Virgin Coconut Oil Versus Chlorhexidine Mouthwash in Non-Surgical Periodontal Therapy of Periodontitis Patients. A Randomized Controlled Clinical Trial With Biochemical Assessment.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Clinical attachment level(CAL)
研究概览
简要总结
This randomized controlled clinical trial will evaluate the effect of virgin coconut oil mouthwash compared with chlorhexidine mouthwash as an adjunct to non-surgical periodontal therapy in patients with stage II periodontitis. Participants will receive scaling and root planing, followed by the assigned mouthwash for 30 days. Clinical periodontal parameters, including plaque index, gingival index, bleeding on probing, probing pocket depth, and clinical attachment level, will be recorded. Gingival crevicular fluid samples will also be collected to assess tumor necrosis factor-alpha levels before and after mouthwash use. The study aims to compare the clinical and biochemical effects of the two mouthwashes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
TNF-alpha assessment will be performed by blinded laboratory personnel using coded GCF samples. Participants and investigators will not be masked.
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •1. Both genders.
- •Age (30-50) years old.
- •Systemically free according to the modified Burkett's health history questionnaire .
- •4. Generalized Periodontitis Stage II .
- •Having at least 20 tooth excluding wisdoms.
- •No history of dental visit in past three months.
- •Participants willing to commit for the entire period of the trial and agreed to sign the written consent after full explanation of the study.
排除标准
- •1. Smokers.
- •Status of Pregnancy or Contraceptives usage.
- •Allergy to coconut oil .
- •Previous Periodontal treatment within the last 6 months.
- •Antibiotic and/or Anti-inflammatory therapy within the last 6 months.
结局指标
主要结局
Clinical attachment level(CAL)
时间窗: From baseline (48 hours after non-surgical periodontal therapy) to 4 weeks after mouthwash use.
Clinical attachment level (CAL) will be measured in millimeters from the cementoenamel junction to the base of the periodontal pocket using a manual Michigan O periodontal probe with Williams markings. Measurements will be recorded at six sites per tooth for all teeth, excluding third molars. The mean CAL value will be calculated and recorded for each patient.
Periodontal pocket depth(PPD)
时间窗: From baseline (48 hours after non-surgical periodontal therapy) to 4 weeks after mouthwash use
Periodontal pocket depth (PPD) will be measured in millimeters from the gingival margin to the base of the periodontal pocket using a manual Michigan O periodontal probe with Williams markings. Measurements will be recorded at six sites per tooth for all teeth, excluding third molars. The mean PPD value will be calculated and recorded for each patient.
Plaque Index(PI)
时间窗: From baseline (48 hours after non-surgical periodontal therapy) to 4 weeks after mouthwash use
Plaque index (PI) will be assessed on the buccal and lingual surfaces of all teeth using a standardized 0-3 clinical scoring system. The mean PI score will be calculated and recorded for each patient. Surfaces with PI scores of 1, 2, or 3 will also be considered plaque-positive, and the percentage of plaque-positive surfaces will be calculated.
Gingival index(GI)
时间窗: From baseline (48 hours after non-surgical periodontal therapy) to 4 weeks after mouthwash use
Gingival index (GI) will be assessed on the buccal and lingual surfaces of all teeth using a standardized 0-3 clinical scoring system. The mean GI score will be calculated and recorded for each patient. Surfaces with GI scores of 1, 2, or 3 will also be considered inflammation-positive, and the percentage of inflammation-positive surfaces will be calculated.
Sulcus bleeding index (SBI)
时间窗: From baseline (48 hours after non-surgical periodontal therapy) to 4 weeks after mouthwash use
Sulcus bleeding index (SBI) will be assessed after gentle probing of the gingival sulcus using a standardized 0-3 clinical scoring system. The mean SBI score will be calculated and recorded for each patient. Sites with SBI scores of 1, 2, or 3 will also be considered bleeding-positive, and the percentage of bleeding-positive sites will be calculated.
次要结局
- Change in gingival crevicular fluid TNF-alpha level(From baseline (48 hours after non-surgical periodontal therapy) to 4 weeks after mouthwash use)
- Patient satisfaction regarding mouthwash-related side effects(At 4 weeks after mouthwash use.)