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CTRI Number  CTRI/2026/03/105294 [Registered on: 03/03/2026] Trial Registered Prospectively
Last Modified On: 03/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Probiotic 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Can Fermented Rice Water and Probiotic Curd Improve saliva health in School Children Aged 5–12? 
Scientific Title of Study   Effect of Fermented Rice Water(FRW) and Probiotic curd on salivary pH in 5–12-year-old children – A Randomized 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  Dr Isha Shahapurkar 
Designation  Post Graduate Resident 
Affiliation  Government Dental College Kottayam 
Address  Department of Pediatric and Preventive Dentistry, Block A.

Kottayam
KERALA
686008
India 
Phone  07875405001  
Fax    
Email  shahapurkarisha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gibi Syriac  
Designation  Assistant Professor  
Affiliation  Government Dental College Kottayam 
Address  Department of Pediatric and Preventive Dentistry, Block A

Kottayam
KERALA
686008
India 
Phone  9495937998  
Fax    
Email  drgibisyriac@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Isha Shahapurkar 
Designation  Post Graduate Resident 
Affiliation  Government Dental College Kottayam 
Address  Department of Pediatric and Preventive Dentistry, Block A

Kottayam
KERALA
686008
India 
Phone  07875405001  
Fax    
Email  shahapurkarisha@gmail.com  
 
Source of Monetary or Material Support  
Government Dental College, Gandhinagar P O, Kottayam, Kerala, India - 686008 
 
Primary Sponsor  
Name  Dr Isha Shahapurkar  
Address  Department of Pediatric and Preventive Dentistry, Block A, Government Dental College, Gandhinagar P O, Kottayam, Kerala, 686008 
Type of Sponsor  Other [Self] 
 
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 
Isha Shahapurkar   Government Dental College Kottayam   Department of Pediatric and Preventive Dentistry, Block A
Kottayam
KERALA 
07875405001

shahapurkarisha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
InstitutionalEthicsCommittee(IEC)/InstitutionalBoardReview(IRB)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Dental Caries  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fermented Rice Water   Preparation is by mixing two spoons of cooked rice and mixing with 100ml of water and storing in mud pot overnight. Freshly overnight prepared 5ml of the Fermented Rice Water will be given once a day in the morning before any meal for squishing for 5 minutes followed by spitting it for 15 days. No consumption of the intervention, only squishing and spitting will be done after brushing before having any food. 
Comparator Agent  Probiotic Curd   Market Available Probiotic curd (eg. Milky mist probiotic curd) will be provided to the participants. Parents will be instructed to give children 5ml of the probiotic curd. Children will be instructed to squish and spit the curd for 5 minutes daily for 15 days after brushing before having any food. Children will be instructed to spit and not consume the curd. 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children who give assent to participate in the study and whose parents give written informed consent.
Healthy children without any Developmental Abnormalities or Medical Condition.
 
 
ExclusionCriteria 
Details  Children with a history of taking any antibiotic treatment 1 month prior to the study period and throughout the study period
Children on any other supplements containing probiotics during the study.
Lactose intolerant subjects
Children on use of xylitol products for 3 weeks before and throughout the study.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Difference in change in salivary pH before and after use of Fermented Rice water and Probiotic curd.  Baseline sample - before intervention
First Day Post Intervention Sample
Post Intervention Sample at 15th day  
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate & compare changes in the selected salivary parameters before & after swishing & spitting of Fermented Rice Water & Probiotic Curd –
Buffering Capacity using Ericson’s method & Digital pH meter
Calcium content using Spectrophotometry method (NM-BAPTA as a chelating agent)
Phosphate content using Spectrophotometry method (Molybdate as a chelating agent)
 
Baseline sample - before intervention
First Day Post Intervention Sample
Post Intervention Sample at 15th day  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   N/A 
Date of First Enrollment (India)   05/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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 - All of the individual participant data collected during the trial, after de-identification.

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

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

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

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [shahapurkarisha@gmail.com].

  6. For how long will this data be available start date provided 02-06-2026 and end date provided 25-11-1970?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Early childhood dental caries remains a major public health concern, with salivary pH playing a crucial role in the initiation and progression of the caries process. Natural, diet-based preventive strategies such as probiotics and fermented foods have gained attention due to their ability to modulate the oral microbiome and maintain salivary pH balance. Fermented rice water (FRW) and probiotic curd (PC) are traditional, cost-effective dietary products commonly consumed in Indian households and are known to possess probiotic properties.

The present study is a randomized controlled trial designed to evaluate and compare the effect of fermented rice water and probiotic curd on salivary pH in children aged 5–12 years. Eligible participants will be randomly allocated into three groups: Group I (fermented rice water), Group II (probiotic curd), and Group III (control group). Baseline salivary pH will be recorded, followed by intervention-specific administration for a defined period, after which post-intervention salivary pH will be assessed.

The primary outcome measure of the study is the change in salivary pH before and after the intervention. The findings of this study aim to provide scientific evidence regarding the role of traditional probiotic food products in maintaining oral pH and enhancing preventive strategies in pediatric dentistry. If proven effective, these easily accessible and economical dietary interventions could be incorporated into routine oral health promotion programs for children.

 
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