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| ID | Type | Description | Link |
|---|---|---|---|
| 1.399.643 | Other Identifier | Ethics Committee in Research |
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| Name | Class |
|---|---|
| Centro Universitário Franciscano | UNKNOWN |
Although several studies have assessed the efficacy of chlorhexidine in treating gingivitis and reducing biofilm formation, the side effects of a long-term use are unpleasant for patients. Melaleuca alternifolia oil has been considered as an alternative because of its anti-inflammatory properties. However, little is know about the efficacy of its nanoparticles. The purpose of this study is to compare the effect of 0.12% chlorhexidine (Periogard ®) and a nanoparticle solution of 0.3% M. alternifolia oil in reducing biofilm formation in plaque-free and plaque-covered teeth surfaces.
This will be a randomized crossover clinical trial, double blind, in which individuals will be randomly assigned into two different treatments: daily mouthrinse of chlorhexidine gluconate (0.12%) or daily mouthrinse of a nanoparticle solution of M. alternifolia (0.3%) during a period of oral hygiene withdrawal.
The test panel will consist of 59 students from the Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil. All subjects will receive written and oral explanations regarding the purpose and design of this study. Those who met the inclusion criteria will be selected for a dental screening appointment, being removed in the presence of any exclusion criteria. All volunteers will be asked to sign an informed consent before the experimental period.
The following clinical parameters will be assessed:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chlorhexidine gluconate (0,12%) | Experimental | Subjects will rinse twice daily with 15 ml mouthrinse containing Chlorhexidine gluconate (0.12%). |
|
| M. alternifolia oil (Nanoparticle solution) | Experimental | Subjects will rinse twice daily with 15 ml mouthrinse containing nanoparticles of M. alternifolia oil (0.3%). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chlorhexidine gluconate 0.12% (PerioGard®) | Drug | At baseline, subjects will receive a professional prophylaxis and will be instructed to withdrawal oral hygiene methods for 3 days. At day 4, 2 contra-lateral quadrants will be randomly chosen to receive a professional prophylaxis, being controls for plaque-covered surfaces. Subjects will then start to rinse twice daily with 15 ml mouthrinse containing Chlorhexidine gluconate (0.12%). Plaque indices will be recorded at baseline, day 4, and day 7. |
| Measure | Description | Time Frame |
|---|---|---|
| Dental plaque/biofilm formation. | 7 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Gingival abrasion. | 7 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Gingival crevicular fluid- measured through an electronic gingival fluid measuring device (Periotron®) | The volume of gingival fluid will be measured at two locations per quadrant. | 7 days. |
| Perception of appreciation- questionnaire |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fabricio B. Zanatta, PhD | Contact | +55 55 81283358 | fabriciobzanatta@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Fabricio B. Zanatta, PhD | Adjunct Professor | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25395761 | Background | Rahman B, Alkawas S, Al Zubaidi EA, Adel OI, Hawas N. Comparative antiplaque and antigingivitis effectiveness of tea tree oil mouthwash and a cetylpyridinium chloride mouthwash: A randomized controlled crossover study. Contemp Clin Dent. 2014 Oct;5(4):466-70. doi: 10.4103/0976-237X.142813. |
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| ID | Term |
|---|---|
| D003773 | Dental Plaque |
| ID | Term |
|---|---|
| D003741 | Dental Deposits |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| C010882 | chlorhexidine gluconate |
| D002710 | Chlorhexidine |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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| Nanoparticle solution of M. alternifolia oil (0.3%). | Drug | At baseline, subjects will receive a professional prophylaxis and will be instructed to withdrawal oral hygiene methods for 3 days. At day 4, 2 contra-lateral quadrants will be randomly chosen to receive a professional prophylaxis, being controls for plaque-covered surfaces. Subjects will then start to rinse twice daily with 15 ml mouthrinse containing a nanoparticle solution of M. alternifolia oil (0.3%). Plaque indices will be recorded at baseline, day 4, and day 7. |
|
Visual Analogue Scale
| 7 days. |