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Plaque-Induced GingivitisPhase 2NCT07905456

Efficacy of Thymus Vulgaris Mouthwash in the Management of Biofilm-Induced Gingivitis

A Phase 2 study testing 0.2% Thymus vulgaris mouthwash and Chlorhexidine 0,12% in people with Plaque-Induced Gingivitis, run by University of Sulaimani at 1 site in Iraq.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to determine whether a mouthwash made from thyme (Thymus vulgaris) helps improve gum health in people with plaque-induced gingivitis. The mouthwash will be compared with chlorhexidine mouthwash and a placebo (a mouthwash without the active ingredient being tested). Read more about this study

Who is it for?
Ages 18 to 45 years
Conditions the study is for
Plaque-Induced Gingivitis
What is being tested?
0.2% Thymus vulgaris mouthwash and Chlorhexidine 0,12%
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteIraq
Study dates
1 Dec 2026to 1 May 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Participants must meet all of the following criteria:
  • Aged 18-45 years.
  • Diagnosed with biofilm-induced generalized gingivitis, characterized by bleeding on probing at more than 30% of periodontal sites and no periodontitis-related clinical attachment loss
  • Having more than 20 natural teeth
  • Non-smokers and in good systemic health, classified as American Society of Anesthesiologists (ASA) Physical Status I.

Who cannot join

  • Individuals meeting any of the following criteria will be excluded:
  • Have active dental caries requiring immediate treatment.
  • Have periodontitis or periodontal pocketing inconsistent with the study's gingivitis case definition.
  • Are undergoing orthodontic treatment.
  • Are pregnant or planning to become pregnant during the study period.
  • Are breastfeeding.
Show all 9Show fewer
  • 5. Have received periodontal treatment or systemic antibiotics within the previous 3 months.
  • 6. Have a known allergy or hypersensitivity to herbal products or any ingredient in the study mouthwashes.
  • 7. Have a known chronic systemic disease that is inconsistent with the study's eligibility requirement of ASA Physical Status I.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Omer Abdalla Yousif, Bachelor of Dental Science contact

+9647702221140

omer.yousif@univsul.edu.iq

Aram Mohammed Sha, PhD in Periodontics contact

+9647701211911

aram.hamad@univsul.edu.iq

Iraq1 site
  • College of Dentistry, University of Sulaimani

    Sulaymaniyah, 46001

    Omer Abdalla Yousif, Bachelor of Dental Science, +9647702221140, omer.yousif@univsul.edu.iq

    Aram Mohammed Sha, PhD in Periodontics, +9647701211911, aram.hamad@univsul.edu.iq

Other trials in Iraq

About this study

Official title: Clinical and Immunological Efficacy of Thymus Vulgaris Mouthwash in the Management of Biofilm-Induced Gingivitis: A Randomized Double-Blind Clinical Trial

The goal of this clinical trial is to determine whether a mouthwash made from thyme (Thymus vulgaris) helps improve gum health in people with plaque-induced gingivitis. The mouthwash will be compared with chlorhexidine mouthwash and a placebo (a mouthwash without the active ingredient being tested).

The main questions this study aims to answer are:

Read more

Does Thymus vulgaris mouthwash improve gum health and reduce plaque accumulation and gingival bleeding?

Does it change salivary levels of substances associated with gum inflammation and tissue damage?

What side effects do participants experience, and how do they rate their experience with the mouthwash?

Participants will be randomly assigned to one of three groups: 0.2% Thymus vulgaris mouthwash, 0.12% chlorhexidine mouthwash, or placebo. They will:

Rinse with 10 mL of their assigned mouthwash twice daily for 1 minute per use.

Have their gum health assessed at the beginning of the study, after 2 weeks, and after 1 month.

Provide saliva samples at each visit for laboratory testing.

Report any side effects and share their experience with the assigned mouthwash.

To help ensure a fair comparison, the mouthwashes will be provided in identical containers with coded labels. Neither the participants nor the examiner will know which mouthwash each participant receives until the study is completed and the group codes are revealed according to the study's blinding procedures.

Read the detailed description

For the clinical part of the study, participants will be recruited from the clinics of the Periodontics Department, College of Dentistry, University of Sulaimani, from Sunday to Wednesday, between 9:00 AM and 12:00 PM.

At the first visit, a case sheet will be completed to document each participant's name, age, sex, and medical and dental history. Unstimulated saliva will be collected to assess interleukin-1 beta (IL-1β) and matrix metalloproteinase-8 (MMP-8) concentrations. In addition, the clinical parameters, including the Plaque Index (PLI), Bleeding on Probing (BOP), and Gingival Index (GI), will be assessed.

Each participant will be randomly assigned to one of three mouthwash groups: (1) a 0.12% chlorhexidine (CHX) mouthwash (Lacer Perioxidin, Lacer®, Barcelona, Spain), serving as the positive control; (2) a 0.2% Thymus vulgaris (TV) mouthwash, serving as the test intervention; or (3) a placebo mouthwash containing the same excipients as the test mouthwash but without Thymus vulgaris essential oil.

