Antimicrobial Effect OF Propolis Administrated Through Two Different Vehicles In High Caries Risk Children

Early Childhood Caries Clinical Trial

Official title:

Antimicrobial Effect OF Propolis Administrated Through Two Different Vehicles In High Caries Risk Children: A Randomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03812315
• Other study ID #: Propolis in 2 vehicles
• Status: Completed
• Phase: Phase 2
• Start date: December 20, 2017
• Est. completion date: February 20, 2019

Study information

• Verified date: February 2019
• Source: University of Alexandria
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Propolis is a natural product collected by bees to seal holes and repair structures in their hives. Recently it has attracted much attention as useful substance applied in medicine and cosmetics thanks to its antimicrobial properties. Contemporary dentistry is an inseparable part of medicine and therefore attempts were made to use propolis in dentistry, as well.

Purpose of the study: to investigate the effect of propolis administered in chewing gum as compared to that incorporated in mouthwash on plaque accumulation, microbial population and patient acceptance.

Description:

The study is a two parallel arms randomized controlled clinical trial where 60 high caries risk children of 6-8 years will be selected from outpatient clinic of Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, after securing the necessary consents. The children will be divided randomly into two equal groups (30 children each).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: February 20, 2019
• Est. primary completion date: February 10, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Years to 8 Years

Eligibility

Inclusion Criteria:

• Patients with high caries risk; who have any one of the following condition: visible cavities or radiographic penetration into the dentin, white spots on smooth surfaces, restorations within last three years due to caries.

• Free of any systemic condition.

• Cooperative children according to Frankl rating scale including positive and definitely positive scores.

• Parental acceptance

Exclusion Criteria:

• Previous use of any propolis containing products.

• Received any antibiotic 2 weeks before or during the study.

• Oral infection that compromises the mastication process.

Related Conditions & MeSH terms

• Early Childhood Caries

Intervention

Combination Product:
• Propolis chewing gum
Children who will use chewing gum will be instructed to chew a gum for 20 minutes once after breakfast and another before bed time for two weeks.
• Propolis mouthwash
Children who will use mouthwash will be instructed to rinse with 10 ml for 60 seconds twice daily once after breakfast and another before bedtime for two weeks.

Locations

Country	Name	City	State
Egypt	Faculty of Dentistry, Alexandria University	Alexandria

Sponsors (2)

Lead Sponsor	Collaborator
Nourhan M.Aly	Faculty of Dentistry, Alexandria University

Country where clinical trial is conducted

Egypt, 

References & Publications (4)

Balouiri M, Sadiki M, Ibnsouda SK. Methods for in vitro evaluating antimicrobial activity: A review. J Pharm Anal. 2016 Apr;6(2):71-79. doi: 10.1016/j.jpha.2015.11.005. Epub 2015 Dec 2. Review. — View Citation

Dodwad V, Kukreja BJ. Propolis mouthwash: A new beginning. J Indian Soc Periodontol. 2011 Apr;15(2):121-5. doi: 10.4103/0972-124X.84379. — View Citation

Imfeld T. Chewing gum--facts and fiction: a review of gum-chewing and oral health. Crit Rev Oral Biol Med. 1999;10(3):405-19. Review. — View Citation

Santos FA, Bastos EM, Maia AB, Uzeda M, Carvalho MA, Farias LM, Moreira ES. Brazilian propolis: physicochemical properties, plant origin and antibacterial activity on periodontopathogens. Phytother Res. 2003 Mar;17(3):285-9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Plaque Accumulation	All children will be examined clinically using the Plaque Control record (O' Leary, Darke and Naylor).; The child will be asked to chew a disclosing tablet and let it mix with saliva for 30 seconds and spit it out.; Each tooth is divided into 4 surfaces; the plaque accumulations on all surfaces will be scored.; The number of positively scored units is divided by the total number of tooth surfaces evaluated, and the result is multiplied by 100 to express the index as a percentage.	Baseline and after 2 weeks
Primary	Microbiological Sampling of Dental Plaque	On the day of sampling, each child will refrain from tooth brushing in the morning, eating or drinking (except water) at least two hours before sampling time. The plaque will be collected using sterilized toothpicks. Two plaque samples will be collected from each child. Anteriorly, this will be gathered from the buccal and palatal surface of the upper incisors and canines. While posteriorly, the plaque sample will be collected from the upper and lower molars. Finally, each plaque sample will be inoculated in separate vials; each vial contains 1 ml sterile brain heart infusion broth and will be sent to the lab. After 14 days, another plaque sample will be collected as previously mentioned.	Baseline and after 2 weeks
Primary	Assessment of Patient's Acceptance	Using Visual Analogue Scale (VAS).Each patient will receive the scale form and instructed to place a vertical mark according his or her personal rating of the preparation received during the treatment period on a horizontal line scaled from 0 to 10 where 0 presented for unacceptable and 10 for acceptable.	After 2 weeks of treatment