Comparative Evaluation of Propolis Mouthwash With 0.2% Chlorhexidine Mouthwash in Improving the Periodontitis

NCT ID: NCT05870059

Last Updated: 2023-05-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 102 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-02-02
• Study Completion Date: 2022-11-16

Brief Summary

The goal of this clinical trial is to compare the efficacy of Propolis mouthwash with 0.2% Chlorhexidine mouthwash as an adjunct to mechanical therapy in improving the status of periodontal disease in peri-menopausal women.

The main question it aims to answer are:

• Will propolis mouthwash be equal to Chlorhexidine mouthwash in improving the periodontal status of perimenopausal women?
• Can neopterin be used as an indicator of periodontal disease.

Participants will be asked questions about their general health, menstrual health and oral health then scaling will be done. After that participants will give saliva sample by spitting in a given container. Participants will be divided into 2 groups for treatment and each group comprised of 51 participants.

Group 1: 20% Propolis mouthwash, twice a day for 6 weeks. Group 2: 0.2% chlorhexidine mouthwash, twice a day for 6 weeks.

Detailed Description

Patients who gave consent underwent oral examination and subjects with scores 3 and 4 according to the protocols described by the British Society of Periodontology were recruited into the study.

To evaluate the treatment outcome following periodontal parameters were assessed at baseline, 6 weeks and 12 weeks.

a) periodontal pocket depth b) clinical attachment loss c) bleeding on probing.

The development of mouthwash includes 2 steps i.e. extraction and formulation. i) Propolis extraction was carried out at the University of Karachi, and the propolis collected was authenticated by the Department of Pharmacognosy, Faculty of Pharmacy, University of Karachi.

ii) The formulation was done by the Department of Pharmacognosy at Ziauddin College of Pharmacology.

After formulations, various stability tests were performed on mouthwash to check its safety such as pH, Viscosity, Bio-burden and skin irritancy test. In the end, participants were also asked questions to check the acceptability of the product in terms of odour, colour, taste, fragrance, application and satisfaction with the outcome by the participants. those items that achieved acceptance of 80% or above were considered acceptable.

Saliva samples were taken at baseline and 12 weeks and neopterin levels were assessed using ELISA.

The correlation between neopterin levels and measures of clinical parameters after the treatment is made to evaluate if neopterin can be used as an indicator of disease progression and treatment outcome.

Conditions

Periodontal Diseases

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

propolis

5 ml of 20% propolis mouthwash twice a day.

Group Type: EXPERIMENTAL

Propolis mouthwash

Intervention Type: DRUG

After scaling and root planning at the baseline visit, patients were prescribed to use 5ml of propolis mouthwash twice a day for 6 weeks. patients were also prescribed to not eat and drink anything for half an hour after the rinse.

chlorhexidine

5 ml of 0.2% chlorhexidine mouthwash twice a day.

Group Type: ACTIVE_COMPARATOR

Chlorhexidine mouthwash

Intervention Type: DRUG

After scaling and root planning at the baseline visit, patients were prescribed to use chlorhexidine mouthwash twice a day for 6 weeks. patients were also prescribed to not eat and drink anything for half an hour after the rinse.

Interventions

Propolis mouthwash

After scaling and root planning at the baseline visit, patients were prescribed to use 5ml of propolis mouthwash twice a day for 6 weeks. patients were also prescribed to not eat and drink anything for half an hour after the rinse.

Intervention Type: DRUG

Chlorhexidine mouthwash

After scaling and root planning at the baseline visit, patients were prescribed to use chlorhexidine mouthwash twice a day for 6 weeks. patients were also prescribed to not eat and drink anything for half an hour after the rinse.

Intervention Type: DRUG

Other Intervention Names

clinica mouthwash

Eligibility Criteria

Inclusion Criteria

• Females of age 40-50 years.
• Patients who are willing to receive treatment and give informed consent.
• Patients with probing pocket depth (PPD) of 4mm - 5mm and clinical attachment loss (CAL) of 1-4 mm.
• Presence of bleeding on probing (BOP).
• Patients should not have been subject to periodontal therapy and antibiotic medication in the past 6 months.
• Patients with a minimum of 20 teeth in the oral cavity.

Exclusion Criteria

• Patients who are allergic to honey products.
• Patients on HRT (hormone replacement therapy) or patients who have not had a menstrual cycle for the last 12 months.
• Patients who had lost teeth because of periodontal disease.
• Patients who are or have been smokers in the past.
• Patients are on any kind of antibiotic therapy at the time of screening.
• Systemic conditions predispose patients to chronic periodontal diseases such as diabetes.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Ziauddin University

OTHER

Sponsor Role: lead

Responsible Party

Dr. Maliha Waqar

Principal Investigstor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Syeda M. Waqar, M.Phil

Role: PRINCIPAL_INVESTIGATOR

Ziauddin University, shahrae ghalib, Clifton, Karachi. Pakistan.

Locations

Ziauddin University

Karachi, Sindh, Pakistan

Countries

Pakistan

References

Waqar SM, Huma A, Razi A, Saher F, Qureshi SS, Qureshi JA. FORMULATION DEVELOPMENT AND EVALUATION OF PROPOLIS MOUTHWASH FOR TREATMENT OF PERIODONTAL DISEASE.

Reference Type: BACKGROUND

Waqar SM, Razi A, Qureshi SS, Saher F, Zaidi SJA, Kumar C. Comparative evaluation of propolis mouthwash with 0.2% chlorhexidine mouthwash as an adjunct to mechanical therapy in improving the periodontitis among perimenopausal women: a randomized controlled trial. BMC Oral Health. 2024 Jan 5;24(1):26. doi: 10.1186/s12903-023-03768-4.

Reference Type: DERIVED

PMID: 38183081 (View on PubMed)

Other Identifiers

4300921MWOM

Identifier Type: -

Identifier Source: org_study_id