Role of Infected Blood Dendritic Cells in Heart Disease Risk



Status:Completed
Conditions:Dental
Therapuetic Areas:Dental / Maxillofacial Surgery
Healthy:No
Age Range:40 - Any
Updated:2/7/2015
Start Date:March 2012
End Date:March 2014
Contact:Christopher Cutler, DDS, PhD
Email:chcutler@georgiahealth.edu
Phone:7067212442

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Peripheral Blood Dendritic Cells and Periodontitis

The investigators hypothesize that blood dendritic cells harbor pathogens from the oral
cavity in chronic periodontitis and disseminate these pathogens to atherosclerotic plaques.

To address this hypothesis, a clinical study in humans with moderate to severe chronic
periodontitis has been designed. This is an interventional study involving scaling and root
planing and two arms: 1. treatment with PO amoxocillin/metronidazole plus chlorhexidine oral
rinse; 2. no antibiotics or oral rinse. It is expected that the antibiotics plus
chlorhexidine will prevent the dendritic cell response to infection (bacteremia) elicited by
scaling and root planing.

Inclusion Criteria:

- generalized moderate to severe chronic periodontitis

Exclusion Criteria:

- diabetes

- antibiotics treatment within 3 months

- treatment with steroids, phenytoin, cyclosporin, coumadin

- presence of conditions requiring prophylactic antibiotics per AHA

- cancer, HIV, hepB, lupus, prediagnosed heart disease, renal disease

- smoker
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