ClinicalTrials.gg
RecruitingNCT07029360PREG-Q10Updated Feb 20, 2026

Effectiveness of Coenzyme Q10 and Probiotics in Periodontal Therapy During Pregnancy

An interventional study of Limosilactobacillus reuteri Prodentis® and Coenzyme Q10 Toothpaste in Pregnancy, Periodontal Disease and Gingivitis, sponsored by University of Pavia. Recruiting at 1 site in Italy. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-20.

Primary conditionGingivitisRegistry: Periodontal DiseasesReclassifiedWhy we changed it
Registry
Periodontal Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Gingivitis
Why
  1. The study's listed conditions name Gingivitis, a narrower term within Periodontal Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Pavia · 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 Jul 2025; still recruiting 1 year 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 32 studies in Gingivitis with a site in Italy — 9 open to participants now, 10 under way, 1 of them phase 3. Gingivitis · Italy.

Planned enrollment
18th of 28
40 · median 55
Started
2025
with 7 others
No phase
22 of 32
5 open now
Registered
25th of 32
by date
Lead sponsor
4 of 32
University of Pavia

Among the 32 studies in Gingivitis with a site in Italy, this one is the 18th largest by planned enrollment of the 28 interventional ones, is one of 8 that started in 2025, is one of 22 with no phase, and was the 25th registered.

By phase

32 studies; the count open now beside each. This study's row is marked.

No phasethis study22 · 5 open
Observational4 · 3 open
Phase 34 · 1 open
Phase 42 · 0 open

By the year they started

First in 2010; this study’s year is marked. 8 started in 2025.

Size and results

Median enrollment 55 across the 28 interventional studies, 95 across the 4 observational. Of the 18 that completed or were terminated, 1 (6%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 32 studies in Gingivitis with a site in Italy, or all of them as a file.
02

Study summary

This randomized controlled clinical trial aims to evaluate the effectiveness of adjunctive coenzyme Q10 and probiotic supplementation (Limosilactobacillus reuteri Prodentis®) in improving periodontal health in pregnant women undergoing non-surgical periodontal therapy. Forty participants will be randomly assigned to two groups: the test group will receive professional oral hygiene every three months along with a coenzyme Q10-based toothpaste and daily probiotic supplementation; the control group will follow the same protocol without probiotics. The primary outcome is the reduction of the Plaque Index (PI), while secondary outcomes include Bleeding on Probing (BoP), Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), gingival inflammation (MGI, PMGI), plaque distribution (PCR%, API), and gingival recession (R). The study duration is 6 months. The goal is to assess whether this combined therapy can promote a balanced oral microbiota and enhance periodontal health during pregnancy.

03

Conditions studied

  • Pregnancy
  • Periodontal Disease
  • Gingivitis
  • Dental Plaque
  • Probiotics
  • Coenzyme Q10
  • Microbiota

Browse trials for

Keywords

  • Bleeding on Probing
  • Clinical Attachment Loss
  • Coenzyme Q10
  • Dental Plaque
  • Gingival Inflammation
  • Gingivitis
  • Limosilactobacillus reuteri
  • Microbiota
  • Non-Surgical Periodontal Treatment
  • Oral Microbiota
  • Periodontal Therapy
  • Plaque Control
  • Plaque Index
  • Pregnancy
  • Pregnant Women
  • Probiotics
  • Randomized Controlled Trial
04

In context

Gingivitis Reclassified

631 studies on the registry are indexed under Gingivitis; 107 are open to participants now.

This study's planned enrollment of 40 is below the median of 66 across 507 interventional studies indexed under Gingivitis.

Browse Gingivitis studies →

Lead sponsor

University of Pavia is the lead sponsor of 144 studies on the registry; 39 are open to participants now.

Compared within Gingivitis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Periodontal Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

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

  • Pregnant women between the 4th and 8th month of gestation
  • Age ≥ 18 years
  • Able to understand and communicate in Italian and/or English
  • Willing to provide written
  • Good compliance and willingness to follow study instructions

Exclusion criteria

Exclusion Criteria:

  • Presence of cardiac pacemakers
  • Diagnosed psychological, neurological, or psychiatric disorders
  • Ongoing oncological therapy
  • Use of bisphosphonates within the last 12 months
  • Poor motivation or low compliance
  • Substance abuse (drugs or alcohol) or lifestyle incompatible with study requirements
Terms in these criteria, in plain language(1)

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.

06

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Coenzyme Q10 Plus Probiotics

    Participants assigned to this arm will undergo professional oral hygiene every three months and will follow a home-care regimen consisting of twice-daily use of a coenzyme Q10-based toothpaste combined with a daily probiotic supplement (Limosilactobacillus reuteri Prodentis®, 1 tablet per day) for 6 months. Additional hygiene tools include soft picks and a sonic toothbrush.

    Dietary Supplement: Limosilactobacillus reuteri Prodentis® · Other: Coenzyme Q10 Toothpaste

  • Active comparator
    Coenzyme Q10 Only

    Participants assigned to this arm will undergo professional oral hygiene every three months and will follow a home-care regimen consisting of twice-daily use of a coenzyme Q10-based toothpaste for 6 months, without probiotics. Additional hygiene tools include soft picks and a sonic toothbrush.

    Other: Coenzyme Q10 Toothpaste

Interventions

  • Dietary supplementLimosilactobacillus reuteri Prodentis®

    Daily administration of Limosilactobacillus reuteri Prodentis® (1 oral tablet per day, taken after brushing in the evening), as an adjunct to non-surgical periodontal therapy and standard home care. Administered for 6 months only in the experimental arm.

