AzTrials
AzTrials

Peri-ImplantitisNCT06017817

Antibacterial Photodynamic Therapy in the Management of Peri-implantitis

A study testing Lumoral Treatment, Standard oral hygiene instructions and Scaling and root planing (SRP in people with Peri-Implantitis and Plaque, Dental, run by Koite Health Oy at 1 site in Sweden.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This early-stage study is designed to determine the efficacy of the Lumoral method in periimplantitis. Improved supragingival plaque control can help to also sustain subgingival plaque management in the long term. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Peri-Implantitis, Plaque, Dental
What is being tested?
Lumoral Treatment, Standard oral hygiene instructions and Scaling and root planing (SRP
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteSweden
Study dates
13 May 2024to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • PPD ≥6 mm and marginal bone loss >3 mm
  • Dental implants collected and clinically characterized according to Lähteenmäki et al. CEDR-22
  • Agreement to participate in the study and to sign a written consent form
  • Able to co-operate with the treatment protocol and avoid any other oral hygiene measures outside of the study protocol

Who cannot join

  • Presence of any physical limitation or restriction that might restrict Lumoral use
  • Unwilling to participate in the study
  • Pregnancy or lactation
  • Active smoking
  • Medicated diabetes mellitus (DM)
  • Any systemic disease (e.g., wound healing dysfunctions) that could alter the progression of peri-implantitis
Show all 9Show fewer
  • Use of antibiotics and doxycycline, chlorhexidine, and bisphosphonates, within 4 weeks week prior to study participation
  • Peri-implant and periodontal treatment within 3 months prior to study participation
  • Removable major prosthesis or major orthodontic appliance

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sweden1 site, 1 recruiting
  • Södertandläkarna AB

    Stockholm, 11622

    Nilminie Rathnayake, Periodontist

    Recruiting

Other trials in Sweden

About this study

Official title: Regular Home-use of Antibacterial Photodynamic Therapy in the Management of Peri-implantitis

This early-stage study is designed to determine the efficacy of the Lumoral method in periimplantitis. Improved supragingival plaque control can help to also sustain subgingival plaque management in the long term. In addition, the device might have a photobiomodulation effect on periodontal tissues, thus impacting osseointegration.

Read the detailed description

Clinical signs of inflammation in peri-implantitis include bleeding on probing, suppuration, increased probing depth, and radiographic signs of bone loss. Currently, the best treatment options for peri-implantitis include non-surgical methods of biofilm removal in the supra-mucosal area around implants, and comprehensive guidance on self-performed infection control procedures. With more advanced peri-implantitis, anti-infective surgical treatment protocol would be needed.

Matrix metalloproteinase 8 (MMP-8) has been found to be elevated in association with oral infections, such as periodontitis and peri-implantitis. The level of active MMP-8 (aMMP-8) can detect to determine tissue health and to assess inflammation, and can easily be measured during a regular dental appointment with a chairside test.

The Lumoral Treatment is a CE-marked medical device developed to provide a potent, targeted antibacterial action on dental plaque in a home environment. The method mechanism of action is antibacterial photodynamic therapy (aPDT). The method is used by swishing a mouth rinse, which has a strong adherence to dental plaque. The plaque-adhered photoactive mouth rinse can be activated by a simple-to-use light applicator. Preliminary results have shown a promising anti-inflammatory response in addition to plaque reduction.

Being tested
Lumoral Treatment, Standard oral hygiene instructions, Scaling and root planing (SRP, surgical anti-infective peri-implantitis treatment
Keywords
Lumoral, Lumorinse, Antibacterial photodynamic therapy (aBPT), aMMP-8, Plaque control
Medical subject headings
Peri-Implantitis, Dental Plaque

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lumoral TreatmentDevice

    Anti-infective photodynamic therapy for plaque-induced oral conditions

  • Standard oral hygiene instructionsProcedure or surgery

    Standard oral hygiene instructions for electric toothbrushing, interdental brush, and dental floss use

