Plain English Summary
Background and study aims
Gingivitis represents perhaps the most common disease of the periodontium, with a majority of adolescents and dentate adults affected worldwide. Various factors have been implicated in disease extent or severity. Of these, the microorganisms in dental plaque are recognized as playing a prominent etiological role. In the absence of adequate oral hygiene, supragingival plaque accumulation may be rapid, and visible gingival inflammation manifested within a few days.
Even in extreme plaque accumulation conditions, thorough oral hygiene and mechanical plaque removal is reported to reduce gingivitis and restore health. Control of supragingival plaque is an essential element in effective oral hygiene programs. Oral hygiene devices are under continuous review for efficacy and safety, as new devices or improvements of features on existing devices are developed.
The objective of the study is to evaluate and compare the efficacy of a new interactive experimental electric toothbrush to a marketed interactive sonic toothbrush in the reduction of gingivitis and dental plaque over a 12-week period by using the Modified Gingival Index, the Gingival Bleeding Index and the Rustogi Modification of the Navy Plaque Index.
Who can participate?
Generally healthy adults with evidence of plaque and mild to moderate gingivitis.
What does the study involve?
Participants are randomly assigned to either the Test group (new interactive experimental electrical toothbrush) or the Control group (marketed interactive sonic electrical toothbrush). Participants are instructed to download and install the app for their assigned brush on their mobile device and to use the app when brushing for the duration of the study. Participants used their assigned products with a regular toothpaste twice daily at home for the duration of the study.
Plaque measurements are taken at: Baseline visit (pre- and post-brushing), Week 1, and Week 12 visits (both pre-brushing only). Gingivitis measurements are taken at: Baseline, Week 1, and Week 12 visits. The individual appointments at Baseline, Week 1 and Week 12 are scheduled for approximately the same daytime for all three visits. Participants are instructed to abstain from any oral hygiene for 12 hours prior to all visits.
What are the possible benefits and risks of participating?
The study is designed to assess if the participants in the Test group will experience an improvement in oral health. Participants used the test products at home in place of their regular toothbrush and toothpaste. Products are returned at the end of the study.
The dentifrice provided in this study is currently marketed. The risk from chemical hazard is negligible, or no greater than what would have been encountered during daily life.
The experimental electrical toothbrush is made from materials used in currently marketed brushes and the Control sonic toothbrush is currently marketed. There are no anticipated risks from the materials used in the experimental toothbrush.
Toothbrushes are not anticipated to cause any serious or long-term effects on oral tissue including gingival recession. This study involved the use of toothbrushes as part of a normal oral hygiene routine. No behavior with incremental risk is requested from participants. In addition, their participation helped in the development of products that aim to improve oral health. There are no notable risks involved with participating.
Where is the study run from?
All Sum Research Ltd. (Canada)
When is the study starting and how long is it expected to run for?
January to April 2020
Who is funding the study?
Procter and Gamble Company (USA)
Who is the main contact?
Dr. Chhaju Ram Goyal, DDS
crgoyal@allsumrc.com
Trial website
Contact information
Type
Scientific
Primary contact
Dr Chhaju Ram Goyal
ORCID ID
Contact details
All Sum Research Center Ltd.
6635 Kitimat Rd. #36 & #37
Mississauga
Ontario
L5N 6J2
Canada
+ 1 (905) 812-1099
crgoyal@allsumrc.com
Additional identifiers
EudraCT number
Nil known
ClinicalTrials.gov number
Nil known
Protocol/serial number
Clinical Protocol 2019136
Study information
Scientific title
A 12-week clinical study to compare a new interactive power toothbrush to an interactive sonic toothbrush in the reduction of gingivitis and plaque
Acronym
Study hypothesis
The objective of the research is to investigate whether 12 weeks use of a new interactive electrical toothbrush will result in better gingival health when compared to a marketed interactive sonic electrical toothbrush (measured for gingivitis using the Modified Gingival Index [MGI] and Gingival Bleeding Index [GBI] and measured for plaque using the Rustogi Modification of the Navy Plaque Index [RMNPI]).
Ethics approval
Approved 30/10/2019, Veritas IRB Inc. (8555 Transcanada Hwy., Suite 201, Montreal, Quebec, H4S 1Z6, Canada; +1 514.337.0442; nhamzeh@veritasirb.com), ref: 16457-10:58:3029-10-2019
Study design
Single-center randomized controlled examiner-blind two-treatment parallel study
Primary study design
Interventional
Secondary study design
Randomised parallel trial
Trial setting
Other
Trial type
Prevention
Patient information sheet
Not available in web format, please use contact details to request a participant information sheet.
