NCT05147376

Brief Summary

The study is a randomized controlled trial. The participants will be equally allocated into 2 groups to compare clinical effectiveness of curcumin mouthwash in fixed orthodontic patients during the first month of treatment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
70

participants targeted

Target at P75+ for early_phase_1

Timeline
Completed

Started Feb 2022

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 24, 2021

Completed
13 days until next milestone

First Posted

Study publicly available on registry

December 7, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

February 21, 2022

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 7, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 7, 2023

Completed
Last Updated

September 21, 2023

Status Verified

September 1, 2023

Enrollment Period

1.5 years

First QC Date

November 24, 2021

Last Update Submit

September 16, 2023

Conditions

Keywords

CurcuminCurcumin mouthwashTraumatic ulcersFixed orthodontic appliances

Outcome Measures

Primary Outcomes (2)

  • Incidence of traumatic ulcer

    The question in Google Form will ask about the number of traumatic ulcers that can be obviously seen in the mouth. The examiner will provide a picture of traumatic ulcer in the first visit. The participant will be requested to closely check on their mouth starting from reversing the upper and lower lips, then inspect the inner surface of lip and gingiva. Second, move buccal mucosa away from the teeth and gingiva, then, examine one side to the other. The participant will be requested to mark the site of traumatic ulcers on the simple diagram of oral cavity which is divided into 6 area per arch (Right molar teeth, right premolar teeth, right anterior teeth, left molar teeth, left premolar teeth, left anterior teeth). The incidence will be recorded dichotomously (presence or absence of traumatic ulcers).

    28 days

  • Duration of each ulcer until it heals

    A period between the first day that traumatic ulcer can be seen unit it resolves. As the participant will be requested to record number of ulcers and locate the sites every day. Duration will be calculated at the end of trial

    28 days

Secondary Outcomes (6)

  • Pain score

    28 days

  • The site of traumatic ulcer

    28 days

  • Use of orthodontic wax

    28 days

  • Comments of adverse effect (if any)

    28 days

  • Comments of participant's satisfaction

    28 days

  • +1 more secondary outcomes

Study Arms (2)

Curcumin mouthwash

EXPERIMENTAL

The curcumin mouthwash contains the final concentration of 1 μM curcumin, water, xylitol, and food coloring agent.

Drug: Curcumin mouthwash

Placebo mouthwash

SHAM COMPARATOR

The placebo mouthwash contains water, xylitol, and food coloring agent.

Drug: Placebo mouthwash

Interventions

Rinse with 10 ml for 1 minute, twice a day for 28 days after brushing in the morning and at night, following proper oral hygiene and avoid taking any liquid or food for 30 minutes after rinsing.

Curcumin mouthwash

Rinse with 10 ml for 1 minute, twice a day for 28 days after brushing in the morning and at night, following proper oral hygiene and avoid taking any liquid or food for 30 minutes after rinsing.

Placebo mouthwash

Eligibility Criteria

Age12 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Fixed orthodontic patients aged 12-30 years old
  • Fixed orthodontic appliances on at least 1 arch (at least 10 teeth per arch)
  • Patients with good general health without any systemic diseases
  • Patients who are not using any herbal toothpaste or any mouthwash in daily life for the past 2 weeks
  • Patients who are not taking any medications which may influenced the pattern of oral ulceration
  • Patients who are willing and able to cooperate with all aspects of the protocol and able to communicate effectively and give informed written consent from parents if patients are younger than 18 years old

You may not qualify if:

  • Cigarette smoking
  • History of hypersensitivity or allergy to turmeric or other ingredients of mouthwash
  • History of oral mucosal lesions and skin diseases
  • Oral ulceration or inflammation with unknown etiology
  • Pregnant or lactating women

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Pediatric Dentistry, Postgraduate dental clinic, Faculty of Dentistry, Chulalongkorn University

Bangkok, 10330, Thailand

Location

Related Publications (44)

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    BACKGROUND
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    BACKGROUND
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    BACKGROUND
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    PMID: 5237684BACKGROUND
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    PMID: 14121956BACKGROUND
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    PMID: 30402869BACKGROUND
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    PMID: 28711364BACKGROUND
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    PMID: 26985735BACKGROUND
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    PMID: 23633828BACKGROUND
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    BACKGROUND
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    PMID: 23763732BACKGROUND
  • Rebelo MAB, Correra de Queiroz A. Gingival Indices: State of Art, Gingival Diseases-Their Aetiology, Prevention and Treatment. Publisher: InTech. 2011:41-2.

