- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03142607
Comparative Evaluation of Chlorhexidine, Metronidazole and Combination Gels on Gingivitis
Comparative Evaluation of Chlorhexidine, Metronidazole and Combination Gels on Gingivitis: A Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Training of the examiner:
Participating investigators(Resident and supervisor) will be trained and calibrated on the development of the trial, case selection, measurement techniques, sample collection, data compilation sheets and their precise role in the study. In order to evaluate the intra-examiner reliability, five subjects not involved in the study will be evaluated twice by each investigator for the measurements at the interval of one week.
Methodology:
On the first visit after clinical examination, the specially designed baseline study proforma will be filled-in. The bleeding sites, probing depth and the gingival index score will be calculated.
Group A subjects will be instructed to apply a standard 0.2 % Chlorhexidine gel (clinica gel) on the marginal gingiva for the next 14 days, twice a day for 30 minutes, after morning and evening tooth brushing.
Group B subjects will be instructed to apply 0.8 % Metronidazole gel (anaerobic gel) twice daily for 30 minutes after morning and evening tooth brushing for two weeks.
Group C subjects will be instructed to apply 0.2 % Chlorhexidine gel (clinica gel) on the marginal gingiva after morning tooth brushing for 30 minutes and 0.8 % metronidazole gel (anaerobic gel) after evening tooth brushing for 30 minutes for two weeks. Subjects in these groups will receive the detailed and precise instruction and demonstrations on the diurnal alternate application of the two gels.
The application of the topical gels will be halted after 2 weeks and second clinical examination will be carried out for bleeding sites, probing depth and the gingival index score. Scaling & polishing of teeth in all three groups and oral hygiene instructions will be reinforced. Subjects will be recalled at 4 week for evaluation of gingival and oral hygiene indices. The reading will be recorded in the study proforma.
Randomization, blinding and treatment allocation:
Subjects will be assigned to one of the three study groups using a computer generated randomization list. The recruitment of the patients will be performed by one investigator. All the measurements at the baseline and follow ups will be performed by the second investigator. Patient, the operator (until the gel will be handed over by the dental assistant), the investigator who is taking the measurement and the statistician will be blinded about the intervention groups. This will be ensured by giving codes to the intervention groups only known to the principal investigator who is not involved in the measurement and interaction with the patient.
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Robia Ghafoor, BDS, FCPS
- Phone Number: 00922134864374
- Email: robia.ghafoor@aku.edu
Study Contact Backup
- Name: Sheikh Bilal Badar, BDS
- Phone Number: 00923452388775
- Email: sbilalbadar@gmail.com, sheikh.badar@aku.edu
Study Locations
-
-
Sindh
-
Karachi, Sindh, Pakistan, 74800
- Recruiting
- Aga Khan University
-
Contact:
- Robia Ghafoor, BDS, FCPS
- Phone Number: 00922134864374
- Email: robia.ghafoor@aku.edu
-
Contact:
- Sheikh Bilal Badar, BDS
- Phone Number: 00923452388775
- Email: sbilalbadar@gmail.com, sheikh.badar@aku.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients having 20 or more healthy teeth
- Systematically healthy patient with no co-morbid
- Subjects with clinically confirmed gingivitis having positive bleeding gums on probing in every sextant
- Subjects having teeth without any clinical attachment loss
Exclusion criteria:
- Subjects with clinical attachment loss of greater than 2 mm on two sites
- Pregnant or lactating females
- Subjects with removal or fixed dental prosthesis
- History of surgical or nonsurgical periodontal therapy in the last 6 months
- Use of antibiotic in the last 30 days
- Habit of smoking or use of smokeless tobacco
- Allergic to Metronidazole or Chlorhexidine
- Presence of any craniofacial syndrome patients
- Patients on medications that have effects on gingival conditions (such as Nifedipine, Cyclosporine and Phenytoin etc.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Group A
subjects will be instructed to apply a standard 0.2 % Chlorhexidine gel (clinica gel) on the marginal gingiva for the next 14 days, twice a day for 30 minutes, after morning and evening tooth brushing
|
0.2% Chlorhexidene gluconate gel
Other Names:
|
Active Comparator: Group B
Subjects will be instructed to apply 0.8 % Metronidazole gel (anaerobic gel) twice daily for 30 minutes after morning and evening tooth brushing for two weeks
|
1% Metronidazole gel
Other Names:
|
Active Comparator: Group C
subjects will be instructed to apply 0.2 % Chlorhexidine gel (clinica gel) on the marginal gingiva after morning tooth brushing for 30 minutes and 0.8 % metronidazole gel (anaerobic gel) after evening tooth brushing for 30 minutes for two weeks.
Subjects in these groups will receive the detailed and precise instruction and demonstrations on the diurnal alternate application of the two gels
|
0.2% Chlorhexidene gluconate gel
Other Names:
1% Metronidazole gel
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Gingival Index
Time Frame: Two weeks and four weeks
|
On each appointment, gingival index values will be evaluated and change in the gingival index will be noted.
|
Two weeks and four weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in Oral Hygiene Index
Time Frame: Two weeks and four weeks
|
Two weeks and four weeks
|
Change in Bleeding index
Time Frame: Two weeks and four weeks
|
Two weeks and four weeks
|
Change in Probing depth
Time Frame: Two weeks and four weeks
|
Two weeks and four weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Robia Ghafoor, BDS, FCPS, Aga Khan University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Infections
- Stomatognathic Diseases
- Periodontal Diseases
- Mouth Diseases
- Gingival Diseases
- Gingivitis
- Anti-Infective Agents, Local
- Anti-Infective Agents
- Dermatologic Agents
- Anti-Bacterial Agents
- Antiprotozoal Agents
- Antiparasitic Agents
- Disinfectants
- Metronidazole
- Chlorhexidine
- Chlorhexidine gluconate
Other Study ID Numbers
- 4577-Sur-ERC-16
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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