CClinicalTrials.gg
CompletedNCT05803109Updated May 11, 2025

Efficacy of Coconut Oil With Peppermint Essential for Oral Hygiene Routine

An interventional study of AVIVA-PURE-CocoPull-Organic-made in USA in Fluoride Adverse Reaction, sponsored by Cairo University. Completed at 1 site in Egypt. Open to participants aged 20 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-11.

Sponsored by Cairo University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
20 Years to 50 Years
Sex
All
01

Study summary

This randomized clinical trial will be conducted to investigate the efficacy of an innovative tooth cleaning agent extra virgin coconut oil with peppermint essential oil by oil pulling and toothbrushing with oil on reducing salivary Streptococcus mutans levels, tooth decay and plaque buildup versus on the counter toothpaste in high caries risk patients.

Read the detailed description

Everyday use of dental health care products has increased. Therefore, there is a legitimately increased interest of healthcare clinicians and consumers in substances added to the toothpaste with the intention to improve their performance and potential benefits and risks that may arise from it. As there are harmful products in the toothpaste for instance: (Fluoride, Sodium Lauryl Sulphate (SLS), Sodium Saccharin and Triclosan which is assumed that it because local reaction includes oral mucosa irritation and desquamation (stomatitis, glossitis, gingivitis, buccal mucositis), while systemic ones are allergic and acute or chronic toxic reactions. Rational Harmful products in the toothpaste for instance: (Fluoride, Sodium Lauryl Sulphate (SLS), Sodium Saccharin and Triclosan which is assumed that it because local reaction includes oral mucosa irritation and desquamation (stomatitis, glossitis, gingivitis, buccal mucositis), while systemic ones are allergic and acute or chronic toxic reactions.

02

Conditions studied

  • Fluoride Adverse Reaction
03

In context

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients will be recruited in this study, will be medically free.
  • Age range 20-50 years
  • Patients with high caries risk assessment (0- 30% high caries risk) according to Cariogram - a multifactorial risk assessment model for dental caries.
  • Non-Smoking patients
  • Not under antibiotic therapy either at the time of the study or up to the last month before the start of the study.
  • Male or Female patients
  • Patients have brushing habits
  • No Fixed orthodontic treatment
  • No active or untreated caries
  • Patients on non-cariogenic diet

Exclusion criteria

Exclusion Criteria:

  • Patients with a compromised medical history.
  • Patients with low caries risk assessment according to Cariogram - a multifactorial risk assessment model for dental caries.
  • Patients with severe or active periodontal disease.
  • Patients with a history of allergy to any of the drugs or chemicals will be used in the study.
  • Patients on any antibiotics during the past month.
  • Smoking patient
  • Patients with very low saliva secretion xerostomia less than 0.5ml stimulated saliva /min score 3 according to Cariogram
  • Pregnant female patient
  • No brushing habits
  • Fixed orthodontic treatment
  • Active or untreated caries
  • Patients on cariogenic diet
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    virgin cold-pressed coconut oil with Peppermint essential oil

    Patients will be instructed to use one packet of the coco pull healthy blend of organic oil (virgin cold pressed coconut oil with Peppermint essential oil)and swish the oil in the mouth and pull it between teeth for 5 minutes then spit out the oil and brush their teeth with the oil for 2 minutes; such a regimen will be repeated twice daily for three months.

    Other: AVIVA-PURE-CocoPull-Organic-made in USA

  • Active comparator
    The fluoride toothpaste (Colgate Total,

    Patients will be instructed to brush their teeth with the fluoride toothpaste (Colgat Total, 1450 ppm) for 2 minutes; such a regimen will be repeated two times daily for three months and use 10 ml of 0.12% chlorhexidine rinse for 1 min/day, 30 min after tooth brushing before going to bed.

    Other: AVIVA-PURE-CocoPull-Organic-made in USA

Interventions

  • OtherAVIVA-PURE-CocoPull-Organic-made in USA

    virgin cold pressed coconut oil with Peppermint essential oil

06

What researchers measure

Primary outcomes

  1. Change in the actual chance to avoid new lesion will be assessed

    The Measuring test: Cariogram Model (Karabekiroğlu et al 2017), The Measuring units : Percentage

    Time frame: T0: Baseline. T1: After one month. T2: After three months

  2. Change in the bacterial count will be assessed

    The measuring test:Colony forming unit, The measuring units : Cfu/mm2 (Prabakar et al., 2018)

    Time frame: T0: Baseline. T1: After one month. T2: After three months

  3. Change in the salivary pH will be assessed

    The measuring test: Digital pH meter, The measuring unit : Scoring system, (Sondos et al., 2019) (ordinal)

    Time frame: T0: Baseline. T1: After one month. T2: After three months

  4. Change in the Plaque index will be assessed Löe-Silness (Loe 1963)

    The measuring unit : Plaque index The oral hygiene and plaque amount will be estimated using a mirror and graduated periodontal probe in accordance with Silness and Löe plaque index, which assessed the amount of plaque in the cervical part of the tooth.The Plaque Index System * (0) No plaque * (1) A film of plaque adhering to the free gingival margin and adjacent area of the tooth. The plaque may be seen in situ only after application of disclosing solution or by using the probe on the tooth surface. * (2) Moderate accumulation of soft deposit s within the gingival pocket, or the tooth and gingival margin which can be seen with the naked eye. * (3) Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. Löe-Silness (Loe 1963) (Sreenivasan et al.,2016), The Measuring units : Scoring system (ordinal)

    Time frame: T0: Baseline. T1: After one month. T2: After three months

Secondary outcomes

  1. Change in the Bacterial virulence will be assessed

    The Measuring test: Streptococcus mutans acidogenicity by Digital pH meter ,the maximum value is 7.2 less than it is bad value (Bedoya-Correa et al., 2021),the measuring units : Scoring system (ordinal)

    Time frame: T0: Baseline. T1: After one month. T2: After three months

07

Study locations

1 site
  • Faculty of Dentistry Cairo University
    Cairo, Kasr El Ainy 12613, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05803109
Lead sponsor
Cairo University
Responsible party
Asmaa Mohamed Reda Ahmed Ali (Assistant lecture, Cairo University) — Principal investigator
First posted
Apr 7, 2023
Start date
Aug 21, 2024
Primary completion
Jan 1, 2025
Completion
Jan 1, 2025
Last update
May 11, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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