    BACKGROUND
  • Rujirachotiwat A, Suttamanatwong S. Curcumin Promotes Collagen Type I, Keratinocyte Growth Factor-1, and Epidermal Growth Factor Receptor Expressions in the In Vitro Wound Healing Model of Human Gingival Fibroblasts. Eur J Dent. 2021 Feb;15(1):63-70. doi: 10.1055/s-0040-1715781. Epub 2020 Oct 1.

    PMID: 33003239BACKGROUND
  • Rujirachotiwat A and Suttamanatwong S. Effect of Curcuminonthe Expression of Wound Healing-related Genes in Human Gingival Fibroblasts.

    BACKGROUND
  • Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010 Mar 24;8:18. doi: 10.1186/1741-7015-8-18.

    PMID: 20334633BACKGROUND
  • Shamash MSA, Zaidan TF. Effect of topical curcumin on the healing of major oral mucosal ulceration. EurAsian Journal of BioSciences. 2020;14:4653-60.

    BACKGROUND
  • SILNESS J, LOE H. PERIODONTAL DISEASE IN PREGNANCY. II. CORRELATION BETWEEN ORAL HYGIENE AND PERIODONTAL CONDTION. Acta Odontol Scand. 1964 Feb;22:121-35. doi: 10.3109/00016356408993968. No abstract available.

    PMID: 14158464BACKGROUND
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    BACKGROUND
  • Soleimani V, Sahebkar A, Hosseinzadeh H. Turmeric (Curcuma longa) and its major constituent (curcumin) as nontoxic and safe substances: Review. Phytother Res. 2018 Jun;32(6):985-995. doi: 10.1002/ptr.6054. Epub 2018 Feb 26.

    PMID: 29480523BACKGROUND
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    PMID: 14739957BACKGROUND
  • Zaher A, Elsabaa H, Abou Elkhier M, Elhindawy M. Impact of curcumin on tongue ulcer healing in albino rats. Mansoura J Dent. 2014;1:85-9.

    BACKGROUND
  • Akbari G, Setiani T, Malik I. Traumatic ulcer distribution of patiens with removable orthodontic appliance in Orthodontics Clinics of Dental Specialist Program. Padjadjaran Journal of Dentistry. 2014;26

    RESULT
  • Al-Maweri SA, Alaizari N, Alharbi AA, Alotaibi SA, AlQuhal A, Almutairi BF, Alhuthaly S, Almutairi AM. Efficacy of curcumin for recurrent aphthous stomatitis: a systematic review. J Dermatolog Treat. 2022 May;33(3):1225-1230. doi: 10.1080/09546634.2020.1819529. Epub 2020 Sep 9.

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  • Deshmukh RA, Bagewadi AS. Comparison of effectiveness of curcumin with triamcinolone acetonide in the gel form in treatment of minor recurrent aphthous stomatitis: A randomized clinical trial. Int J Pharm Investig. 2014 Jul;4(3):138-41. doi: 10.4103/2230-973X.138346.

  • Kluemper GT, Hiser DG, Rayens MK, Jay MJ. Efficacy of a wax containing benzocaine in the relief of oral mucosal pain caused by orthodontic appliances. Am J Orthod Dentofacial Orthop. 2002 Oct;122(4):359-65. doi: 10.1067/mod.2002.126405.

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  • Kvam E, Gjerdet NR, Bondevik O. Traumatic ulcers and pain during orthodontic treatment. Community Dent Oral Epidemiol. 1987 Apr;15(2):104-7. doi: 10.1111/j.1600-0528.1987.tb00493.x.

