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CompletedNCT06501729Updated Apr 24, 2026

Kissing as a Protective Factor Against Acidic pH in Saliva

An interventional study of Kiss in Dental Caries, Tooth Demineralization and Teeth Erosion Limited to the Enamel, sponsored by Universidad Catolica Santiago de Guayaquil. Completed at 1 site in Ecuador. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Universidad Catolica Santiago de Guayaquil · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
All
01

Study summary

The pH of saliva can be acidic or alkaline; When it is acidic, the tooth enamel is demineralized, that is, weakened. Additionally, bacteria in the mouth can increase and cause infections such as cavities. This occurs when we consume sugary or fermented drinks, such as soda or beer.

The intention of the research team is to give some of these drinks to the study participants and verify the decrease in salivary pH. Next, a group of people will be asked to kiss their partner on the mouth, and then the pH will be measured again to see if it increases, that is, if it stops being acidic faster than in the group that did not kiss.

The aim is to demonstrate that kissing on the mouth between two people can protect teeth from cavities by rapidly increasing the pH of saliva after it has decreased to become acidic.

Read the detailed description

The goal of this intervention study will be to determine if oral kissing between two people can increase salivary pH more quickly after drinking artificial juices, soft drinks, or (non-alcoholic) beers. It will also be studied whether the pH restoration time is faster when only one person kisses one of the named drinks or when both people do it. The main questions that are intended to be answered are the following:

  • Is the act of kissing on the mouth capable of increasing the pH of saliva more quickly than physiologically after consuming a sugary or fermented drink that has decreased it?
  • Is the increase in salivary pH after an oral kiss more accelerated when only one person consumes sugary or fermented drinks than when both people do so? The investigators will measure the basal pH of all participants before providing them with one of the drinks (artificial fruit juice, soda, or non-alcoholic beer). The researchers will then give the drinks and measure the decrease in salivary pH in all groups. Control group participants will not kiss; They will only wait for the salivary pH to neutralize physiologically. The rest of the couples will be divided into two groups: the group in which only one person in the couple consumes the sugary or fermented drink, and the group in which both people in the couple do so.

Saliva pH measurements will be performed, after initiation and consumption of the drinks, every 5 minutes for up to 40 minutes. That is, until the restoration of salivary pH is ensured in all groups.

Participants:

  • They will be between 18 and 30 years old to reduce the probability of consuming medications that alter salivary pH.
  • They should not be taking medications that alter the pH of saliva.
  • They must be in good health.
  • They should not have abscesses in the oral cavity.
  • They must have good oral health according to the loss proposed and the observed index.
02

Conditions studied

  • Dental Caries
  • Tooth Demineralization
  • Teeth Erosion Limited to the Enamel

Keywords

  • Saliva
  • Hydrogen-Ion Concentration
  • dental caries
03

In context

Dental Caries

1,171 studies on the registry are indexed under Dental Caries; 209 are open to participants now.

This study's enrollment of 33 is below the median of 60 across 967 interventional studies indexed under Dental Caries.

Browse Dental Caries studies →

Lead sponsor

Universidad Catolica Santiago de Guayaquil is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 30 Years
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

  • They must be in good health
  • They must have good oral health according to the raised loss and observed index.
  • They will be between 18 and 30 years old to reduce the probability of consuming medications that alter salivary pH.

Exclusion criteria

Exclusion Criteria:

  • Be taking medications that alter the pH of saliva.
  • Have abscesses in the oral cavity
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • No intervention
    Control

    The couples in the control group will not kiss; they will only wait for the salivary pH to neutralize physiologically.

  • Experimental
    Only one person consumes the drink

    the group in which only one person in the couple consumes the sugary or fermented drink and they kiss

    Other: Kiss

  • Experimental
    Both people consume the drink

    In this group, both people will consume the drinks and then kiss.

    Other: Kiss

Interventions

  • OtherKiss

    Participants will kiss with their partners for 40 seconds. The kiss will be on the mouth.

06

What researchers measure

Primary outcomes

  1. salivary pH

    It is expected to measure the progressive increase in pH until reaching a neutral point, which occurs physiologically between 30 to 40 minutes, and compare the time spent by the control group with that of the experimental group. Measurements will be taken every 5 minutes from the kiss, which will last 40 seconds. In total, there will be 8 measurements, not counting the initial one for surveying the baseline. The measurement will be carried out with a calibrated pH meter. People will be asked to drool into a test tube

    Time frame: In a period of every 5 minutes, until reaching 40 minutes, which is the time in which physiologically the pH of the saliva is neutralized.

07

Study locations

1 site
  • School of Dentistry of the Catholic University Santiago de Guayaquil
    Guayaquil, Guayas 17-11-5058, Ecuador
08

References and documents

Publications

  • Uma E, Theng KS, Yi LLH, Yun LH, Varghese E, Soe HHK. Comparison of Salivary pH Changes after Consumption of Two Sweetened Malaysian Local Drinks among Individuals with Low Caries Experience: A Pilot Study. Malays J Med Sci. 2018 Jul;25(4):100-111. doi: 10.21315/mjms2018.25.4.10. Epub 2018 Aug 30. PubMed 30914852 ↗
  • Armijos Briones M, Aguila Gaibor M, Bermudez Velasquez A. Kissing as a Protective Factor Against Decreased Salivary pH: Protocol for a Randomized Clinical Trial. JMIR Res Protoc. 2025 Jul 17;14:e65253. doi: 10.2196/65253. PubMed 40674724 ↗

Individual participant data

Plan to share: Undecided

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

Ran from Jul 2024 to primary completion in Feb 2025, 6 months.

Of 469 non-industry interventional studies with no phase under Dental Caries, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's 6 months is below that.

Counting every sponsor, half of 502 studies reached it within 15 months; a quarter within 7 and three quarters within 29.

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

Registered
Jul 2, 2024
First posted
Jul 15, 2024
StartActual
Jul 30, 2024
Primary completionActual
Feb 20, 2025
CompletionActual
Nov 20, 2025
Last update
Apr 24, 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 Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06501729
Lead sponsor
Universidad Catolica Santiago de Guayaquil
Responsible party
Fernando Armijos Briones (Teaching researcher, Universidad Catolica Santiago de Guayaquil) — Principal investigator
First posted
Jul 15, 2024
Start date
Jul 30, 2024
Primary completion
Feb 20, 2025
Completion
Nov 20, 2025
Last update
Apr 24, 2026

Oversight

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

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