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Manual Versus Oscillating-rotating Toothbrushes After Root Coverage Procedure

Primary Purpose

Gingival Recession

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Manual Toothbrush
Oscillating-rotating toothbrush
Sponsored by
University of Milan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gingival Recession focused on measuring Toothbrushing, Oral hygiene, Dental hygiene

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Full-Mouth Plaque Score (FMPS) ≤25%
  • Full-Mouth Bleeding Score (FMBS) ≤25%
  • Miller Class I and II buccal recession ≥2 mm

Exclusion Criteria:

  • Relevant systemic condition or disease
  • Smokers
  • Teeth with prosthetic crowns or restorations in the cervical area
  • Presence of pulling frenum in the keratinized tissue
  • Previous mucogingival or periodontal surgery in the experimental site

Sites / Locations

  • Clinica Odontoiatrica IRCCS Ospedale Maggiore Policlinico

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Manual Toothbrush

Oscillating-rotating toothbrush

Arm Description

Patients were instructed in the Roll Brushing Technique, twice daily for 2 min.

Patients received manufacturer's instructions for use, including brushing twice daily for 2 min.

Outcomes

Primary Outcome Measures

Change in Complete Root Coverage Rate
Abscence of exposed root surface measured ad percentage
Change in Complete Root Coverage Rate
Abscence of exposed root surface measured ad percentage
Change in Complete Root Coverage Rate
Abscence of exposed root surface measured ad percentage

Secondary Outcome Measures

Change in Recession Depth
Distance from the gingival margin to the cementum-enamel junction, measured in millimeters
Change in Clinical Attachment Level
Distance from the cementum-enamel junction to the bottom of the periodontal Pocket, measured in millimeters
Change in Probing Pocket Depth
Distance from the gingival margin to the bottom of the periodontal pocket, measured in millimeters

Full Information

First Posted
August 21, 2015
Last Updated
August 26, 2015
Sponsor
University of Milan
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1. Study Identification

Unique Protocol Identification Number
NCT02534220
Brief Title
Manual Versus Oscillating-rotating Toothbrushes After Root Coverage Procedure
Official Title
Gingival Margin Stability After Mucogingival Plastic Surgery. The Effect of Manual Versus Powered Toothbrushing: a Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
February 2014 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Milan

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to evaluate the gingival margin stability with the use of oscillating-rotating toothbrushes compared to manual toothbrushes.
Detailed Description
BACKGROUND Oscillating-rotating power toothbrushes have been proven clinically efficacious. To the investigators' knowledge, a clinical evaluation of the safety of these toothbrushes after surgical root coverage procedure have not been published. The aim of this study is to evaluate the gingival margin stability with the use of oscillating-rotating toothbrushes compared to manual toothbrushes. METHODS Sixty healthy patients with at least a single Miller Class I or II gingival recession underwent surgical root coverage procedure. Soft-bristle manual and powered toothbrushes were given to participants randomly assigned to control and test group, respectively. Full-mouth plaque score, Full-mouth Bleeding Score, Probing Pocket Depth and Recession Depth were recorded 1, 3 and 6 months after completion of surgical procedure. Longitudinal analyses were performed using linear random-intercept models to take into account within-subject correlations over time. Temporal trend differences across treatments by including treatment-time interaction terms were then tested using a global Wald test.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gingival Recession
Keywords
Toothbrushing, Oral hygiene, Dental hygiene

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Manual Toothbrush
Arm Type
Active Comparator
Arm Description
Patients were instructed in the Roll Brushing Technique, twice daily for 2 min.
Arm Title
Oscillating-rotating toothbrush
Arm Type
Experimental
Arm Description
Patients received manufacturer's instructions for use, including brushing twice daily for 2 min.
Intervention Type
Device
Intervention Name(s)
Manual Toothbrush
Intervention Description
Gum Delicate Post-Surgical Toothbrush, Oral-B, Procter & Gamble, Cincinnati, OH
Intervention Type
Device
Intervention Name(s)
Oscillating-rotating toothbrush
Intervention Description
Triumph 5000, Oral-B, Procter & Gamble, Cincinnati, OH
Primary Outcome Measure Information:
Title
Change in Complete Root Coverage Rate
Description
Abscence of exposed root surface measured ad percentage
Time Frame
Change in Complete Root Coverage Rate at 1 month
Title
Change in Complete Root Coverage Rate
Description
Abscence of exposed root surface measured ad percentage
Time Frame
Change in Complete Root Coverage Rate at 3 months
Title
Change in Complete Root Coverage Rate
Description
Abscence of exposed root surface measured ad percentage
Time Frame
Change in Complete Root Coverage Rate at 6 months
Secondary Outcome Measure Information:
Title
Change in Recession Depth
Description
Distance from the gingival margin to the cementum-enamel junction, measured in millimeters
Time Frame
Baseline, 1 month, 3 months, 6 months
Title
Change in Clinical Attachment Level
Description
Distance from the cementum-enamel junction to the bottom of the periodontal Pocket, measured in millimeters
Time Frame
Baseline, 1 month, 3 months, 6 months
Title
Change in Probing Pocket Depth
Description
Distance from the gingival margin to the bottom of the periodontal pocket, measured in millimeters
Time Frame
Baseline, 1 month, 3 months, 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Full-Mouth Plaque Score (FMPS) ≤25% Full-Mouth Bleeding Score (FMBS) ≤25% Miller Class I and II buccal recession ≥2 mm Exclusion Criteria: Relevant systemic condition or disease Smokers Teeth with prosthetic crowns or restorations in the cervical area Presence of pulling frenum in the keratinized tissue Previous mucogingival or periodontal surgery in the experimental site
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Giulio Rasperini
Organizational Affiliation
Unit of Periodontology, Department of Biomedical, Surgical and Dental Sciences, University of Milan, Foundation IRCCS Ca' Granda Policlinic
Official's Role
Study Director
Facility Information:
Facility Name
Clinica Odontoiatrica IRCCS Ospedale Maggiore Policlinico
City
Milan
State/Province
MI
ZIP/Postal Code
20122
Country
Italy

12. IPD Sharing Statement

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Manual Versus Oscillating-rotating Toothbrushes After Root Coverage Procedure

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