Dental Plaque Clinical Trial
Official title:
Anti-plaque Effect of 0.12% Chlorhexidine Gluconate Rinsing and Nanoparticle Solution of 0.3% Melaleuca Alternifolia: A Randomized Crossover Clinical Trial
Although several studies have assessed the efficacy of chlorhexidine in treating gingivitis and reducing biofilm formation, the side effects of a long-term use are unpleasant for patients. Melaleuca alternifolia oil has been considered as an alternative because of its anti-inflammatory properties. However, little is know about the efficacy of its nanoparticles. The purpose of this study is to compare the effect of 0.12% chlorhexidine (Periogard ®) and a nanoparticle solution of 0.3% M. alternifolia oil in reducing biofilm formation in plaque-free and plaque-covered teeth surfaces.
This will be a randomized crossover clinical trial, double blind, in which individuals will
be randomly assigned into two different treatments: daily mouthrinse of chlorhexidine
gluconate (0.12%) or daily mouthrinse of a nanoparticle solution of M. alternifolia (0.3%)
during a period of oral hygiene withdrawal.
The test panel will consist of 59 students from the Federal University of Santa Maria, Santa
Maria, Rio Grande do Sul, Brazil. All subjects will receive written and oral explanations
regarding the purpose and design of this study. Those who met the inclusion criteria will be
selected for a dental screening appointment, being removed in the presence of any exclusion
criteria. All volunteers will be asked to sign an informed consent before the experimental
period.
The following clinical parameters will be assessed:
- Plaque index (PI) Quigley and Hein modified by Turesky.
- Gingival crevicular fluid (GCF) will be measured with an electronic gingival fluid
measuring device (Periotron®).
- Gingival abrasion (GA) using 2-Tone disclosing solution.
- Perception of appreciation (Questionnaire-VAS scale). Descriptive analysis of PI data
will be performed using averages, standard deviations and average percentage of sites
with different PI scores. The normal distribution of the data will be evaluated by the
Kolmogorov-Smirnov test. Analysis of variance (ANOVA) with repeated measures will be
used to test for differences between groups. Paired student's t-test will be conducted
to test whether there were significant differences between the baseline measurements of
PI, GA, GCF and perception of appreciation after the use of mouthwash. The statistical
tests will be performed using the program SPSS 20.0 (Statistical Package for the Social
Sciences, Chicago, USA).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Prevention
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