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To Compare the Effectiveness of Three Self-care Oral Hygiene Regimens

Primary Purpose

Gingivitis

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Power device A
Power device B
Routine Oral Hygiene
Sponsored by
Water Pik, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gingivitis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Provided written informed consent prior to being entered into the study
  • Have at least twenty (20) natural teeth (5 evaluable teeth in each quadrant) with scorable facial and lingual surfaces as determined by examiner
  • No tobacco use or other substance via the mouth including but not limited to cigarettes, cigars, smokeless tobacco hookah, cannabis, snuff, chew, or vaping electronic cigarettes
  • Have a minimum of 50% bleeding on probing sites (6 sites per tooth, total of 120 - 168 total sites)
  • Have probing depths </= 4 mm
  • Have a mean baseline gingival index score of >/= to 1.75 as determined by the Modified Gingival Index.
  • Agree not to have a dental prophylaxis or any other elective, non-emergency dental procedures any time during the study
  • Agree to abstain from the use of 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 aids other than the study procedures for the duration of the study
  • Agree to refrain from all oral hygiene on morning of each evaluation visit
  • Agree to comply with the conditions ad 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 supra- or subgingival calculus that might interfere with evaluations as determined by the examiner.
  • Evidence of major oral hard or soft tissue lesions or trauma at the baseline visit as determined by the examiner.
  • Conditions requiring antibiotic treatment prior to dental procedures.
  • History of uncontrolled diabetes or hepatic or renal disease, or other serious conditions or transmittable disease, (e.g. cardiomyopathy, immunocompromised).
  • Subjects with several fully crowned or extensively restored teeth, orthodontic appliances, peri/oral piercings, or removable partial dentures.
  • Treatment with antibiotics within 6 months 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, Coumadin, nonsteroidal anti-inflammatory drugs, and aspirin (325 mg)) within the month before the baseline examination. All other medications for chronic medical conditions must have been initiated at least 3 months before enrollment.
  • Have severe periodontal disease or being actively treated for periodontal disease.
  • Having history of early-onset periodontitis or acute necrotizing ulcerative gingivitis.
  • Concomitant periodontal therapy other than prophylaxis in the last 3 months.
  • Professional prophylaxis within 1 month prior to the baseline clinical evaluation.
  • Subjects who participated in a gingivitis study in the past month.
  • History of significant adverse event following use of oral hygiene products such as toothpastes and mouth rinses.
  • Self-reported pregnancy or lactating women or planning to become pregnant during the study.

Sites / Locations

  • All Sum Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Sonic-Floss toothbrush and small brush head

Sonic-Floss toothbrush and full size brush head

Manual brushing and flossing

Arm Description

sonic toothbrush used for 2 minutes and water flosser used for 1 minute

sonic toothbrush used for 2 minutes and water flosser used for 1 minute

American Dental Association standard manual toothbrush used for 2 minutes and dental floss all teeth

Outcomes

Primary Outcome Measures

Bleeding on Probing
Binary measure of present = 1 or absent =0. Mean score is determined by adding the total number of sites with bleeding (six per tooth) and dividing by the total evaluable sites.
Modified Gingival Index
Index uses a 0 - 4 point scale

Secondary Outcome Measures

Rustogi Modification of the Navy Plaque Index
Each tooth is scored using 9 sections for the facial and lingual surfaces.

