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Not yet recruitingNCT07859761Updated Oct 6, 2026

Womens Health Screening and the Oral Microbiome

An observational study in Oral Health, Menopause and Gum Disease, sponsored by University of Plymouth. Not yet recruiting at 1 site in United Kingdom. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by University of Plymouth · Observational

Updated Oct 6, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Other
Enrollment
240
Ages
18 Years and older
Sex
Female
01

Study summary

The overall aims of this project are to undertake a women's health screening clinic on oral health and systemic health, linking the oral microbiome to hormonal status (menopause);

The follow quantitative and qualitative markers of oral health will be used:

  • Salivary and systemic female hormone status
  • Systemic/cardiovascular health markers, such as blood pressure, cholesterol and blood glucose
  • Clinical oral health variables (markers of plaque and gum disease)
  • Physiological and biochemical markers, such as salivary nitrate and nitrite
  • Oral microbiome
  • Breath analysis (volatile sulphur comounds)
  • Perceptions of mouth discomfort
Read the detailed description

During the menopause women are more likely to get dry mouth, burning mouth, gum disease and/or dental decay as they get older. Women are also more likely to get dry and burning mouth compared to men. We still don't know why this happens, but it might be related to declines in female hormones as they get older. This study will identify oral health changes related to changes in female hormonal status. during ageing.

Oral diseases are mainly cause by bacteria, and modern techniques (metagenomics) allow us to study millions of bacteria at the same time (oral microbiome), to identify which ones are associated with healthy mouths and which are associated with disease. We want to observe whether menopausal women, especially those with lower oestogen, have more unhealthy oral bacteria, compared to women of a younger age.

We also know that poor oral health is associated with systemic disease, for example diabetes and cardiovascular disease, so the study will assess overall health at the same time as your oral health. This approach called 'putting the mouth back in the body', as there is evidence that improving your oral health can improve general health too.

Finally, we also want to produce data to make sure women receive the appropriate dental care they need at a time of increased risk. Knowing this we will eventually be able to provide dental diagnoses and treatments with equal effectiveness in both men and women. The second part of this study will therefore investigate the oral health effects of over the counter mouthwash (non-medicinal; essential oils) in menopausal women.

In summary, we are interested in whether changes in hormone levels during different stages of menopause are linked to changes in oral health, saliva composition, and the bacteria in the mouth. We are also looking at whether hormonal changes are associated with symptoms such as dry mouth, as well as broader health measures including blood pressure and metabolic health.

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Conditions studied

  • Oral Health
  • Menopause
  • Gum Disease
  • Mouthwash

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Keywords

  • oral microbiome
  • womans health
  • menopause
03

In context

Gingival Diseases

84 studies on the registry are indexed under Gingival Diseases; 25 are open to participants now.

This study's planned enrollment of 240 is above the median of 108 across 17 observational studies indexed under Gingival Diseases.

Browse Gingival Diseases studies →

Lead sponsor

University of Plymouth is the lead sponsor of 46 studies on the registry; 15 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study will be conducted at the Peninsula Dental School (PDS; University of Plymouth, UK) Dental Clinical Education Facilities, Derriford Research Facility and Link Laboratories.

Female participants, aged 18+ will be recruited from the dental school site if they consent to being contacted about research (PDSE consent to research policy). Participants who agree to participate will be sent a text confirming their appointment, and a subsequent reminder text within 4 days of their appointment. Participants who agree to participate will be forwarded via email or letter, the study information sheet. Participants will be free to withdraw from the study at any point.

All patients who partake in this trial have a dentist/dental care provided via PDSE and will be referred should any dental issues arise, no clinical treatment occurs as part of this research. Patients therefore continue clinical treatment and emergency appointments with students or staff clinics unaffected by this re

Inclusion criteria

  • We will recruit female participants who are current Peninsula Dental School patients aged 18+, with any oral health status, including women taking the oral contraceptive pill and HRT, but this will be noted as confounding factors to be explored for association during this study. However, we only be able to recruit participants which have been female from birth and have not taken any transitioning hormones in their life.

