Trial Outcomes & Findings for Iranian Traditional Mouth Rinse Punica Granatum Pleniflora (Golnaar) in Treatment of Gingivitis in Diabetic Patients (NCT NCT02227485)

NCT ID: NCT02227485

Last Updated: 2016-08-24

Results Overview

0 No plaque 1. A film of plaque adhering to the free gingival margin and adjacent area of the tooth, which cannot be seen with the naked eye. But only by using disclosing solution or by using probe. 2. Moderate accumulation of deposits within the gingival pocket, on the gingival margin and/ or adjacent tooth surface, 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.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

At the beginning, after 2 weeks and after 4 weeks

Results posted on

2016-08-24

Participant Flow

Recruitment for Chlorhexidine group started on 11/05/2014 and ended on 07/11/2014. For Golnaar group the starting and ending dates were; 01/05/2014 and 09/11/2014.

Participant milestones

Participant milestones
Measure
Chlorhexidine (0.2%)
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (0.2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
First Follow-up
STARTED
40
40
First Follow-up
COMPLETED
36
38
First Follow-up
NOT COMPLETED
4
2
Second Follow-up
STARTED
36
38
Second Follow-up
COMPLETED
34
36
Second Follow-up
NOT COMPLETED
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Iranian Traditional Mouth Rinse Punica Granatum Pleniflora (Golnaar) in Treatment of Gingivitis in Diabetic Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chlorhexidine (0.2%)
n=40 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patients in control group use 10 ml of chlorhexidine (0.2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=40 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patients in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
52.3 years
STANDARD_DEVIATION 6.5 • n=99 Participants
50.35 years
STANDARD_DEVIATION 6.9 • n=107 Participants
51.33 years
STANDARD_DEVIATION 6.8 • n=206 Participants
Sex: Female, Male
Female
25 Participants
n=99 Participants
25 Participants
n=107 Participants
50 Participants
n=206 Participants
Sex: Female, Male
Male
15 Participants
n=99 Participants
15 Participants
n=107 Participants
30 Participants
n=206 Participants
Region of Enrollment
Iran, Islamic Republic of
40 participants
n=99 Participants
40 participants
n=107 Participants
80 participants
n=206 Participants
Height
163.9 cm
STANDARD_DEVIATION 9.6 • n=99 Participants
164.1 cm
STANDARD_DEVIATION 10.0 • n=107 Participants
164 cm
STANDARD_DEVIATION 9.7 • n=206 Participants
Weight
75.1 kg
STANDARD_DEVIATION 13.5 • n=99 Participants
75.6 kg
STANDARD_DEVIATION 13.8 • n=107 Participants
75.4 kg
STANDARD_DEVIATION 13.6 • n=206 Participants
Disease duration
10.3 years
STANDARD_DEVIATION 6.2 • n=99 Participants
9.7 years
STANDARD_DEVIATION 6.3 • n=107 Participants
10 years
STANDARD_DEVIATION 6.2 • n=206 Participants
Teeth number
24.7 teeth
STANDARD_DEVIATION 3.3 • n=99 Participants
25.0 teeth
STANDARD_DEVIATION 3.6 • n=107 Participants
24.9 teeth
STANDARD_DEVIATION 3.4 • n=206 Participants
BP
12.3 mm Hg
STANDARD_DEVIATION 1 • n=99 Participants
12.5 mm Hg
STANDARD_DEVIATION 1.2 • n=107 Participants
12.4 mm Hg
STANDARD_DEVIATION 1.1 • n=206 Participants

PRIMARY outcome

Timeframe: At the beginning, after 2 weeks and after 4 weeks

Population: The number of analysed cases for the base line section are 40 and for other sections (after 2 weeks and 4 weeks) are 34 for Chlorhexidine group and 36 for Punica granatum group.

0 No plaque 1. A film of plaque adhering to the free gingival margin and adjacent area of the tooth, which cannot be seen with the naked eye. But only by using disclosing solution or by using probe. 2. Moderate accumulation of deposits within the gingival pocket, on the gingival margin and/ or adjacent tooth surface, 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.

Outcome measures

Outcome measures
Measure
Chlorhexidine (0.2%)
n=40 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=40 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Plaque Index
At base line
2.3 units on a scale
Standard Deviation 0.9
2.5 units on a scale
Standard Deviation 0.6
Plaque Index
After 2 weeks
1.9 units on a scale
Standard Deviation 1
2 units on a scale
Standard Deviation 0.7
Plaque Index
After 4 weeks
0.2 units on a scale
Standard Deviation 0.2
0.2 units on a scale
Standard Deviation 0.1

PRIMARY outcome

Timeframe: At the beginning, after 2 weeks and after 4 weeks.

Population: The number of analysed cases for the base line section are 40 and for other sections (after 2 weeks and 4 weeks) are 34 for Chlorhexidine group and 36 for Punica granatum group.

presence of bleeding of the gum when probing it: 0= No bleeding 1= Bleeding occurs within 10 seconds after gentle probing of the orifice of the gingival crevice

Outcome measures

Outcome measures
Measure
Chlorhexidine (0.2%)
n=40 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=40 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Bleeding Index
At base line
0.133 units on a scale
Standard Deviation 0.097
0.148 units on a scale
Standard Deviation 0.123
Bleeding Index
After 2 weeks
0.039 units on a scale
Standard Deviation 0.057
0.034 units on a scale
Standard Deviation 0.056
Bleeding Index
After 4 weeks
0.01 units on a scale
Standard Deviation 0.034
0.016 units on a scale
Standard Deviation 0.03

PRIMARY outcome

Timeframe: At the beginning, after 2 weeks and after 4 weeks

Population: The number of analysed cases for the base line section are 40 and for other sections (after 2 weeks and 4 weeks) are 34 for Chlorhexidine group and 36 for Punica granatum group.

