The Anti-inflammatory and Anti-plaque Efficacies of Mouth Rinse Containing Hyaluronic Acid and Hydrogen Peroxide in the Management of Dental Biofilm-induced Gingivitis: a 14 Days Randomized Clinical Trial
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Change in Gingival index
研究概览
简要总结
The goal of this clinical trial is to test efficiency of using mouth rinse containing (H2O2 and HA) over a period of two weeks to control on gingival inflammation and plaque accumulation through measuring the clinical periodontal parameters (Gingival Index (GI), Bleeding on probing (BOP) and modified Quigley-Hein Plaque Index (mQHPI ) in comparison with Chlorhexidine (CHX) and placebo mouth rinses in patients with biofilm induced gingivitis.
Objectives:
- Evaluate the clinical efficiency of using mouth rinse containing (H2O2 and HA) over a period of 14 days to control on gingival inflammation and plaque accumulation through measuring the clinical periodontal parameters (Gingival Index, Bleeding on probing and modified Quigley-Hein Plaque Index in comparison with Chlorhexidine and placebo mouth rinses in patients with biofilm induced gingivitis.
- Measuring levels of salivary cytokines, Interleukin 1 beta (IL-1B) and Interleukin 6 (IL-6) at baseline visit before using mouth rinse and after 14 days of using the mouth rinse containing H2O2 and HA compared to chlorhexidine and placebo mouth rinses.
- Evaluate subjects' perception of a mouth rinse (H2O2 and HA), CHX and placebo mouth rinses after 14 days from using three mouth rinse
详细描述
54 subjects will be enrolled, who show with generalized gingivitis (having >30% bleeding sites with no PPD >3 mm, intact periodontium and no loss of periodontal attachment), caused by accumulation of plaque.
A double-blind, randomized parallel 3-arms clinical trial include using the following mouth rinses, 0.12% CHX (KIN Gingival, KIN, Barcelona, Spain) as positive-control , distilled water (placebo, nonactive control) with food additives (to blind the subjects and examiner) and Perhyal rinse (BMG Pharma, Milan, Italy ) containing has H2O2 (1,80%) and HA (0,10%) with the remaining part being water (97,3%) and inert additives as active ingredients, will be used as test interventions. The mouthwashes will be contained in identical opaque bottles that were randomly given sequential letters codes (A, B and C ) by a another subject who will not involved in the clinical investigation. This ensured the double blindness of both the participant and examiner during the clinical trial. Decoding will performed after the end of the study.
Randomization will be performed by the examiner for enrollment patient in 3 groups. Each group will be assigned a letter (A, B or C) corresponding to the intervention used. Random numbers were generated and used to re-sort the order of the groups and participants (n=54), who will distributing into designated groups, each group received a similar number of subjects (n=18) with a 1:1:1 allocation, by using a Microsoft Excel random table (Microsoft Office 2016, Microsoft Corporation, USA). Then, coded bottles with the interventions will be delivered to the participants together with instructions for use. The participants will be asked to rinse with 10 ml of undiluted.
mouthwash for 60 s twice per day (30 min after tooth brushing) and will be instructed to refrain from eating and drinking for 30 min after rinsing. Discontinuation of the mouthwash will be advised in cases of any allergic reaction. All participants will be received a toothbrush with medium-hardness bristles and a toothpaste (COLGATE®, Colgate-Palmolive, NY, USA). No modifications to the participants' tooth brushing technique will be permitted.
In baseline visit at the beginning,
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
- Double (Participant, Investigator)
盲法说明
The products will be packaged in such a way that they are not recognizable neither by the operator, nor by the patient. Each package will be assigned a number that in turn will refer to the type of the product. The association between the number and type of the product will be collected by another operator according to the association carried out by a dedicated software. The operator who will deliver the product will be informed about the type only at the end of the treatment.
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Subjects aged ≥ 18 years-old.
- •participants who were apparently systemically healthy.
- •Presence of ≥ 20 teeth.
- •Patients with generalized gingivitis (having >30% bleeding sites with no PPD >3 mm, intact periodontium and no loss of periodontal attachment .
- •Patients without presence of supra- or subgingival calculus
排除标准
- •Patients who refuse to write an informed consent form.
- •Extensive untreated dental caries and diseases of hard and soft palate.
- •Those having periodontitis.
- •Ongoing orthodontic treatment.
- •History of antibiotics intake within the past 3 months.
- •Pregnant or intended to and lactating mother.
- •Smoker or alcoholism
- •Using mouthwash within past one month.
- •Those with a recent tooth extraction.
- •Those having a history of hypersensitivity to any product used in the present study.
研究组 & 干预措施
Perhyal rinse
Participants will be given the test interventions,Perhyal rinse, and will be asked to rinse with 10 ml of undiluted mouthwash for 60 s twice per day (30 min after tooth brushing) and will be instructed to refrain from eating and drinking for 30 min after rinsing.
干预措施: Perhyal rinse (Drug)
Chlorhexidine 0.12%
Participants will be given the positive-control, Chlorhexidine 0.12%, and will be asked to rinse with 10 ml of undiluted mouthwash for 60 s twice per day (30 min after tooth brushing) and will be instructed to refrain from eating and drinking for 30 min after rinsing.
干预措施: Chlorhexidine mouthwash (Drug)
Placebo Product
Participants will be given the nonactive control, distilled water, and will be asked to rinse with 10 ml of undiluted mouthwash for 60 s twice per day (30 min after tooth brushing) and will be instructed to refrain from eating and drinking for 30 min after rinsing.
干预措施: Placebo (Drug)
结局指标
主要结局
Change in Gingival index
时间窗: 0, 14 days
Subjects will undergo the measurement of gingival index according to Loe \& Silness, designed to assess the severity and quality of gingival inflammation in an individual or population. The gingival inflammation is assessed on the basis of color, consistency and bleeding on probing. The gingiva surrounding the tooth is assessed at four sites: mesio-facial papilla, facial marginal gingiva, disto-facial papilla and lingual marginal gingiva. Data will be collected based on four possible clinical conditions: 0=Normal gingiva1=Mild Inflammation-Slight change in color, Slight odema. No bleeding on probing2=Moderate inflammation-redness,odema and glazing. Bleeding on probing 3=Sever inflammation-marked redness and edema.Ulceration.Tendency to spontaneous bleeding.
次要结局
- Mean amount plaque between different comparators.(14 days)
- Assessment of the interventions by the participants through answering specially designed(14 days)
- Mean relative changes in Interleukin 1 beta and Interleukin 6 levels in salivary Fluid.(14 days)
- Changes in BOP score(14 days)
研究者
Ahmed Hashim Alyasari
Principal Investigator
University of Baghdad