About this trial
The goal of this ( Clinical Trial ) is to evaluate the efficacy of Ibuprofen in reducing acute inflammatory response (hs-CRP, ProCT, IL-6) after one hour and one week following one stage non surgical periodontal therapy.
The main question it aims to answer is:
"Does Ibuprofen effectively reduce the acute inflammatory response ( hs-CRP, ProCT, IL-6) following one-stage non-surgical periodontal therapy?"
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
systemically healthy patients.
having a minimum of 20 teeth.
Generalized unstable periodontitis.
Pocket depth [≥ 4 mm].
Disqualifiers
Allergy or hypersensitivity to Ibuprofen or other NSAIDs.
current systemic anti-inflammatory or antibiotic therapy (<3 months).
peptic ulcer disease.
recent periodontal therapy (<3 months).
Trial design
Parallel
Treatments tested in this trial
Non surgical root surface debridement in one stage without receiving Ibuprofen
Procedure/SurgeryControl group: After one week from baseline visit which include supragingival debridement by using ultrasonic device . sites will receive root surface debridement (RSD) using area specific (Gracey) curettes (Medesy, Italy). Without receiving Ibuprofen.
Non surgical root surface debridement in one stage with receiving Ibuprofen
DrugTest group: After one week from baseline visit which include supragingival debridement by using ultrasonic device . Test group will receive first dose of Ibuprofen (400 mg) administer one hour before root surface debridement and the subsequent doses will be taken 3 times daily for a duration of 3 days after RSD.
Treatment groups
Trial outcomes
Primary outcomes
Change in systemic inflammatory biomarkers (hs-CRP, IL-6, and Procalcitonin) following one-stage non-surgical periodontal therapy.
Systemic inflammatory response will be evaluated by measuring serum levels of high sensitive C-reactive protein (hs-CRP), Interleukin-6 (IL-6), and Procalcitonin (ProCT). Venous blood samples will be collected at baseline (at baseline visit), 1 hour after completion of non-surgical periodontal therapy (Root surface debridement visit), and 7 days after treatment. Biomarker concentrations will be analyzed using the enzyme-linked immunosorbent assay (ELISA) method to determine changes in systemic inflammatory response. Unit of Measure hs-CRP: mg/L IL-6: pg/mL Procalcitonin: ng/mL
Secondary outcomes
Change in postoperative pain measured using Visual Analog Scale (VAS).
Postoperative pain intensity will be assessed using a Visual Analog Scale (VAS) ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Pain scores will be recorded after treatment and during the 7-day follow-up period to evaluate the effect of ibuprofen on pain levels
Sponsors and contacts
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