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Adjunctive Antioxidant Effect of Centella Asiatica Nanoemulsion Gel in Management of Periodontitis

6. juli 2026 opdateret af: Mansoura University

Adjunctive Antioxidant Effect of Centella Asiatica Nanoemulsion Gel in the Management of Periodontitis

The aims of the current study are:

  1. Evaluation of the clinical efficacy of local delivery of nanoemulsion gel containing Centella asiatica extract as an adjunct to conventional non-surgical periodontal therapy in periodontitis patients.
  2. Evaluation of the antioxidant effect of this treatment by the assessment of nuclear factor erythroid 2-related factor 2 (NrF2) and glutathione peroxidase 1 (GPX1) in the gingival crevicular fluid (GCF) samples.

Studieoversigt

Detaljeret beskrivelse

Forty-five healthy patients with periodontitis and healthy subjects with healthy periodontium will be included in the current study. At the beginning of the treatment, all selected patients will be motivated about the benefit of plaque control and periodontal prophylaxis.

The participants will be selected from the Outpatient Clinic of the Department of Oral Medicine and Periodontology, Faculty of Dentistry, Mansoura University. The patients will be informed about the treatment that they will receive and steps that will be taken. This includes the possible effects or risks and other treatment options according to the rules of the ethical committee of the Faculty of Dentistry, Mansoura University. The subjects must understand this explanation in broad terms. They must be legally competent to give written consent before performing any required steps. The research protocol will be presented to the ethical committee at the Faculty of Dentistry, Mansoura University, to get its approval.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

45

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Al Mansurah, Egypten
        • faculty of dentistry Mansoura university, Mansoura, 35516

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Age 25-55 years, either sex
  • Diagnosis of periodontal health OR Stage III periodontitis (per 2017 World Workshop Classification)

Exclusion Criteria:

  • Known allergy or sensitivity to any component of the study medication
  • Systemic antibiotics or anti-inflammatory medications within the preceding 6 months
  • Uncontrolled diabetes mellitus
  • Cardiovascular disease
  • Rheumatoid arthritis
  • Renal disease
  • Pulmonary disease
  • Thyroid disease
  • Malignancy
  • Current smokers
  • Pregnant or lactating women
  • Unable or unwilling to comply with prescribed oral hygiene instructions

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: group I treated with C. asiatica nanoemulsion as an adjunct to SRP
Group I (study group): 15 Patients with periodontitis Stage III will be treated with C. asiatica nanoemulsion as an adjunct to SRP.
Following scaling and root planing, patients in Group 1 received local subgingival application of Centella asiatica nanoemulsion gel via disposable syringe with a blunt-ended cannula, applied once weekly for 3 months.
Full-mouth scaling and root planing using ultrasonic instrumentation and Gracey curettes, plus standardized oral hygiene instructions.
Aktiv komparator: Group II (positive control group) treated with SRP
Group II (positive control): 15 patients with periodontitis Stage III will be treated with scaling and root planing (SRP) alone, with no adjunctive gel application.
Full-mouth scaling and root planing using ultrasonic instrumentation and Gracey curettes, plus standardized oral hygiene instructions.
Ingen indgriben: Group III (negative control group): no intervention
Group III (negative control/healthy control): 15 periodontally healthy participants who will receive no active periodontal intervention; assessed at baseline only

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Plaque Index
Tidsramme: Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Full-mouth plaque accumulation scored at the mesial, distal, buccal, and lingual/palatal surfaces of each examined tooth on a 0-3 scale, with higher scores indicating greater plaque accumulation. The participant-level score is the average of all recorded surface scores.
Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Gingival Index
Tidsramme: Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Gingival inflammation was scored at each examined surface on a 0-3 scale based on gingival color, consistency, and presence/absence of bleeding on probing, with higher scores indicating more severe inflammation (0 = clinically healthy gingiva, 3 = severe inflammation with marked redness, edema, ulceration, or spontaneous bleeding).
Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Gingival Bleeding Index
Tidsramme: Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Presence or absence of bleeding recorded following gentle probing of the gingival margin at each examined site, calculated as the number of bleeding sites divided by the total number of examined sites and expressed as a percentage. Higher percentages indicate greater gingival bleeding.
Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Periodontal Probing Depth (PPD)
Tidsramme: Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Distance in millimeters from the free gingival margin to the base of the periodontal pocket, measured at multiple sites per tooth using a calibrated periodontal probe. Higher values indicate deeper pockets and greater periodontal destruction.
Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Clinical Attachment Level (CAL)
Tidsramme: Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)
Distance in millimeters from the cemento-enamel junction to the base of the periodontal pocket, measured at multiple sites per tooth using a calibrated periodontal probe. Higher values indicate greater loss of periodontal attachment
Baseline and 3 months (Groups 1 and 2); baseline only (Group 3)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Majed M Alshammari, bachelor, Faculty of Dentistry Mansoura University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

21. marts 2025

Primær færdiggørelse (Faktiske)

8. september 2025

Studieafslutning (Faktiske)

8. september 2025

Datoer for studieregistrering

Først indsendt

18. januar 2026

Først indsendt, der opfyldte QC-kriterier

6. juli 2026

Først opslået (Faktiske)

13. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

6. juli 2026

Sidst verificeret

1. juli 2026

Mere information

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Plan for individuelle deltagerdata (IPD)

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Ingen

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Kliniske forsøg med Centella asiatica nanoemulsion gel

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