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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03741374
Registration number
NCT03741374
Ethics application status
Date submitted
5/11/2018
Date registered
14/11/2018
Date last updated
18/12/2023
Titles & IDs
Public title
Minimally-invasive Non-surgical Therapy of Intrabony Defects
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Scientific title
Analysis of Intrabony Defects Treated With Minimally-invasive Non-surgical Therapy: A Prospective Cohort Multicentre Study
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Secondary ID [1]
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QMERC 2018/56
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Periodontitis
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Minimally-invasive non-surgical therapy (MINST)
Experimental: Minimally-invasive non-surgical therapy - Intrabony defects treated with Minimally-invasive non-surgical therapy (MINST)
Treatment: Surgery: Minimally-invasive non-surgical therapy (MINST)
A non-surgical minimally-invasive treatment protocol, named MINST, has been proposed (Ribeiro et al. 2011) for the treatment of periodontitis, in order to minimise patient discomfort and maximise the healing potential. This technique usually involve the use of magnification lenses or microscopes and small instruments which would reduce the risk of tissue trauma compared with traditional instruments.
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Radiographic whole defect depth reduction
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Assessment method [1]
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Radiographic whole defect depth reduction in millimeters at 12 months \[considered a surrogate measure evaluating the entire regenerative process including bone, cementum and periodontal ligament (Polimeni et al. 2009)\]
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Probing Pocket Depth change
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Assessment method [1]
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Probing Pocket Depth (PPD) change (in mm) at 12 months
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Timepoint [1]
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12 months
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Secondary outcome [2]
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Clinical Attachment Level change
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Assessment method [2]
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Clinical Attachment Level (CAL) change at 12 months
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Timepoint [2]
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12 months
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Eligibility
Key inclusion criteria
1. Age 18-70
2. Diagnosis of Periodontitis (Tonetti et al. 2018)
3. Presence of =1 'intrabony defect' (PPD and CAL >5 mm with radiographic intrabony defect depth =3mm and not in a site associated with furcation involvement)
4. Signed informed consent [Participants must be able and willing to read and sign a copy of the "Informed Consent Form" (ICF) form after reading the "Patient Information Leaflet" (PIS), and after the nature of the study has been fully explained].
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Smoking (current or in past 5 years, including electronic cigarettes, vaping or similar)
2. Medical history including diabetes or hepatic or renal disease, or other serious medical conditions or transmittable diseases
3. Presence of drug-induced gingival enlargement
4. History of conditions requiring prophylactic antibiotic coverage prior to invasive dental procedures
5. Anti-inflammatory or anticoagulant therapy during the month preceding the baseline exam
6. Systemic antibiotic therapy during the 3 months preceding the baseline exam,
7. Taking immunosuppressant medications
8. Known allergy to local anaesthetic
9. History of alcohol or drug abuse
10. Self-reported pregnancy or lactation
11. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that according to the investigator may increase the risk associated with trial participation
12. Periodontal treatment to the study site within the last 12 months (excluding not-extensive subgingival debridement as judged by the examining clinician).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/04/2025
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Dr Ryan Lee Private Practice - Brisbane
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Recruitment postcode(s) [1]
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QLD 4000 - Brisbane
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Recruitment outside Australia
Country [1]
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Italy
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State/province [1]
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Forlimpopoli
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Spain
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State/province [2]
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Coruna
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United Kingdom
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Dorchester
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United Kingdom
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London
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Country [5]
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United Kingdom
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State/province [5]
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Middlesex
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Funding & Sponsors
Primary sponsor type
Other
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Name
Queen Mary University of London
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Ravenscourt Dental Practice
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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South Coast Dental Specialists
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Address [2]
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Other collaborator category [3]
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Other
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Name [3]
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Claremonth Dental Practice
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Address [3]
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Other collaborator category [4]
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Other
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Name [4]
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Pall Mall Dental
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Address [4]
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Other collaborator category [5]
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Other
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Name [5]
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Rose Lane Dental Practice
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Address [5]
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Other collaborator category [6]
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Other
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Name [6]
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Periosouth
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Address [6]
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Other collaborator category [7]
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Other
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Name [7]
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Clinica de Periodoncia
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Address [7]
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Other collaborator category [8]
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Other
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Name [8]
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Studio Dentistico Associato Montevecchi D' Alessandro
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Address [8]
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Other collaborator category [9]
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Other
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Name [9]
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11th floor 141 Queen St. Brisdane
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Address [9]
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Other collaborator category [10]
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Other
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Name [10]
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The Dentist
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Address [10]
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Other collaborator category [11]
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Other
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Name [11]
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High Barnet Dental Care
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Address [11]
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Country [11]
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Ethics approval
Ethics application status
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Summary
Brief summary
This investigation aims to assess the clinical and radiographic outcomes of intrabony defects treated with minimally-invasive non-surgical therapy.
