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The effect of flavonoids and vitamin C on periodontitis


- candidate number28374
- NTR NumberNTR6925
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR22-dec-2017
- Secondary IDs2017-075 Eklund Foundation
- Public TitleThe effect of flavonoids and vitamin C on periodontitis
- Scientific TitleEffect of daily vitamin C supplementation with or without flavonoid supplements on periodontal and systemic conditions before and after periodontal treatment
- ACRONYMQSIPT
- hypothesis1. The use of food supplements containing vitamin C with quercetin and other flavonoids can reduce inflammation clinically (assessed by means of periodontal parameters), and systemically (assessed by means of biomarkers), in patients diagnosed with periodontitis who are on the waiting list for periodontal treatment. 2. Vitamin C with quercetin and other flavonoids as an adjunct to initial periodontal therapy has an additional positive effect on periodontal and systemic treatment results when compared to vitamin C alone.
- Healt Condition(s) or Problem(s) studiedPeriodontitis, Vitamin C, Inflammation of peri-implant tissues, Quercetin, Flavonoids
- Inclusion criteria- age: ≥18 years;
- proximal bone loss of ≥ 3mm in 2 non-adjacent teeth;
- probing pocket depth ≥ 3 mm and bleeding on probing on at least 25% of their total sites and documented radiographic bone loss;
- good general health.
- Exclusion criteria- diagnosis of any acute periodontal problem which requires immediate treatment;
- use of antibiotics within the previous 6 months;
- pregnant or lactating women;
- previous initial periodontal treatment within the last year;
- current orthodontic treatment;
- use of any medication which may interfere with quercetin, or with the study outcomes.
- current daily use of supplements containing vitamin C
- mec approval receivedno
- multicenter trialno
- randomisedyes
- masking/blindingTriple
- controlPlacebo
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-apr-2018
- planned closingdate1-apr-2020
- Target number of participants81
- InterventionsThe intervention will be the intake of daily food supplements in the two test groups as compared to the intake of non-active supplements in the control group.
- Primary outcomeThe primary response variable of the present study with respect to the clinical measurements is bleeding on pocket probing (bop).
- Secondary outcomeWith regard to the systemic inflammatory biomarkers HbA1C, hs-CRP, and vitamin C (from venous blood).
- Timepointsintake (T0)
start of initial therapy (T1)
3 months after the last initial treatment session (T2)
- Trial web site-
- statusplanned
- CONTACT FOR PUBLIC QUERIESDr. W. J. Teeuw
- CONTACT for SCIENTIFIC QUERIESDr. M.M. Danser
- Sponsor/Initiator Academic Center Dentistry Amsterdam (ACTA), University of Amsterdam (UvA), Vrije Universiteit Amsterdam
- Funding
(Source(s) of Monetary or Material Support)
Academic Center Dentistry Amsterdam (ACTA), Eklund Foundation
- Publications
- Brief summaryBackground:
An important aim of the periodontal professional is to improve and promote periodontal health as part of oral health, general health and well-being. Research of the last decades showed that smoking, stress, and an unhealthy diet have a detrimental effect on the periodontal condition. Periodontitis patients have lower plasma levels of vitamin C compared to healthy controls. In addition, a correlation has been found between the level of vitamin C in the diet and the level of vitamin C in plasma of healthy controls. In periodontitis patients this correlation was not found. The studies by Van der Velden et al. (2006) on the natural history of periodontitis in people living in Java, who had no access to dental care are well known. In this population the severity of periodontitis appeared to be related to the consumption of guava fruit. The more guava fruits were consumed, the less the severity of periodontitis. Guava fruit contains an extremely high concentration of vitamin C and in addition many flavonoids, among others quercetin. Quercetin has a number of characteristics that could explain the possible positive effect of guava fruit on the periodontal condition. The initial periodontal treatment is the most important therapy for our periodontal patients. It consist of supra- and subgingival plaque and calculus removal as well as thorough oral hygiene instruction. An additional aim in the treatment of periodontitis is improving the host resistance. In this respect smoking cessation and reduction of stress have been studied extensively. Also, a healthy diet consisting of fruits and vegetables contributes to an improved host resistance. On the basis of the above it may be suggested that vitamin C with or without quercetin supplementation could improve the periodontal resistance and thereby the results of periodontal therapy.

Objectives:
To evaluate the inflammatory reducing effect, in the periodontal tissues and systemically, of vitamin C with quercetin and other flavonoids in untreated periodontal disease.
Secondly to evaluate the effect of vitamin C with quercetin and other flavonoids compared to vitamin C alone on periodontal and systemic parameters as an adjunct to initial periodontal therapy.

Design:
A double blind parallel randomized controlled longitudinal study
- Main changes (audit trail)
- RECORD22-dec-2017 - 26-jan-2018


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