  • Leiva-Cala C, Lorenzo-Pouso AI, Centenera-Centenera B, Lopez-Palafox J, Gandara-Vila P, Garcia-Garcia A, Perez-Sayans M. Clinical efficacy of an Aloe Vera gel versus a 0.12% chlorhexidine gel in preventing traumatic ulcers in patients with fixed orthodontic appliances: a double-blind randomized clinical trial. Odontology. 2020 Jul;108(3):470-478. doi: 10.1007/s10266-019-00468-w. Epub 2019 Oct 29.

  • Mainali A. Occurrence of Oral Ulcerations in Patients undergoing Orthodontic Treatment: A Comparative study. Orthodontic Journal of Nepal. 2014;3.

    RESULT
  • Manifar S, Obwaller A, Gharehgozloo A, Boorboor Shirazi Kordi H, Akhondzadeh S. Curcumin Gel in the Treatment of Minor Aphthous Ulcer: a Randomized, Placebo- Controlled Trial. J Med Plants. 2012;11(41):40-5.

    RESULT
  • Patil K, Guledgud MV, Kulkarni PK, Keshari D, Tayal S. Use of Curcumin Mouthrinse in Radio-Chemotherapy Induced Oral Mucositis Patients: A Pilot Study. J Clin Diagn Res. 2015 Aug;9(8):ZC59-62. doi: 10.7860/JCDR/2015/13034.6345. Epub 2015 Aug 1.

  • Rennick LA, Campbell PM, Naidu A, Taylor RW, Buschang PH. Effectiveness of a novel topical powder on the treatment of traumatic oral ulcers in orthodontic patients: A randomized controlled trial. Angle Orthod. 2016 May;86(3):351-7. doi: 10.2319/050415-303.1. Epub 2015 Sep 24.

  • Sharma RA, Euden SA, Platton SL, Cooke DN, Shafayat A, Hewitt HR, Marczylo TH, Morgan B, Hemingway D, Plummer SM, Pirmohamed M, Gescher AJ, Steward WP. Phase I clinical trial of oral curcumin: biomarkers of systemic activity and compliance. Clin Cancer Res. 2004 Oct 15;10(20):6847-54. doi: 10.1158/1078-0432.CCR-04-0744.

  • Shaw WC, Addy M, Griffiths S, Price C. Chlorhexidine and traumatic ulcers in orthodontic patients. Eur J Orthod. 1984 May;6(2):137-40. doi: 10.1093/ejo/6.2.137. No abstract available.

  • Waghmare PF, Chaudhari AU, Karhadkar VM, Jamkhande AS. Comparative evaluation of turmeric and chlorhexidine gluconate mouthwash in prevention of plaque formation and gingivitis: a clinical and microbiological study. J Contemp Dent Pract. 2011 Jul 1;12(4):221-4. doi: 10.5005/jp-journals-10024-1038.

  • Somprajob C, Auychai P, Chavanavesh J, Suttamanatwong S. Effectiveness of curcumin mouthwash in preventing traumatic ulcers in orthodontic patients. BMC Oral Health. 2025 Nov 3;25(1):1725. doi: 10.1186/s12903-025-07141-5.

MeSH Terms

Conditions

Oral Ulcer

Condition Hierarchy (Ancestors)

Mouth DiseasesStomatognathic Diseases

Study Officials

  • Supaporn Suttamanatwong, D.D.S.,Ph.D.

    Department of Physiology, Faculty of Dentistry, Chulalongkorn University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
This clinical trial is a double-blind study that participants and examiner will be blinded to group assignment.
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Department of Physiology, Faculty of Dentistry, Chulalongkorn University

Study Record Dates

First Submitted

November 24, 2021

First Posted

December 7, 2021

Study Start

February 21, 2022

Primary Completion

August 7, 2023

Study Completion

August 7, 2023

Last Updated

September 21, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will not share

Locations