  • Scaling and root planing (SRPProcedure or surgery

    non-surgical anti-infective treatment by scaling and root planing

  • surgical anti-infective peri-implantitis treatmentProcedure or surgery

    surgical anti-infective peri-implantitis treatment

Study groups in NCT06017817
Study groupRoleWhat they receive
Non-surgical treatment, Study group (NST-1)ExperimentalLumoral Treatment; Standard, non-surgical anti-infective treatment by scaling and root planing (SRP); and Standard oral hygiene instructions for electric toothbrushing, interdental brush, and dental floss use.
Receives: Device: Lumoral Treatment; Procedure: Standard oral hygiene instructions; Procedure: Scaling and root planing (SRP
Non-surgical treatment, Control group (NST-2)Active comparatorStandard, non-surgical anti-infective treatment by scaling and root planing (SRP); and Standard oral hygiene instructions for electric toothbrushing, interdental brush, and dental floss use.
Receives: Procedure: Standard oral hygiene instructions; Procedure: Scaling and root planing (SRP
Surgical treatment, Study group (ST-1)ExperimentalLumoral Treatment; Surgical anti-infective peri-implantitis treatment; and Standard oral hygiene instructions for electric toothbrushing, interdental brush, and dental floss use.
Receives: Device: Lumoral Treatment; Procedure: Standard oral hygiene instructions; Procedure: surgical anti-infective peri-implantitis treatment
Surgical treatment, Control group (ST-2)Active comparatorSurgical anti-infective peri-implantitis treatment; and Standard oral hygiene instructions for electric toothbrushing, interdental brush, and dental floss use.
Receives: Procedure: Standard oral hygiene instructions; Procedure: surgical anti-infective peri-implantitis treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Bleeding on probing (BOP)

    Change in the inflammatory parameter BOP. A full-mouth assessment at six sites per tooth:

    • Gingival bleeding is considered as positive if bleeding occurs within 15 seconds after gentle probing with a probe at the sulcus
    • Dichotomous scoring to each site of the tooth as bleeding "1 present" and "0 absent"
    • BOP reported as the percentage (%) of sites with positive findings
    • Calculation formula: number of bleeding sites/ 6 times number of teeth

    Measured: 6 months

Secondary outcomes (13)
  1. Active matrix metalloproteinase 8 (aMMP-8)

    The oral rinse fluid sample collection and the aMMP-8 marker analysis will be performed using Periosafe test (Dentognostics GmbH) according to the manufacturer's instructions.

    Measured: 6 months

  2. Inflammatory marker total MMP-8 analysis

    Measurement of pro and active MMP-8. Units: ng/ml.

    Measured: 6 months

  3. Inflammatory marker total MMP-9 analysis

    Measurement of pro and active MMP-9. Units: ng/ml.

    Measured: 6 months

  4. Inflammatory marker total MMP-2 analysis

    Measurement of pro and active MMP-2. Units: ng/ml.

    Measured: 6 months

  5. Inflammatory marker total TIMP analysis

    Units: ng/ml.

    Measured: 6 months

  6. Interleukins analysis

    Units: pg/ml.

    Measured: 6 months

  7. Total calprotectin analysis

    Salivary calprotectin. Units: microgram/ml.

    Measured: 6 months

  8. Peridontal Pocket Depth (PPD)

    A full-mouth assessment, measured at six sites per tooth. Assessed from the base of the pocket to the gingival margin (mm)

    Measured: 6 months

  9. Visual Plaque Index( VPI)

    Assessment of six index teeth, measured at four sites per tooth

    • Dichotomous scoring to each site of the tooth as plaque "1 present" and "0 absent"
    • VPI reported as the percentage (%) of sites with plaque
    • Calculation formula: number of sites with plaque/ 4 times number of teeth

    Measured: 6 months

  10. Clinical Attachment Level (CAL)

    A full-mouth assessment, measured at six sites per tooth

    • Assessed as the distance from the cementoenamel junction (CEJ) to the bottom of the periodontal pocket (mm)

    The measurements to calculate CAL:

    • distance from the gingival margin to the CEJ and PPD
    • in recession: PPD + gingival margin to the CEJ
    • in tissue overgrowth: PPD - gingival margin to the CEJ

    Measured: 6 months

  11. Bacterial flora

    Quantification of periodontopathic bacteria by 16S rRNA sequencing analysis

    • Microbiological samples can be collected using Iso Taper Paper Points, size-20 (VDW GmbH) from selected gingival/periodontal pockets with maximum initial probing depth. The paper points can be placed into sterile, small-aliquot containers, and immediately stored at -20°C until analysis

    Measured: 6 Months

  12. Adverse events

    Any suspicion of an adverse event related to the investigational device, the treatment method, or the study protocol.

