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Antiplaque/Antigingivitis Efficacy of Essential Oil Mouthrinses in Six-Month Study

Primary Purpose

Plaque, Gingivitis, Gum Inflammation

Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Listerine Zero Mouthwash (without alcohol)
Listerine Antiseptic Mouthwash (with alcohol)
Sponsored by
Johnson & Johnson Consumer and Personal Products Worldwide
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque focused on measuring mouthrinse, plaque, gingivitis, gum bleeding

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Males and females 18 years of age or older, in good general and oral health, except gingivitis.
  2. Able to comprehend and follow the requirements of the study (including availability on scheduled visit dates) based upon research site personnel's assessment;
  3. Evidence of a personally signed and dated informed consent document indicating the subject (or legally acceptable representative) has been informed of all pertinent aspects of the trial.
  4. A minimum of 20 natural teeth with scorable facial and lingual surfaces. Teeth that are grossly carious, extensively restored, orthodontically banded, abutments, exhibiting severe generalized cervical and/or enamel abrasion, or third molars will not be included in the tooth count.
  5. A mean gingival index ≥ 1.75 according to the Modified Gingival Index.
  6. A mean plaque index ≥ 1.95 according to the Turesky modification of the Quigley-Hein Plaque Index scored on six surfaces per tooth.
  7. Absence of significant oral soft tissue pathology, excluding plaque-induced gingivitis, based on a visual examination and at the discretion of the Investigator.
  8. Absence of moderate/advanced periodontitis based on a clinical examination (ADA Type III, IV).
  9. Absence of fixed or removable orthodontic appliance or removable partial dentures.

Exclusion Criteria:

  1. History of significant adverse effects, including sensitivities or suspected allergies, following use of oral hygiene products such as toothpastes and mouthrinses and red food dye.
  2. History of serious medical conditions that, at the discretion of the Investigator, will disqualify the subject.
  3. History of rheumatic fever, heart murmur, mitral valve prolapse or other conditions requiring prophylactic antibiotic coverage prior to invasive dental procedures.
  4. Antibiotic, anti-inflammatory or anticoagulant therapy during the study or within the 2 weeks prior to the baseline exam.
  5. Regular use of chemotherapeutic antiplaque/antigingivitis products such as triclosan, essential oil, cetylpyridinium chloride, or chlorhexidine containing mouthrinses within the 2 weeks prior to baseline.
  6. Current or history of alcohol or drug abuse.
  7. Self reported pregnancy or lactation (this is an exclusion criterion due to oral tissue changes related to pregnancy and nursing which can affect interpretation of study results).

Sites / Locations

  • University of Taubate

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

No Intervention

Arm Label

Listerine Zero Mouthwash (without alcohol)

Listerine Antiseptic Mouthwash (with alcohol)

Brush only

Arm Description

Brushing twice daily in the usual manner with an ADA-Accepted Fluoride Toothpaste (Colgate Cavity Protection) using a soft-bristled toothbrush and rinsing with 20 ml of Listerine Zero Mouthwash (without alcohol) for 30 seconds.

Brushing twice daily in the usual manner with an ADA-Accepted Fluoride Toothpaste (Colgate Cavity Protection) using a soft-bristled toothbrush and rinsing with 20 ml of Listerine Antiseptic Mouthwash (with alcohol) for 30 seconds.

Brush only twice daily in the usual manner with an ADA-Accepted Fluoride Toothpaste (Colgate Cavity Protection) using a soft-bristled toothbrush.

Outcomes

Primary Outcome Measures

Mean Modified Gingival Index (MGI) at 6 Months
Gingivitis was assessed on the buccal and lingual marginal gingivae and interdental papillae on all scoreable teeth on a 5-grade categorical scale of 0=normal to 4=severe inflammation.

Secondary Outcome Measures

Mean Modified Gingival Index (MGI) at 1 Month
Gingivitis was assessed on the buccal and lingual marginal gingivae and interdental papillae on all scoreable teeth on a 5-grade categorical scale of 0=normal to 4=severe inflammation.
Mean Modified Gingival Index (MGI) at 3 Months
Gingivitis was assessed on the buccal and lingual marginal gingivae and interdental papillae on all scoreable teeth on a 5-grade categorical scale of 0=normal to 4=severe inflammation.
Mean Gingival Bleeding Index (BI) at 1 Month
Gingival bleeding was assessed at four gingival areas (distobuccal, mid-buccal, mid-lingual, and mesiolingual) around each tooth on a 3-grade categorical scale of 0=absence of bleeding after 30 seconds, 1=bleeding after 30 seconds, and 2=immediate bleeding.
Mean Gingival Bleeding Index (BI) at 3 Months
Gingival bleeding was assessed at four gingival areas (distobuccal, mid-buccal, mid-lingual, and mesiolingual) around each tooth on a 3-grade categorical scale of 0=absence of bleeding after 30 seconds, 1=bleeding after 30 seconds, and 2=immediate bleeding.
Mean Gingival Bleeding Index (BI) at 6 Months
Gingival bleeding was assessed at four gingival areas (distobuccal, mid-buccal, mid-lingual, and mesiolingual) around each tooth on a 3-grade categorical scale of 0=absence of bleeding after 30 seconds, 1=bleeding after 30 seconds, and 2=immediate bleeding.
Mean Plaque Index (PI) (Turesky Modification of the Quigley Hein PI) at 1 Month
Plaque area was scored on six surfaces (distobuccal, mid-buccal, mesiobuccal, distolingual, mid-lingual, and mesiolingual) of all scorable teeth on a 6-grade categorical scale of 0=no plaque to 5=plaque covering 2/3 or more of the surface.
Mean Plaque Index (PI) (Turesky Modification of the Quigley Hein PI) at 3 Months
Plaque area was scored on six surfaces (distobuccal, mid-buccal, mesiobuccal, distolingual, mid-lingual, and mesiolingual) of all scorable teeth on a 6-grade categorical scale of 0=no plaque to 5=plaque covering 2/3 or more of the surface.
Mean Plaque Index (PI) (Turesky Modification of the Quigley Hein PI) at 6 Months
Plaque area was scored on six surfaces (distobuccal, mid-buccal, mesiobuccal, distolingual, mid-lingual, and mesiolingual) of all scorable teeth on a 6-grade categorical scale of 0=no plaque to 5=plaque covering 2/3 or more of the surface.

Full Information

First Posted
November 30, 2016
Last Updated
November 30, 2016
Sponsor
Johnson & Johnson Consumer and Personal Products Worldwide
Collaborators
University of Taubate
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1. Study Identification

Unique Protocol Identification Number
NCT02980497
Brief Title
Antiplaque/Antigingivitis Efficacy of Essential Oil Mouthrinses in Six-Month Study
Official Title
Determination of the Antiplaque/Antigingivitis Efficacy of Essential Oil Containing Mouthrinses In a Six-Month Study
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
September 2013 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Johnson & Johnson Consumer and Personal Products Worldwide
Collaborators
University of Taubate

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this randomized, single-center, examiner-blind, controlled, parallel group, six-month clinical study is to compare the antiplaque/antigingivitis potential of a no-alcohol essential oil containing mouthrinse and an alcohol essential oil containing mouthrinse. A negative control group using only an ADA Accepted anticavity toothpaste will be included.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque, Gingivitis, Gum Inflammation, Bleeding
Keywords
mouthrinse, plaque, gingivitis, gum bleeding

