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Herbal Pralines - Oral Health

Not Applicable
Completed
Conditions
Gingivitis
Periodontitis
Interventions
Dietary Supplement: herbal nitrate Pralines with nitrate
Dietary Supplement: herbal nitrate Pralines without nitrate
Registration Number
NCT06090851
Lead Sponsor
Wuerzburg University Hospital
Brief Summary

This randomized, double-blinded, placebo-controlled two-arm, parallel group clinical trial is designed to evaluate the impact of the consumption of two herbal pralines containing 200 mg nitrate on clinical signs of gingival inflammation (Bleeding on probing) without an accompanied professional mechanical plaque removal.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • age 18 to 65 years,
  • minimum of 20 % of the measure points showing a manifest bleeding after probing,
  • no periodontal maintenance therapy within the past 4 months,
  • a minimum of 10 remaining natural teeth
Exclusion Criteria
  • history of drug / alcohol abuse,
  • systemic intake of antibiotics < 6 months prior to the study period,
  • regular use of anti-inflammatory drugs,
  • regular use of antibacterial mouthwashes,
  • known allergic reactions to any ingredient in the experimental pralines
  • mean arterial blood pressure MAD <80mmHg
  • known allergies and intolerances to any of the ingredients of the experimental pralines

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
verumherbal nitrate Pralines with nitratepralines containing nitrate 3x day (200mg nitrate per day)
placeboherbal nitrate Pralines without nitratepralines without nitrate
Primary Outcome Measures
NameTimeMethod
bleeding on probing (BoP)28 days

observed percentage of probing sites being positive for bleeding on probing

Secondary Outcome Measures
NameTimeMethod
Gingiva Index (GI)Day 28

Gingival Index will be assessed strictly visually on a categorial scale ranging from GI 0 to GI 3 according to the Lobene modification

saliva buffer capacity ( the ability of a buffer solution to resist a change in pH)day28

buffer capacity will be assed by PHmeter datenloGGer-store

composition of the oral microbiome (subgingival)day 28

microbial samples are taking from the tooth showing the highest number of BoP positive sites

Short-term Sick LeaveDay 28

The number of occasions a study participant consulted the onboard physician due to respiratory or gastrointestinal discomfort is documented via a questionnaire. Diagnoses reported by the study participants will be verified by the onboard physician

saliva PH levelsDay 28

PH levels will be assed by PHmeter (PHM 230 S) datenloGGer-store

Plaque Control Record (PCR) according to O´LearyDay 28

The percentage of plaque coverage will calculated from the number of plaque-covered surfaces in relation to the number of all examined surfaces per tooth.

Pocket probing depthDay 28

The probable pocket depth (PPD) in mm will recorded using a PCP-11 Marquis periodontal probe (Hu-Friedy, USA) at six measuring points (mesio-buccal, buccal, disto-buccal, disto-oral, oral, mesio-oral) per tooth

Periodontal inflamed surface area (PISA)Day 14

PISA will be calculated from Pocket probing depth (PPD), Gingival Recession (Rec) and BoP

Salivary nitrite levelsDay 28

Salivary nitrite levels will be determined from the salivary samples by High-Performance Anion-Exchange Chromatography with Suppressed Conductivity Detection (HPAEC-CD).

Bacteria relevant to caries in salivaDay 28

Bacteria relevant to caries are cultivated and counted

Periodontal inflamed surface area (PISA) mm2Day 28

PISA will be calculated from Pocket probing depth (PPD) in mm, Gingival Recession (Rec) in mm and BoP

Salivary nitrate levelsDay 28

Salivary nitrate levels will be determined from the salivary samples by High-Performance Anion-Exchange Chromatography with Suppressed Conductivity Detection (HPAEC-CD).

Trial Locations

Locations (2)

Section of Periodontology

🇩🇪

Wuerzburg, Germany

German Naval Medical Institute

🇩🇪

Kronshagen, Germany

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