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Clinical Study to Examine Brushing on Dental Implants

Primary Purpose

Gingival Diseases

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Fluoride
Triclosan, fluoride
Sponsored by
Colgate Palmolive
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gingival Diseases

Eligibility Criteria

18 Years - 76 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Males and females in good oral and general health aged 18 to 76 years.
  • A willingness to read, understand, and sign the Informed Consent Form after the nature of the study has been fully explained to them. Subject should demonstrate willingness to comply with all study procedures and availability for duration of study.
  • Subjects will use the provided test articles and discontinue the use of other dentifrices and mouthrinses for the duration of the study.
  • A minimum of 20 natural teeth with facial and lingual scorable surfaces. Teeth that are grossly carious, fully crowned or extensively restored on facial and/or lingual surfaces, orthodontically banded, abutments, or third molars will not be included in the tooth count.
  • Adequate oral hygiene and no signs of oral neglect.
  • Subjects will have at least one dental implant and a contralateral natural tooth.
  • At the first visit subjects will be examined by a dentist for periodontal health.
  • Selected subjects will have periodontal pockets less than 6mm.
  • Subjects with gingival index equal to or greater than 1.0 and plaque index equal to or greater than or 1. 5 on the implant tooth will be enrolled. Gingival and plaque indices will be measured during the first visit for the implant. Similarly, these clinical indices (Gingival and plaque index) will be determined for the contralateral natural tooth. (The adjacent teeth will serve as a backup for the studies if control tooth is lost during study).
  • Subjects who are habitual users of Colgate Total or other oral hygiene formulations with antimicrobial agents will complete a washout phase of 30 days with a commercial fluoride dentifrice prior to enrollment in the study. This washout dentifrice will be identified and obtained by the clinical investigator from an appropriate local source.

Exclusion Criteria:

  • History of significant adverse effects following use of oral hygiene products such as toothpastes and mouthrinses. Allergy to personal care/consumer products or their ingredients.
  • Regular use of mouthwash with antimicrobial agents within the past month.
  • History of diabetes or hepatic or renal disease, or other serious medical conditions or transmittable diseases, e.g. heart disease or AIDS.
  • History of hepatitis, rheumatic fever, pacemaker, or prosthetic heart valves, heart murmur, mitral valve prolapse or other conditions requiring prophylactic antibiotic coverage prior to invasive dental procedures.
  • Subjects presenting significant medical conditions or need for long term drug therapy.
  • Subjects on antibiotic, anti inflammatory or anticoagulant therapy during the month preceding the baseline exam.
  • Significant oral soft tissue pathology, systemically related gingival enlargement, severe gingivitis (based on a visual examinations) that would interfere with the study.
  • History of active severe periodontal disease with bleeding gums and loose teeth.
  • Widespread caries or chronic neglect. Subjects presenting with gross dental caries, severe generalized cervical abrasion and/or enamel abrasion, and large fractured or temporary restorations (based on visual examinations).
  • Fixed or removable orthodontic appliance or removable partial dentures.
  • Participation in any clinical study including dental plaque/gingivitis clinical trial involving oral care products, within the last 30 days. History of dental prophylaxis or treatments in the month preceding the start of study.
  • Self reported pregnancy or lactation.
  • History or current use of objects to pierce the lips or tongue.
  • Subjects known to be an alcoholic, or a recovering alcoholic.
  • History or current use of recreational drugs or narcotics.
  • Determine smoking status of subjects and exclude current smokers.
  • Determine reason for placing implants in subject to exclude subjects whose implants were placed for trauma.

Sites / Locations

  • State University of New York at Buffalo
  • The Hebrew University-Hadassah

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

A -

B - Postive control

Arm Description

fluoride toothpaste (Ultrabrite)