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
370 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Listerine Zero Mouthwash (without alcohol)
Arm Type
Active Comparator
Arm Description
Brushing twice daily in the usual manner with an ADA-Accepted Fluoride Toothpaste (Colgate Cavity Protection) using a soft-bristled toothbrush and rinsing with 20 ml of Listerine Zero Mouthwash (without alcohol) for 30 seconds.
Arm Title
Listerine Antiseptic Mouthwash (with alcohol)
Arm Type
Active Comparator
Arm Description
Brushing twice daily in the usual manner with an ADA-Accepted Fluoride Toothpaste (Colgate Cavity Protection) using a soft-bristled toothbrush and rinsing with 20 ml of Listerine Antiseptic Mouthwash (with alcohol) for 30 seconds.
Arm Title
Brush only
Arm Type
No Intervention
Arm Description
Brush only twice daily in the usual manner with an ADA-Accepted Fluoride Toothpaste (Colgate Cavity Protection) using a soft-bristled toothbrush.
Intervention Type
Other
Intervention Name(s)
Listerine Zero Mouthwash (without alcohol)
Intervention Description
20 ml of rinse for 30 seconds, twice a day
Intervention Type
Other
Intervention Name(s)
Listerine Antiseptic Mouthwash (with alcohol)
Intervention Description
20 ml of rinse for 30 seconds, twice a day
Primary Outcome Measure Information:
Title
Mean Modified Gingival Index (MGI) at 6 Months
Description
Gingivitis was assessed on the buccal and lingual marginal gingivae and interdental papillae on all scoreable teeth on a 5-grade categorical scale of 0=normal to 4=severe inflammation.
Time Frame
6 Months
Secondary Outcome Measure Information:
Title
Mean Modified Gingival Index (MGI) at 1 Month
Description
Gingivitis was assessed on the buccal and lingual marginal gingivae and interdental papillae on all scoreable teeth on a 5-grade categorical scale of 0=normal to 4=severe inflammation.
Time Frame
1 Month
Title
Mean Modified Gingival Index (MGI) at 3 Months
Description
Gingivitis was assessed on the buccal and lingual marginal gingivae and interdental papillae on all scoreable teeth on a 5-grade categorical scale of 0=normal to 4=severe inflammation.
Time Frame
3 Months
Title
Mean Gingival Bleeding Index (BI) at 1 Month
Description
Gingival bleeding was assessed at four gingival areas (distobuccal, mid-buccal, mid-lingual, and mesiolingual) around each tooth on a 3-grade categorical scale of 0=absence of bleeding after 30 seconds, 1=bleeding after 30 seconds, and 2=immediate bleeding.
Time Frame
1 Month
Title
Mean Gingival Bleeding Index (BI) at 3 Months
Description
Gingival bleeding was assessed at four gingival areas (distobuccal, mid-buccal, mid-lingual, and mesiolingual) around each tooth on a 3-grade categorical scale of 0=absence of bleeding after 30 seconds, 1=bleeding after 30 seconds, and 2=immediate bleeding.
Time Frame
3 Months
Title
Mean Gingival Bleeding Index (BI) at 6 Months
Description
Gingival bleeding was assessed at four gingival areas (distobuccal, mid-buccal, mid-lingual, and mesiolingual) around each tooth on a 3-grade categorical scale of 0=absence of bleeding after 30 seconds, 1=bleeding after 30 seconds, and 2=immediate bleeding.
Time Frame
6 Months
Title
Mean Plaque Index (PI) (Turesky Modification of the Quigley Hein PI) at 1 Month
Description
Plaque area was scored on six surfaces (distobuccal, mid-buccal, mesiobuccal, distolingual, mid-lingual, and mesiolingual) of all scorable teeth on a 6-grade categorical scale of 0=no plaque to 5=plaque covering 2/3 or more of the surface.
Time Frame
1 Month
Title
Mean Plaque Index (PI) (Turesky Modification of the Quigley Hein PI) at 3 Months
Description
Plaque area was scored on six surfaces (distobuccal, mid-buccal, mesiobuccal, distolingual, mid-lingual, and mesiolingual) of all scorable teeth on a 6-grade categorical scale of 0=no plaque to 5=plaque covering 2/3 or more of the surface.
Time Frame
3 Months
Title
Mean Plaque Index (PI) (Turesky Modification of the Quigley Hein PI) at 6 Months
Description
Plaque area was scored on six surfaces (distobuccal, mid-buccal, mesiobuccal, distolingual, mid-lingual, and mesiolingual) of all scorable teeth on a 6-grade categorical scale of 0=no plaque to 5=plaque covering 2/3 or more of the surface.
Time Frame
6 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females 18 years of age or older, in good general and oral health, except gingivitis. Able to comprehend and follow the requirements of the study (including availability on scheduled visit dates) based upon research site personnel's assessment; Evidence of a personally signed and dated informed consent document indicating the subject (or legally acceptable representative) has been informed of all pertinent aspects of the trial. A minimum of 20 natural teeth with scorable facial and lingual surfaces. Teeth that are grossly carious, extensively restored, orthodontically banded, abutments, exhibiting severe generalized cervical and/or enamel abrasion, or third molars will not be included in the tooth count. A mean gingival index ≥ 1.75 according to the Modified Gingival Index. A mean plaque index ≥ 1.95 according to the Turesky modification of the Quigley-Hein Plaque Index scored on six surfaces per tooth. Absence of significant oral soft tissue pathology, excluding plaque-induced gingivitis, based on a visual examination and at the discretion of the Investigator. Absence of moderate/advanced periodontitis based on a clinical examination (ADA Type III, IV). Absence of fixed or removable orthodontic appliance or removable partial dentures. Exclusion Criteria: History of significant adverse effects, including sensitivities or suspected allergies, following use of oral hygiene products such as toothpastes and mouthrinses and red food dye. History of serious medical conditions that, at the discretion of the Investigator, will disqualify the subject. History of rheumatic fever, heart murmur, mitral valve prolapse or other conditions requiring prophylactic antibiotic coverage prior to invasive dental procedures. Antibiotic, anti-inflammatory or anticoagulant therapy during the study or within the 2 weeks prior to the baseline exam. Regular use of chemotherapeutic antiplaque/antigingivitis products such as triclosan, essential oil, cetylpyridinium chloride, or chlorhexidine containing mouthrinses within the 2 weeks prior to baseline. Current or history of alcohol or drug abuse. Self reported pregnancy or lactation (this is an exclusion criterion due to oral tissue changes related to pregnancy and nursing which can affect interpretation of study results).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jose Cortelli, Ph. D
Organizational Affiliation
Universidade de Taubate
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sheila Cortelli, Ph.D
Organizational Affiliation
Universidade de Taubate
Official's Role
Study Chair
Facility Information:
Facility Name
University of Taubate
City
Taubate
State/Province
Sao Paulo
ZIP/Postal Code
12020-270
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
29321067
Citation
Lynch MC, Cortelli SC, McGuire JA, Zhang J, Ricci-Nittel D, Mordas CJ, Aquino DR, Cortelli JR. The effects of essential oil mouthrinses with or without alcohol on plaque and gingivitis: a randomized controlled clinical study. BMC Oral Health. 2018 Jan 10;18(1):6. doi: 10.1186/s12903-017-0454-6.
Results Reference
derived

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Antiplaque/Antigingivitis Efficacy of Essential Oil Mouthrinses in Six-Month Study

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