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Effects of Using Miswak in Addition to Oral Hygiene Products in Patients With Gingivitis
This pilot study aims to evaluate the effects of miswak use on the oral biological environment by comparing biochemical parameters obtained from saliva and dental plaque samples collected from individuals who use miswak and controls. A total of 36 healthy volunteers will be enrolled in the study, including 18 miswak+rutine oral hygiene products users and 18 rutine oral hygiene products.
Periodontal clinical parameters will be recorded, and saliva and supragingival dental plaque samples will be collected from all participants. The collected samples will be analysed for biomarkers associated with periodontal inflammation and oxidative stress. Interleukin-1 beta (IL-1β), C-reactive protein (CRP), and oxidative stress levels will be measured using biochemical analysis.
The findings of this study are expected to provide preliminary evidence regarding the biological effects of miswak on oral health and contribute to the current understanding of its potential role as an adjunctive oral hygiene tool.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Contacten en locaties
Studiecontact
- Naam: Ayşegül Sari, PhD
- Telefoonnummer: 05321732518
- E-mail: aysglsr@gmail.com
Studie Contact Back-up
- Naam: Hasan Burak SEN, res. assist.
- Telefoonnummer: 506 222 86 33 Türkiye
- E-mail: buraksenh1999@gmail.com
Studie Locaties
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-
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Hatay, Turkije (Türkiye), 31000
- Hatay Mustafa Kemal Üniversitesi
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Contact:
- Ayşegül Sari, PhD
- Telefoonnummer: 05321732518
- E-mail: aysglsr@gmail.com
-
Contact:
- Hasan Burak Sen, DDs
- Telefoonnummer: 05062228633
- E-mail: buraksenh1999@gmail.com
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Hatay
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Antakya, Hatay, Turkije (Türkiye), 31000
- Hatay Mustafa Kemal University
-
Contact:
- Ayşegül Sari, PhD
- Telefoonnummer: 05321732518
- E-mail: aysglsr@gmail.com
-
Contact:
- Hasan Burak Sen, DDs
- Telefoonnummer: 05062228633
- E-mail: buraksenh1999@gmail.com
-
Hoofdonderzoeker:
- Hasan Burak Sen, DDs
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- To be in the age range of 18-60 years
- To have no systemic disease
- To be diagnosed with gingivitis
Exclusion Criteria:
- Smoking
- History of recent periodontal treatment
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
Interventie / Behandeling |
|---|---|
|
Test Group: Miswak using
Participants received oral hygiene instructions and used a manual toothbrush twice daily in combination with miswak (Salvadora persica L.) five times daily for one month before periodontal treatment.
Clinical periodontal parameters will be recorded, and salivary IL-1β, CRP, and oxidative stress levels will be evaluated at pre-op (4 weeks), baseline (before periodontal treatment), and post-op (6 weeks).
|
Participants used miswak (Salvadora persica L.) as an adjunct to toothbrushing, five times per day, for one month before periodontal treatment.
Participants used a manual toothbrush twice daily for one month before periodontal treatment.
|
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control group
articipants with gingivitis received oral hygiene instructions and used a manual toothbrush twice daily without miswak.
Clinical periodontal parameters will be recorded, and salivary IL-1β, CRP, and oxidative stress levels will be evaluated at pre-op (4 weeks), baseline (before periodontal treatment), and post-op (6 weeks).
|
Participants used a manual toothbrush twice daily for one month before periodontal treatment.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change in Salivary Interleukin-1 Beta (IL-1β) Levels
Tijdsspanne: Pre-op 4 weeks and after 6 weeks
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To evaluate the effect of adjunctive miswak use on salivary interleukin-1 beta (IL-1β) levels in patients with gingivitis.
Salivary IL-1β concentrations will be measured using enzyme-linked immunosorbent assay (ELISA).
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Pre-op 4 weeks and after 6 weeks
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in Clinical Periodontal Indices
Tijdsspanne: Pre-op 4 weeks and after 6 weeks
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To evaluate changes in clinical periodontal parameters, including Plaque Index (PI), Gingival Index (GI), and Bleeding on Probing (BOP) following adjunctive miswak use.
