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Effectiveness of Locally Delivered Morus Alba Gel on Moderate Periodontitis

K

KLE VK Institute of Dental Sciences

Status

Completed

Conditions

Chronic Periodontitis

Treatments

Other: Placebo
Other: Morus alba gel
Other: Chlorhexidine gel

Study type

Interventional

Funder types

Other

Identifiers

NCT03475394
KLEU/Ethic/14-15/D-79

Details and patient eligibility

About

Background: Periodontitis is a chronic inflammatory disease of tooth and supporting tissues with clinical signs of bone and connective tissue loss and is mediated by a combination of periodontal pathogens and host defense systems. Currently the use of herbal products in dentistry is increasing due to their easy availability, low cost and lesser side effects. One such herbal plant is Morus alba which is known to possess medicinal properties. Therefore the present study was conducted to determine the clinical effectiveness of subgingivally delivered Morus alba gel incorporated into polaxamers vehicle for its controlled release on periodontal pocket in adjunct to scaling and root planing for treatment of moderate periodontitis patients.

Methods: one hundred eighty patients with chronic periodontitis having pocket depth of ≥5 mm in atleast two different teeth were treated by full-mouth scaling and root planning (SRP) and curettage. They were randomly assigned into one of the three groups with 60 in each group: Group 1: Chlorhexidine Sol-gel was applied at baseline, 15 and 30 days. Group 2: Morus alba Sol-gel was applied at baseline, 15 and 30 days. Grpup 3: Placebo gel was applied at baseline, 15 and 30 days. Plaque index (PI) (Silness and Loe), Gingival index (GI) (Loe and Silness), Community Periodontal index, Periodontal pocket depth and quantitative analysis (anaerobic culture) of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythia were assessed at baseline and after 45 days.

Full description

Morus alba is invaluable member of the plant kingdom belonging to the family Moraceae and the genus Morus. It is extensively cultivated for leaf yield in sericulture. Morus alba have long been used in traditional medicine to improve eyesight, lower blood pressure, prevent diabetes, protect the liver, strengthen joints and treat fever. In particular, few studies on mulberry fruits have reported its biological activities such as antioxidative and anti-inflammatory activities. Even the root bark of has been traditionally used in Asian countries for medicinal purposes due to its anti-inflammatory, hypoglycemic, antibacterial activities. LD50 of extracts of Morus Alba leaves was found to be above 2000 mg/kg which is safe to be used in human beings. Therefore, in the present study the Morus alba leaves has been used in the gel preparation and its effectiveness is assessed against periodontal microorganisms.

Enrollment

180 patients

Sex

All

Ages

35 to 55 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. 35 to 55 years old
  2. untreated moderate chronic periodontitis having probing pocket depth of ≥5 mm in atleast two different teeth

Exclusion criteria

  1. use of antibiotics or anti-inflammatory drugs during the last 6 months before baseline examination
  2. Received periodontal treatment in the last 6 months
  3. pregnant or lactating
  4. allergy to chlorhexidine or any of the components in the tested products
  5. using tobacco products in any form
  6. systemic diseases (e.g., diabetes mellitus, hypertension and immunological disorders)
  7. ) orthodontic treatment
  8. alcoholics
  9. removable prostheses
  10. Healthy with a normal BMI

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

180 participants in 3 patient groups, including a placebo group

Group 1 (Chlorhexidine gel)
Active Comparator group
Description:
Non surgical periodontal treatment at baseline and 0.1 ml of 1% chlorhexidine gel administered in subsequent visits.
Treatment:
Other: Chlorhexidine gel
Group 2 (Morus alba gel)
Experimental group
Description:
Non surgical periodontal treatment at baseline and 0.1 ml of 16% Morus alba gel administered in subsequent visits.
Treatment:
Other: Morus alba gel
Group 3 (Placebo)
Placebo Comparator group
Description:
Non surgical periodontal treatment at baseline and 0.1 ml of placebo gel administered in subsequent visits.
Treatment:
Other: Placebo

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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