Gum disease breakthrough? probiotics and B12 under the microscope
NCT ID NCT07443410
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether taking probiotics (with or without vitamin B12) can improve the health of the mouth's bacteria and reduce gum disease in adults with severe periodontitis. Participants will receive standard gum treatment plus either a probiotic lozenge, a probiotic with vitamin B12 drops, or no supplement for 3 months. The goal is to see if these supplements help the standard treatment work better by changing the bacteria in the mouth.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- 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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18 years and older
- 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: * Age ≥ 18 years * Stage III or IV periodontitis (localized or generalized) * Ability to provide informed consent * Written informed consent including data protection consent Exclusion Criteria: * • Pregnancy or breastfeeding * Conditions/medications likely to substantially confound the oral microbiome or periodontal healing (e.g., uncontrolled diabetes mellitus, systemic immunosuppression, chronic steroid use) * Antibiotic use within the last 3 months * Use of oral pre-/probiotic supplements within the last 3 months * Recent subgingival instrumentation within the last 6 months * Need for obligatory adjunctive systemic antibiotic prophylaxis/therapy for NSPT * Severe active systemic infection or other conditions judged by investigators to pose undue risk * Regular use of antiseptic mouthrinses during the study period (unless medically required) * Strict diets likely to substantially alter baseline microbiome trajectories (e.g., ketogenic, strict vegan) per protocol definition * Chronic bowel diseases (for systemic confounding considerations)
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Heidelberg University Hospital
RECRUITINGHeidelberg, Baden-Wurttemberg, 69120, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can spit reveal how smoking fuels gum disease?
- Can a gentler Deep-Clean beat standard gum therapy?