Ignite Creation Date:
2024-10-26 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 3:39 PM
Study NCT ID:
NCT06575335
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-22
Brief Title:
Triphala Tooth Wipes in Reduction of Streptococcus Mutans Colonies
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Antibacterial Efficacy of Triphala Tooth Wipes in Reduction of Streptococcus Mutans Colonies in Differently Abled Children- A Randomized Clinical Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This double-blind randomized clinical trial will be conducted among differently abled institutionalized children Sixty participants aged 6-12 years with mild intellectual disability ID will be enrolled in the study and divided into two treatment groups The participants will be allocated in either of the two treatment arms through Sequentially Numbered Opaque Sealed Envelopes SNOSE by the principal investigator One group will receive triphala tooth wipes and the other will be given chlorhexidine tooth wipes both for 7 days twice a day Supragingival plaque sample will be collected from the buccal surface of the permanent maxillary first molar and will be subjected to microbial analysis for Streptococcus mutans S mutans colonies using colony-forming units per millilitre CFUml
The tooth wipes will be prepared by the principal investigator under supervision of Pharmacognosist at Department of Pharmaceutics and Pharmacognosy University of Karachi Pakistan
The tooth wipes will be prepared by the principal investigator under supervision of Pharmacognosist at Department of Pharmaceutics and Pharmacognosy University of Karachi Pakistan
Detailed Description:
Preparation of Tooth Wipes
Preparation of Triphala Tooth Wipes- The triphala decoction will be prepared by the principal investigator at Department of Pharmaceutics and Pharmacognosy University of Karachi Pakistan under the supervision of Pharmacognocist The three fruits of triphala will be bought in powder form from an ayurvedic drug vendor A mixture will be made by combining equal proportion of all these three powders in distilled water This will then be boiled till the volume reduces to 18th part of the initial volume
A sweetener will be added to the decoction followed by filtering using a white muslin cloth and then storing in a sterile amber-coloured glass bottle in a refrigerator This will preserve its organoleptic properties and its quality for fourteen days
The decoction obtained will be subjected to dilution to obtain concentration This will then be used to impregnate the marketed tooth wipes fabric The triphala tooth wipes will be cut folded individually and then packed using the wet wipes machine in a plain white packing by local pharmaceutical company Each pack will contain 16 wipes
Preparation of Chlorhexidine Tooth Wipes- The commercially available chlorhexidine mouthwash containing will be purchased from the market and will then be used to impregnate the marketed tooth wipes fabric The chlorhexidine tooth wipes will be cut folded individually and then packed using the wet wipes machine in a plain white packing by local pharmaceutical company Each pack will contain 16 wipes
Data Collection
Consent- Before initiation of the study informed consent will be taken from the parent andor guardian
Proforma- The questionnaire will consist of their demographic details and Intelligence Quotient IQ score The Streptococcus mutans count will be assessed on day 1 and day 7 of the intervention
IQ Score- Mild ID having IQ score of 50-55 to 70 will be part of the study This IQ score will be provided by the institutes clinical psychologist who examines and score the patient as per American Association of Mental Deficiency AAMD criteria
Microbial Analysis of the Plaque Sample- Under aseptic measures the buccal surface of the permanent maxillary first molar will be dried with cotton swab and the supragingival plaque sample will be collected on baseline and Day 7 of the intervention prior to mealtime using sterile Gracey curette 12 by the principal investigator Each of the specimen will be transferred into different sterile Eppendorf tubes having in 05 ml phosphate-buffered saline PBS to prevent cell rupture or shrinkage due to osmosis The samples will be transported in an Ice Box This will be cultured on the mitis salivarius agar with bacitracin in Dow Research Institute of Biotechnology and Biomedical Sciences DRIBBS by the microbiologist The plates will be incubated anaerobically at 37C for 48 h for growth of S mutans colonies will then be assessed at the baseline and on Day 7 of the intervention The S mutans count will be classified as Class 0 none Class 1 102 Class 2 103-104 and Class 3 105 CFUml showing negligible low moderate and high caries susceptibility respectively
Preparation of Triphala Tooth Wipes- The triphala decoction will be prepared by the principal investigator at Department of Pharmaceutics and Pharmacognosy University of Karachi Pakistan under the supervision of Pharmacognocist The three fruits of triphala will be bought in powder form from an ayurvedic drug vendor A mixture will be made by combining equal proportion of all these three powders in distilled water This will then be boiled till the volume reduces to 18th part of the initial volume
A sweetener will be added to the decoction followed by filtering using a white muslin cloth and then storing in a sterile amber-coloured glass bottle in a refrigerator This will preserve its organoleptic properties and its quality for fourteen days
The decoction obtained will be subjected to dilution to obtain concentration This will then be used to impregnate the marketed tooth wipes fabric The triphala tooth wipes will be cut folded individually and then packed using the wet wipes machine in a plain white packing by local pharmaceutical company Each pack will contain 16 wipes
Preparation of Chlorhexidine Tooth Wipes- The commercially available chlorhexidine mouthwash containing will be purchased from the market and will then be used to impregnate the marketed tooth wipes fabric The chlorhexidine tooth wipes will be cut folded individually and then packed using the wet wipes machine in a plain white packing by local pharmaceutical company Each pack will contain 16 wipes
Data Collection
Consent- Before initiation of the study informed consent will be taken from the parent andor guardian
Proforma- The questionnaire will consist of their demographic details and Intelligence Quotient IQ score The Streptococcus mutans count will be assessed on day 1 and day 7 of the intervention
IQ Score- Mild ID having IQ score of 50-55 to 70 will be part of the study This IQ score will be provided by the institutes clinical psychologist who examines and score the patient as per American Association of Mental Deficiency AAMD criteria
Microbial Analysis of the Plaque Sample- Under aseptic measures the buccal surface of the permanent maxillary first molar will be dried with cotton swab and the supragingival plaque sample will be collected on baseline and Day 7 of the intervention prior to mealtime using sterile Gracey curette 12 by the principal investigator Each of the specimen will be transferred into different sterile Eppendorf tubes having in 05 ml phosphate-buffered saline PBS to prevent cell rupture or shrinkage due to osmosis The samples will be transported in an Ice Box This will be cultured on the mitis salivarius agar with bacitracin in Dow Research Institute of Biotechnology and Biomedical Sciences DRIBBS by the microbiologist The plates will be incubated anaerobically at 37C for 48 h for growth of S mutans colonies will then be assessed at the baseline and on Day 7 of the intervention The S mutans count will be classified as Class 0 none Class 1 102 Class 2 103-104 and Class 3 105 CFUml showing negligible low moderate and high caries susceptibility respectively
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None