It is the depth of the dental sulcus which detected by measuring the depth of sulcular insertion of the probe at six sites; mesiofacial, midfacial, distofacial, mesiolingual, midlingual and distolingual of all teeth divided by the teeth number. the measurement unit is millimeter (mm).

Outcome measures

Outcome measures
Measure
Chlorhexidine (0.2%)
n=40 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=40 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Pocket Depth
At base line
1.3 mm
Standard Deviation 0.8
1.6 mm
Standard Deviation 1.1
Pocket Depth
After 2 weeks
0.9 mm
Standard Deviation 0.7
0.8 mm
Standard Deviation 0.8
Pocket Depth
After 4 weeks
0.6 mm
Standard Deviation 0.6
0.6 mm
Standard Deviation 0.7

PRIMARY outcome

Timeframe: At the beginning, after 2 weeks and after 4 weeks.

Population: The number of analysed cases for the base line section are 40 and for other sections (after 2 weeks and 4 weeks) are 34 for Chlorhexidine group and 36 for Punica granatum group.

0= Absence of inflammation 1. Mild inflammation or with slight changes in color and texture but not in all portions of gingival marginal or papillary 2. Mild inflammation, such as the preceding criteria, in all portions of gingival marginal or papillary 3. moderate, bright surface inflammation, erythema, edema and/or hypertrophy of gingival marginal or papillary 4. severe inflammation: erythema, edema and/or marginal gingival hypertrophy of the unit or spontaneous bleeding, papillary, congestion or ulceration

Outcome measures

Outcome measures
Measure
Chlorhexidine (0.2%)
n=40 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=40 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Modified Gingival Index
At base line
1.3 units on a scale
Standard Deviation 1
1.3 units on a scale
Standard Deviation 0.9
Modified Gingival Index
After 2 weeks
0.4 units on a scale
Standard Deviation 0.6
0.2 units on a scale
Standard Deviation 0.4
Modified Gingival Index
After 4 weeks
0.1 units on a scale
Standard Deviation 0.3
0 units on a scale
Standard Deviation 0.1

SECONDARY outcome

Timeframe: Up to 2 weeks

Outcome measures

Outcome measures
Measure
Chlorhexidine (0.2%)
n=36 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=38 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Number of Participants With Adverse Events
No adverse event
15 participants
22 participants
Number of Participants With Adverse Events
Had some adverse event
21 participants
16 participants

SECONDARY outcome

Timeframe: Up to 2 week

We use a Visual Analogue Scale (VAS) to evaluate the patients' satisfaction and their tolerance. This "VAS" ranged from 1 (not satisfied at all) to 5 (fully satisfied) was used: 1. Not satisfied at all 2. Not satisfied adequately 3. Not good-Not bad (So So) 4. Mostly Satisfied 5. Fully satisfied

Outcome measures

Outcome measures
Measure
Chlorhexidine (0.2%)
n=36 Participants
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=38 Participants
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Satisfaction of Patients
Satisfied
32 participants
36 participants
Satisfaction of Patients
Unsatisfied
1 participants
0 participants
Satisfaction of Patients
So-So
3 participants
2 participants

Adverse Events

Chlorhexidine (0.2%)

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Punica Granatum Pleniflora Mouth Rinse

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Chlorhexidine (0.2%)
n=36 participants at risk
Chlorhexidine (0.2%) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Chlorhexidine (0.2%): All the patient in control group use 10 ml of chlorhexidine (0.2%) for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Punica Granatum Pleniflora Mouth Rinse
n=38 participants at risk
Punica granatum Pleniflora (Golnaar) mouth rinse, 10 ml for 2 minutes every night for 2 weeks and tooth bleaching (one time) after using mouth rinse. Punica granatum Pleniflora (Golnaar) mouth rinse: All the patient in intervention group use 10 ml of "Golnaar" mouth rinse for 2 minutes every night for 2 weeks. Tooth bleaching: Tooth bleaching for both groups one time after using mouth rinses.
Surgical and medical procedures
Unpleasant taste
38.9%
14/36 • Number of events 14 • During the study and up to 1 month after finishing mouth rinses.
39.5%
15/38 • Number of events 15 • During the study and up to 1 month after finishing mouth rinses.
Surgical and medical procedures
Other side effects
11.1%
4/36 • Number of events 4 • During the study and up to 1 month after finishing mouth rinses.
0.00%
0/38 • During the study and up to 1 month after finishing mouth rinses.
Surgical and medical procedures
Discolored
8.3%
3/36 • Number of events 3 • During the study and up to 1 month after finishing mouth rinses.
0.00%
0/38 • During the study and up to 1 month after finishing mouth rinses.
Surgical and medical procedures
Bad Odor
0.00%
0/36 • During the study and up to 1 month after finishing mouth rinses.
2.6%
1/38 • Number of events 1 • During the study and up to 1 month after finishing mouth rinses.

Additional Information

Dr. Mahsa Rostami-Chijan

Shiraz University of Medical Sciences

Phone: +989111960300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place