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RecruitingNCT06091228Updated Feb 13, 2026

The Additional Effect of Tongue Scraping on Halitosis Parameters in Initial Periodontal Therapy

An interventional study of tongue scraper in Periodontitis, Halitosis and Tongue Condition, sponsored by Universitaire Ziekenhuizen KU Leuven. Recruiting at 1 site in Belgium. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-13.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Sep 2024; still recruiting 2 years 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Periodontitis can lead to tooth loss which may impair chewing ability and aesthetics. In addition, periodontitis can give rise to halitosis.

Standard initial periodontal treatment consists of supra and subgingival biofilm reduction and removal of calculus. Recently, the European Federation of Periodontology introduced clinical practice guidelines for the treatment of periodontitis. The use of a tongue scraper is not mentioned as element in the standard initial treatment of periodontitis.

The investigators have planned a clinical study in order to provide information about the effect of standard initial periodontal therapy and the additional effect of the use of a tongue scraper as part of the oral hygiene instructions on halitosis parameters in periodontitis patients.

02

Conditions studied

  • Periodontitis
  • Halitosis
  • Tongue Condition

Keywords

  • periodontitis
  • halitosis
  • oral malodor
  • tongue coating
  • tongue cleaning
  • non-surgical treatment
03

In context

Periodontitis

1,231 studies on the registry are indexed under Periodontitis; 295 are open to participants now.

This study's planned enrollment of 39 is below the median of 44 across 846 interventional studies indexed under Periodontitis.

Browse Periodontitis studies →

Lead sponsor

Universitaire Ziekenhuizen KU Leuven is the lead sponsor of 963 studies on the registry; 267 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Voluntary written of the participant or their legally authorized representative has been obtained prior to any screening procedures
  • Males or females classification I of II,
  • 18 years of age or older,
  • In good general health as documented by self-assessment
  • Suffer from generalised periodontitis (according to 2018 classification)
  • Suffer from halitosis with suspected intra-oral cause: organoleptic score (OLS) of 2 or higher by an experienced oral malodour judge
  • At least one volatile sulphur compounds(VSCs) measurement above the following thresholds:

    1. Portable sulphur detector (Halimeter) > 107 ppb
    2. Oral Chroma™: hydrogen sulfide (H₂S) > 112ppb
    3. Oral Chroma™: methyl mercaptan (CH3SH) >28ppb

Exclusion criteria

Exclusion Criteria:

  • Participant has a history of chemotherapy or radiotherapy in head and neck area
  • Any disorder, which in the Investigator's opinion might jeopardise the participant's safety or compliance with the protocol
  • Any prior or concomitant treatment(s) that might jeopardise the participant's safety or that would compromise the integrity of the Trial
  • Female who is pregnant, breast-feeding or has the intention of becoming pregnant in the following 6 months
  • Participation in another interventional Trial with an medicinal product (IMP) or device
  • Recent intake of antibiotics (3 months prior to the first consultation)
  • Antibiotics indicated as part of the periodontal treatment
  • Use of antibiotics during the course of the study
  • Suffer from halitosis with suspected extra-oral cause
  • Suffer from a systemic disease that could cause extra-oral halitosis (e.g. diabetes mellitus, liver or kidney failure, trimethylaminuria)
  • Participant has a history of rheumatic fever, neurological deficiencies, or use of medication which may affect periodontal tissue, (phenytoin, cyclosporin, nifedipine, chronic use of non-steroidal anti-inflammatory drugs)
  • Presence of active caries lesions
  • Unwillingness to return for the follow-up examination
  • Wear partial prosthetic dentures removables
  • Participant has less than 20 teeth
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
39 participants (estimated)

Study arms

  • No intervention
    Control- No tongue scraping full length of study

    Oral hygiene instructions before and after non-surgical treatment without inclusion of tongue scraper

  • Experimental
    Test 1 - tongue scraping full length of study

    Oral hygiene instructions before and after non-surgical treatment with inclusion of tongue scraper

    Other: tongue scraper

  • Experimental
    Test 2 - tongue scraping only after non-surgical therapy

    Oral hygiene instructions before and after non-surgical treatment with inclusion of tongue scraper only after treatment

    Other: tongue scraper

Interventions

  • Othertongue scraper

    tongue cleaning with gentle strokes twice a day covering the whole surface of the tongue

06

What researchers measure

Primary outcomes

  1. Improving of halitosis parameters (organoleptic scores)

    Reduction in organoleptic scores measured in a six point intensity scale proposed by Rosenberg and colleagues. The different scores of this scale are defined as : * 0: no odour (below the smell threshold) * 1: barely noticeable odour * 2: slight odour * 3: moderate odour * 4: strong odour * 5: extremely strong odour, close to saturation

    Time frame: 18 weeks

Secondary outcomes

  1. Improving of volatile sulphur compounds (VSCs)

    Reduction in concentration of VSCs in breath samples measured in ppb by 2 devices (Halimeter, OralChroma CHM-2)

    Time frame: 18 weeks

  2. improving of periodontal parameters

    Reduction in pocket depth (PD) measured by a proving tool in mm (0 to 10)

    Time frame: 18 weeks

  3. improving of oral hygiene parameters.

    reduction in full mouth bleeding score (FMBS) and full mouth plaque score (FMPS) Scores are given as % of measured sites (0 to 100). The higher the number, the worse the oral hygiene.

    Time frame: 18 weeks

07

Study locations

1 of 1 sites recruiting
  • UZLeuven, Campus SintRafael
    Leuven, Belgium
    Recruiting
    • Jesica Dadamio · Contactjesica.dadamio@kuleuven.be · 0032 473128176
    • Ana B Castro Sarda, DDS, PhD, Prof · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2024 (actual). Primary completion is estimated for Jun 2026, 21 months after the start.

Of 480 non-industry interventional studies with no phase under Periodontitis, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 31. This study's planned 21 months is above that.

Counting every sponsor, half of 494 studies reached it within 16 months; a quarter within 8 and three quarters within 31.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 13, 2023
First posted
Oct 19, 2023
StartActual
Sep 1, 2024
Primary completionEst.
Jun 1, 2026
CompletionEst.
Dec 1, 2026
Last update
Feb 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06091228
Responsible party
Ana CASTRO SARDA (Dr, Universitaire Ziekenhuizen KU Leuven) — Principal investigator
First posted
Oct 19, 2023
Start date
Sep 1, 2024
Primary completion
Jun 1, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Feb 13, 2026

Study contacts

Ana Castro
Contact
ana.castro@uzleuven.be
+3216332407
Jesica Dadamio
Contact
jesica.dadamio@kuleuven.be
+3216332407
Ana Castro
principal investigator · Universitaire Ziekenhuizen KU Leuven

Oversight

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

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