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Trial website
https://clinicaltrials.gov/study/NCT03741374
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Trial related presentations / publications
Papapanou PN, Tonetti MS. Diagnosis and epidemiology of periodontal osseous lesions. Periodontol 2000. 2000 Feb;22:8-21. doi: 10.1034/j.1600-0757.2000.2220102.x. No abstract available. Papapanou PN, Wennstrom JL. The angular bony defect as indicator of further alveolar bone loss. J Clin Periodontol. 1991 May;18(5):317-22. doi: 10.1111/j.1600-051x.1991.tb00435.x. Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol. 2002;29 Suppl 3:92-102; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.5.x. Nyman S, Lindhe J, Karring T, Rylander H. New attachment following surgical treatment of human periodontal disease. J Clin Periodontol. 1982 Jul;9(4):290-6. doi: 10.1111/j.1600-051x.1982.tb02095.x. Cortellini P, Tonetti MS. Focus on intrabony defects: guided tissue regeneration. Periodontol 2000. 2000 Feb;22:104-32. doi: 10.1034/j.1600-0757.2000.2220108.x. No abstract available. Needleman IG, Worthington HV, Giedrys-Leeper E, Tucker RJ. Guided tissue regeneration for periodontal infra-bony defects. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD001724. doi: 10.1002/14651858.CD001724.pub2. Trombelli L, Farina R, Franceschetti G, Calura G. Single-flap approach with buccal access in periodontal reconstructive procedures. J Periodontol. 2009 Feb;80(2):353-60. doi: 10.1902/jop.2009.080420. Cortellini P, Tonetti MS. Clinical and radiographic outcomes of the modified minimally invasive surgical technique with and without regenerative materials: a randomized-controlled trial in intra-bony defects. J Clin Periodontol. 2011 Apr;38(4):365-73. doi: 10.1111/j.1600-051X.2011.01705.x. Epub 2011 Feb 8. Nibali L, Pometti D, Tu YK, Donos N. Clinical and radiographic outcomes following non-surgical therapy of periodontal infrabony defects: a retrospective study. J Clin Periodontol. 2011 Jan;38(1):50-7. doi: 10.1111/j.1600-051X.2010.01648.x. Epub 2010 Nov 22. Ribeiro FV, Casarin RC, Palma MA, Junior FH, Sallum EA, Casati MZ. Clinical and patient-centered outcomes after minimally invasive non-surgical or surgical approaches for the treatment of intrabony defects: a randomized clinical trial. J Periodontol. 2011 Sep;82(9):1256-66. doi: 10.1902/jop.2011.100680. Epub 2011 Feb 2. Nibali L, Pometti D, Chen TT, Tu YK. Minimally invasive non-surgical approach for the treatment of periodontal intrabony defects: a retrospective analysis. J Clin Periodontol. 2015 Sep;42(9):853-859. doi: 10.1111/jcpe.12443. Epub 2015 Sep 29.
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Public notes
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Contacts
Principal investigator
Name
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Luigi Nibali, DipDent, MSc, PhD
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Address
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Barts & The London School of Medicine & Dentistry, QMUL
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Luigi Nibali, DipDent, MSc, PhD
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Address
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Country
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Phone
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+44(0)2078823134
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03741374
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