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This randomized controlled clinical study aims to evaluate the effectiveness of a Sumac mouth rinse in the management of recurrent aphthous stomatitis (RAS). In addition to assessing clinical improvement in ulcer healing and pain reduction, biochemical analysis will be performed by measuring serum TNF-α levels to evaluate the anti-inflammatory effect of Sumac.
Recurrent aphthous stomatitis (RAS) is one of the most common oral mucosal disorders, characterized by recurrent, painful ulcers that interfere with eating and speaking. The etiology of RAS is multifactorial and involves immune dysregulation and increased levels of inflammatory cytokines, particularly tumor necrosis factor-alpha (TNF-α).
Sumac (Rhus coriaria) is a natural herbal extract known for its anti-inflammatory, antioxidant, and antimicrobial properties. This randomized controlled clinical study aims to evaluate the clinical effectiveness of a Sumac mouth rinse in promoting ulcer healing and reducing pain among patients with recurrent aphthous stomatitis.
In addition to clinical assessment, biochemical evaluation of serum TNF-α levels will be performed before and after treatment to investigate the possible anti-inflammatory mechanism of Sumac. The study findings are expected to provide new insights into the potential therapeutic role of Sumac in managing RAS.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | Study group receiving sumac mouth rinse |
|
| Control group | Active Comparator | Control group receiving tantum Verde mouth rinse |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sumac mouth rinse | Other | Herbal mouth rinse containing Sumac extract |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain (VAS) | Visual Analog Scale (VAS) to assess the intensity of oral ulcer pain reported by the patient, where 0 indicates no pain and 10 indicates the worst imaginable pain. | At the baseline / Day 2 / Day 6 |
| Ulcer size | Measurement of the oral ulcer diameter in millimeters using a ruler or photographic analysis to evaluate ulcer size reduction over time. | At the baseline / Day 2 / Day 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Healing index | Healing index included four categories:
| At the baseline / Day 2/ Day 6 |
| TNF- alpha |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of oral medicine, Faculty of dentistry, Ain Shams university | Cairo | Cairo Governorate | 11517 | Egypt |
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| ID | Term |
|---|---|
| D013281 | Stomatitis, Aphthous |
| D019226 | Oral Ulcer |
| ID | Term |
|---|---|
| D013280 | Stomatitis |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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A parallel, randomized controlled clinical trial with two groups: one group received Sumac mouth rinse and the control group received Tantum Verde mouth rinse . Participants were randomly assigned to each group. Both participants , the outcomes assessor and the researcher were blinded to group allocation.
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Both participants the outcomes assessor and the researcher were blinded to the treatment allocation. The Sumac mouth rinse and placebo were identical in appearance, color, and packaging and were stored in amber bottles to maintain blinding throughout the study.
| Tantum Verde mouth rinse |
| Drug |
Standard mouth rinse according to manufacturer instructions |
|
Quantification of the inflammatory cytokine TNF-α in blood or saliva using ELISA to evaluate the inflammatory response associated with oral ulcers.
| At the baseline/ Day 6 |