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CompletedNCT02460926PERIOSYST-1Updated Jun 3, 2015

Acute Phase Response & Periodontal Treatment

An interventional study of Scaling & Root Planing in Periodontal Diseases, sponsored by University of Pisa. Completed. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2015-06-03.

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

Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

This study has compared quadrant scaling and root planing (Q-SRP) versus intensive treatment performed within 24 hours (FM-SRP) in terms of acute phase responses following treatment of periodontal disease. The primary aim was to compare the differences in CRP acute increase following FM-SRP versus Q-SRP therapy (24 hours after therapy). Secondary outcomes included changes in a broad array of inflammatory and endothelial injury markers between groups. Patients were randomly assigned to either FM-SRP and Q-SRP. Data indicated that non-surgical periodontal therapy performed within 24 hours induced greater perturbations of systemic inflammation compared to conventional treatment.

Read the detailed description

Aim. A moderate acute-phase response occurs 24 hours following full-mouth non-surgical treatment (FM-SRP). Aim of this study will be to compare quadrant scaling (Q-SRP) versus FM-SRP in terms of systemic acute (24 hours) and medium-term (3 months) inflammation.

Material \& Methods. 38 periodontitis-affected subjects will be randomly allocated to FM-SRP or Q-SRP after a baseline visit. Periodontal and anthropometric parameters, such as systolic and diastolic bood pressure, BMI and temperature, will be collected at baseline and 3 months. Serum samples will be drawn at baseline, 1, 7 and 90 days after treatment. High sensitivity assays for a broad array of inflammatory (PCR, IL-6, TNF-alpha) and endothelial assays will be performed.

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Conditions studied

  • Periodontal Diseases

Keywords

  • Scaling and root planning
  • C-reactive protein
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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 38 is below the median of 45 across 530 interventional studies indexed under Periodontal Diseases.

Browse Periodontal Diseases studies →

Lead sponsor

University of Pisa is the lead sponsor of 111 studies on the registry; 29 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients presenting with probing pocket depths (PPD) ≥5 mm,
  • bleeding on probing on at least 25% of their total sites
  • documented radiographic alveolar bone loss

Exclusion criteria

Exclusion Criteria:

  • age earlier than 18 and older than 70 years;
  • pregnant or lactating females;
  • females using contraceptive methods;
  • reported diagnosis of any systemic illnesses including cardiovascular, renal and liver diseases;
  • any pharmacological treatment within the 3 months before the beginning of the study;
  • PT in the previous 6 months.
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Study design

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

Study arms

  • Experimental
    Scaling & Root Planing - Quadrant

    Periodontal treatment (PT), consisting in both supra- and sub-gingival mechanical instrumentation of the root surface (scaling and root planing), was performed by a single periodontist . Treatment was provided using both hand and ultrasonic instrumentation with fine tips. Local anaesthesia was used when needed and no time constraints were enforced. Q-SRP patients received four quadrants sessions of PT with an interval of 1 week between sessions

    Procedure: Scaling & Root Planing

  • Experimental
    Scaling & Root Planing - Full Mouth

    Periodontal treatment (PT), consisting in both supra- and sub-gingival mechanical instrumentation of the root surface (scaling and root planing), was performed by a single periodontist . Treatment was provided using both hand and ultrasonic instrumentation with fine tips. Local anaesthesia was used when needed and no time constraints were enforced. FM-SRP patients received treatment within 24 hrs in two separate sessions, one side of the mouth for each session: two quadrants were instrumented in an afternoon session, whereas the other two were instrumented the following morning

    Procedure: Scaling & Root Planing

Interventions

  • ProcedureScaling & Root Planing

    It consists in the non-surgical debridement of the sub gingival area affected by periodontal disease

    Also known as: SRP

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What researchers measure

Primary outcomes

  1. C reactive Protein

    Time frame: 24 Hours

Secondary outcomes

  1. C reactive Protein

    Time frame: 7 days, 90 days

  2. Tumor Necrosis Factor - alpha

    Time frame: 24 Hours, 7 days, 90 days

  3. Interleukin - 6

    Time frame: 24 Hours, 7 days, 90 days

  4. periodontal pocket depth (PPD)

    mean in mm

    Time frame: 90 days

  5. periodontal pocket depth (PPD)

    mean in site \> 4mm

    Time frame: 90 days

  6. clinical attachment level (CAL)

    mean in mm

    Time frame: 90 days

  7. number of pockets > 4 mm

    number of pockets \> 4 mm

    Time frame: 90 days

  8. Full Mouth Plaque Score

    presence/absence of dental plaque in percentual values

    Time frame: 90 days

  9. Full Mouth Bleeding Score

    presence/absence of sites bleeding on probing in percentual values

    Time frame: 90 days

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Graziani F, Cei S, La Ferla F, Vano M, Gabriele M, Tonetti M. Effects of non-surgical periodontal therapy on the glomerular filtration rate of the kidney: an exploratory trial. J Clin Periodontol. 2010 Jul;37(7):638-43. doi: 10.1111/j.1600-051X.2010.01578.x. Epub 2010 May 25. PubMed 20500539 ↗
  • Graziani F, Cei S, Tonetti M, Paolantonio M, Serio R, Sammartino G, Gabriele M, D'Aiuto F. Systemic inflammation following non-surgical and surgical periodontal therapy. J Clin Periodontol. 2010 Sep;37(9):848-54. doi: 10.1111/j.1600-051X.2010.01585.x. Epub 2010 Jun 4. PubMed 20546085 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 3, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02460926
Lead sponsor
University of Pisa
Collaborators
Eastman Dental Insitute and Hospital
Responsible party
Filippo Graziani, DDS MClinDent PhD (Associate Professor, University of Pisa) — Principal investigator
First posted
Jun 3, 2015
Start date
May 2012
Primary completion
Oct 2013
Completion
Oct 2014
Last update
Jun 3, 2015

Study contacts

Filippo Graziani, DDS, PhD
principal investigator · University of Pisa

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.

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