<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20190410043228N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-02-08</date_registration>
      <primary_sponsor>Babol University of Medical Sciences</primary_sponsor>
      <public_title>The anti-bacterial effect on streptococcus mutans of chitosan mouth rinse</public_title>
      <acronym></acronym>
      <scientific_title>The anti-bacterial effect on streptococcus mutans of chitosan mouth rinse in patients wearing orthodontic removable appliance</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-07-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/48989</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: Replacement blocks will be utilized for the purpose of randomization (the number of blocks based on the  sample volume in the study). In this regard, "A" represents experimental group and  “B” represents control group. Two individual outcomes AB and BA are possible. Moreover, it will be assumed that AB replaces even outcomes from the data table and BA replaces odd numbers.</study_design>
      <phase>3</phase>
      <hc_freetext>The anti-bacterial effect on streptococcus mutans of chitosan mouth rinse.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients will learn oral hygiene instructions including brushing (modified Bass) and flossing the teeth. All patients were given time schedule for one month, in which they had to check it after each usage. All patients needed removable orthodontic appliances without expansion screw. A new removable orthodontic appliance was produced with Acroplus acrylic resin in the faculty laboratory a week after the healtheducation.The Chitosan with low (75%&lt;DD&lt;85%,MW 107 kDa) and high (75%&lt;DD,MW 624 kDa) molecular weight which is produced by Sigma-Aldrich, St.Loius, USA was used for producing mouthwash. The mouthwash was produced with the 0.4% v/v dose and PH=5 of Chitosan. This compound consisted of 0.5% (W/V) NaCl salt, 1% (W/V) of Arabic gum stabilizer, and 5% (W/V) of Mannitol. After the complete solution, food flavor and oral dyes were added with a dose of 0.1% (V/V). The swab samples were made for the buccal area of upper right first molar. Each sample was placed inside a tube of 1 mL brain - heart infusion and then cultured in the Mitis salivarius agar medium. After 48h of incubation at 37℃, the Streptococcus mutans colonies were counted using the digital colony counter. Intervention 2: Control group:  Patients will learn oral hygiene instructions including brushing (modified Bass) and flossing the teeth. All patients were given time schedule for one month, in which they had to check it after each usage. All patients needed removable orthodontic appliances without expansion screw. A new removable orthodontic appliance was produced with Acroplus acrylic resin in the faculty laboratory a week after the healtheducation. The mouthwash was produced with  PH=5. This compound was consisted of 0.5% (W/V) NaCl salt, 1% (W/V) of Arabic gumstabilizer, and 5% (W/V) of Mannitol. After the complete solution, food flavor and oral dyes were added with the dose of 0.1% (V/V). Placebo mouthwashes were used (7 times in a week, each time for 20 seconds). The swab samples were made for Palatal area. Each sample was placed inside a tube of 1 mL brain - heartinfusion and then cultured in the Mitis salivarius agar medium. After 48h of incubation at 37℃,the Streptococcus mutans colonies were counted using the digital colony counter.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
all data without recognizing participants in research

When:
2020 year

To whom:
researchers

Conditions:
in future researches

Where to obtain:
published article

How to obtain:
referring to published article

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mojan Madani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Alghadir str.</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3848176941</zip>
        <telephone>+98 86 3417 3526</telephone>
        <email>mojan.madani@hotmail.com</email>
        <affiliation>Arak University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mojan Madani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Alghadir str.</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3848176941</zip>
        <telephone>+98 86 3417 3526</telephone>
        <email>mojan.madani@hotmail.com</email>
        <affiliation>Arak University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>wearing removable orthodontics appliance without expansion screw
patients from 9 to 18 years old</inclusion_criteria>
      <agemin>9 years</agemin>
      <agemax>18 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>active caries and periodontal disease
Suffering from a systemic disease
antibiotic consumption in the last three months
past fixed orthodontics or any kind of dental treatment during clinical study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>B95.4</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other streptococcus as the cause of diseases classified elsewhere</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Patients will learn oral hygiene instructions including brushing (modified Bass) and flossing the teeth. All patients were given time schedule for one month, in which they had to check it after each usage. All patients needed removable orthodontic appliances without expansion screw. A new removable orthodontic appliance was produced with Acroplus acrylic resin in the faculty laboratory a week after the healtheducation.The Chitosan with low (75%&lt;DD&lt;85%,MW 107 kDa) and high (75%&lt;DD,MW 624 kDa) molecular weight which is produced by Sigma-Aldrich, St.Loius, USA was used for producing mouthwash. The mouthwash was produced with the 0.4% v/v dose and PH=5 of Chitosan. This compound consisted of 0.5% (W/V) NaCl salt, 1% (W/V) of Arabic gum stabilizer, and 5% (W/V) of Mannitol. After the complete solution, food flavor and oral dyes were added with a dose of 0.1% (V/V). The swab samples were made for the buccal area of upper right first molar. Each sample was placed inside a tube of 1 mL brain - heart infusion and then cultured in the Mitis salivarius agar medium. After 48h of incubation at 37℃, the Streptococcus mutans colonies were counted using the digital colony counter</i_keyword>
      <i_keyword>Control group:  Patients will learn oral hygiene instructions including brushing (modified Bass) and flossing the teeth. All patients were given time schedule for one month, in which they had to check it after each usage. All patients needed removable orthodontic appliances without expansion screw. A new removable orthodontic appliance was produced with Acroplus acrylic resin in the faculty laboratory a week after the healtheducation. The mouthwash was produced with  PH=5. This compound was consisted of 0.5% (W/V) NaCl salt, 1% (W/V) of Arabic gumstabilizer, and 5% (W/V) of Mannitol. After the complete solution, food flavor and oral dyes were added with the dose of 0.1% (V/V). Placebo mouthwashes were used (7 times in a week, each time for 20 seconds). The swab samples were made for Palatal area. Each sample was placed inside a tube of 1 mL brain - heartinfusion and then cultured in the Mitis salivarius agar medium. After 48h of incubation at 37℃,the Streptococcus mutans colonies were counted using the digital colony counter.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Counting of streptococcus mutans colonies. Timepoint: Before intervention, 1 month later. Method of measurement: using the digital colony counter.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Babol University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-06-09</approval_date>
        <contact_name>Ethics Comittee of Babol University of Medical sciences</contact_name>
        <contact_address>Babol ِDentistry University, Ganj Afroz str. Babol Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