Participants will be instructed to rinse with 10 mL of their assigned mouthwash twice daily for 1 minute per use, 30 minutes after toothbrushing. They will also be instructed to refrain from eating and drinking for 30 minutes after using the mouthwash.

To standardize oral hygiene practices, all participants will be provided with the same soft-bristled toothbrush (TePe® Select Soft, TePe®, Sweden) and fluoride-containing toothpaste (Crest® Pro-Health, Crest®, USA). Each participant will receive a detailed instruction manual explaining how to use the assigned mouthwash.

Two weeks after the initial visit, participants will return for an assessment of adherence to mouthwash use and any potential side effects associated with the assigned mouthwash. The clinical parameters (PLI, BOP, and GI) will be reassessed, and another unstimulated saliva sample will be collected.

One month after the initial visit, the clinical parameters will be reassessed, and another unstimulated saliva sample will be collected for immunological and biochemical assessment. Participants will also be asked to complete a Visual Analogue Scale (VAS) questionnaire to provide feedback on their experience with the assigned mouthwash.

To maintain blinding, all mouthwashes will be dispensed in identical, opaque containers labeled with randomly assigned letters (A, B, or C) by a third party who is not involved in the clinical trial. This procedure is intended to maintain a double-blind design in which both participants and the clinical examiner remain unaware of the assigned intervention throughout the study. The group codes will be revealed only after completion of the trial, in accordance with the study's blinding and data-analysis procedures.

Being tested
0.2% Thymus vulgaris mouthwash, Chlorhexidine 0,12%, Placebo mouthwash
Keywords
Gingivitis, Thymus vulgaris, Chlorhexidine, Plaque index
Medical subject headings
Gingivitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 0.2% Thymus vulgaris mouthwashBiological

    A mouthwash is made using 0.2% Thymus vulgaris essential oil by a medical professional to be used in the management of biofilm-induced gingivitis.

  • Chlorhexidine 0,12%Biological

    0.12% Chlorhexidine mouthwash (Lacer Perioxidin, Lacer®, Barcelona, Spain) will be used as an active comparator to the test mouthwash.

  • Placebo mouthwashBiological

    A placebo mouthwash will be used as a negative control using the same materials used to make the test mouthwash except the Thymus vulgaris essential oil

Study groups in NCT07905456
Study groupRoleWhat they receive
Participants receiving 0.2% Thymus vulgaris mouthwash (test group)ExperimentalParticipants will be instructed to rinse with 10 mL of their assigned mouthwash twice daily for 1 minute per use, 30 minutes after toothbrushing. The efficacy of the Thymus vulgaris mouthwash in managing biofilm-induced gingivitis will be evaluated by assessing changes in the Plaque Index (PLI), Bleeding on Probing (BOP), Gingival Index (GI), and salivary concentrations of the pro-inflammatory mediators interleukin-1 beta (IL-1β) and matrix metalloproteinase-8 (MMP-8), compared with the placebo and chlorhexidine mouthwash groups.
Receives: Biological: 0.2% Thymus vulgaris mouthwash
Participants receiving Chlorhexidine mouthwash (positive control group)Active comparatorThe participants will be asked to rinse with 10 mL of the assigned mouthwash twice a day for 1 minute for each use, 30 minutes after toothbrushing. The aim of this group is to compare its results with the test group and to show the efficacy of the novel Thymus vulgaris mouthwash.
Receives: Biological: Chlorhexidine 0,12%
Participants receiving a placebo mouthwash (negative control group)Placebo comparatorThe participants will be asked to rinse with 10 mL of the assigned mouthwash twice a day for 1 minute for each use, 30 minutes after toothbrushing. The aim of this group is to compare its results with the test group and to show the efficacy of the novel Thymus vulgaris mouthwash.
Receives: Biological: Placebo mouthwash

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Bleeding on Probing (BoP)

    Bleeding on Probing (BOP) will be assessed by gently inserting a periodontal probe into the gingival sulcus or periodontal pocket, parallel to the long axis of the tooth, using a probing force of approximately 20-25 grams. Bleeding will be assessed 15-30 seconds after probing at each site. Each site will be scored as 0 (no bleeding) or 1 (bleeding present). The possible score for each site ranges from 0 to 1, with higher scores indicating the presence of bleeding and a worse outcome. If expressed as a percentage, BOP will be calculated as the number of sites exhibiting bleeding divided by the total number of sites examined, multiplied by 100; percentages range from 0% to 100%, with higher values indicating more bleeding and a worse outcome.