Exclusion criteria

Exclusion Criteria:

  • As this study focuses on the oral microbiome, salivary biomarkers alongside periodontal health, the following exclusion criteria will be applied, as they are known factors which influence the oral microbiome. These include existing diagnosis of diabetes (Type I or II), use of complete dentures, current immunosuppressant therapy, use of antimicrobial mouthwash within the past 3 months, being unfasted for 3 hours and consumption of predefined nitrate-rich foods within 48 hours before the appointment.
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Study design

Observational model
Other
Time perspective
Other
Enrollment
240 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • 18-32 years

    females aged 18-32 years (n=30)

  • 33-45 years peri-menopausal

    females aged 33-45 years (n=30)

  • 46-59 years menopausal

    females aged 46-59 years (n=30)

    Other: Listerine mouthrinse

  • post-menopausal 60+years

    females aged 60+years (n=30)

    Other: Listerine mouthrinse

Interventions

  • OtherListerine mouthrinse

    (iii) 46-59 years menopausal and (iv) post-menopausal 60+years will receive mouthwash for 7 days, with outcome measures recorded at 0 and 7 days (longitudinal)

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What researchers measure

Primary outcomes

  1. Blood oestrogen

    Blood oestrogen from blood drawn from finger prick, at baseline screening appointment.

    Time frame: Observational, 1 timepoint assessment. From October 2026 to July 2027.

  2. Blood pressure

    Blood pressure measured in triplicate on left arm after a 10 minute rest period, at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  3. Oral bleeding

    Oral bleeding via BSP protocols at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  4. Volatile breath compounds

    The patient will also be asked to blow into a tube for approximately 10-seconds to collect and immediately analyse volatile sulphur compounds associated with bacteria.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  5. Perception of oral soft tissue 'comfort'

    Dry mouth scoring system to be asked of the participants.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  6. Oral plaque

    Oral plaque via BSP protocols at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  7. Probing pocket depth

    Probing pocket depth via BSP protocols at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  8. BPE

    Oral BPE via BSP protocols at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  9. Height

    Height at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  10. Weight

    Weight at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  11. Blood cholesterol

    Blood cholesterol at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  12. Blood glucose

    Blood glucose at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

Secondary outcomes

  1. Saliva including ammonia, ph, buffering capcity, lactate, glucose, interleukins, nitrate, nitrite, and oral nitrate reducing capacity.

    Biochemical markers from saliva including ammonia, ph, buffering capcity, lactate, glucose, interleukins, nitrate, nitrite, and oral nitrate reducing capacity at baseline screening appointment. Intervention at day 1 and 7 days post intervention.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

  2. Oral bacteria abundance

    Oral microbiome analysis via either 16s or WGS techniques.

    Time frame: Observational, 1 time point. Intervention 2 timepoints. From October 2026 to July 2027.

07

Study locations

1 site
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References and documents

Publications

  • Muddiman KJ, Doble A, Stephen AS, Bescos R, Illsley CS, Nicholas TL, Hanks S, Toit LD, Brookes ZLS. A Pilot Study Assessing the Oral Microbiome in Women of Menopausal Age: Do Oral Nitrate-Reducing Bacteria Play a Role? Int Dent J. 2026 Jun;76(3):109518. doi: 10.1016/j.identj.2026.109518. Epub 2026 Mar 25. PubMed 41889037 ↗

Individual participant data

Plan to share: Yes — Anonymised data will be published and reported on in high impact quality journals and presented at international conferences. Oral microbiome data will also be uploaded to the appropriate Biobank(s) for data sharing purposes.

Supporting information: Study protocol, Sap, Icf, Csr

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

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Registry details

Key details

Study ID
NCT07859761
Lead sponsor
University of Plymouth
Collaborators
Kenvue Brands LLC
Responsible party
Zoe Brookes (Professor of Translational Clinical Dentistry, University of Plymouth) — Principal investigator
First posted
Oct 6, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Jul 1, 2029 (estimated)
Completion
Oct 1, 2029 (estimated)
Last update
Oct 6, 2026

Study contacts

Zoe Brookes L Professor, PhD, BDS, Bsc
Contact
zoe.brookes@plymouth.ac.uk
+44 1752 586828
Laura Porritt
Contact
pdsexec@plymouth.ac.uk

Oversight

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

Not currently enrolling

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

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