Time frame: 0, 3, 6, 9 and 12 months after therapy

Secondary outcomes

  1. Clinical periodontal parameters: probing depth, bleeding on probing, clinical attachment level

    Time frame: 0, 3, 6, 9 and 12 months after therapy

07

Study locations

1 site
  • Dra Eloisa Díaz Health Center, Metropolitan Northen Health Service
    Santiago, Chile
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01046435
Lead sponsor
University of Chile
First posted
Jan 12, 2010
Start date
Mar 2007
Primary completion
Mar 2009
Completion
Mar 2009
Last update
Mar 25, 2010

Study contacts

Nestor J. Lopez, DDS
principal investigator · University of Chile
Antonio Quintero, DDS
principal investigator · University of Chile
Carola Ibieta, DDS
study chair · University of Chile
Carlos Y Valenzuela, DMS, PhD
study chair · University of Chile
Lilian Jara, MsB, PhD
study chair · University of Chile
Marcelo Llancaqueo, DMS
study chair · University of Chile

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2006. You cannot join it, but the record below documents what was studied.

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