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Clinical and Salivary Antioxidant Effects of Matcha Tea in Patients with Gingivitis: A Randomized Controlled Trial
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Introduction

Gingivitis, the initial stage of periodontal disease, is characterised by inflammation driven by dental biofilm and associated with oxidative stress. Matcha tea, a powdered green tea rich in antioxidants, has shown potential health benefits. This study aimed to investigate the effect of Matcha tea consumption on clinical periodontal parameters and salivary antioxidant levels in patients with gingivitis.

Methods

A randomised controlled clinical trial was conducted with 41 participants diagnosed with gingivitis. Participants were randomly allocated to a Matcha tea group (n=21) who consumed two cups of Matcha tea daily for 30 days, or a control group (n=20) who received standard oral hygiene instructions. Primary outcomes were clinical periodontal parameters (Plaque Index [PI], Bleeding on Probing percentage [BOP%], Gingival Index [GI]), and secondary outcomes were salivary levels of Malondialdehyde (MDA), Superoxide Dismutase (SOD), and Glutathione Peroxidase 1 (GPX1), assessed at baseline and after 30 days.

Results

Both groups showed significant within-group improvements in PI, BOP%, and GI at the 30-day follow-up (p<0.01). However, there were no statistically significant differences in these clinical parameters between the Matcha tea and control groups at the endpoint. The Matcha tea group exhibited a significant reduction in salivary MDA levels (p=0.002) and significantly higher salivary SOD (p=0.047) and GPX1 (p=0.027) levels compared to the control group at the 30-day follow-up.

Discussion

The biochemical improvements are attributed to Matcha's potent antioxidants, which favorably modulate the oral redox balance. The lack of superior clinical outcomes suggests that the profound effect of mechanical plaque control may have overshadowed any adjunctive benefits from Matcha within the 30-day trial. This highlights a potential disconnect between systemic antioxidant modulation and localised clinical changes in gingivitis management.

Conclusion

Daily consumption of Matcha tea for one month favorably modulated salivary antioxidant biomarkers in patients with gingivitis, reducing lipid peroxidation and increasing antioxidant enzyme levels. However, these biochemical changes did not translate into statistically significant differences in clinical periodontal parameters beyond standard oral hygiene within this study's timeframe.

Clinical Trial Registration Number

NCT06912958

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Publication Date
Tue Nov 11 2025
Journal Name
Journal Of Baghdad College Of Dentistry
Caries experience in relation to salivary physicochemical and immunological changes among asthmatic patients in Mosul city / Iraq
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Publication Date
Wed Dec 14 2016
Journal Name
Journal Of Baghdad College Of Dentistry
Clinical and Sonographic Changes of Parotid Gland in Patients with Type I and Type II Diabetes Mellitus and Its Effect on Physical Properties of Saliva
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Publication Date
Tue Nov 11 2025
Journal Name
Journal Of Baghdad College Of Dentistry
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Publication Date
Mon Jan 01 2018
Journal Name
Current Research In Microbiology And Biotechnology
Detection of some Physiological and Immunological parameters in Iraqi clinical and subclinical hypothyroid patients: Relationship study
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Publication Date
Thu Jun 30 2016
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Al-kindy College Medical Journal
Correlation of blood, salivary glucose levels and bloo HbA1c% in healthy and previously diagnosed Diabetes Mellitus Type 2 in a sec ion of patients of Baghdad hospital, Iraq
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The Role of Clinical Pharmacist in Reducing Drug Related Problems in Hemodialysis Patients
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Abstract

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Serum Lipoprotein (A) in Patients with Fibromyalgia Syndrome
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Publication Date
Fri Jun 16 2023
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Publication Date
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Chronic Kidney Disease (CKD) is a public health problem and many studies support the link between kidney dysfunction and cardiovascular events.  Aldosterone has been shown for decades that a plasma aldosterone concentration is elevated in CKD. Whilst, Osteoprotegerin (OPG), after its capacity to protect bone, also osteoprotegerin is elevated in patients with chronic kidney disease (CKD), where it could predict the deterioration of kidney function, cardiovascular, vascular events and all-cause mortality. On the other hand, fibroblast growth factors (FGFs), in patients with CKD, its levels seem to increase progressively as kidney function worsens. The aim of the present study is to assess the correlations between serum osteoprotegerin

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