Condition
Mild to moderate gingivitis
Intervention
Participants are stratified at baseline on tobacco use, mean gingivitis score, number of bleeding sites, and mean plaque index. Within these strata, participants are randomly assigned to either the Test group (new interactive toothbrush) or the Control group (marketed interactive toothbrush).
Participants are instructed to use the study products according to the manufacturer instructions at home twice daily (morning and evening) in place of their normal oral hygiene for the duration of the study (12 weeks).
Gingivitis measurements are taken at: Baseline, Week 1, and Week 12 visits. Plaque measurements are taken at: Baseline visit (pre- and post-brushing), Week 1, and Week 12 visits (both pre-brushing only).
Intervention type
Device
Phase
Not Applicable
Drug names
Primary outcome measure
1. Gingival inflammation and bleeding measured by Modified Gingival Index (MGI) and Gingival Bleeding Index (GBI) at baseline, week 1, and week 12
2. Dental plaque measured by Rustogi Modification of the Navy Plaque Index (RMNPI) at baseline (pre- and post-brushing), week 1, and week 12 (both pre-brushing only)
Secondary outcome measures
None
Overall trial start date
13/01/2020
Overall trial end date
24/04/2020
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. Give written informed consent prior to study participation and be given a signed copy of their informed consent form
2. Be at least 18 years of age and typically use a manual toothbrush
3. Be in good general health as determined by the investigator/designee based on a review/update of their medical history
4. Possess a minimum of 16 natural teeth with facial and lingual scorable surfaces
5. Possess a smartphone which runs Android 7.0 to 10.0, or an iPhone that runs on iOS 11.0 to 13.0 and agree to download a toothbrushing app from the manufacturer of the assigned brush. The mobile device must support Bluetooth 4.2 (or higher)/Bluetooth Smart.
6. Baseline whole mouth mean MGI score of at least 1.75 but not more than 2.5
7. Baseline whole mouth pre-brushing RMNPI score of greater than 0.5
8. Have at least 20 but not more than 90 bleeding sites (sites with a score of 1 or 2 on the GBI index) for Baseline whole mouth mean
9. Agree not to participate in any other oral care study for the duration of this study
10. Agree to not to have any elective dentistry, including dental prophylaxis, until study completion and to report any non-study dentistry received at any time during the course of this study
11. Agree to refrain from using any non-study oral hygiene products for the study duration
12. Agree to return for all their scheduled visits and to follow all study procedures
13. Refrain from brushing their teeth or from performing any other oral hygiene procedure anytime within the 12 hours prior to Baseline Visit and agree to follow these same restrictions prior to all visits
14. Refrain from medicated lozenges, breath mints, eating, drinking*, chewing gum and using tobacco for at least 4 hours prior to this visit and agree to follow these same restrictions prior to all visits. *(Allowed small sips of water up until 45 minutes prior to their appointments.)
Participant type
Healthy volunteer
Age group
Adult
Gender
Both
Target number of participants
110
Participant exclusion criteria
1. A condition requiring the need for antibiotic premedication prior to dental procedures
2. Severe periodontal disease, including but not limited to, purulent exudates, generalized mobility, and/or severe recession
3. Teeth that are grossly carious, fully crowned, or extensively restored
4. Active treatment for the following conditions: periodontitis, cancer, or a seizure disorder
5. Report to be nursing or pregnant, or intend to become pregnant any time during the course of this study
6. Taking an antibiotic or using a chlorhexidine mouth rinse any time within the previous 2 weeks
7. Have any of the following: orthodontic appliances, removable partial dentures, peri/oral piercings, a pacemaker or other implanted device
8. Oral/gum surgery within the previous two months
9. Any disease or condition that could possibly interfere with examination/procedures or with the subject’s safe completion of this study
Recruitment start date
20/01/2020
Recruitment end date
24/01/2020
Locations
Countries of recruitment
Canada
Trial participating centre
All Sum Research Center Ltd.
6635 Kitimat Rd. #36 & #37
Mississauga, Ontario
L5N 6J2
Canada
Sponsor information
Organisation
Procter & Gamble (United States)
Sponsor details
8700 Mason-Montgomery Road
Mason
45040
United States of America
+1 513-622-1000
timm.h@pg.com
Sponsor type
Industry
Website
Funders
Funder type
Industry
Funder name
Procter and Gamble
Alternative name(s)
Procter & Gamble, PandG, P&G
Funding Body Type
private sector organisation
Funding Body Subtype
For-profit companies (industry)
Location
United States of America
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer reviewed journal.
IPD sharing statement
The datasets generated during and/or analysed during the current study are not expected to be made available because if the raw data is available but not analyzed appropriately by qualified experts in the area, it may lead to misinterpretation of the results. Study protocol, statistical analysis plan, and other additional documents are not intended to become available online.
Intention to publish date
31/12/2020
Participant level data
Not expected to be available
Basic results (scientific)
Publication list