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This pilot study evaluated whether a propolis-based topical solution improves soft-tissue healing after tooth extraction. Thirteen patients requiring extraction of two comparable teeth on opposite sides of the mouth were enrolled in a split-mouth design, in which one extraction site received the propolis solution while the other served as an internal control. The test site was treated with the propolis solution three times daily for seven days, while the control site received only saline rinses. Healing was tracked using 3D intraoral scans obtained before extraction and on days 7 and 14 afterward, allowing the percentage of socket closure to be measured objectively over time. Postoperative pain was also assessed using a standard visual pain scale on days 1, 3, and 7. The study aimed to determine whether this propolis-based formulation could serve as a natural, low-cost adjunct to standard post-extraction care to support faster tissue repair.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Extraction site treated with a propolis-based solution | Experimental |
| |
| Contralateral extraction site treated with saline mouthwash only | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Propolis-based topical solution (52% propolis extract, clove oil [Eugenia caryophyllus], and white willow bark [Salix alba] extract) | Drug | Drug: Propolis-Based Solution "A topical solution (52% propolis extract, clove oil, and white willow bark extract) applied to the test extraction socket via brush applicator three times daily for seven days." |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Extraction Socket Surface Area Closure | Percentage reduction in socket surface area from baseline, calculated from 3D intraoral scans using the formula: % Closure = (Baseline area - Timepoint area) / Baseline area × 100. | Baseline (Day 0), Day 7, and Day 14 post-extraction |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Pain Score | Pain intensity rated on a 10-cm Visual Analog Scale (VAS), with higher scores indicating greater pain. | Day 1, Day 3, and Day 7 post-extraction |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Joseph University of Beirut | Beirut | Lebanon |
Individual participant data sharing beyond what is reported in this article is not currently planned. The informed consent obtained from participants covered publication of anonymized results and clinical images within the manuscript but did not include explicit provisions for sharing de-identified, individual-level data with third-party researchers. Additionally, given the small sample size (12-13 participants) drawn from a single institution, there is an elevated risk that combinations of variables in a shared dataset could allow indirect re-identification of participants.
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| ID | Term |
|---|---|
| D011429 | Propolis |
| D045783 | Clove Oil |
| ID | Term |
|---|---|
| D012116 | Resins, Plant |
| D001704 | Biopolymers |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
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Split-mouth design
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|
| Saline rinse (control) | Other | The contralateral extraction socket received saline mouthwash only, with no active therapeutic agent applied, following the same pre-application oral hygiene steps (tooth brushing and saline rinse) as the test site |
|
| D053147 |
| Plant Exudates |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D010938 | Plant Oils |
| D028321 | Plant Preparations |