ClinicalTrials.gg
Active, not recruitingNCT07489924Updated Mar 24, 2026

Microbiological Effect of 0.12% Chlorhexidine Digluconate and 0.05% Cetylpyridinium Chloride vs Probiotics (Lactobacillus Reuteri Prodentis) on Porphyromonas Gingivalis.

A Phase 4 interventional study of Mouthwash with chlorhexidine and cetylpyridine chloride and Probiotic (Lactobacillus reuteri Prodentis in Periodontal Diseases and Diabetes Mellitus Type 2, sponsored by Universidad de Colima. Active, not recruiting at 1 site in Mexico. Open to participants aged 35 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-03-24.

Sponsored by Universidad de Colima · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Jan 2023, registered Mar 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
35 Years to 75 Years
Sex
All
01

Study summary

This randomized non-inferiority clinical trial aims to evaluate the microbiological effect of 0.12% chlorhexidine and 0.05% cetylpyridinium vs. probiotics (Lactobacillus reuteri Prodentis) on Porphyromonas gingivalis in patients with periodontal disease and diabetes mellitus in Colima, where molecular biology tests such as qPCR will be performed at the end, before and after treatment in each of the groups.

Read the detailed description

Our study will be divided into two groups: in group 1, we will provide a mouthwash containing 0.12% chlorhexidine and 0.05% cetylpyridinium as treatment, and in group 2, patients will be administered oral probiotic capsules (Lactobacillus reuteri Prodentis). A periodontogram will be performed for both groups to determine the area of the mouth with the highest bacterial presence due to the deepest periodontal pocket. From there, a crevicular fluid sample will be taken from which the red complex bacteria causing periodontal disease will be obtained, using sterile #30 endodontic paper points.

Before the start of treatments, both groups will receive the mechanical Gold Standard treatment for periodontal disease, which is non-surgical periodontal therapy (dental prophylaxis). Both therapeutic agents will be administered for 4 weeks, after which a sample will be taken from the same periodontal pocket as the first one, and the microbiological effect of 0.12% chlorhexidine and 0.05% cetylpyridinium vs. probiotics (Lactobacillus reuteri Prodentis) will be evaluated. Patients will then have a rest period of 3 months, after which the treatments will be crossed, following the same previous procedure.

02

Conditions studied

  • Periodontal Diseases
  • Diabetes Mellitus Type 2

Keywords

  • diabetes mellitus
  • Probiotics
  • Chlorhexidine digluconate
  • Cetylpyridinium chloride
  • qPCR
03

In context

Periodontal Diseases

867 studies on the registry are indexed under Periodontal Diseases; 189 are open to participants now.

This study's enrollment of 20 is below the median of 45 across 557 interventional studies indexed under Periodontal Diseases.

Browse Periodontal Diseases studies →

Lead sponsor

Universidad de Colima is the lead sponsor of 12 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
35 Years to 75 Years
Sexes eligible
All
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

    • Previous diagnosis of controlled type 2 diabetes mellitus.

      • Periodontal disease (≥2 quadrants affected; probing depth ≥4 mm; bleeding on probing >10%).
      • Patients affiliated with the Unidad de Salud Zona Oriente (IMSS-BIENESTAR).
      • Signed .

Exclusion criteria

Exclusion Criteria:

  • Inability to cooperate.

    • Antibiotic treatment within the last 3 months.
    • Soft tissue pathologies not related to periodontal disease.

Elimination Criteria:

  • Failure to complete the study.
  • Insufficient or non-extracted DNA sample.
  • Indication of antibiotics/fluoxetine during the intervention.
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

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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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    Mouthwash with chlorhexidine and cetylpyridine chloride

    GUM® Paroex chlorhexidine 0.12% and cetylpyridinium chloride 0.05%; dosage: 10 mL orally, rinse for 60 seconds, twice daily for 30 days. Prior: non-surgical periodontal therapy.

    Drug: Mouthwash with chlorhexidine and cetylpyridine chloride

  • Experimental
    Probiotic (Lactobacillus reuteri Prodentis)

    BioGaia® ProD (L. reuteri Prodentis); dosage: 1 buccodispersible tablet per day (2×10⁸), for 30 days. Prior: non-surgical periodontal therapy.

    Biological: Probiotic (Lactobacillus reuteri Prodentis

Interventions

  • DrugMouthwash with chlorhexidine and cetylpyridine chloride

    GUM® Paroex chlorhexidine 0.12% and cetylpyridinium chloride 0.05%; dosage: 10 mL orally, rinse for 60 seconds, twice daily for 30 days. Prior: non-surgical periodontal therapy.

  • BioGaia® ProD (L. reuteri Prodentis); dosage: 1 buccodispersible tablet per day (2×10⁸), for 30 days. Prior: non-surgical periodontal therapy.

06

What researchers measure

Primary outcomes

  1. Porphyromonas gingivalis bacteria

    Change in Porphyromonas gingivalis load in crevicular fluid (DNA copies by qPCR) from baseline to 30 days.

    Time frame: 30 days

Secondary outcomes

  1. Treatment adherence.

    The ARMS-E test was applied to measure therapeutic adherence.

    Time frame: 30 days

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — I have decided not to authorize the sharing of my individual data for privacy reasons."

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 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
NCT07489924
Lead sponsor
Universidad de Colima
Collaborators
Secretaria de Salud, Mexico
Responsible party
Sponsor
First posted
Mar 24, 2026
Start date
Jan 8, 2023
Primary completion
Jul 31, 2025
Completion
Jul 31, 2026 (estimated)
Last update
Mar 24, 2026

Study contacts

ROSA YOLITZY CARDENAS MARIA, Ph.D
study director · Universidad de Colima

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Probiotic

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