Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07547202

The Significance of Non-Surgical Periodontal Therapy on Salivary Dkk-1, Sclerostin, and PLAP-1 Levels in Smokers and Non-Smokers With Periodontitis: A Clinical Comparative Study

Led by Al-Mustansiriyah University · Updated on 2026-04-23

44

Participants Needed

2

Research Sites

8 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the effects of non-surgical periodontal therapy on certain salivary biomarkers and clinical measures in adults with periodontitis. This chronic inflammatory disease damages tooth-supporting tissues, and smoking worsens this condition while reducing therapy effectiveness. The trial compares outcomes between smokers and non-smokers to understand how smoking affects these biomarkers and disease activity. Participants receive standardized non-surgical periodontal therapy involving scaling at the first visit and root planing one week later. The study includes 44 adults with Stage II or III periodontitis, divided equally into smokers and non-smokers. After treatment, a follow-up visit at six weeks assesses changes in saliva biomarkers and periodontal health. During the study, saliva samples and clinical periodontal measurements like Plaque Index, Gingival Index, bleeding on probing, Probing Pocket Depth, and Clinical Attachment Level are collected at baseline and six weeks post-therapy. Saliva is processed for specific biomarker analysis using ELISA kits. The research team analyzes these data to evaluate therapy impact and differences between smokers and non-smokers, with participant involvement lasting about six weeks post-treatment.

CONDITIONS

Brief Title

Effect of Non-Surgical Periodontal Therapy on Salivary Biomarkers in Smokers and Non-Smokers With Periodontitis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Systemically healthy
  • Diagnosed with Stage II or III periodontitis
  • Have at least 20 teeth, excluding third molars
  • Current smoker or non-smoker (never smoked or quit more than 5 years ago)
Not Eligible

You will not qualify if you...

  • Have systemic diseases affecting the periodontium
  • Use medications that affect inflammation
  • Received periodontal therapy in the past 6 months
  • Received antibiotic therapy in the last 3 months
  • Use alcohol

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) for eligibility assessment and baseline saliva collection

Treatment

Duration - 1 week

Participants receive standardized non-surgical periodontal therapy consisting of scaling followed by root planing one week later.

2 visits (in-person): 1 visit for scaling and 1 visit one week later for root planing

Follow-up

Duration - 6 weeks

Participants return six weeks after completing therapy for saliva collection and repeat clinical periodontal examinations to assess treatment effects.

1 visit (in-person) for follow-up saliva collection and clinical examination

Trial Site Locations

Total: 2 locations

1

Al-Sadr Specialized Dental Center

Baghdad, Baghdad Governorate, Iraq, 10001

Actively Recruiting

2

Sadr Specialized Dental Center

Baghdad, Baghdad Governorate, Iraq

Actively Recruiting

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Research Team

H

Hussein Abdul-Rassul Hatiem, B.D.S., M.Sc. Student

G

Ghasaq Asim Abdulwahab, B.D.S., M.Sc., Ph.D.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Gingival crevicular fluid periodontal ligament-associated protein-1, sclerostin, and tumor necrosis factor-alpha levels in periodontitis.

Berkay Gür, Beral Afacan, Özge Çevik...

https://pubmed.ncbi.nlm.nih.gov/37006132

The Impact of Nonsurgical Periodontal Therapy on Serum Levels of Dickkopf-Related Protein-1 in Smokers and Nonsmokers with Periodontitis: A Prospective Comparative Study.

Ehab Azab, Alaa Attia, Wael Yaghmoor...

https://pubmed.ncbi.nlm.nih.gov/35789574