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Pre-op 4 weeks and after 6 weeks
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Change in Salivary C-Reactive Protein (CRP) Levels
Tijdsspanne: Pre-op 4 weeks and after 6 weeks
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To evaluate changes in salivary C-reactive protein (CRP) concentrations as a marker of oral inflammatory status following adjunctive miswak use.
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Pre-op 4 weeks and after 6 weeks
|
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Change in Salivary Oxidative Stress Levels
Tijdsspanne: Pre-op 4 weeks and after 6 weeks
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To evaluate changes in salivary oxidative stress levels following adjunctive miswak use using appropriate biochemical assays.
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Pre-op 4 weeks and after 6 weeks
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Hasan Burak Sen, DDs, Hatay Mustafa Kemal Üniversitesi
- Studie directeur: Ayşegül Sari, PhD, Hatay Mustafa Kemal Üniversitesi
Publicaties en nuttige links
Algemene publicaties
- Bansal T, Pandey A, D D, Asthana AK. C-Reactive Protein (CRP) and its Association with Periodontal Disease: A Brief Review. J Clin Diagn Res. 2014 Jul;8(7):ZE21-4. doi: 10.7860/JCDR/2014/8355.4646. Epub 2014 Jul 20.
- Martinez-Garcia M, Hernandez-Lemus E. Periodontal Inflammation and Systemic Diseases: An Overview. Front Physiol. 2021 Oct 27;12:709438. doi: 10.3389/fphys.2021.709438. eCollection 2021.
- Sari A, Davutoglu V, Bozkurt E, Taner IL, Erciyas K. Effect of periodontal disease on oxidative stress markers in patients with atherosclerosis. Clin Oral Investig. 2022 Feb;26(2):1713-1724. doi: 10.1007/s00784-021-04144-8. Epub 2021 Aug 20.
- Sari A, Santamaria P, Nibali L. The effect of non-surgical periodontal treatment on progranulin levels. J Periodontol. 2026 Apr;97(4):658-670. doi: 10.1002/jper.11396. Epub 2025 Aug 25.
- Ramli H, Nor Aripin KN, Mohd Said S, Mohamad Hanafiah R, Mohd Dom TN. The effectiveness of miswak (Salvadora persica L. and Azadirachta indica A.Juss.) practices in reducing plaque and gingivitis among adults: A systematic review and meta-analysis. J Ethnopharmacol. 2022 Nov 15;298:115598. doi: 10.1016/j.jep.2022.115598. Epub 2022 Aug 6.
- Haque MM, Alsareii SA. A review of the therapeutic effects of using miswak (Salvadora Persica) on oral health. Saudi Med J. 2015 May;36(5):530-43. doi: 10.15537/smj.2015.5.10785.
- Lebda MA, El-Hawarry WN, Shourbela RM, El-Far AH, Shewita RS, Mousa SA. Miswak (Salvadora persica) dietary supplementation improves antioxidant status and nonspecific immunity in Nile tilapia (Oreochromis niloticus). Fish Shellfish Immunol. 2019 May;88:619-626. doi: 10.1016/j.fsi.2019.03.037. Epub 2019 Mar 16.
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Studie voltooiing (Geschat)
Studieregistratiedata
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Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Longontsteking organiseren
- Mondziekten
- Stomatognatische ziekten
- Ziekten van het immuunsysteem
- Infecties
- Ziekten van de luchtwegen
- Longziekten
- Bronchiale ziekten
- Longziekten, obstructief
- Tandvleesaandoeningen
- Bronchiolitis Obliterans
- Bronchiolitis
- Bronchitis
- Graft vs Host-ziekte
- Bronchiolitis Obliterans-syndroom
- Parodontale aandoeningen
- Gingivitis
- Biomedische en tandheelkundige materialen
- Vervaardigde materialen
- Technologie, industrie en landbouw
- Tandreinigingsmiddelen
- Tandpasta's
Andere studie-ID-nummers
- 11/2025
Informatie over medicijnen en apparaten, studiedocumenten
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Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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