Comparison of two mouth rinses (Triphala and Listerine) in patients undergoing fixed orthodontic therapy

ISRCTN ISRCTN76770396
DOI https://doi.org/10.1186/ISRCTN76770396
Protocol serial number 004
Sponsor Amrita School of Dentistry
Funder Investigator initiated and funded
Submission date
04/04/2018
Registration date
19/04/2018
Last edited
18/04/2018
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
The aim of this study is to assess the effect of 0.6% Triphala mouth rinse as compared to Listerine on gingival (gum) health in patients undergoing fixed orthodontic (brace) treatment.

Who can participate?
Patients aged 18-30 undergoing fixed orthodontic treatment with signs of gum inflammation

What does the study involve?
Participants are randomly allocated into two groups to use either 0.6% Triphala or Listerine mouth rinse twice daily. Both groups are assessed for gum inflammation, plaque and oral hygiene after 7, 14 and 30 days.

What are the possible benefits and risks of participating?
Using Listerine may reduce gum inflammation and plaque build-up. Possible risks include allergy or mild burning sensation due to the alcohol content. Triphala is a herbal product, widely used in Ayurvedic practice. In this study it is used as an oral rinse at a very low concentration and the risks associated with it are with overdose of a systemically administered form.

Where is the study run from?
Amrita School of Dentistry, Amrita Vishwavidyapeetham (India)

When is the study starting and how long is it expected to run for?
September 2015 to November 2017

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Roshni Nair
dr.roshninair@yahoo.in

Contact information

Dr Roshni Nair
Scientific

Department of Periodontics
Amrita School of Dentistry
AIMS Cochin
Cochin
682041
India

Phone +91 (0)9845866696
Email dr.roshninair@yahoo.in

Study information

Primary study designInterventional
Study designInterventional single-centre single-blind parallel study
Secondary study designRandomised parallel trial
Study type Participant information sheet
Scientific titleComparing efficacy of 0.6% Triphala with Listerine mouth rinse on gingival health during fixed orthodontic therapy
Study objectivesTo assess the effect of 0.6% Triphala mouth rinse as compared to Listerine on gingival health in patients undergoing fixed orthodontic therapy at an interval of 7 days, 14 days and 30 days.
Ethics approval(s)Thesis Protocol Review Committee (Scientific, Ethical, Financial), 15/03/2016, ref/004/TPRC/2016
Health condition(s) or problem(s) studiedGingival inflammation and associated enlargement, plaque commonly seen in patients undergoing fixed orthodontic treatment
InterventionPatients were assigned to one of two groups by block randomization, single blind masking:
1. Reference arm: Listerine mouth rinse
2. Active arm: 0.6% Triphala mouth rinse

Both groups are assessed on clinical parameters (baseline assessment: gingival status, plaque score and oral hygiene score) followed by removal of existing dental hard and soft deposits by supragingival scaling. Patients in each group get the respective mouth rinse and rinse twice daily with 20 ml of the prescribed mouth rinse. Reassessment of the clinical parameters is carried out at 7, 14 and 30 days. Total duration of treatment 30 days.
Intervention typeOther
Primary outcome measure(s)

Gum inflammation and associated gingival enlargement, assessed using Modified Gingival Index and Seymour Gingival Enlargement Index at baseline, 7, 14 and 30 days

Key secondary outcome measure(s)

Plaque build up and oral hygiene status, assessed using Plaque Index and Simplified Oral Hygiene Index at baseline, 7, 14 and 30 days

Completion date04/11/2017

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit30 Years
SexAll
Target sample size at registration34
Key inclusion criteria1. Age 18-30 years
2. Minimum of 20 teeth
3. Patients undergoing fixed orthodontic therapy with initial teeth alignment completed
4. Good general health - absence of any systemic illness
5. Gingival enlargement grade 1 or 2 (bokenkamp)
6. Gingival index above 2 (Modified Gingival Index by Lobene)
Key exclusion criteria1. Known hypersensitivity to the mouth rinses under study
2. Active periodontitis
3. Hard and soft tissue tumours
4. Oral red and white lesions
5. Antibiotic therapy in past 30 days
6. Use of mouthwash in the last 3 months
7. Medications with an effect on oral tissues
8. Habits: smoking, tobacco/paan chewing
Date of first enrolment20/06/2016
Date of final enrolment03/10/2017

Locations

Countries of recruitment

  • India

Study participating centre

Amrita School of Dentistry, Amrita Vishwavidyapeetham
Cochin
682041
India

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Roshni Nair (dr.roshninair@yahoo.in).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes