Can probiotics replace antibiotics for gum disease?
NCT ID NCT07592416
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether adding probiotics or antibiotics to standard non-surgical gum disease treatment helps improve gum health. Sixty adults with severe periodontitis took part. The goal was to see if probiotics could be a safer alternative to antibiotics, which can cause side effects like antibiotic resistance.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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60 people
The number who actually took part.
- Started
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Aug 2023
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults with a diagnosis of generalized periodontitis, defined as involvement of ≥30% of teeth, classified as: Stage III or Stage IV, and Grade B or Grade C, according to the 2018 classification. * Presence of at least one tooth with ≥1 interproximal site exhibiting: Probing depth (PD) ≥6 mm, and Clinical attachment loss (CAL) ≥5 mm. * Presence of at least 15 teeth, excluding third molars and teeth indicated for extraction. * Presence of at least 6 non contiguous teeth, each with ≥1 interproximal site presenting PD and CAL ≥5 mm. Exclusion Criteria: * Current smokers or former smokers who quit less than 5 years prior to enrollment. * Pregnant or breastfeeding women. * History of periodontal treatment within the previous 6 months. * Continuous use of oral antiseptics within the last 6 months. * Use of systemic antibiotics, corticosteroids, non steroidal anti inflammatory drugs, immunosuppressants, estrogen, estrogen receptor modulators, or medications affecting bone metabolism (e.g., alendronate, calcitonin) within the last 6 months. * Presence of systemic conditions that may alter the host response, including: Diabetes mellitus, HIV infection, Down syndrome. * Medical conditions requiring antibiotic prophylaxis for dental procedures (e.g., mitral valve prolapse). * Known allergy or hypersensitivity to amoxicillin, metronidazole, penicillins, or related compounds. * Use of probiotics within the last 6 months.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Universidade de São Paulo
Ribeirão Preto, São Paulo, 14040-904, Brazil
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