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The study is aimed to determine if changes to the oral microbiome occur after the use of a nitrate rich mouth rinse. Participants with be asked to use either a controlled (water) mouthrinse once daily for 2 weeks while maintaining normal oral hygiene practices, or use the nitrate rich mouthrinse once daily for 2 weeks.
Primary Outcome measures:
-changes in the composition of the oral microbiome
Secondary Outcome measures
Nitrate is found in high concentrations in beet root, and as such we will use a beet root based product as a daily mouth rinse (Swish and Spit) as a part of the participants daily oral hygiene regimen and collect the participants biofilm before and after 2 weeks of regular use. We will then analyze the data using 16s rRNA sequencing to evaluate the changes in alpha diversity, beta diversity and the absolute and relative differential abundance of nitrate reducing bacteria in the oral microbiome. We will also collect salivary samples to evaluate NO levels, as well as measure blood pressure pre and post treatment.
After this study's completion, we expect to have gained new knowledge on nitrate's influence on the oral microbiome's composition. Gaining this knowledge will allow better public understanding of the effects oral hygiene products have on their oral and systemic health. In addition, the knowledge gained could encourage further investigations into how to better formulate oral hygiene products for improved health and performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nitrate Mouth Rinse | Experimental | Nitrate suspension with approximately 50-100mg nitrates formulated with water swished in mouth for 30 seconds and then expectorated once daily for 14 consecutive days. |
|
| Water Mouth Rinse | Placebo Comparator | Water mouth rinse swished in mouth for 30 seconds and then expectorated once daily for 14 consecutive days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beet Root | Dietary Supplement | Beet Root powder used as a mouth rinse in suspension with water |
|
| Measure | Description | Time Frame |
|---|---|---|
| Microbial composition | 16s rRNA sequencing will be used to explore alpha and beta diversity pre- and post-intervention. Absolute and relative differential abundance will be examined. Functional prediction analysis will be explored. | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure | Systolic and diastolic pressures | 2 weeks |
| Nitric Oxide | Salivary samples will be obtained to determine Nitric Oxide levels |
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Inclusion Criteria:
Participants with mild chronic conditions such as:
Exclusion Criteria:
You are under the age of 18.
You have uncontrolled systemic diseases, or acute infections.
You are taking prescription, antibiotics, probiotics, or antimicrobial mouthrinses.
You have a documented true allergy (i.e Hives, Swelling of lips/throat) Soy, Nuts, Seeds, Dairy, Egg products, Fish/Shellfish or Wheat.
The presence of acute or chronic oral conditions including:
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| Name | Affiliation | Role |
|---|---|---|
| Leigha Rock, PhD | Dalhousie University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dalhousie University | Halifax | Nova Scotia | B3H4R2 | Canada |
deidentifed data and sequencing will be uploaded to a public repository such as the Gene Expression Omnibus.
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| ID | Term |
|---|---|
| D014867 | Water |
| ID | Term |
|---|---|
| D006878 | Hydroxides |
| D000468 | Alkalies |
| D007287 | Inorganic Chemicals |
| D000838 | Anions |
| D007477 |
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| Water | Other | Water used as a mouth rinse |
|
| 2 weeks |
| Ions |
| D004573 | Electrolytes |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |