Clinical Evaluation of the Efficacy of a Marketed Dentifrice on Plaque and Gingivitis
Primary Purpose
Plaque, Gingivitis
Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Arm & Hammer Advance White Brilliant Sparkle (Test product)
Crest Cavity Protection Regular Toothpaste (Negative Control)
Sponsored by
About this trial
This is an interventional treatment trial for Plaque
Eligibility Criteria
Inclusion Criteria:
- Have provided written informed consent prior to being entered into study
- Have at least 18 scorable natural teeth as determined by the examiner
- Have a mean baseline plaque index score greater than or equal to 2.0 as determined by the Soparkar Modification of the Turesky modification of the Quigley-Hein Plaque Index
- Have a mean baseline gingival index score of greater than 1.80 as determined by the Modified Gingival Index
- Presence of greater than 10 bleeding sites upon probing
- Agree not to have dental prophylaxis or any other elective, no -emergency dental procedures (other than those provided during the study) any time during the study
- Agree to abstain from use of floss, chewing gum, mouth rinses, any toothpaste other than the study toothpaste, tooth whitening products (either professional or at home use) and all other oral hygiene other than the study procedures for the duration of the study.
- Agree to refrain from all oral hygiene on the morning of each evaluation visit and to refrain from eating and drinking for 4 hours prior to each evaluation visit
- Agree to comply with the conditions and schedule of the study
Exclusion Criteria:
- Physical limitations or restrictions that might preclude normal tooth brushing
- Evidence of gross oral pathology, including widespread caries or chronic neglect, extensive restoration, pre-existing gross plaque or soft or hard tissue tumor of the oral cavity.
- Heavy calculus that might interfere with evaluations as determined by the Investigator/Examiner
- Chronic disease with concomitant oral manifestations
- Conditions requiring antibiotic prophylaxis prior to invasive procedures, such as heart murmur, history of rheumatic fever, valvular disease or certain prosthetic implants
- History of uncontrolled diabetes or hepatic or renal disease, or other serious conditions or transmittable diseases (eg cardiovascular disease, AIDS)
- Subjects with fixed or removable orthodontic appliances or removable partial dentures
- Subjects who are currently undergoing, or require, extensive dental work or orthodontic treatment
- Treatment with antibiotics within the 1-month period before the baseline examination, or a condition that is likely to require antibiotic treatment over the course of the trial
- Chronic treatment (2 weeks or more) with any medication known to affect periodontal status (including phenytoin, calcium antagonists, cyclosporine, coumarin, nonsteroidal anti-inflammatory drugs, and aspirin) within 1 month of baseline examination. All other medications for chronic medical conditions must have been initiated at least 3 months before enrollment
- Moderately advanced to advanced periodontitis as indicated by clinical attachment loss, radiographic alveolar bone loss, and/or periodontal pockets greater than 5 millimeters
- Having history of early-onset periodontitis or acute necrotizing ulcerative gingivitis
- Concomitant endodontic or periodontal therapy other than prophylaxis in the last 6 months
- Professional prophylaxis within 1 month prior to the baseline clinical evaluation
- Currently using bleaching trays
- Currently using power toothbrush
- Currently a smoker or recently (during the past 6 months) quit smoking
- Having any oral piercings in or around the oral cavity with ornament or accessory
- Regular use of any chemotherapeutic antiplaque/antigingivitis products such as Colgate Total, Crest Pro-Health, Listerine, etc
- History of significant adverse effects following use of oral hygiene products such as toothpastes and mouthrinses
- Subjects who are nursing, pregnant or plan to become pregnant for the duration of the study
Sites / Locations
- BioSci Research Canada, Ltd
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Arm & Hammer Advance White Brilliant Sparkle (Test product)
Crest Cavity Protection Regular Toothpaste (Negative Control)
Arm Description
2X daily brushing for 12 weeks with Arm & Hammer Advance White Brilliant Sparkle (Test product). Return to pre-study hygiene regimen for 4 weeks and final evaluation at 16 weeks.
2X daily brushing for 12 weeks with Crest Cavity Protection Regular Toothpaste (Negative Control). Return to pre-study hygiene regimen for 4 weeks and final evaluation at 16 weeks.
Outcomes
Primary Outcome Measures
Within-Treatment Whole-Mouth Differences (vs Baseline) - Gingival Efficacy
change in score as measured by Gingival Index (0=absence of inflammation, 1=mild inflammation: slight change in color, little change in texture of any portion of but not the entire marginal or papillary gingival unit, 2=mild inflammation: slight change in color, little change in texture to entire marginal or papillary gingival unit, 3=moderate inflammation: glazing, redness, edema and/or hypertrophy of the marginal or papillary gingival unit, 4=severe inflammation: marked redness, edema and/or hypertrophy of the marginal or papillary gingival unit, spontaneous bleeding, congestion, or ulceration. The scale ranges from 0-4.
Within-Treatment Whole-Mouth Differences (vs Baseline) Gingival Bleeding Efficacy
change in score as measured by Gingival Bleeding Index (0=absence of bleeding after 30 seconds, 1= bleeding observed after 30 seconds, 2= bleeding occurs instantly). The scale ranges from 0-2.
Within-Treatment Whole-Mouth Differences (vs Baseline) - Plaque Efficacy
change in score as measured by Plaque Index (0=no visible plaque, 1=separate flecks of plaque at the cervical margin of the tooth, 2=a thin, continuous band of plaque (up to 1mm wide) at the cervical margin, 3= a band of plaque wider than 1 mm but covering less than one-third of the crown, 4=plaque covering at least one-third but less than two-thirds of the crown, 5= plaque covering two-thirds or more of the crown. The scale ranges from 0-5.
Secondary Outcome Measures
Full Information
NCT ID
NCT03214406
First Posted
July 10, 2017
Last Updated
April 19, 2021
Sponsor
Church & Dwight Company, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03214406
Brief Title
Clinical Evaluation of the Efficacy of a Marketed Dentifrice on Plaque and Gingivitis
Official Title
Clinical Evaluation of the Efficacy of a Marketed Dentifrice on Plaque and Gingivitis
Study Type
Interventional
2. Study Status
Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
February 8, 2010 (Actual)
Primary Completion Date
August 3, 2010 (Actual)
Study Completion Date
August 3, 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Church & Dwight Company, Inc.
4. Oversight
5. Study Description
Brief Summary
Parallel, double blind, randomized, Institutional Review Board (IRB) -approved study involving approximately 160 subjects to complete. Subjects were randomly assigned to either the test product (Arm & Hammer Advance White Brilliant Sparkle) or the control (Crest Cavity Protection Regular) based on baseline mean whole-mouth plaque and gingival scores and age.Subjects brushed with their assigned dentifrice two times (2X) daily and were evaluated for gingivitis, bleeding and plaque at Baseline and after 4-, 8-, and 12-weeks of product use. Return to pre-study hygiene regimen for 4 weeks and final evaluation at 16 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque, Gingivitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
181 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Arm & Hammer Advance White Brilliant Sparkle (Test product)
Arm Type
Experimental
Arm Description
2X daily brushing for 12 weeks with Arm & Hammer Advance White Brilliant Sparkle (Test product). Return to pre-study hygiene regimen for 4 weeks and final evaluation at 16 weeks.
Arm Title
Crest Cavity Protection Regular Toothpaste (Negative Control)
Arm Type
Active Comparator
Arm Description
2X daily brushing for 12 weeks with Crest Cavity Protection Regular Toothpaste (Negative Control). Return to pre-study hygiene regimen for 4 weeks and final evaluation at 16 weeks.
Intervention Type
Drug
Intervention Name(s)
Arm & Hammer Advance White Brilliant Sparkle (Test product)
Intervention Description
20% sodium bicarbonate
Intervention Type
Drug
Intervention Name(s)
Crest Cavity Protection Regular Toothpaste (Negative Control)
Intervention Description
Negative control
Primary Outcome Measure Information:
Title
Within-Treatment Whole-Mouth Differences (vs Baseline) - Gingival Efficacy
Description
change in score as measured by Gingival Index (0=absence of inflammation, 1=mild inflammation: slight change in color, little change in texture of any portion of but not the entire marginal or papillary gingival unit, 2=mild inflammation: slight change in color, little change in texture to entire marginal or papillary gingival unit, 3=moderate inflammation: glazing, redness, edema and/or hypertrophy of the marginal or papillary gingival unit, 4=severe inflammation: marked redness, edema and/or hypertrophy of the marginal or papillary gingival unit, spontaneous bleeding, congestion, or ulceration. The scale ranges from 0-4.
Time Frame
16 weeks
Title
Within-Treatment Whole-Mouth Differences (vs Baseline) Gingival Bleeding Efficacy
Description
change in score as measured by Gingival Bleeding Index (0=absence of bleeding after 30 seconds, 1= bleeding observed after 30 seconds, 2= bleeding occurs instantly). The scale ranges from 0-2.
Time Frame
16 weeks
Title
Within-Treatment Whole-Mouth Differences (vs Baseline) - Plaque Efficacy
Description
change in score as measured by Plaque Index (0=no visible plaque, 1=separate flecks of plaque at the cervical margin of the tooth, 2=a thin, continuous band of plaque (up to 1mm wide) at the cervical margin, 3= a band of plaque wider than 1 mm but covering less than one-third of the crown, 4=plaque covering at least one-third but less than two-thirds of the crown, 5= plaque covering two-thirds or more of the crown. The scale ranges from 0-5.
Time Frame
16 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Have provided written informed consent prior to being entered into study
Have at least 18 scorable natural teeth as determined by the examiner
Have a mean baseline plaque index score greater than or equal to 2.0 as determined by the Soparkar Modification of the Turesky modification of the Quigley-Hein Plaque Index
Have a mean baseline gingival index score of greater than 1.80 as determined by the Modified Gingival Index
Presence of greater than 10 bleeding sites upon probing
Agree not to have dental prophylaxis or any other elective, no -emergency dental procedures (other than those provided during the study) any time during the study
Agree to abstain from use of floss, chewing gum, mouth rinses, any toothpaste other than the study toothpaste, tooth whitening products (either professional or at home use) and all other oral hygiene other than the study procedures for the duration of the study.
Agree to refrain from all oral hygiene on the morning of each evaluation visit and to refrain from eating and drinking for 4 hours prior to each evaluation visit
Agree to comply with the conditions and schedule of the study
Exclusion Criteria:
Physical limitations or restrictions that might preclude normal tooth brushing
Evidence of gross oral pathology, including widespread caries or chronic neglect, extensive restoration, pre-existing gross plaque or soft or hard tissue tumor of the oral cavity.
Heavy calculus that might interfere with evaluations as determined by the Investigator/Examiner
Chronic disease with concomitant oral manifestations
Conditions requiring antibiotic prophylaxis prior to invasive procedures, such as heart murmur, history of rheumatic fever, valvular disease or certain prosthetic implants
History of uncontrolled diabetes or hepatic or renal disease, or other serious conditions or transmittable diseases (eg cardiovascular disease, AIDS)
Subjects with fixed or removable orthodontic appliances or removable partial dentures
Subjects who are currently undergoing, or require, extensive dental work or orthodontic treatment
Treatment with antibiotics within the 1-month period before the baseline examination, or a condition that is likely to require antibiotic treatment over the course of the trial
Chronic treatment (2 weeks or more) with any medication known to affect periodontal status (including phenytoin, calcium antagonists, cyclosporine, coumarin, nonsteroidal anti-inflammatory drugs, and aspirin) within 1 month of baseline examination. All other medications for chronic medical conditions must have been initiated at least 3 months before enrollment
Moderately advanced to advanced periodontitis as indicated by clinical attachment loss, radiographic alveolar bone loss, and/or periodontal pockets greater than 5 millimeters
Having history of early-onset periodontitis or acute necrotizing ulcerative gingivitis
Concomitant endodontic or periodontal therapy other than prophylaxis in the last 6 months
Professional prophylaxis within 1 month prior to the baseline clinical evaluation
Currently using bleaching trays
Currently using power toothbrush
Currently a smoker or recently (during the past 6 months) quit smoking
Having any oral piercings in or around the oral cavity with ornament or accessory
Regular use of any chemotherapeutic antiplaque/antigingivitis products such as Colgate Total, Crest Pro-Health, Listerine, etc
History of significant adverse effects following use of oral hygiene products such as toothpastes and mouthrinses
Subjects who are nursing, pregnant or plan to become pregnant for the duration of the study
Facility Information:
Facility Name
BioSci Research Canada, Ltd
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L5N 1A4
Country
Canada
12. IPD Sharing Statement
Learn more about this trial
Clinical Evaluation of the Efficacy of a Marketed Dentifrice on Plaque and Gingivitis
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