fluoride/triclosan/copolymer toothpaste

Outcomes

Primary Outcome Measures

Mombelli Plaque Index (mPI) for Natural Teeth
Modified Plaque Index (mPI)is a Dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Mombelli Plaque Index (mPI) for Natural Teeth
Modified Plaque Index (mPI) is a Dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Mombelli Plaque Index (mPI) for Dental Implants
Modified Plaque Index (mPI) is a dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Mombelli Plaque Index (mPI) for Dental Implants
Modified Plaque Index (mPI) is a dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Löe-Silness Gingival Index Score (GI) - Natural Teeth
Gingivitis score(GI) is defined: 0 = Absence of inflammation,1 = Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding. Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score = adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Löe-Silness Gingival Index Score (GI) - Natural Teeth
Gingivitis score(GI) is defined: 0 = Absence of inflammation,1 = Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding.Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score = adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Löe-Silness Gingival Index Score (GI)- Dental Implants
Gingivitis Score (GI) is defined: 0 = Absence of inflammation,1=Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding. Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score=adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Löe-Silness Gingival Index Score (GI)- Dental Implants
Gingivitis Score (GI) is defined: 0 = Absence of inflammation,1 = Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding. Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score=adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Gingival Bleeding on Probing (BOP) Using Sulcus Bleeding Index for Teeth
Sulcus bleeding index for teeth is explained here. Gums around teeth are scored:0 = gingiva of normal texture & color, no bleeding;1 = gingiva normal, bleeds on probing;2 = bleeding on probing,change in color, no oedema; 3 = bleeding on probing,change in color, slight oedema;4 = bleeding on probing, change in color, obvious oedema;5=bleeding on probing, spontaneous bleeding, change in color, marked oedema.
Gingival Bleeding on Probing (BOP) Using Sulcus Bleeding Index for Teeth
Sulcus bleeding index for teeth is explained here. Gums around teeth are scored:0 = gingiva of normal texture & color, no bleeding;1 = gingiva normal, bleeds on probing;2 = bleeding on probing,change in color, no oedema;3 = bleeding on probing,change in color, slight oedema;4 = bleeding on probing,change in color, obvious oedema;5 = bleeding on probing, spontaneous bleeding,change in color,marked oedema.
Gingival Bleeding on Probing (BOP) Using the Modified Sulcus Bleeding Index for Implants
Gingival bleeding on probing (BOP) using the modified sulcus bleeding index for implants. Scale equals 0 = No bleeding when periodontal probe is passed along the gingival margin;1 = Isolated bleeding spots visible;2 = Blood forms a confluent red line on the gingival margin;3 = Heavy or profuse bleeding.
Gingival Bleeding on Probing (BOP) Using the Modified Sulcus Bleeding Index for Implants
Gingival bleeding on probing (BOP) using the modified sulcus bleeding index for implants. Scale equals 0 = No bleeding when periodontal probe is passed along the gingival margin;1 = Isolated bleeding spots visible;2 = Blood forms a confluent red line on the gingival margin;3 = Heavy or profuse bleeding.
A.Actinomycetemcomitans (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are Least means square (LSM)determined by baseline adjusted means including Standard Error of means (SEM).
A.Actinomycetemcomitans (DNA Probe Analysis)- Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data point is Least means square (LSM) determined by baseline adjusted means including Standard Error of Means (SEM).
A.Actinomycetemcomitans (DNA Probe Analysis)- Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implant. Data point is Least means square (LSM) determined by baseline adjusted means including Standard Error of Means (SEM).
A.Actinomycetemcomitans (DNA Probe Analysis)- Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implant. Data point is Least means square (LSM) determined by baseline adjusted means including Standard Error of Means (SEM).
C.Rectus (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
C.Rectus (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
C.Rectus (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
C.Rectus (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Capnocytophaga sp. (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Capnocytophaga sp. (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Capnocytophaga sp. (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Capnocytophaga sp. (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
E.Corrodens (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
E.Corrodens (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
E.Corrodens (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
E.Corrodens (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
E.Saburreum (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
E.Saburreum (DNA Probe Analysis)- Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)detemined by using baseline adjusted means including standard error of means (SEM).
E.Saburreum (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
E.Saburreum (DNA Probe Analysis) - Dental Implant
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
F.Nucleatum (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)determined by using baseline adjusted means including standard error of means (SEM).
F.Nucleatum (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
F.Nucleatum (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by using baseline adjusted means including standard error of means (SEM).
F.Nucleatum (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by using baseline adjusted means including standard error of means (SEM).
Neissera sp. (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Neissera sp. (DNA Probe Analysis) Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Neissera sp. (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Neissera sp. (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Gingivalis (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
P.Gingivalis (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM)
P.Gingivalis (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
P.Gingivalis (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
P.Intermedia (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Intermedia (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Intermedia (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Intermedia (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Melaninogenica (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Melaninogenica (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for both natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Melaninogenica (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
P.Melaninogenica (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Solobacterium (S.Moorei)(DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Solobacterium (S.Moorei)(DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error (SEM).
Solobacterium (S.Moorei)(DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Solobacterium (S.Moorei)(DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Streptococci (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means )SEM).
Streptococci (DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Streptococci (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means )SEM).
Streptococci (DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means )SEM).
T.Forsythia (DNA Probe Analysis)- Natural Teeth
14 microorganisms were identified via DNA probe analysis for both natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
T.Forsythia (DNA Probe Analysis)-Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
T.Forsythia (DNA Probe Analysis)- Dental Implants
14 microorganisms were identified via DNA probe analysis for both Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
T.Forsythia (DNA Probe Analysis)- Dental Implants
14 microorganisms were identified via DNA probe analysis for both Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Veillonella sp.(DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error (SEM)
Veillonella sp.(DNA Probe Analysis) - Natural Teeth
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error (SEM).
Veillonella sp.(DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error (SEM)
Veillonella sp.(DNA Probe Analysis) - Dental Implants
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error (SEM)

