Efficacy of Coconut Oil With Peppermint Essential for Oral Hygiene Routine

Sponsor
Cairo University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05803109
Collaborator
(none)
40
2
5

Study Details

Study Description

Brief Summary

This randomized clinical trial will be conducted to investigate the efficacy of an innovative tooth cleaning agent extra virgin coconut oil with peppermint essential oil by oil pulling and toothbrushing with oil on reducing salivary Streptococcus mutans levels, tooth decay and plaque buildup versus on the counter toothpaste in high caries risk patients.

Condition or Disease Intervention/Treatment Phase
  • Other: AVIVA-PURE-CocoPull-Organic-made in USA
N/A

Detailed Description

Everyday use of dental health care products has increased. Therefore, there is a legitimately increased interest of healthcare clinicians and consumers in substances added to the toothpaste with the intention to improve their performance and potential benefits and risks that may arise from it. As there are harmful products in the toothpaste for instance: (Fluoride, Sodium Lauryl Sulphate (SLS), Sodium Saccharin and Triclosan which is assumed that it because local reaction includes oral mucosa irritation and desquamation (stomatitis, glossitis, gingivitis, buccal mucositis), while systemic ones are allergic and acute or chronic toxic reactions. Rational Harmful products in the toothpaste for instance: (Fluoride, Sodium Lauryl Sulphate (SLS), Sodium Saccharin and Triclosan which is assumed that it because local reaction includes oral mucosa irritation and desquamation (stomatitis, glossitis, gingivitis, buccal mucositis), while systemic ones are allergic and acute or chronic toxic reactions.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
40 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Masking Description:
Double-blind study
Primary Purpose:
Prevention
Official Title:
Efficacy of Extra Virgin Cold Pressed Coconut Oil With Peppermint Essential Oil as Natural Cleaning Agent for Oral Hygiene Routine on Salivary Streptococcus Mutant Levels Versus The Conventional Oral Hygiene Methods in High Caries Risk Patients: A Randomized Clinical Trial
Anticipated Study Start Date :
Jul 1, 2023
Anticipated Primary Completion Date :
Oct 1, 2023
Anticipated Study Completion Date :
Dec 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: virgin cold-pressed coconut oil with Peppermint essential oil

Patients will be instructed to use one packet of the coco pull healthy blend of organic oil (virgin cold pressed coconut oil with Peppermint essential oil)and swish the oil in the mouth and pull it between teeth for 5 minutes then spit out the oil and brush their teeth with the oil for 2 minutes; such a regimen will be repeated twice daily for three months.

Other: AVIVA-PURE-CocoPull-Organic-made in USA
virgin cold pressed coconut oil with Peppermint essential oil

Active Comparator: The fluoride toothpaste (Colgate Total,

Patients will be instructed to brush their teeth with the fluoride toothpaste (Colgat Total, 1450 ppm) for 2 minutes; such a regimen will be repeated two times daily for three months and use 10 ml of 0.12% chlorhexidine rinse for 1 min/day, 30 min after tooth brushing before going to bed.

Other: AVIVA-PURE-CocoPull-Organic-made in USA
virgin cold pressed coconut oil with Peppermint essential oil

Outcome Measures

Primary Outcome Measures

  1. Change in the actual chance to avoid new lesion will be assessed [T0: Baseline. T1: After one month. T2: After three months]

    The Measuring test: Cariogram Model (Karabekiroğlu et al 2017), The Measuring units : Percentage

  2. Change in the bacterial count will be assessed [T0: Baseline. T1: After one month. T2: After three months]

    The measuring test:Colony forming unit, The measuring units : Cfu/mm2 (Prabakar et al., 2018)

  3. Change in the salivary pH will be assessed [T0: Baseline. T1: After one month. T2: After three months]

    The measuring test: Digital pH meter, The measuring unit : Scoring system, (Sondos et al., 2019) (ordinal)

  4. Change in the Plaque index will be assessed Löe-Silness (Loe 1963) [T0: Baseline. T1: After one month. T2: After three months]

    The measuring unit : Plaque index The oral hygiene and plaque amount will be estimated using a mirror and graduated periodontal probe in accordance with Silness and Löe plaque index, which assessed the amount of plaque in the cervical part of the tooth.The Plaque Index System (0) No plaque (1) A film of plaque adhering to the free gingival margin and adjacent area of the tooth. The plaque may be seen in situ only after application of disclosing solution or by using the probe on the tooth surface. (2) Moderate accumulation of soft deposit s within the gingival pocket, or the tooth and gingival margin which can be seen with the naked eye. (3) Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. Löe-Silness (Loe 1963) (Sreenivasan et al.,2016), The Measuring units : Scoring system (ordinal)

Secondary Outcome Measures

  1. Change in the Bacterial virulence will be assessed [T0: Baseline. T1: After one month. T2: After three months]

    The Measuring test: Streptococcus mutans acidogenicity by Digital pH meter ,the maximum value is 7.2 less than it is bad value (Bedoya-Correa et al., 2021),the measuring units : Scoring system (ordinal)

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Patients will be recruited in this study, will be medically free.

  • Age range 20-50 years

  • Patients with high caries risk assessment (0- 30% high caries risk) according to Cariogram - a multifactorial risk assessment model for dental caries.

  • Non-Smoking patients

  • Not under antibiotic therapy either at the time of the study or up to the last month before the start of the study.

  • Male or Female patients

  • Patients have brushing habits

  • No Fixed orthodontic treatment

  • No active or untreated caries

  • Patients on non-cariogenic diet

Exclusion Criteria:
  • Patients with a compromised medical history.

  • Patients with low caries risk assessment according to Cariogram - a multifactorial risk assessment model for dental caries.

  • Patients with severe or active periodontal disease.

  • Patients with a history of allergy to any of the drugs or chemicals will be used in the study.

  • Patients on any antibiotics during the past month.

  • Smoking patient

  • Patients with very low saliva secretion xerostomia less than 0.5ml stimulated saliva /min score 3 according to Cariogram

  • Pregnant female patient

  • No brushing habits

  • Fixed orthodontic treatment

  • Active or untreated caries

  • Patients on cariogenic diet

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Cairo University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Asmaa Mohamed Reda Ahmed Ali, Assistant lecture, Cairo University
ClinicalTrials.gov Identifier:
NCT05803109
Other Study ID Numbers:
  • CairoU 4 7 22
First Posted:
Apr 7, 2023
Last Update Posted:
Apr 10, 2023
Last Verified:
Apr 1, 2023
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Apr 10, 2023