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CTRI Number  CTRI/2024/01/061413 [Registered on: 12/01/2024] Trial Registered Prospectively
Last Modified On: 10/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To know if the mouth wash prepared from certain herbal products is effective and safe to treat the gingivitis 
Scientific Title of Study   Evaluation of the safety and the efficacy of a novel polyherbal mouthwash containing Emblica officinalis,Cinnamomum cassia,Silicate of magnesia,Nigella sativa and Eucalyptus globulus oil in patients with gingivitis: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  RASHMI AZIM 
Designation  MDS(Periodontics)  
Affiliation  DR. Z. A. DENTAL COLLEGE, A.M.U. ALIGARH  
Address  DEPARTMENT OF PERIODONTIA AND COMMUNITY DENTISTRY DR Z. A. DENTAL COLLEGE, ALIGARH MUSLIM UNIVERSITY, ALIGARH

Aligarh
UTTAR PRADESH
202002
India 
Phone  9045618522  
Fax    
Email  rashmi.azim@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Vivek Kumar Sharma 
Designation  Professor  
Affiliation  DR Z. A. DENTAL COLLEGE, A.M.U. 
Address  DEPARTMENT OF PERIODONTIA AND COMMUNITY DENTISTRY DR Z A DENTAL COLLEGE ALIGARH MUSLIM UNIVERSITY ALIGARH

Aligarh
UTTAR PRADESH
202002
India 
Phone  9557870057  
Fax    
Email  yeahlifehai@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Rashmi Azim 
Designation  Junior Resident 
Affiliation  DR Z. A. DENTAL COLLEGE A.M.U. 
Address  DEPARTMENT OF PERIODONTIA AND COMMUNITY DENTISTRY DR Z A DENTAL COLLEGE ALIGARH MUSLIM UNIVERSITY ALIGARH

Aligarh
UTTAR PRADESH
202002
India 
Phone  9045618522  
Fax    
Email  rashmi.azim@gmail.com  
 
Source of Monetary or Material Support  
DR Ziauddin Ahmad Dental College AMU ALIGARH 
 
Primary Sponsor  
Name  DR ZADC AMU ALIGARH 
Address  DR. Z.A.D.C. A.M.U; ALIGARH 
Type of Sponsor  Government medical college 
 
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 
RASHMIAZIM  DR. Ziauddin Ahmad Dental College  DEPARTMENT OF PERIODONTIA AND COMMUNITY DENTISTRY DR ZIAUDDIN AHMAD DENTAL COLLEGE ALIGARH MUSLIM UNIVERSITY
Aligarh
UTTAR PRADESH 
9045618522

rashmi.azim@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONALETHICSCOMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A488||Other specified bacterial diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  CHLORHEXIDINE MOUTHWASH   10 ML ONCE A DAY ORALLY AFTER TOOTH BRUSHING for 14 days 
Intervention  POLYHERBAL MOUTHWASH   EMBLICA OFFICINALIS,CINNAMOMUM CASSIA,SILICATE OF MAGNESIA,NIGELLA SATIVA AND EUCALYPTUS OIL 10 ML ONCE A DAY ORALLY AFTER TOOTH BRUSHING FOR 14 DAYS  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  APPARENTLY HEALTHY INDIVIDUALS WITH
PRESENCE OF ATLEAST 20 NATURAL TEETH
DIAGNOSIS OF GINGIVITIS-DENTAL BIOFILM INDUCED 
 
ExclusionCriteria 
Details  1)PREGNANCY AND LACTATION
2)DECOMPENSATED SYSTEMIC DISEASE
3)DEGENERATIVE BONE DISEASE
4)SJOGREN SYNDROME
5)ADVANCED PERIODONTAL OR ORTHODONTIC DISEASE
6)HISTORY OF ORAL PROPHYLAXIS WITHIN 6 MONTHS
7)HISTORY OF TAKING ANTIBIOTICS,ANTICOAGULANT,IMMUNOSUPPRESSIVE,ANTI-INFLAMMATORY MEDICATION OR USING ANTI-BACTERIAL
MOUTH RINSES FOR PAST 6 MONTHS.
8)SMOKING,DRUG AND ALCOHOL ABUSE



 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1)DECREASE IN SALIVARY CRP LEVEL
2)DECREASE IN GINGIVAL INDEX,GINGIVAL BLEEDING INDEX,PLAQUE INDEX 
three months 
 
Secondary Outcome  
Outcome  TimePoints 
effectiveness of polyherbal mouth wash  three months 
 
Target Sample Size   Total Sample Size="156"
Sample Size from India="156" 
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)   20/01/2024 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - NO
Brief Summary  
Periodontal diseases have a destructive effect on the supporting tooth tissues. The mildest form of these diseases is gingivitis which is characterized by bleeding, plaque
 formation  and gum inflammation .Several lines of evidence have shown that elimination of microbial dental plaque biofilm prevents gingivitis. In addition to mechanical oral
 hygiene approaches, there is a need for additional measures to control bacterial plaque formation by using antimicrobial dentifrices or anti-plaque
 mouthwashes. Chlorhexidine,  a bisguanide is considered benchmark of antimicrobial rinses due to its high substantivity and wide range of activity. Chlorhexidine is  not a
 â€˜Miraculous solution’ as it has definite  after effects like taste alteration, mucosal irritation, dry mouth, tooth discoloration, cytotoxic effect. Based on the ill-effects of
 chlorhexidine, World Health Organization admonished researchers to probe the potential of herbs and plant extracts. Hence, finding newer antiplaque and
 antimicrobial agents with a natural origin is important to increase treatment compliance and reduce adverse effects upon long-term application. In dentistry,
 Herbal concentrates were used to lessen  inflammation, prevent dental caries, to heal gingivitis & periodontitis, and as antimicrobials & antioxidants. The
 natural products used in this study were Indian gooseberry (Emblica  Officinalis), cinnamon(Cinnamomum Cassia), Hydrated Magnesium silicate(silicate of
 magnesia) , Black seed(Nigella Sativa),Eucalyptus oil(Eucalyptus Globulus) .The efficacy of all the substances were proven individually. The combined effect of
 the substances was not studied previously . Thus the aim of the study was to evaluate the clinical safety and  efficacy of polyherbal mouthwash containing Indian
 gooseberry, Cinnamon, Hydrated magnesium silicate, black seed And Eucalyptus oil against commercially available chlorhexidine mouthwash.   
 
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