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| Name | Class |
|---|---|
| University of Wuerzburg | OTHER |
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This randomized, double-blind, placebo-controlled 2-arm, parallel group clinical trial is designed to evaluate the impact of the regular consumption of a polyphenol-containing Maritime Pine (Pinus pinaster) bark extract (Pycnogenol®) on clinical signs of gingival inflammation in a cohort of periodontal aftercare patients
Polyphenols are natural compounds produced by plants that have various functions, such as defence against microbial pathogens or protection against UV light. Based on their antioxidant activity, a soothing or preventive effect of polyphenols on various inflammatory diseases has been suspected. There is evidence of an anti-inflammatory effect of polyphenols in manifest periodontitis as well as antibacterial properties of these compounds. In addition, it is discussed that dietary polyphenols intervene in mechanisms involved in the pathophysiology of arteriosclerotic changes and their progression.
This randomized, double-blind, placebo-controlled 2-arm, parallel group clinical trial is designed to evaluate the impact of the regular consumption of a polyphenol-containing Maritime Pine (Pinus pinaster) bark extract (Pycnogenol®) on clinical signs of gingival inflammation in a cohort of periodontal aftercare patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pycnogenol Group | Active Comparator | Professional mechanical plaque removal + Pycnogenol capsule |
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| Placebo Group | Placebo Comparator | Professional mechanical plaque removal + placebo capsule |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pycnogenol | Dietary Supplement | daily consumption of a pycnogenol-containing capsule |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding on Probing (BoP) | Bleeding on Probing (BoP) is defined as the appearance of a bleeding spot within 30 seconds after gently probing the evaluated periodontal pocket by inserting the periodontal probe up to the probable bottom of the pocket. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Gingival Index GI | Gingival Index will be recorded visually according to the modification of the original GI. | 6 months |
| Plaque Control Record (PlaCR) | Plaque Control Record (PlaCR) is defined as the percentage of assessed supragingival tooth surfaces covered by bacterial plaque. The presence of bacterial plaque is visually assessed after staining the tooth surfaces with a plaque staining agent. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept. of Periodontology, Center for Oral Health | Würzburg | 97070 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40362854 | Derived | Bayer J, Petersen NK, Hess JV, Jockel-Schneider Y, Hogger P. Impact of a Dietary Supplementation with French Maritime Pine Bark Extract Pycnogenol(R) on Salivary and Serum Inflammatory Biomarkers During Non-Surgical Periodontal Therapy-A Randomized Placebo-Controlled Double-Blind Trial. Nutrients. 2025 Apr 30;17(9):1546. doi: 10.3390/nu17091546. |
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| ID | Term |
|---|---|
| D010518 | Periodontitis |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| C024070 | pycnogenols |
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randomized, double-blind, placebo-controlled 2-arm, parallel group clinical trial
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The experimental pine bark dietary supplement is packaged in neutral capsules, which are dispensed to the study patients in bottles with code labels.
| Placebo | Dietary Supplement | Daily consumption of a placebo capsule |
|
| 6 months |
| Compositional changes within the intestinal microbiota | Compositional changes within the intestinal microbiota between baseline and end of the study are assessed by Next Generation Whole Genome Sequencing on a species level | 6 months |
| Compositional changes within the oral microbiota | Compositional changes within the oral microbiota between baseline and end of the study are assessed by Next Generation Whole Genome Sequencing on a species level | 6 months |
| Change in periodontally inflamed surface area (PISA) | PISA is calculated using the recorded pocket depths and bleeding on probing scores at each evaluated tooth at baseline and at the end of the trial at 6 months. | 6 months |
| Change in salivary polyphenol concentration | Saliva samples for the analysis of salivary polyphenols levels are taken at baseline and at 3 months | 3 months |
| Change in polyphenol serum concentration | Blood samples for the analysis of polyphenol serum levels are taken at baseline and at 3 months | 3 months |
| Change in salivary levels of cytokines, cytokine inhibitors, matrix metalloproteinases and MMP inhibitors | Saliva samples are taken at baseline and at the end of the study at 6 months for the analysis of salivary interleukin (IL) 1ß, IL-6, IL-8, IL-31, matrix metalloproteinase (MMP)-8, MMP-9, tissue inhibitor of metalloproteinase (TIMP)-1 and Histatin 5 levels. | 6 months |
| Change in serum levels of cytokines, cytokine inhibitors, matrix metalloproteinases and MMP inhibitors | Blood samples are taken at baseline and at the end of the study at 6 months for the analysis of serum interleukin (IL) 1ß, IL-6, IL-8, IL-31, matrix metalloproteinase (MMP)-8, MMP-9, and tissue inhibitor of metalloproteinase (TIMP)-1 levels. | 6 months |
| Change in pulse wave velocity | Pulse wave velocity (m/sec) is measured at baseline and at 3 months | 3 months |
| Change in central aortal pulse pressure | Central aortal pulse pressure (mmHg) is measured at baseline and at 3 months | 3 months |
| Change in peripheral systolic and diastolic blood pressure | Peripheral systolic and diastolic blood pressure (mmHg) is measured at baseline and at 3 months. | 3 months |