Secondary Outcome Measures

Full Information

First Posted
September 26, 2008
Last Updated
January 4, 2011
Sponsor
Colgate Palmolive
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1. Study Identification

Unique Protocol Identification Number
NCT00762619
Brief Title
Clinical Study to Examine Brushing on Dental Implants
Official Title
Clinical Study to Examine Brushing on Dental Implants
Study Type
Interventional

2. Study Status

Record Verification Date
January 2011
Overall Recruitment Status
Completed
Study Start Date
April 2007 (undefined)
Primary Completion Date
August 2008 (Actual)
Study Completion Date
August 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Colgate Palmolive

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The efficacy of two dentifrices in controlling gingivitis and plaque in adults with implants

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gingival Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
105 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A -
Arm Type
Placebo Comparator
Arm Description
fluoride toothpaste (Ultrabrite)
Arm Title
B - Postive control
Arm Type
Active Comparator
Arm Description
fluoride/triclosan/copolymer toothpaste
Intervention Type
Drug
Intervention Name(s)
Fluoride
Other Intervention Name(s)
Ultrabrite toothpaste
Intervention Description
Brush twice daily
Intervention Type
Drug
Intervention Name(s)
Triclosan, fluoride
Other Intervention Name(s)
Total toothpaste
Intervention Description
Brush twice daily
Primary Outcome Measure Information:
Title
Mombelli Plaque Index (mPI) for Natural Teeth
Description
Modified Plaque Index (mPI)is a Dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Time Frame
3 months
Title
Mombelli Plaque Index (mPI) for Natural Teeth
Description
Modified Plaque Index (mPI) is a Dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Time Frame
6 months
Title
Mombelli Plaque Index (mPI) for Dental Implants
Description
Modified Plaque Index (mPI) is a dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Time Frame
3 months
Title
Mombelli Plaque Index (mPI) for Dental Implants
Description
Modified Plaque Index (mPI) is a dental plaque scale as follows 0 = No plaque, 1 = Separate flecks of plaque at the cervical margin;2 = Plaque can be seen by naked eye.3 = Abundance of soft matter. The lower the number the less plaque is present on the tooth.
Time Frame
6 months
Title
Löe-Silness Gingival Index Score (GI) - Natural Teeth
Description
Gingivitis score(GI) is defined: 0 = Absence of inflammation,1 = Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding. Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score = adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Time Frame
3 months
Title
Löe-Silness Gingival Index Score (GI) - Natural Teeth
Description
Gingivitis score(GI) is defined: 0 = Absence of inflammation,1 = Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding.Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score = adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Time Frame
6 months
Title
Löe-Silness Gingival Index Score (GI)- Dental Implants
Description
Gingivitis Score (GI) is defined: 0 = Absence of inflammation,1=Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding. Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score=adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Time Frame
3 months
Title
Löe-Silness Gingival Index Score (GI)- Dental Implants
Description
Gingivitis Score (GI) is defined: 0 = Absence of inflammation,1 = Mild inflammation-slight change in color and little change in texture,2 = Moderate inflammation-moderate glazing,redness,edema & hypertrophy,3 = Severe inflammation-marked redness and hypertrophy tendency for spontaneous bleeding. Each tooth is scored on 6 surfaces:mesio-facial;2)mid-facial;3)disto-facial;4)mesio-lingual;5)mid-lingualand 6)disto-lingual. A whole mouth score=adding all the GI scores & dividing by the total of number of sites scored. 3rd molars and teeth with restorations or crowns will be excluded.
Time Frame
6 months
Title
Gingival Bleeding on Probing (BOP) Using Sulcus Bleeding Index for Teeth
Description
Sulcus bleeding index for teeth is explained here. Gums around teeth are scored:0 = gingiva of normal texture & color, no bleeding;1 = gingiva normal, bleeds on probing;2 = bleeding on probing,change in color, no oedema; 3 = bleeding on probing,change in color, slight oedema;4 = bleeding on probing, change in color, obvious oedema;5=bleeding on probing, spontaneous bleeding, change in color, marked oedema.
Time Frame
3 months
Title
Gingival Bleeding on Probing (BOP) Using Sulcus Bleeding Index for Teeth
Description
Sulcus bleeding index for teeth is explained here. Gums around teeth are scored:0 = gingiva of normal texture & color, no bleeding;1 = gingiva normal, bleeds on probing;2 = bleeding on probing,change in color, no oedema;3 = bleeding on probing,change in color, slight oedema;4 = bleeding on probing,change in color, obvious oedema;5 = bleeding on probing, spontaneous bleeding,change in color,marked oedema.
Time Frame
6 months
Title
Gingival Bleeding on Probing (BOP) Using the Modified Sulcus Bleeding Index for Implants
Description
Gingival bleeding on probing (BOP) using the modified sulcus bleeding index for implants. Scale equals 0 = No bleeding when periodontal probe is passed along the gingival margin;1 = Isolated bleeding spots visible;2 = Blood forms a confluent red line on the gingival margin;3 = Heavy or profuse bleeding.
Time Frame
3 months