  • OtherCoenzyme Q10 Toothpaste

    Twice-daily use of a commercially available toothpaste containing coenzyme Q10, used as part of a home oral hygiene regimen for 6 months. All participants in both study arms will use the same toothpaste, with or without adjunctive probiotic supplementation.

07

What researchers measure

Primary outcomes

  1. Change in Dental Plaque Measured by the Plaque Index Score

    The Plaque Index (PI) Score will be recorded at four timepoints (baseline, 1 month, 3 months, and 6 months) to assess the amount of dental plaque accumulation. The primary endpoint is the change in PI from baseline (T0) to 6 months (T3), comparing the intervention group (coenzyme Q10 + probiotics) to the control group (coenzyme Q10 only). The index is measured by visually scoring the plaque on tooth surfaces using standardized criteria. The Plaque Index score ranges from 0 (no plaque) to 3 (abundant plaque), with higher scores indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

Secondary outcomes

  1. Change in Gingival Bleeding Measured by the Bleeding on Probing (BoP) Index

    The BoP index will be recorded to evaluate gingival bleeding. Comparison will be made between the test group (coenzyme Q10 + probiotics) and the control group (Q10 only) across all study timepoints, from baseline to 6 months. The BoP index is expressed as the percentage of bleeding sites out of the total number of sites examined (range: 0% to 100%), with higher percentages indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  2. Change in Periodontal Pocket Depth Measured by the Probing Pocket Depth (PPD)

    PPD will be recorded in millimeters to assess periodontal pocket depth. Values will be compared between groups across timepoints to evaluate treatment efficacy. PPD values range from 1 mm (healthy sulcus) to over 7 mm (advanced periodontal disease); higher values indicate a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  3. Change in Clinical Attachment Level Measured by CAL

    CAL will be measured to assess periodontal tissue support. The difference in attachment level from baseline to 6 months will be analyzed between study groups. CAL is measured in millimeters, typically ranging from 0 mm (no attachment loss) to over 10 mm in severe cases; higher values indicate a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  4. Change in Gingival Inflammation Measured by the Modified Gingival Index (MGI)

    The MGI will be used to evaluate gingival inflammation. Score changes from baseline to 6 months will be analyzed between the intervention and control groups. The MGI ranges from 0 (normal gingiva) to 4 (severe inflammation), with higher scores indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  5. Change in Interproximal Plaque Measured by the Approximal Plaque Index (API)

    The API will be used to assess the presence of plaque in interproximal areas. Changes in API scores will be compared between groups over the course of the study. The API is expressed as the percentage of interproximal sites with visible plaque (range: 0% to 100%), with higher values indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  6. Change in Plaque Distribution Measured by Plaque Control Record (PCR%)

    The PCR% will measure the percentage of oral surfaces with plaque. The effect of the interventions on PCR% will be evaluated from baseline to 6 months. PCR% ranges from 0% (no plaque detected) to 100% (plaque present on all assessed surfaces), with higher values indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  7. Change in Gingival Inflammation Measured by the Papillary Marginal Gingival Index (PMGI)

    The PMGI will be used to assess inflammation at the gingival margin and papilla. Differences in scores will be analyzed between groups at each follow-up. The PMGI ranges from 0 (normal gingiva) to 5 (severe inflammation with spontaneous bleeding), with higher scores indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

  8. Change in Gingival Recession Measured by Clinical Examination

    Gingival recession (R) will be clinically measured in millimeters to assess changes in gingival margin levels from baseline to 6 months, comparing both groups. Values typically range from 0 mm (no recession) to over 5 mm in severe cases, with higher values indicating a worse outcome.

    Time frame: Baseline (T0), 1 Month (T1), 3 Months (T2), and 6 Months (T3)

08

Study locations

1 of 1 sites recruiting
  • Unit of Orthodontics and Pediatric Dentistry - Section of Dentistry - Department of Clinical, Surgical, Diagnostic and Pediatrics - University of Pavia
    Pavia, Lombardy 27100, Italy
    Recruiting
09

References and documents

Individual participant data

Plan to share: No — Data will be available upon motivated request to the corresponding authors.

No publications or documents are linked to this record.

10

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 Jul 2025 (actual). Primary completion is estimated for Jun 2026, 11 months after the start.

Of 204 non-industry interventional studies with no phase under Gingivitis, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 18. This study's planned 11 months is above that.

Counting every sponsor, half of 257 studies reached it within 7 months; a quarter within 3 and three quarters within 15.

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

Registered
Jun 11, 2025
First posted
Jun 19, 2025
StartActual
Jul 1, 2025
Primary completionEst.
Jun 1, 2026
CompletionEst.
Jun 10, 2026
Last update
Feb 20, 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 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT07029360
Responsible party
Andrea Scribante (Associate Professor, Principal Investigator, University of Pavia) — Principal investigator
First posted
Jun 19, 2025
Start date
Jul 1, 2025
Primary completion
Jun 1, 2026 (estimated)
Completion
Jun 10, 2026 (estimated)
Last update
Feb 20, 2026

Study contacts

Andrea Scribante, Associate Professor
Contact
andrea.scribante@unipv.it
+39 0382516223
Andrea Scribante, Associate Professor
principal investigator · University of Pavia

Oversight

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

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