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Trial registered on ANZCTR
Registration number
ACTRN12615000065594
Ethics application status
Not yet submitted
Date submitted
11/11/2014
Date registered
23/01/2015
Date last updated
23/01/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy of subgingival Air Polishing using Erythritol Powder in Periodontitis patients during Supportive Periodontal Therapy (SPT)
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Scientific title
Effect of Air Polishing using Erythritol Powder versus conventional ultrasonic and hand scaling on the resolution of residual periodontal pockets and patient comfort during treatment in patients with chronic periodontitis undergoing maintenance therapy
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Secondary ID [1]
285631
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Periodontitis
293474
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Condition category
Condition code
Oral and Gastrointestinal
293755
293755
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Infection
293911
293911
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0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The use of air polishing with an erythritol powder, using a small nozzle to go into the gums, a water jet/slurry with the powder is applied in order to remove plaque.
a)Duration of the treatment is approximately 10 minutes
b)Conducted at baseline and repeated at 3 months
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Intervention code [1]
290579
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Treatment: Other
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Comparator / control treatment
The use of conventional ultrasonic scaling in patients with chronic periodontitis receiving maintenance therapy
a) Duration of treatment approximately 10 minutes
b) Conducted at baseline and repeated at 3 months
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Control group
Active
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Outcomes
Primary outcome [1]
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Periodontal probing pocket depths as assessed by an electronic periodontal probe (Florida probe) with automated force application for reproducibility
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Assessment method [1]
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Timepoint [1]
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Assessed at baseline, 1 week after treatment, then at 1 month, 3 months and 6 months.
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Primary outcome [2]
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Bleeding on probing as assessed by the number of sites with spot bleeding within 15 seconds following periodontal probing
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Assessment method [2]
293688
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Timepoint [2]
293688
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Assessed at baseline, 1 week after treatment, then at 1 month, 3 months and 6 months.
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Secondary outcome [1]
311350
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Bacterial counts prior to and post treatment in the two groups.
Assessed by using a paper point placed into the periodontal pocket for approximately 15 seconds and measured using real-time PCR
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Assessment method [1]
311350
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Timepoint [1]
311350
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At baseline, immediately after treatment, at 1 week, 1 month, 3 months and 6 months
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Eligibility
Key inclusion criteria
1.Patient with a mild or moderate chronic periodontitis and completed initial periodontal therapy (SRP)
2. Approximal Plaque index (API) less than or equal to 40% (used to assess oral hygiene)
3. Sulcus Bleeding Index (SBI) less than or equal to 25% (used to assess ginigival inflammation)
4. A minimum of two pockets at similar single-rooted teeth in contralateral jaw with similar Probing pocket depths (PPD) of 5mm or greater (+/- 1mm) and bleeding on probing at the site
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Pockets with PPDs < 5mm, API > 40%, SBI > 25% (poor oral hygiene)
2. Multi-rooted teeth (molars)
3. Patients below an age of 18
4. Patients with a risk of endocarditis
5. Patients on bisphosphonates
6. Use of local or systemic antibiotic within the last 6 months
7. Allergy against erythritol
8. Patients with a blood coagulation disorder
9. Patients using anticoagulants
10. Patients with liver disorders
11. Patients with gastro-intestinal disorders
12. Mentally disabled patients
13. Pregnancy
14. Lactation
15. Smoker
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patient is given a participant information form and consent. Allocation is concealed by a separate clinical operator
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
by “coin toss”.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Other
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Other design features
Participants are selected based on having similar affected sites in opposite sides of the mouth and thereby receive both treatments, one on each side, in a split-mouth study
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2015
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Actual
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Date of last participant enrolment
Anticipated
1/02/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
15
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
3137
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Sydney Dental Hospital - Surry Hills
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Recruitment postcode(s) [1]
8886
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2010 - Surry Hills
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Funding & Sponsors
Funding source category [1]
290222
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Hospital
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Name [1]
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Sydney Dental Hospital - Department of Periodontics (internal funding)
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Address [1]
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2 Chalmers St
Surry Hills
2010 NSW
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Country [1]
290222
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Australia
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Primary sponsor type
Hospital
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Name
Sydney Dental Hospital- Head of Department Periodontics
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Address
2 Chalmers St
Surry Hills
2010 NSW Australia
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Country
Australia
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Secondary sponsor category [1]
288933
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Individual
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Name [1]
288933
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Sal Shahidi
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Address [1]
288933
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Sydney Dental Hospital
2 Chalmers St
Surry Hills
2010 NSW
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Country [1]
288933
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
291926
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SLHD Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
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Research Development Office Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
291926
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20/08/2014
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Approval date [1]
291926
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Ethics approval number [1]
291926
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EC00113
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Summary
Brief summary
Periodontitis is a chronic infection, which is mainly associated with Gram-negative bacteria. The aim of the systematic periodontal therapy is to reduce the number of periodontal pathogens to avoid a further progression of the disease, thus to avoid further attachment/bone loss. Systematic periodontal therapy involves, after completion of the initial hygiene phase, debridement of the exposed root surfaces by means of scaling and root planning (SRP). However, some periodontal pathogens have shown to be very resistant to the conventional treatment of periodontitis: SRP and/or surgical periodontal therapy. Even the additional use of systemic and/or local antibiotics has not been able to completely eliminate the pathogens or to maintain periodontal health over a longer period of time so far. In recent times a novel approach, the so called Air Polishing (Ap) has been developed for the removal of subgingival biolfim during SPT with the use a fine powder delivered via a commercially available injection abrasive water jet. Due to the small particle sizes of the powder the damage to the root surfaces compared to sonic, piezoelectric ultrasonic and magnetoconstrictive ultrasonics, is considerably lower. The aim of this study is to investigate whether an adjunct use of a recently introduced Erythritol Powder (Ep) could further improve the clinical and/or microbiological parameters in patients with a mild or moderate type of chronic periodontitis who already received initial therapy (SRP) but are still showing probing pocket depths (PPD) of greater than, or equal to 5mm including bleeding on probing (BOP).
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
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/AnzctrAttachments/367403-Study_Design_Air-Flow Therapy Proposal 2.doc
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Attachments [2]
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/AnzctrAttachments/367403-Information for Participants.doc
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Attachments [3]
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/AnzctrAttachments/367403-TRACKED-ETHICS APPLICATION FORM FOR RESEARCH INVOLVING HUMANS.doc
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Contacts
Principal investigator
Name
52670
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A/Prof Axel Spahr
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Address
52670
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Sydney Dental Hospital
2 Chalmers St
Surry Hills 2010
NSW
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Country
52670
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Australia
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Phone
52670
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+61 2 9293 3274
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Fax
52670
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Email
52670
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[email protected]
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Contact person for public queries
Name
52671
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Sal Shahidi
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Address
52671
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Sydney Dental Hospital
2 Chalmers St
Surry Hills 2010
NSW
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Country
52671
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Australia
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Phone
52671
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+61 2 9293 3274
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Fax
52671
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Email
52671
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[email protected]
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Contact person for scientific queries
Name
52672
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Sal Shahidi
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Address
52672
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Sydney Dental Hospital
2 Chalmers St
Surry Hills 2010
NSW
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Country
52672
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Australia
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Phone
52672
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+61 2 9293 3274
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Fax
52672
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Email
52672
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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