    Measured: Baseline, 14 days, and 30 days

Secondary outcomes (4)
  1. Plaque Index (PI)

    The Modified Quigley-Hein Plaque Index (MQHI) will be used to assess the amount of accumulated dental plaque on all tooth surfaces, excluding the third molars. Six surfaces per tooth will be examined: mesio-buccal, mid-buccal, disto-buccal, mesio-lingual, mid-lingual, and disto-lingual. Dental plaque will be visualized using a disclosing agent (GC Tri Plaque ID Gel, GC Corporation, Japan). Each examined surface will be scored on a scale from 0 to 5 according to the Modified Quigley-Hein Plaque Index criteria, with 0 indicating no plaque and 5 indicating extensive plaque accumulation. The participant's plaque score will be calculated as the mean score of all examined surfaces. Possible mean scores range from 0 to 5, with higher scores indicating greater plaque accumulation and a worse outcome.

    Measured: Baseline, 14 days, and 30 days

  2. Gingival Index (GI)

    Gingival Index (GI) will be used to assess the severity of gingival inflammation on the mesial, distal, buccal, and lingual surfaces of all teeth, excluding the third molars. The gingiva will be examined under adequate illumination, and a UNC-15 periodontal probe will be used gently to assess gingival tissue consistency and bleeding tendency where indicated by the index criteria. Each surface will be assigned a score from 0 to 3: 0 indicates normal gingiva with no inflammation; 1 indicates mild inflammation with slight changes in color and texture but no bleeding on probing; 2 indicates moderate inflammation with redness, edema, and bleeding on probing; and 3 indicates severe inflammation with marked redness and edema, ulceration, and a tendency toward spontaneous bleeding. The participant's GI score will be calculated as the mean score of all examined surfaces. Possible mean scores range from 0 to 3, with higher scores indicating more severe gingival inflammation and a worse outcome.

    Measured: Basline, 14 days, and 30 days.

  3. Salivary Interleukin-1 Beta (IL-1β) Concentration

    Salivary interleukin-1 beta (IL-1β) concentration will be quantified using an enzyme-linked immunosorbent assay (ELISA), according to the manufacturer's instructions for sample preparation, assay procedures, and result calculation. Results will be expressed in picograms per milliliter (pg/mL).

    Measured: Baseline, 14 days, and 30 days.

  4. Salivary Matrix Metalloproteinase-8 (MMP-8) Concentration

    Salivary matrix metalloproteinase-8 (MMP-8) concentration will be quantified using an enzyme-linked immunosorbent assay (ELISA), according to the manufacturer's instructions for sample preparation, assay procedures, and result calculation. Results will be expressed in picograms per milliliter (pg/mL).

    Measured: Baseline, 14 days, and 30 days.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Oct 2026
  2. Study start1 Dec 2026 (estimated)
  3. Primary completion1 Apr 2027 (estimated)
  4. Study completion1 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study is a randomized, double-blind, parallel, 3-arm clinical trial
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07905456
Sponsor's protocol ID
COD-EC-26-0135
Status last verified
Oct 2026
First submitted
22 Oct 2026
Last updated
2 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data underlying the results reported in the published article will be made available, including clinical measurements (Plaque Index, Bleeding on Probing, and Gingival Index), salivary biomarker measurements (interleukin-1 beta and matrix metalloproteinase-8), treatment group assignments, and assessment time points. The dataset will exclude direct personal identifiers.

Publications

  • Micucci M, Protti M, Aldini R, Frosini M, Corazza I, Marzetti C, Mattioli LB, Tocci G, Chiarini A, Mercolini L, Budriesi R. Thymus vulgaris L. Essential Oil Solid Formulation: Chemical Profile and Spasmolytic and Antimicrobial Effects. Biomolecules. 2020 Jun 4;10(6):860. doi: 10.3390/biom10060860.

    PubMed 32512899
  • Waheed M, Hussain MB, Saeed F, Afzaal M, Ahmed A, Irfan R, Akram N, Ahmed F, Hailu GG. Phytochemical Profiling and Therapeutic Potential of Thyme (Thymus spp.): A Medicinal Herb. Food Sci Nutr. 2024 Nov 1;12(12):9893-9912. doi: 10.1002/fsn3.4563. eCollection 2024 Dec.

    PubMed 39723027
  • Trombelli L, Farina R, Silva CO, Tatakis DN. Plaque-induced gingivitis: Case definition and diagnostic considerations. J Periodontol. 2018 Jun;89 Suppl 1:S46-S73. doi: 10.1002/JPER.17-0576.

    PubMed 29926936

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 0.2% Thymus vulgaris mouthwash and Chlorhexidine 0,12% in people with Plaque-Induced Gingivitis, run by University of Sulaimani at 1 site in Iraq.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Iraq. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Omer Abdalla Yousif, Bachelor of Dental Science (+9647702221140, omer.yousif@univsul.edu.iq), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Bleeding on Probing (BoP) (time frame: Baseline, 14 days, and 30 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07905456, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2026.

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