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To evaluate the effect of systemic administration of zinc on the gingival crevicular fluid level of total oxidant capacity in controlled Type-2 diabetic patients with stage-II and III periodontitis after non-surgical periodontal therapy.
Hypozincaemia and hyperzincuria is known to be present in patients with type-2 diabetes, and Zinc supplementation is known to be helpful in restoring plasma Zinc levels to normal,Zinc's deficiency can lead to an increase in circulating glucose due to beta cells malfunctioning and resistance to insulin, which makes it easier for type 2 diabetes mellitus (DM2) to happen ,Zinc was found to be a structural part of key anti-oxidant enzymes such as superoxide dismutase (SOD), and Zinc deficiency impaired their synthesis, leading to increased oxidative stress
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zinc administration with scaling and root planing | Experimental | systemic administration of Zinc cap of 50 mg elemental zinc as zinc sulphate, once a day for 12 weeks in addition to scaling and root planing |
|
| scaling and root planing | Active Comparator | scaling and root planing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zinc Sulfate | Drug | systemic administration of Zinc sulfate with scaling and root planing |
|
| Measure | Description | Time Frame |
|---|---|---|
| change from baseline Hb-A1c | change from baseline Hb-A1c at 3 monthes |
| Measure | Description | Time Frame |
|---|---|---|
| Hb-A1c | Hb-A1c | at the baseline and after 3 months |
| Probing pocket depth | Probing pocket depth Measured as the distance between the gingival margin and the apical part of the pocket will be measured using William's graduated periodontal probe. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| abdulrahman A Abdulrab | Contact | +201014624724 | abdulrahman.awadh@dentistry.cu.edu.eg | |
| Dr. Enji Ahmed, professor | Contact | +201018941119 | enji.ahmed@dentistry.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Dr. Enji Ahmed, professor | Cairo University | Principal Investigator |
| Dr. weam elbattawy, Lecturer | Cairo University | Study Director |
| Dr. Ollfat Shaker, professor |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24082728 | Result | Khan MI, Siddique KU, Ashfaq F, Ali W, Reddy HD, Mishra A. Effect of high-dose zinc supplementation with oral hypoglycemic agents on glycemic control and inflammation in type-2 diabetic nephropathy patients. J Nat Sci Biol Med. 2013 Jul;4(2):336-40. doi: 10.4103/0976-9668.117002. | |
| 28566858 | Result | Thomas B, Prasad RB, Shetty S, Vishakh R. Comparative Evaluation of the Lipid Profile in the Serum of Patients with Type II Diabetes Mellitus and Healthy Individuals with Periodontitis. Contemp Clin Dent. 2017 Jan-Mar;8(1):96-101. doi: 10.4103/ccd.ccd_1160_16. |
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| ID | Term |
|---|---|
| D055113 | Chronic Periodontitis |
| D010518 | Periodontitis |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D019287 | Zinc Sulfate |
| D014080 | Tooth Exfoliation |
| D016745 | Root Planing |
| ID | Term |
|---|---|
| D013431 | Sulfates |
| D013464 | Sulfuric Acids |
| D013456 | Sulfur Acids |
| D013457 | Sulfur Compounds |
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The outcome assessor and statistician will be blinded to the intervention
| scaling and root planing | Procedure | scaling and root planing |
|
| at the baseline and after 3 months |
| Clinical attachment level | It will be measured from the cemento-enamel junction till the apical part of the pocket. | at the baseline and after 3 months |
| Gingival index | Gingival Index for a specific tooth == Average (points for the 4 surfaces) | at the baseline and after 3 months |
| Cairo University |
| Study Director |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007287 |
| Inorganic Chemicals |
| D017967 | Zinc Compounds |
| D009063 | Dental Physiological Phenomena |
| D055688 | Digestive System and Oral Physiological Phenomena |
| D012534 | Dental Scaling |
| D003777 | Dental Prophylaxis |
| D010517 | Periodontics |
| D003813 | Dentistry |
| D013357 | Subgingival Curettage |
| D011313 | Preventive Dentistry |