Evidence map›Paper›PMID 40085302›Full record

Trial reportClinical oral investigations2025

Anti-inflammatory and antimicrobial efficacy of coconut oil for periodontal pathogens: a triple-blind randomized clinical trial.

Simón Pardiñas López, Mónica E García-Caro, Juan A Vallejo, Pablo Aja-Macaya, Kelly Conde-Pérez, Paula Nión-Cabeza, Ismael Khouly, Germán Bou, Ana Isabel Rodríguez Cendal, Silvia Díaz-Prado and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Simón Pardiñas LópezPeriodontology and Oral Surgery, Clínica Médico Dental Pardiñas, Real 66, 3, A Coruña, 15003, Spain. simon.pardinas@udc.es.ORCID http://orcid.org/0000-0002-7993-330X
Mónica E García-CaroGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain.
Juan A VallejoGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain. juan.andres.vallejo.vidal@sergas.es.
Pablo Aja-MacayaGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain.
Kelly Conde-PérezGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain.
Paula Nión-CabezaGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain.
Ismael KhoulyDepartment of Oral and Maxillofacial Surgery, College of Dentistry, New York University, New York, NY, 10010, USA.
Germán BouGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain.
Ana Isabel Rodríguez CendalGrupo de Terapia Celular y Medicina Regenerativa, Instituto de Investigación Biomédica de A Coruña (INIBIC), Servizo Galego de Saúde (SERGAS), Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, 15003, Spain.
Silvia Díaz-PradoGrupo de Terapia Celular y Medicina Regenerativa, Instituto de Investigación Biomédica de A Coruña (INIBIC), Servizo Galego de Saúde (SERGAS), Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, 15003, Spain.
Margarita PozaGrupo de Investigación en Microbiología, Servicio de Microbiología, Instituto de Investigación Biomédica de A Coruña (INIBIC)- Hospital Universitario de A Coruña (CHUAC)-Universidade da Coruña (UDC)-CIBER de Enfermedades Infecciosas (CIBERINFEC, ISCIII), Hospital Universitario, Coruña, 15006 A, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the effect of coconut oil on the oral bacteriome and inflammatory response in patients with periodontitis by integrating next-generation sequencing analyses of pathogenic bacterial shifts and quantification of inflammatory markers, thereby assessing its potential as a natural adjunct to standard nonsurgical periodontal therapy. MATERIALS AND

methodsA triple-blind clinical trial was conducted with 30 participants diagnosed with periodontitis, randomized into 3 groups: (1) coconut oil, (2) chlorhexidine and (3) placebo. Saliva and gingival crevicular fluid (GCF) samples were collected before treatment, one month after treatment, and one month post-non-surgical periodontal therapy. Bacterial DNA was extracted, and the V3-V4 region of the 16 S rRNA gene was PCR-amplified and sequenced using Illumina MiSeq technologies. Inflammatory biomarkers, including Interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), were quantified from GCF samples.

resultsCoconut oil treatment significantly reduced pathogenic bacterial families such as Spirochaetaceae and Tannerellaceae while promoting beneficial bacteria such as Streptococcaceae. At the genus and species levels, coconut oil reduced pathogens such as Tannerella forsythia and Treponema denticola along with increase in beneficial bacteria such as Streptococcus. The subgingival microbial dysbiosis index improved significantly in both coconut oil and chlorhexidine groups. Furthermore, the coconut oil demonstrated a reduction in IL-6 and TNF-α levels, indicating decreased local inflammation.

conclusionsCoconut oil treatment significantly modulated the oral microbiome and reduced inflammatory markers in patients with periodontitis, suggesting its potential as a natural and effective adjunct in periodontal therapy. CLINICAL RELEVANCE: This study highlights coconut oil's potential as a natural adjunct in periodontal therapy, effectively reducing pathogenic bacteria and inflammatory markers (IL-6, TNF-α). It offers a safe alternative to chlorhexidine, promoting microbiome balance and improved periodontal health.

Indexed as

Anti-Inflammatory AgentsCoconut OilPeriodontitisAdultChlorhexidineDouble-Blind MethodFemaleGingival Crevicular FluidHumansInterleukin-6MaleMiddle AgedSalivaTreatment OutcomeAnti-Inflammatory AgentsChlorhexidineCoconut OilInterleukin-6

Identifiers

PMID40085302
PMCPMC11909057

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.