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CTRI Number  CTRI/2025/03/081853 [Registered on: 06/03/2025] Trial Registered Prospectively
Last Modified On: 17/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized Factorial Trial 
Public Title of Study   An association between gum disease and metabolic syndrome  
Scientific Title of Study   An association between periodontal disease and metabolic syndrome a case control study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nisha Verlianey 
Designation  Assistant Professor 
Affiliation  government dental college and hospital Jamnagar 
Address  Department of Periodontology, Room No.6, Government Dental College and Hospital, Navagam ghed,Jamnagar-361008,India

Jamnagar
GUJARAT
361008
India 
Phone  9825500637  
Fax    
Email  nisha.verlianey@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nisha Verlianey 
Designation  Assistant Professor 
Affiliation   
Address  Department of Periodontology, Room No.6, Government Dental College and Hospital, Navagam ghed,Jamnagar-361008,India

Jamnagar
GUJARAT
361008
India 
Phone  9825500637  
Fax    
Email  nisha.verlianey@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nisha Verlianey 
Designation  Assistant Professor 
Affiliation   
Address  Department of Periodontology, Room No.6, Government Dental College and Hospital, Navagam.

Jamnagar
GUJARAT
361008
India 
Phone  9825500637  
Fax    
Email  nisha.verlianey@gmail.com  
 
Source of Monetary or Material Support  
Government Dental College and Hospital, Jamnagar-361008,India 
 
Primary Sponsor  
Name  Dr Nisha Verlianey 
Address  Department of Periodontology, Room No.6, Government Dental College and Hospital, Navagam ghed,Jamnagar-361008,India  
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nisha Verlianey  Government Dental College and Hospital, Jamnagar  Department of Periodontology, Room No.6
Jamnagar
GUJARAT 
9825500637

nisha.verlianey@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee M.P. Shah Medical College and Guru Gobindsingh Hospital, Jamnagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K053||Chronic periodontitis, (2) ICD-10 Condition: E669||Obesity, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  metabolic syndrome  The National Cholesterol Education Program Adult Treatment Panel III defines it as an individual with at least three of the following risk factors ;(a) elevated glucose levels ,(b)low plasma levels of high density lipoprotein cholesterol, (c) increased values for plasma triglycerides,(d)elevated blood pressure, (e)increased abdominal circumference. increase incidence of periodontal infection in metabolic syndrome patient is compared with better periodontal health in systemically healthy patient . there is proposed increased inflammatory burden on peridontal tissues in patients having metabolic syndrome  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  a) Patients between age 20- 65 years
b) Patients with at least 20 teeth present in the oral cavity
 
 
ExclusionCriteria 
Details  a) Patients with history of periodontal treatment in past 6 months.
b) Pregnant and Lactating females.
c) Patients with less than 20 teeth present in the oral cavity.
CASES will be defined as subjects with metabolic disorder having periodontal infection whereas CONTROLS will be subjects with no systemic condition.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
patient with metabolic syndrome have altered inflammatory and infectious biomarkers which leads to an increase in the incidence of periodontal infection adding to the systemic disease of the body   at baseline the assessment of the clinical significance between patients having periodontal infection and the dysmetabolic systemic status of an individual was compared with systemically healthy patient  
 
Secondary Outcome  
Outcome  TimePoints 
Periodontal infection and metaolic syndrome association can be highlighted to the medical professionals and general population.Periodontal therapy can reduce the inflammatory burden on the body and aid in management of systemic diseases.  3 years 
 
Target Sample Size   Total Sample Size="500"
Sample Size from India="500" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   17/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  


Periodontal Infection is a chronic inflammatory disease associated with dysbiotic plaque biofilms and characterized by progressive destruction of the tooth supporting structures. It has a multifactorial etiology with microbial ,environmental and host associated etiologic factors and leads to several elevated inflammatory mediators like C-Reactive Protein and interleukin -6 into the systemic circulation.

Metabolic Syndrome is a cluster of conditions that occur concomitantly and together they increase the risk of cardiovascular diseases and double the risk of type 2 diabetes.   The National Cholesterol Education Program Adult Treatment Panel III defines it as an individual with at least three of the following risk factors ;(a) elevated glucose levels ,(b)low plasma levels of high density lipoprotein cholesterol, (c) increased values for plasma triglycerides,(d)elevated blood pressure, (e)increased abdominal circumference.

There has been a common factor of systemic inflammation and insulin resistance in both these diseases and hence they can potentially influence one another.   Several studies have suggested that periodontitis can affect systemic conditions.

And successful periodontal treatment can decrease circulating levels of inflammatory mediators.

Aim :

The aim of this study is to evaluate the association between periodontal infection and metabolic syndrome.

Objectives

1 To establish the clinical significance of the association between patients having periodontal infection with the dysmetabolic systemic status.

2 To investigate the association of severity of inflammatory and metabolic markers with periodontal disease.

The data will be collected from the 500 patients visiting the OPD of the Department of Periodontology, Government Dental College and Hospital, Jamnagar, Gujarat. After informing the patient about the study and completing the formalities in the consent form, the patients will be enrolled and data collection in the proforma will be done.

The patient data sheet of the subjects will be filled with demographic data, chief complain, habit details and a comprehensive periodontal examination by a single examiner including Probing pocket depth (PPD), Clinical Attachment Levels(CAL) and Oral hygiene

Index-Simplified (OHI-S).

 The current metabolic status will be evaluated by Complete Blood Count, Lipid Profile, Hba1c, for average blood sugar status and C-Reactive protein to assess the inflammatory status. The non-invasive data to be recorded will be the abdominal girth, height and weight to calculate the BMI and the waist to hip ratio.


 
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