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CTRI Number  CTRI/2017/10/010155 [Registered on: 23/10/2017] Trial Registered Retrospectively
Last Modified On: 19/11/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Preventive
Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluation of Triphala and chlorhexidine mouthwash use in reducing tooth decay and gum problems 
Scientific Title of Study   A COMPARATIVE EVALUATION OF THE EFFECT OF TRIPHALA AND CHLORHEXIDINE MOUTHWASH ON DENTAL PLAQUE, GINGIVAL INFLAMMATION AND MICROBIAL GROWTH IN 14-15 YEARS OLD SCHOOL CHILDREN - A RANDOMIZED CONTROLLED DOUBLE BLIND CLINICAL TRIAL. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ketaki Bhor 
Designation  Post graduate student- 3rd year MDS 
Affiliation  Sinhgad Dental College and Hospital 
Address  D-103 VRINDAVANAM SOCIETY DEEP BANGLA CHOWK, MODEL COLONY, SHIVAJINAGAR
D-103 VRINDAVANAM SOCIETY DEEP BANGLA CHOWK, MODEL COLONY, SHIVAJINAGAR
Pune
MAHARASHTRA
16
India 
Phone  8007786257  
Fax    
Email  ketaki.bhor@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ketaki Bhor 
Designation  Post graduate student- 3rd year MDS 
Affiliation  Sinhgad Dental College and Hospital 
Address  D-103 VRINDAVANAM SOCIETY DEEP BANGLA CHOWK, MODEL COLONY, SHIVAJINAGAR
D-103 VRINDAVANAM SOCIETY DEEP BANGLA CHOWK, MODEL COLONY, SHIVAJINAGAR
Pune
MAHARASHTRA
16
India 
Phone  8007786257  
Fax    
Email  ketaki.bhor@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ketaki Bhor 
Designation  Post graduate student- 3rd year MDS 
Affiliation  Sinhgad Dental College and Hospital 
Address  D-103 VRINDAVANAM SOCIETY DEEP BANGLA CHOWK, MODEL COLONY, SHIVAJINAGAR
D-103 VRINDAVANAM SOCIETY DEEP BANGLA CHOWK, MODEL COLONY, SHIVAJINAGAR
Pune
MAHARASHTRA
16
India 
Phone  8007786257  
Fax    
Email  ketaki.bhor@gmail.com  
 
Source of Monetary or Material Support  
the project was self funded, no monetary support was given 
 
Primary Sponsor  
Name  Dr Ketaki Bhor 
Address  D-103 Vrindavanam society deep bangala chowk model colony shivajinagar  
Type of Sponsor  Other [Dental college and hospital] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
dr ketaki bhor  Dyandeep english medium school  S.no 53/1/1, behind yashganga marble,opp old toll naka, wadgaon bk, 411041
Pune
MAHARASHTRA 
8007786257

ketaki.bhor@gmail.com 
dr ketaki bhor  jai hind english medium school  1773, warje malwadi, pune 411058
Pune
MAHARASHTRA 
8007786257

ketaki.bhor@gmail.com 
dr ketaki bhor  royal roses english medium school  sr.no 46, vidya nagar, wadgaon bk, pune 411041
Pune
MAHARASHTRA 
8007786257

ketaki.bhor@gmail.com 
dr ketaki bhor  utkarsha english medium school  wadgaon bk, Pune 411041
Pune
MAHARASHTRA 
8007786257

ketaki.bhor@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
sinhgad dental college and hospital institutional ethics committee  Approved 
sinhgad dental college and hospital institutional ethics committee  Approved 
sinhgad dental college and hospital institutional ethics committee  Approved 
sinhgad dental college and hospital institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  ICD 10 - K05.1 Chronic gingivitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  0.4% triphala mouthwash  Phytoconcetrates triphal water based liquid extract with lot no Triphal/PCL1/Jul 14 used for treating, controlling and preventing dental plaque, gingivitis and dental plaque micro-organisms like streptococcus mutans, streptococcus sanguinis and lactobaccilli. Terminalia chebula, Terminialia belerica and Emblica officinalis are the contents of triphala.T. chebula which acts as anticaries agents strongly inhibits the sucrose or glucan induced aggregations of S. mutans and strengthens the gums, prevents and treats several diseases of mouth such as dental caries, spongy and bleeding gums gingivitis and stomatids. 
Comparator Agent  Eludril 0.12% chlorhexidine mouthwash  Comercially available 0.12% chlorhexidine mouthwash used as 1:1 ratio with water for treating, controlling and preventing dental plaque, gingivitis and dental plaque micro-organisms like streptococcus mutans, streptococcus sanguinis and lactobaccilli.  
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  1.Study participants of age group 14-15 years
2.Study participants with similar
i.socioeconomic status [Based on Kuppuswammy’s Socioeconomic status scale],
ii.oral hygiene methods
3.At least 20 intact natural teeth should be present.
4.Study participants with fair plaque score (Loe H 1967) and moderate gingivitis (Loe H and Silness J 1963) were selected.
5.Study participants willing to participate in the study and whose parents gave a written informed consent. 
 
ExclusionCriteria 
Details  1.History of hypersensitivity to any product used in the study and other oral care products.
2.Unable to comply with the study appointment schedules.
3.Any oral soft tissue pathology.
4.Grossly decayed teeth and over-retained deciduous teeth.
5.Study participants having calculus
6.Suffering from non-plaque induced gingivitis or periodontitis.
7.Study participants with any systemic disorders that require the use of medications with side effects known to affect oral health.
8.Study participants using mouth rinse within the last 3 months.
9.Study participants under antimicrobial therapy at least 3 month prior to the study and using mouth rinses or dentifrices containing substances with anti-inflammatory properties.
10.Study participants with crowns or restorations on facial and lingual surfaces of teeth.
11.Study participants with malocclusion or fixed/ removable orthodontic appliances.
12.Study participants who are physically or mentally handicap.
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Pharmacy-controlled Randomization 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1.To assess the effect of Triphala and Chlorhexidine mouthwash on dental plaque score and gingivitis score and microbial count of Streptococcus mutans, Streptococcus sanguinis and Lactobacilli from the dental plaque samples.
3.To compare the effect of Triphala and Chlorhexidine mouthwash on dental plaque, gingival inflammation and microbial count of Streptococcus mutans, Streptococcus sanguinis and Lactobacilli from the dental plaque samples  
The demonstration regarding th use of mouthwash and the collection of plaque sample was done at 0 day, 30th day and at 90th day 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
Final Enrollment numbers achieved (Total)= "72"
Final Enrollment numbers achieved (India)="72" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   21/07/2015 
Date of Study Completion (India) 30/11/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   the study is not yet published 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is a randomized controlled double blind parallel three month clinical trial conducted among 72 school children of age group of 14-15 years, who are divided into two study groups: Group A- Triphala mouthwash (n=36) and Group B- Chlorhexidine mouthwash (n=36). The microbial counts were measured by conventional culture methods and plaque scores and gingival scores were recorded by using Plaque Index [Loe H (1967)] and Gingival Index [Loe H and Silness J (1963)] respectively at baseline, 30 days and 90 days interval. The primary outcome is to assess and compare the effect of 0.4% Triphala and 0.12% Chlorhexidine mouthwash on dental plaque, gingival inflammation and microbial count of Streptococcus mutans, Streptococcus sanguinis and Lactobacilli from dental plaque sample of 14-15 years old school children during 90 days supervised use.

 
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