Evaluation of Toothbrush Bristles in Plaque Reduction

NCT04681885 — Not applicable, Completed, 10 participants, Sunstar Americas

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RegistryNCT04681885
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, crossover, masking: single, device feasibility
Enrollment10 (Actual)
SponsorSunstar Americas (Industry)
ConditionsPlaque, Dental, Gingivitis
InterventionsTapered bristles A, Tapered bristles B, End rounded bristles (Device)
Datesstart 2021-06-30, primary completion 2021-09-17, completion 2021-09-17, first posted 2020-12-23, last updated 2024-10-15
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Plaque, Dental All trials for Gingivitis All trials of Tapered bristles A All trials of Tapered bristles B

-Summary

The purpose of this cross-over clinical research is to evaluate the cleaning efficacy of toothbrushes tufted with two types of tapered bristles and end rounded bristles in removal of interdental plaque with clinical measurement (Plaque Index) and objective measurement (digitally measured plaque area). This study will demonstrate the influence by a type of processing bristles on removal of interdental plaque and determine an agreement between the different evaluation methods.

This is a randomized evaluator-masked crossover study with 10 subjects. Subjects will be randomly allocated to three test groups. Subjects will use the assigned toothbrush at baseline appointment and two times a day for a week. Plaque Index and plaque area will be assessed before/after one time use at baseline and Day 7. Subjects will be assigned to another toothbrush after one week wash-out period.

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+Arms and interventions

ArmTypeInterventionsDescription
Tapered bristles AExperimentalDevice: Tapered bristles A; Device: Tapered bristles B; Device: End rounded bristlesTest toothbrush with tapered bristle
Tapered bristles BActive comparatorDevice: Tapered bristles A; Device: Tapered bristles B; Device: End rounded bristlesTest toothbrush with tapered bristle
End rounded bristlesActive comparatorDevice: Tapered bristles A; Device: Tapered bristles B; Device: End rounded bristlesConventionla toothbrush with end rounded bristle
  • Tapered bristles A (Device): Subjects use the toothbrush two times daily with a fluoride toothpaste for 2 minutes with instructed brushing method for one week .
  • Tapered bristles B (Device): Subjects use the toothbrush two times daily with a fluoride toothpaste for 2 minutes with instructed brushing method for one week.
  • End rounded bristles (Device): Subjects use the toothbrush two times daily with a fluoride toothpaste for 2 minutes with instructed brushing method for one week.

+Outcome measures

Primary outcomes

  • Change of Navy Plaque Index (Navy Pl) After One-time Brushing [Pre-intervention at baseline and after one-time brushing for 2 minutes at baseline]: Change of Navy Plaque Index (Navy Pl) after one-time brushing in a whole mouth. The Navy Plaque Index (PI) can be either 0 (plaque is not present) or 1 (plaque is present). Each tooth is partitioned into 9 areas, and the PI is evaluated for teeth numbered 2-15 and 18-31, totaling 28 teeth. Both buccal (B) and lingual (L) sides of each tooth are assessed. The PI value of each person ranges from 0 to 504 (28 teeth × 9 areas × 2 sides). Baseline value is calculated by averaging PI values of 10 subjects before brushing. Post-brushing value is calculated by averaging PI values of 10 subjects after a one-time brushing for 2 minutes
  • Change of Digitally Measured Interdental Plaque Area After One-time Brushing [Pre-intervention at baseline and after one-time brushing for 2 minutes at baseline]: Change of digitally measured interdental plaque area on non-molar teeth, facial/buccal aspect after one-time brushing by image analysis.

Secondary outcomes

  • Change of Navy Plaque Index (Navy PI) After 7-day Brushing [Pre-intervention at baseline and after 7- day brushing at baseline]: Change of Navy Plaque Index (Navy Pl) after 7-day brushing in a whole mouth. The Navy Plaque Index (PI) can be either 0 (plaque is not present) or 1 (plaque is present). Each tooth is partitioned into 9 areas, and the PI is evaluated for teeth numbered 2-15 and 18-31, totaling 28 teeth. Both buccal (B) and lingual (L) sides of each tooth are assessed. The PI value of each person ranges from 0 to 504 (28 teeth × 9 areas × 2 sides). Baseline value is calculated by averaging PI values of 10 subjects before brushing. 7-day value is calculated by averaging PI values of 10 subjects after 7-day brushing.
  • Change of Digitally Measured Interdental Plaque Area After 7-day Brushing [Pre-intervention at baseline and after 7-day brushing at baseline]: Change of digitally measured interdental plaque area on non-molar teeth, facial/buccal aspect after 7- day brushing by image analysis.

+Eligibility

Sex: All, ages: 18 Years to 70 Years, accepts healthy volunteers

Inclusion Criteria: Individuals may be included in the study if they meet all of the following inclusion criteria:

* Must have read, understood and signed an informed consent prior to being entered into the study
* Must be 18 to 70 years of age, male or female
* Have at least 20 natural or restored teeth
* Must have average Plaque Index of Ramfjord teeth at baseline greater than 2(Quigley and Hein) at screening
* Agree not to have a dental prophylaxis or any other elective, non-emergency dental procedures (other than those provided during the study) any time during the study
* Agree to refrain from regular oral hygiene regimen for 24 hours and eating for 4 hours before the appointment in the study
* Agree to abstain from the use of any dental products other than those provided in the study
* Agree to comply with the conditions and schedule of the study

Exclusion Criteria: Individuals are not eligible for participation in this study if any of the following are noted:

* Physical limitations or restrictions that might preclude normal tooth brushing
* Evidence of gross oral pathology
* Presence of severe gingivitis with 30 or more sites showing bleeding on probing
* Evidence of major soft tissue lesions or trauma at the baseline visit as determined by the Investigator/Examiner
* Chronic disease with concomitant oral manifestations
* Subjects who are currently undergoing, or require, extensive dental work, orthodontic treatment or periodontal surgery or orthodontic treatment in the preceding 3 months
* Currently using bleaching trays
* Eating disorders
* Recent history of substance abuse
* Smoking >10 cigarettes/day
* