The efficacy of honey mouth-rinse on the intra-oral flora

ISRCTN ISRCTN38327678
DOI https://doi.org/10.1186/ISRCTN38327678
Secondary identifying numbers 18-1728
Submission date
19/12/2019
Registration date
17/01/2020
Last edited
17/01/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Mouth rinses are considered as an essential mean of oral hygiene, but due to the side effects of its chemical ingredients the search for a natural alternative had begun. Honey is one of these alternatives and has been long known for its antimicrobial properties.
Aims: This study aimed to evaluate the efficacy of Syrian Honey mouth rinse on salivary flora in comparison with Chlorhexidine 0.12% mouth rinse.

Who can participate?
Healthy adults with good oral hygiene.

What does the study involve?
Participants are randomly allocated to use the products, Honey mouth rinse, Chlorhexidine 0.12% mouth rinse, or placebo, in a different order. Participants use each product once for 30 seconds, after seven days they use the next product etc. One minute and 30 minutes after using the product a saliva sample will be collected.

What are the possible benefits and risks of participating?
Possible benefit is finding an alternative for the chemical mouth rinse by using a certain concentration of honey. There are no risks from participating at all, all three groups of treatment used approved materials which causes no harms for patients, groups A commercial chlorhexidine, group B honey mouth rinse, group C distilled water.

Where is the study run from?
Damascus University - Faculty of Dental Medicine, Syria

When is the study starting and how long is it expected to run for?
January 2019 to March 2019

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Mhd Bahaa Aldin Alhaffar
bhaa.alhafar@gmail.com

Contact information

Dr Mhd Bahaa Aldin Alhaffar
Scientific

Damascus university
Faculty of dental medicine
Department of periodontology
Damascus
00000
Syria

ORCiD logoORCID ID 0000-0002-9147-189X
Phone +963 932985177
Email bhaa.alhafar@gmail.com

Study information

Study designInterventional randomised cross over trial
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet No participant information sheet available
Scientific titleRandomized controlled trial to evaluate the efficacy of honey mouth-rinse on the intra-oral flora: a cross-over study
Study objectivesThe honey mouth rinse has an antimicrobial efficacy on the intra oral flora
Ethics approval(s)Approved 16/04/2013, Ethical Committee of the Faculty of Dental Medicine (Damascus University, Damascus, Syria; +963 113341864; manager@hcsr.gov.sy), ref: none
Health condition(s) or problem(s) studiedIntra oral flora
InterventionThe effectiveness of Syrian honey mouth rinse on salivary floral bacteria was investigated at the inhibitory concentration suitable for use as a mouth rinse define by diffusion method on Muller-Hinton agar to reach the suitable concentration which is found to be 50%. The disinfecting effect of this 50% solution was studied in a triple blinded study in comparison with Chlorhexidine 0.12%, and distilled water as control. Each participant used the three solutions once for 30 sec 7 days apart. Then the saliva colony forming unit (CFU) count was measured after rinsing by 1 and 30 min.

Group A: honey mouth rinse 50%.
Group B: chlorhexidine 0.12%
Group C: control (distilled water)

Randomization:
The researcher prepared special cards numbered from (1-40) and each patient took one card randomly from a black box, each card had a letter (A,B OR C). each letter refers to a certain treatment group, nether the researcher, the volunteer or the statistician know what the letter refers to until the end of the data analysis.
Intervention typeSupplement
Primary outcome measureThe colony forming unit counts (CFU) measured using saliva samples collected from each patient on three different timepoints (before the test, after one minute of the mouth rinse, after 30 minutes of mouth rinse)
Secondary outcome measuresOral health index collected using oral examination and with UNC15 probe (university of North Carolina). Oral data collected from each patient on three different timepoints (before the test, after one minute of the mouth rinse, after 30 minutes of mouth rinse).
1. Plaque index (PI)
2. Gingival index (GI)
3. Decayed, missing, filled teeth index
Overall study start date01/09/2018
Completion date01/03/2019

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants40
Key inclusion criteriaHealthy volunteers with good oral hygiene
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment01/01/2019
Date of final enrolment01/02/2019

Locations

Countries of recruitment

  • Syria

Study participating centre

Damascus University - Faculty of Dental Medicine
Almazzah St.
Damascus
00000
Syria

Sponsor information

Damascus University
University/education

Almazzah St.
Damascus
00000
Syria

Phone +963 0114442727
Email info@damascusuniversity.edu.sy
Website http://damascusuniversity.edu.sy/index.php?lang=1
ROR logo "ROR" https://ror.org/03m098d13

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/02/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Editorial Notes

17/01/2020: Trial’s existence confirmed by Damascus University Ethics Committee