Title
Gingival Bleeding on Probing (BOP) Using the Modified Sulcus Bleeding Index for Implants
Description
Gingival bleeding on probing (BOP) using the modified sulcus bleeding index for implants. Scale equals 0 = No bleeding when periodontal probe is passed along the gingival margin;1 = Isolated bleeding spots visible;2 = Blood forms a confluent red line on the gingival margin;3 = Heavy or profuse bleeding.
Time Frame
6 months
Title
A.Actinomycetemcomitans (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are Least means square (LSM)determined by baseline adjusted means including Standard Error of means (SEM).
Time Frame
3 months
Title
A.Actinomycetemcomitans (DNA Probe Analysis)- Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data point is Least means square (LSM) determined by baseline adjusted means including Standard Error of Means (SEM).
Time Frame
6 months
Title
A.Actinomycetemcomitans (DNA Probe Analysis)- Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implant. Data point is Least means square (LSM) determined by baseline adjusted means including Standard Error of Means (SEM).
Time Frame
3 months
Title
A.Actinomycetemcomitans (DNA Probe Analysis)- Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implant. Data point is Least means square (LSM) determined by baseline adjusted means including Standard Error of Means (SEM).
Time Frame
6 months
Title
C.Rectus (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
C.Rectus (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
C.Rectus (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
C.Rectus (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Capnocytophaga sp. (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
Capnocytophaga sp. (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Capnocytophaga sp. (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
Capnocytophaga sp. (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
E.Corrodens (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
E.Corrodens (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
E.Corrodens (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
E.Corrodens (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
E.Saburreum (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
E.Saburreum (DNA Probe Analysis)- Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)detemined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
E.Saburreum (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
E.Saburreum (DNA Probe Analysis) - Dental Implant
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
F.Nucleatum (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM)determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
F.Nucleatum (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
Time Frame
6 months
Title
F.Nucleatum (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
F.Nucleatum (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM)determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Neissera sp. (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
Neissera sp. (DNA Probe Analysis) Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points least means square (LSM) determined by baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Neissera sp. (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
Neissera sp. (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
P.Gingivalis (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
Time Frame
3 months
Title
P.Gingivalis (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM)
Time Frame
6 months
Title
P.Gingivalis (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
Time Frame
3 months
Title
P.Gingivalis (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error of means (SEM)
Time Frame
6 months
Title
P.Intermedia (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
P.Intermedia (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
P.Intermedia (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
P.Intermedia (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
P.Melaninogenica (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
P.Melaninogenica (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for both natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
P.Melaninogenica (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
P.Melaninogenica (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Solobacterium (S.Moorei)(DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
Solobacterium (S.Moorei)(DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error (SEM).
Time Frame
6 months
Title
Solobacterium (S.Moorei)(DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
Solobacterium (S.Moorei)(DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Streptococci (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means )SEM).
Time Frame
3 months
Title
Streptococci (DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Streptococci (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means )SEM).
Time Frame
3 months
Title
Streptococci (DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means )SEM).
Time Frame
6 months
Title
T.Forsythia (DNA Probe Analysis)- Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for both natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
T.Forsythia (DNA Probe Analysis)-Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
T.Forsythia (DNA Probe Analysis)- Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for both Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
