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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05069246
Other study ID # PNU-IRB: 20-0261
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date December 8, 2020
Est. completion date February 28, 2021

Study information

Verified date September 2021
Source Princess Nourah Bint Abdulrahman University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A double-blind randomized clinical trial was conducted for 14 days with 37 systemically healthy patients having chronic generalized gingivitis. The current study was designed to investigate the anti-inflammatory and antimicrobial efficacy of Nigella Sativa oil compared with chlorohexidine; assessing clinical parameters and gingival interleukin 6 (IL6) and interleukin 18 (IL18) levels and supra-gingival plaque analysis.


Description:

A total of 37 systemically healthy patients, aged between 20 to 40 years with chronic generalised gingivitis were recruited based on the inclusion and exclusion criteria, from the Dental Clinic at Princess Nourah bint Abdulrahman University. The sample size was based on previously reported studies conducted to assess gingival crevicular interleukin levels using mouthwashes. A study information sheet was provided to each patient and the methodology of the clinical trial was explained. Written informed consent was obtained from each participant before enrolling on the study. A double-blind randomized clinical trial was conducted Ethical clearance was obtained from the Institutional Review Board at Princess Nourah bint Abdulrahman University (Registration number: 20-0261). Subjects were assigned computer-generated random numbers and were blindly assigned to one of two groups; Group 1- Nigella Sativa (NS) or Group 2- Chlorohexidine (CHX) (n=20) according to the sequence of the computer-generated random numbers by an investigator not directly involved in the clinical examination and sample collection. The interventions were either N. sativa oil (Al-Hussan Food Products Factory, Riyadh, Kingdom of Saudi Arabia), which was brought from the local market in Riyadh or Chlorohexidine (Middle East Pharmaceutical Industries Ltd, Riyadh, Kingdom of Saudi Arabia). Group 1: Maintained adequate plaque control levels using mechanical methods + N.sativa oil (5ml oil + 5ml water) pulling for 3 mins twice daily in the morning and at night, and Group 2: maintained adequate plaque control levels using mechanical methods + chlorohexidine rinse twice daily 10ml in the morning and at the night. Unified oral hygiene instructions and instructions for each intervention were provided to all participants. A 24-hour contact number was provided to each participant, to report any concerns, adverse reactions or for any further information. Participants were told that they were free to drop out at any time. Oral prophylaxis was performed on the same day of recruitment to bring the plaque score to almost zero, and the subjects in each group were given either N.sativa oil or chlorohexidine according to the blind randomised allocation by a third person. On day zero (baseline) of the trial after scaling, and on day 15 at the end of the trial; the following clinical parameters were assessed; plaque index (PI) and gingival index (GI) and plaque samples, as well as gingival crevicular fluid (GCF) samples, were collected. Prior to the study, two dental examiners were calibrated to measure PI and GI, to reduce inter-examiner variability. The collected data were analyzed using Graphpad PRISM (San Deigo, USA). Non-parametric signed Rank tests and parametric t-tests were used, as well as Fisher's exact test for contingency analysis. P values were calculated and a p value below 0.05 was deemed as a significant difference.


Recruitment information / eligibility

Status Completed
Enrollment 37
Est. completion date February 28, 2021
Est. primary completion date December 24, 2020
Accepts healthy volunteers No
Gender Female
Age group 20 Years to 40 Years
Eligibility Inclusion Criteria: - At least 20 natural teeth - Patients with moderate to severe gingivitis - No tooth attachment loss Exclusion Criteria: - Periodontitis - Cigarette smokers - Antibiotic therapy (within the last 3 months) - Systemic diseases - Pregnant women - Lactating women - Current orthodontic treatment - Using an intra-oral artificial prosthesis - Using other chemical agents as a mouthwash

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Nigella Sativa oil
5ml Nigella Sativa oil mixed into 5ml water prior to use and rinsed in the mouth for 3 mins and spitted out, used twice a day; morning and evening.
Drug:
Chlorhexidine mouthwash
10ml of chlorohexidine mouthwash used for 3mins and spit out, used twice a day; morning and evening.

Locations

Country Name City State
Saudi Arabia Princess Nourah bint Abdulrahman University Dental Clinic Riyadh

Sponsors (1)

Lead Sponsor Collaborator
Ishrat Rahman

Country where clinical trial is conducted

Saudi Arabia, 

Outcome

Type Measure Description Time frame Safety issue
Other Feedback on any adverse effects and likes/dislikes of the intervention from participants Questionnaire to report on adverse effects and likes/dislikes of the intervention. Day 15
Primary Gingival index Day 0 and day 15
Primary Plaque index Day 0 and day 15
Primary IL-6 levels Measurement of IL-6 in GCF samples Day 0 and day 15
Primary IL-18 levels Measurement of IL-18 in GCF samples Day 0 and day 15
Secondary Bacterial load Colony forming units (CFU) count Day 0 and day 15
Secondary Inhibition of types of bacterial growth Assessment on the types of bacteria present within the alpha-hemolytic class of oral bacteria Day 0 and day 15
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