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CTRI Number  CTRI/2024/09/074248 [Registered on: 24/09/2024] Trial Registered Prospectively
Last Modified On: 12/05/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Probiotic
Preventive
Nutraceutical 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Assessment of calorie free sweeteners and probiotics on oral health in children 
Scientific Title of Study   Comparative analysis of the effect of calorie free sweeteners and probiotics on the oral microbial concentration in children: a randomised controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aardra B S 
Designation  UG research graduate  
Affiliation  Saveetha Dental College and Hospital 
Address  Department of Pediatric Dentistry, Saveetha Dental College and Hospital, 162, Poonamallee High Road, Velappanchavadi

Chennai
TAMIL NADU
600077
India 
Phone  9526066100  
Fax    
Email  152101004.sdc@saveetha.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramesh R 
Designation  Senior Lecturer 
Affiliation  Saveetha Dental College and Hospital 
Address  Department of Pediatric Dentistry, Saveetha Dental College and Hospital, 162, Poonamallee High Road, Velappanchavadi

Chennai
TAMIL NADU
600077
India 
Phone  9895725236  
Fax    
Email  rameshr.sdc@saveetha.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ramesh R 
Designation  Senior Lecturer 
Affiliation  Saveetha Dental College and Hospital 
Address  Department of Pediatric Dentistry, Saveetha Dental College and Hospital, 162, Poonamallee High Road, Velappanchavadi

Chennai
TAMIL NADU
600077
India 
Phone  9895725236  
Fax    
Email  rameshr.sdc@saveetha.com  
 
Source of Monetary or Material Support  
Department of Pediatric Dentistry, 5th Floor, Saveetha Dental College and Hospital, SIMATS University, 162, Poonamallee High Road, Velappanchavadi, Chennai, TN, India — 600077 
 
Primary Sponsor  
Name  Saveetha Dental College and Hospital 
Address  Department of Pediatric Dentistry, 5th Floor, Saveetha Dental College and Hospital, SIMATS University, 162, Poonamallee High Road, Velappanchavadi, Chennai, TN, India — 600077 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ramesh R  Saveetha Dental College and Hospital  Department of Pediatric Dentistry, Clinic 28, 5th Floor, SIMATS University, 162, Poonamallee High Road, Velappanchavadi
Chennai
TAMIL NADU 
9895725236

rameshr.sdc@saveetha.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee (SDC-IHEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Nil 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group  HealthyHey Nutrition Probiotics 50 Billion CFU Multi-Strain Veg Capsules 
Intervention  Intervention Group  Xylitol (So Sweet Xylitol Natural Sweetener, Sugar-Free), Aspartame (Sweet and Healthy Low-Calorie Aspartame-Based Sweetener), or Stevia (Magic Leaf Stevia Extract Sugar-Free Sweetener Powder) 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children with no systemic diseases
Children not currently taking antibiotics or other medications affecting oral health
Children whose parents are willing for informed consent
 
 
ExclusionCriteria 
Details  Children with known allergies to probiotics or sweeteners
Children with significant dental treatments within the past three months
Children who do not consume more than 65% of the time frame (will be eliminated from the study group) 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Oral microbial concentration assessed through saliva samples   Baseline - 1 hour after consumption, 1 week, 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Gingival index
Oral hygiene index (OHI)
ICDAS 
Baseline, 1 week, 4 weeks 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   04/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  04/10/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) -  Results will be published and data will be made accessible

  6. For how long will this data be available start date provided 18-09-2024 and end date provided 18-09-2024?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary  
This randomized controlled trial compares the effects of calorie-free sweeteners (aspartame, stevia, xylitol) and probiotics on oral microbial concentration in children aged 6-12. A total of 120 participants are randomly assigned into four groups of 30. Group 1 receives aspartame, Group 2 receives stevia, Group 3 receives xylitol, and Group 4 receives probiotics. The intervention lasts for 4 weeks, with follow-up assessments at baseline, 1 week, and 4 weeks. Saliva samples are collected at baseline, 1 hour after consumption, and at subsequent time points to measure oral microbial concentration using quantitative PCR (qPCR) and microbial culture techniques.

Secondary outcomes include changes in gingival health and caries status, evaluated through the gingival index, Oral Hygiene Index (OHI), and International Caries Detection and Assessment System (ICDAS) index. Children with systemic diseases, recent dental treatments, or allergies to probiotics/sweeteners are excluded. Compliance is monitored by parents using a "sweet diary."

The study provides insight into the potential effects of calorie-free sweeteners and probiotics on children’s oral microbial health and dental outcomes, including caries risk and gingival health.
 
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