Full Information

First Posted
November 17, 2020
Last Updated
October 4, 2021
Sponsor
Water Pik, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04804670
Brief Title
To Compare the Effectiveness of Three Self-care Oral Hygiene Regimens
Official Title
To Determine the Effectiveness of a Sonic Toothbrush and Interdental Device With Different Toothbrush Designs to Brushing and Flossing on Plaque, Gingival Bleeding and Inflammation: a 4-week Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
October 19, 2020 (Actual)
Primary Completion Date
November 20, 2020 (Actual)
Study Completion Date
January 8, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Water Pik, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
The study is designed to evaluate the clinical changes in gingival health by measuring the reduction of gingival bleeding and inflammation over 4 weeks. Additionally, plaque removal will be evaluated after a single use (part 1) and over 4 weeks (part 2).
Detailed Description
Data will be analyzed and reported as mean. The target population is approximately 105 healthy adult volunteers. there will be three groups with 35 subjects per group. Subjects will be randomized using a simple random sample. A computer-generated randomization schedule will be prepared by the study statistician. Based on the randomization schedule, subjects will be randomly assigned in a 1:1:1 ratio. With 35 subjects per group, the study will have 90% power to detect an average reduction in the percent of sites with BOP of 25%. The primary outcome will be the reduction in the percentage of sites with bleeding on probing (BOP) after 4 weeks. Reduction in the percentage of sites with BOP after 2 weeks (+/- 2 days). Reduction in the Modified Gingival index after 2 (+/- 2 days) and 4 weeks (+/- 2 days). Reduction in Rustogi Modification of Navy Plaque Index pre & Post, 2 weeks (+/- 2 days) and 4 weeks (+/- 2 days). Data will include whole mouth, approximal, marginal, facial, and lingual analysis for all indices. Intraoral examination will be performed and any adverse events will be reported and followed-up. Subjects will complete a questionnaure at the completion of the study.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Sonic-Floss toothbrush and small brush head
Arm Type
Experimental
Arm Description
sonic toothbrush used for 2 minutes and water flosser used for 1 minute
Arm Title
Sonic-Floss toothbrush and full size brush head
Arm Type
Experimental
Arm Description
sonic toothbrush used for 2 minutes and water flosser used for 1 minute
Arm Title
Manual brushing and flossing
Arm Type
Active Comparator
Arm Description
American Dental Association standard manual toothbrush used for 2 minutes and dental floss all teeth
Intervention Type
Device
Intervention Name(s)
Power device A
Intervention Description
Oral hygiene regimen completed daily
Intervention Type
Device
Intervention Name(s)
Power device B
Intervention Description
Oral hygiene regimen completed daily
Intervention Type
Device
Intervention Name(s)
Routine Oral Hygiene
Intervention Description
Oral hygiene regimen completed daily
Primary Outcome Measure Information:
Title
Bleeding on Probing
Description
Binary measure of present = 1 or absent =0. Mean score is determined by adding the total number of sites with bleeding (six per tooth) and dividing by the total evaluable sites.
Time Frame
4 weeks
Title
Modified Gingival Index
Description
Index uses a 0 - 4 point scale
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Rustogi Modification of the Navy Plaque Index
Description
Each tooth is scored using 9 sections for the facial and lingual surfaces.
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Provided written informed consent prior to being entered into the study Have at least twenty (20) natural teeth (5 evaluable teeth in each quadrant) with scorable facial and lingual surfaces as determined by examiner No tobacco use or other substance via the mouth including but not limited to cigarettes, cigars, smokeless tobacco hookah, cannabis, snuff, chew, or vaping electronic cigarettes Have a minimum of 50% bleeding on probing sites (6 sites per tooth, total of 120 - 168 total sites) Have probing depths </= 4 mm Have a mean baseline gingival index score of >/= to 1.75 as determined by the Modified Gingival Index. Agree not to have a dental prophylaxis or any other elective, non-emergency dental procedures any time during the study Agree to abstain from the use of 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 aids other than the study procedures for the duration of the study Agree to refrain from all oral hygiene on morning of each evaluation visit Agree to comply with the conditions ad 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 supra- or subgingival calculus that might interfere with evaluations as determined by the examiner. Evidence of major oral hard or soft tissue lesions or trauma at the baseline visit as determined by the examiner. Conditions requiring antibiotic treatment prior to dental procedures. History of uncontrolled diabetes or hepatic or renal disease, or other serious conditions or transmittable disease, (e.g. cardiomyopathy, immunocompromised). Subjects with several fully crowned or extensively restored teeth, orthodontic appliances, peri/oral piercings, or removable partial dentures. Treatment with antibiotics within 6 months 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, Coumadin, nonsteroidal anti-inflammatory drugs, and aspirin (325 mg)) within the month before the baseline examination. All other medications for chronic medical conditions must have been initiated at least 3 months before enrollment. Have severe periodontal disease or being actively treated for periodontal disease. Having history of early-onset periodontitis or acute necrotizing ulcerative gingivitis. Concomitant periodontal therapy other than prophylaxis in the last 3 months. Professional prophylaxis within 1 month prior to the baseline clinical evaluation. Subjects who participated in a gingivitis study in the past month. History of significant adverse event following use of oral hygiene products such as toothpastes and mouth rinses. Self-reported pregnancy or lactating women or planning to become pregnant during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jimmy G Qaqish, BSc
Organizational Affiliation
All Sum Research Center Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
All Sum Research Center
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L5N 6J2
Country
Canada

12. IPD Sharing Statement

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To Compare the Effectiveness of Three Self-care Oral Hygiene Regimens

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