    Measured: 6 months

  13. OHIP-14 questionnaire

    • Measures people's perception of the social impact of oral disorders on their well-being.

    Fourteen items of OHIP are divided into seven dimensions: functional limitation, physical discomfort, psychological discomfort, physical disability, psychological disability, social disability, and handicaps. (Slade GD 1997). Responses are made on a 5-point scale (from 0 = never, to 4 = very often).

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2023
  2. Study start13 May 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
80 subjects in total are recruited to this study: 40 subjects in the non-surgical treatment (NST), of which 20 participants in the NST Study group (NST-1) and 20 participants in the NST Control group (NST-2), and 40 subjects in the surgical treatment (ST), of which 20 participants in the ST Study group (ST-1) and 20 participants in the ST Control group (ST-2).
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06017817
Sponsor's protocol ID
HEALTHIER
Status last verified
Aug 2026
First submitted
24 Aug 2023
Last updated
7 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Berglundh T, Jepsen S, Stadlinger B, Terheyden H. Peri-implantitis and its prevention. Clin Oral Implants Res. 2019 Feb;30(2):150-155. doi: 10.1111/clr.13401. Epub 2019 Feb 3.

    PubMed 30636066
  • Jepsen S, Berglundh T, Genco R, Aass AM, Demirel K, Derks J, Figuero E, Giovannoli JL, Goldstein M, Lambert F, Ortiz-Vigon A, Polyzois I, Salvi GE, Schwarz F, Serino G, Tomasi C, Zitzmann NU. Primary prevention of peri-implantitis: managing peri-implant mucositis. J Clin Periodontol. 2015 Apr;42 Suppl 16:S152-7. doi: 10.1111/jcpe.12369.

    PubMed 25626479
  • Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014 Nov;93(11):1045-53. doi: 10.1177/0022034514552491. Epub 2014 Sep 26.

    PubMed 25261053
  • Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, Murray CJL, Marcenes W; GBD 2015 Oral Health Collaborators. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017 Apr;96(4):380-387. doi: 10.1177/0022034517693566.

    PubMed 28792274
  • Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol. 2015 Apr;42 Suppl 16:S59-70. doi: 10.1111/jcpe.12350.

    PubMed 25496279
  • Lahteenmaki H, Patila T, Raisanen IT, Kankuri E, Tervahartiala T, Sorsa T. Repeated Home-Applied Dual-Light Antibacterial Photodynamic Therapy Can Reduce Plaque Burden, Inflammation, and aMMP-8 in Peri-Implant Disease-A Pilot Study. Curr Issues Mol Biol. 2022 Mar 8;44(3):1273-1283. doi: 10.3390/cimb44030085.

    PubMed 35723308
  • Nikinmaa S, Moilanen N, Sorsa T, Rantala J, Alapulli H, Kotiranta A, Auvinen P, Kankuri E, Meurman JH, Patila T. Indocyanine Green-Assisted and LED-Light-Activated Antibacterial Photodynamic Therapy Reduces Dental Plaque. Dent J (Basel). 2021 May 3;9(5):52. doi: 10.3390/dj9050052.

    PubMed 34063662
  • Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997 Aug;25(4):284-90. doi: 10.1111/j.1600-0528.1997.tb00941.x.

    PubMed 9332805

Questions about this trial

What is this clinical trial studying?

A study testing Lumoral Treatment, Standard oral hygiene instructions and Scaling and root planing (SRP in people with Peri-Implantitis and Plaque, Dental, run by Koite Health Oy at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 7 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Mikko Kylmänen (+358407245934, mikko.kylmanen@koitehealth.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Bleeding on probing (BOP) (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06017817, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in