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CompletedNCT03198832Updated Nov 14, 2018

oxLDL in Diabetes Mellitus Patients and Disease Periodontal

An interventional study of Non-surgical periodontal treatment in Type 2 Diabetes Mellitus With Periodontal Disease, sponsored by Universidade Estadual Paulista Júlio de Mesquita Filho. Completed at 1 site in Brazil. Open to participants aged 35 Years and older. Per ClinicalTrials.gov, last updated 2018-11-14.

Sponsored by Universidade Estadual Paulista Júlio de Mesquita Filho · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled May 2016, registered Feb 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Non-randomized
Ages
35 Years and older
Sex
All
01

Study summary

Periodontal disease (PD) and diabetes mellitus type 2 (DM2) have the same inflammatory etiopathogenesis and demonstrate a bidirectional relationship, for DM2 affects the severity of PD, and this may contribute to the overall inflammatory burden of the individual, influencing the natural course DM2. The aim of this study is to establish whether individuals with DM with or without chronic periodontitis have an increase in oxLDL and what is the influence of periodontal treatment in the reduction of oxLDL with consequent improvement in Diabetes Mellitus parameters.

Read the detailed description

Periodontal disease (PD) and diabetes mellitus type 2 (DM2) have the same inflammatory etiopathogenesis and demonstrate a bidirectional relationship, for DM2 affects the severity of PD, and this may contribute to the overall inflammatory burden of the individual, influencing the natural course DM2. The aim of this study is to establish whether individuals with DM with or without chronic periodontitis have an increase in oxLDL and what is the influence of periodontal treatment in the reduction of oxLDL with consequent improvement in Diabetes Mellitus parameters. 44 patients will be divided into 2 groups: Diabetic Patients with Chronic Periodontitis (DM2DP) and Diabetic Patients without Chronic Periodontitis (DM2). The DM2DP group will receive periodontal debridement and DM2 group will be treated with supragingival scaling. Both groups receive board control every 3 months. At baseline, 3 and 6 months after treatment, will be held making the clinical periodontal parameters (plaque index, gingival index, probing depth, gingival recession relative clinical attachment level and Periodontal Inflamed Surface Area (PISA) index) and blood collection for assessment serum inflammatory markers (oxLDL, LDL, HDL, total cholesterol, triglyceride, Interleukin (IL) IL-6, IL-8, IL-10, Tumor Necrosis Factor (TNF-α) and CRP). Biochemical analyzes will be carried out by Z-scan technique. The data obtained before and after periodontal therapy will be analyzed using the Shapiro-Wilk test.

02

Conditions studied

  • Type 2 Diabetes Mellitus With Periodontal Disease

Keywords

  • Periodontal Disease
  • Type 2 Diabetes Mellitus
  • Z-scan
  • Atherosclerosis
03

In context

Periodontal Diseases

830 studies on the registry are indexed under Periodontal Diseases; 189 are open to participants now.

This study's enrollment of 44 is close to the median of 45 across 530 interventional studies indexed under Periodontal Diseases.

Browse Periodontal Diseases studies →

Lead sponsor

Universidade Estadual Paulista Júlio de Mesquita Filho is the lead sponsor of 82 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
35 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • individuals older than 35 years with DM2 diagnosed for more than five years and HbA1c between 7% and 11%;
  • be diagnosed with generalized chronic periodontitis: present at least 6 sites with periodontal pocket and loss of insertion above 5mm and two more bags with loss of insertion above 6mm;
  • present at least 20 teeth;
  • agree to participate in the study and sign the informed consent form

Exclusion criteria

Exclusion Criteria:

  • patients with cardiovascular diseases, cancer, gastrointestinal disorders, skin diseases, pregnancy, lactation, smoking, arthritis, lupus or other diseases of inflammatory origin;
  • have undergone periodontal treatment in the last 12 months;
  • have made use of antioxidant supplements, anti-inflammatories, or antibiotics within the previous 3 months;
  • make use of medications that can alter the marking and concentration of oxLDL, for example, statins;
  • have changed the medication for glycemic control in the last 3 months;
  • present dental elements with pulpal or periapical inflammation.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
44 participants (actual)

Study arms

  • Sham comparator
    Type 2 diabetes mellitus and periodontitis

    periodontal debridement in a single session.

    Procedure: Non-surgical periodontal treatment

  • No intervention
    Type 2 diabetes mellitus and without periodontitis

    maintained every three months.

Interventions

  • ProcedureNon-surgical periodontal treatment

    Debridement in a single session in which patients will be anesthetized and receive scaling and root planing with ultrasound equipment .

06

What researchers measure

Primary outcomes

  1. Probing depth change

    The change in the probing depth will be measure in millimeters before and after the treatment.

    Time frame: baseline, 90 and 180 days

Secondary outcomes

  1. oxLDL concentration Change

    Change in concentration of oxLDL will be measured before and treatment.

    Time frame: baseline and 180 days

  2. LDL, HDL, Total cholesterol, Triacylglycerol

    Blood concentration (g/ml) will be measured before and after periodontal therapy.

    Time frame: baseline and 180 days

  3. Plaque index

    Number of teeth affected before and after periodontal treatment

    Time frame: baseline, 90 and 180 days

  4. Gingival index

    number of teeth affected before and after periodontal treatment

    Time frame: baseline, 90 and 180 days

  5. Gingival Recession

    Evaluated in millimeters before and after the treatment.

    Time frame: baseline, 90 and 180 days

  6. Clinical Attachment Level

    Evaluated in millimeters before and after the treatment.

    Time frame: baseline, 90 and 180 days

07

Study locations

1 site
  • São Jose dos Campos, São Paulo 12245 000, Brazil
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 14, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03198832
Lead sponsor
Universidade Estadual Paulista Júlio de Mesquita Filho
Collaborators
LabviVale
Responsible party
Maria Aparecida Neves Jardini (Professor, Universidade Estadual Paulista Júlio de Mesquita Filho) — Principal investigator
First posted
Jun 26, 2017
Start date
May 2, 2016
Primary completion
Aug 26, 2016
Completion
Jan 28, 2017
Last update
Nov 14, 2018

Study contacts

Maria Jardini, PhD
study director · Universidade Estadual Paulista Julio de Mesquita Filho

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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