Oral Health Clinical Trial
Official title:
The Effect of Oral Antiseptic Gargles on the Oral Cavity Microbiome
This study determines the effects of a single dose of different antiseptic mouth washes within the oral cavity, on the composition of the oral microbiome using next generation sequencing (NGS) techniques. Twelve healthy volunteers will receive all three test products in a randomized order to compare the effects of each mouth wash.
Disinfectants and oral antiseptics including PVP-I are known to kill microorganisms to a
variable extent, at a variable range of time points. Microorganisms may be protected from
disinfectants by production of thick masses of cells and extracellular materials, or
biofilms. Moreover, antiseptics should not lead to dysbiosis after use. Dysbiosis is a
negative change in the microbiome of a particular skin or mucosal region. The Human
Microbiome project showed, that every area has a specific microbiota in which the human host
lives with an abundance of commensal, synergistic, and potentially pathogenic
microorganisms. Antiseptics with efficacy gaps and resistance may induce such dysbiosis,
especially after prolonged use.
It is envisaged that twelve healthy volunteers will complete the study. Each healthy
volunteer will rinse with the test product according to a developed protocol, between
established wash out periods.
The ability of the test product (1% Betadine® PVP-I based mouth wash and gargle) compared to
the reference products (0.2% Chlor-Rinseā¢ Chlorhexidine based mouth wash (No alcohol) and
Normal saline gargle) to reduce resident and transient microflora will be assessed. The
mouth wash products will also be assessed for their ability to maintain and/or restore
balanced microflora.
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