3 months
Title
T.Forsythia (DNA Probe Analysis)- Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for both Dental Implants. Data points are least means square (LSM) determined by using baseline adjusted means including standard error of means (SEM).
Time Frame
6 months
Title
Veillonella sp.(DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error (SEM)
Time Frame
3 months
Title
Veillonella sp.(DNA Probe Analysis) - Natural Teeth
Description
14 microorganisms were identified via DNA probe analysis for natural teeth. Data points are least means square (LSM) determined by using baseline adjusted means including standard error (SEM).
Time Frame
6 months
Title
Veillonella sp.(DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error (SEM)
Time Frame
3 months
Title
Veillonella sp.(DNA Probe Analysis) - Dental Implants
Description
14 microorganisms were identified via DNA probe analysis for Dental Implants. Data points are least means square (LSM) detemined by using baseline adjusted means including standard error (SEM)
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
76 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females in good oral and general health aged 18 to 76 years. A willingness to read, understand, and sign the Informed Consent Form after the nature of the study has been fully explained to them. Subject should demonstrate willingness to comply with all study procedures and availability for duration of study. Subjects will use the provided test articles and discontinue the use of other dentifrices and mouthrinses for the duration of the study. A minimum of 20 natural teeth with facial and lingual scorable surfaces. Teeth that are grossly carious, fully crowned or extensively restored on facial and/or lingual surfaces, orthodontically banded, abutments, or third molars will not be included in the tooth count. Adequate oral hygiene and no signs of oral neglect. Subjects will have at least one dental implant and a contralateral natural tooth. At the first visit subjects will be examined by a dentist for periodontal health. Selected subjects will have periodontal pockets less than 6mm. Subjects with gingival index equal to or greater than 1.0 and plaque index equal to or greater than or 1. 5 on the implant tooth will be enrolled. Gingival and plaque indices will be measured during the first visit for the implant. Similarly, these clinical indices (Gingival and plaque index) will be determined for the contralateral natural tooth. (The adjacent teeth will serve as a backup for the studies if control tooth is lost during study). Subjects who are habitual users of Colgate Total or other oral hygiene formulations with antimicrobial agents will complete a washout phase of 30 days with a commercial fluoride dentifrice prior to enrollment in the study. This washout dentifrice will be identified and obtained by the clinical investigator from an appropriate local source. Exclusion Criteria: History of significant adverse effects following use of oral hygiene products such as toothpastes and mouthrinses. Allergy to personal care/consumer products or their ingredients. Regular use of mouthwash with antimicrobial agents within the past month. History of diabetes or hepatic or renal disease, or other serious medical conditions or transmittable diseases, e.g. heart disease or AIDS. History of hepatitis, rheumatic fever, pacemaker, or prosthetic heart valves, heart murmur, mitral valve prolapse or other conditions requiring prophylactic antibiotic coverage prior to invasive dental procedures. Subjects presenting significant medical conditions or need for long term drug therapy. Subjects on antibiotic, anti inflammatory or anticoagulant therapy during the month preceding the baseline exam. Significant oral soft tissue pathology, systemically related gingival enlargement, severe gingivitis (based on a visual examinations) that would interfere with the study. History of active severe periodontal disease with bleeding gums and loose teeth. Widespread caries or chronic neglect. Subjects presenting with gross dental caries, severe generalized cervical abrasion and/or enamel abrasion, and large fractured or temporary restorations (based on visual examinations). Fixed or removable orthodontic appliance or removable partial dentures. Participation in any clinical study including dental plaque/gingivitis clinical trial involving oral care products, within the last 30 days. History of dental prophylaxis or treatments in the month preceding the start of study. Self reported pregnancy or lactation. History or current use of objects to pierce the lips or tongue. Subjects known to be an alcoholic, or a recovering alcoholic. History or current use of recreational drugs or narcotics. Determine smoking status of subjects and exclude current smokers. Determine reason for placing implants in subject to exclude subjects whose implants were placed for trauma.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jonathan Mann, MSc
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Joseph J Zambon, DDS
Official's Role
Principal Investigator
Facility Information:
Facility Name
State University of New York at Buffalo
City
Buffalo
State/Province
New York
ZIP/Postal Code
14260-1604
Country
United States
Facility Name
The Hebrew University-Hadassah
City
Jerusalem
Country
Israel

12. IPD Sharing Statement

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Clinical Study to Examine Brushing on Dental Implants

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