Clarithromycin is an Adjunct to Scaling and Root Planing (CASRCMI)

Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre

Status and phase: Completed; Phase 4

Conditions: Periodontitis

Treatments: Drug: tablet clarithromycin 500 mg (Clarino-500) orally

Study type: Interventional

Funder types: Other

Identifiers

NCT02359721

RADHIKA DISSERTATION

Details and patient eligibility

About

The present study was done to evaluate the effect of clarithromycin as an adjunct to scaling and root planning at baseline, three months and six months intervals . Clinical, microbiological and immunological parameters were taken. Clinical parameters include gingival index , probing depth and clinical attachment level. In the present study, improved clinical and microbiological outcomes were attained using adjunctive clarithromycin, including GI, PD reduction, CAL gain and reductions in the frequency of detection of C-reactive protein, Pg, Aa. These results together with the recommended easy dosage and limited side effects make the use of this antibiotic in the treatment of periodontitis patients but only for a shorter period of time.

Full description

Background & Objectives: Along with conventional non-surgical periodontal therapy (NSPT) systemic antimicrobials may provide more effective treatment for chronic periodontitis by targeting tissue-invasive bacteria. The aim of this study was to evaluate the adjunctive effects of oral clarithromycin (CLM) to nonsurgical periodontal therapy for chronic periodontitis.

Materials and Methods: 30 patients were categorized into two groups: test group - Base line scaling and root planing(SRP) was done. Clarithromycin tablet 500 mg( Clarino-500) was given for a period of 7 days orally two times per day. control group -only SRP done . Clinical parameters were recorded at baseline , 3 months, and six months interval .They included gingival index (GI), probing depth (PD), and clinical attachment level (CAL). Also microbial analysis of subgingival plaque samples was done at baseline, 3months and six months interval to estimate the levels of Pg and Aa bacteria using culture methods. Immunological parameter like estimation of C-Reactive protein was done in both groups at baseline 3 months and 6 months period. tests were used for statistical analysis.

Enrollment: 30 patients

Sex: All

Ages: 30 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients age ranged between 30- 50 years with chronic periodontitis
• Patients with Probing Depth (PD)- >5mm, Clinical Attachment Level( CAL)- >3mm
• Systemically healthy individuals

Exclusion criteria

• Patients below the age of 30 years
• Patients who have undergone periodontal therapy 3 months prior to study
• Active /passive smokers
• Any antibiotic use 3 months prior to study
• Pregnant women and lactating mothers
• Un co- operative/ retarded patients
• Drug allergy/ other allergies
• Any systemic diseases

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

test group

Experimental group

Description:

Base line scaling and root planing was done. Clarithromycin tablet 500 mg( Clarino-500) was given for a period of 7 days orally two times per day

Treatment:

Drug: tablet clarithromycin 500 mg (Clarino-500) orally

control

No Intervention group

Description:

scaling and root planing