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Arginine is an adjunct to oral health care that has the potential to modulate the composition and activity of the microbial community of dental biofilms towards a health-related status without harmful effects for the resident oral microbiota. The aim of the study is to investigate the effects of arginine treatment compared to placebo on the composition, metabolism, and microarchitecture of biofilms grown in situ in the oral cavity of caries-active participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arginine solution | Experimental | Arginine treatment is performed outside the oral cavity (ex vivo) by immersing one side of a splint into a solution of arginine 1.5% (w/v). Treatment is performed 3 times a day for 30 min. |
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| Placebo | Placebo Comparator | Placebo treatment is performed outside the oral cavity (ex vivo) by immersing one side of a splint into distilled water. Treatment is performed 3 times a day for 30 min. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arginine | Other | See arm description |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Biofilm pH | Extracellular biofilm pH measured after sucrose challenge using pH ratiometry | Measured after in situ biofilm growth |
| Measure | Description | Time Frame |
|---|---|---|
| Biofilm microbial composition | Microbial community of dental biofilms determined by 16S rRNA gene sequencing. Distribution of specific microbial targets in the biofilms is visualized by fluorescence in situ hybridization. | Analyzed after in situ biofilm growth |
| Biofilm matrix architecture |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sebastian Schlafer | University of Aarhus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University | Aarhus | 8000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41261098 | Derived | Del Rey YC, Rikvold PD, Lund MB, Raittio EJ, Schramm A, Meyer RL, Schlafer S. Arginine modulates the pH, microbial composition, and matrix architecture of biofilms from caries-active patients. Int J Oral Sci. 2025 Nov 20;17(1):70. doi: 10.1038/s41368-025-00404-5. |
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Due to general data protection regulations, individual participant data will not be made available publicly. Summary data will be made available upon publication of the results.
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| ID | Term |
|---|---|
| D003731 | Dental Caries |
| D003773 | Dental Plaque |
| D003141 | Communicable Diseases |
| ID | Term |
|---|---|
| D017001 | Tooth Demineralization |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D003741 | Dental Deposits |
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| ID | Term |
|---|---|
| D001120 | Arginine |
| ID | Term |
|---|---|
| D024361 | Amino Acids, Basic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000599 | Amino Acids, Diamino |
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Split-mouth design
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| Other |
See arm description |
|
Matrix components are visualized in the dental biofilms by confocal microscopy. |
| Analyzed after of in situ biofilm growth |
| Biofilm thickness | Measured using confocal laser scanning microscopy and/or optical coherence tomography. | Measured after in situ biofilm growth |
| D007239 |
| Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000601 | Amino Acids, Essential |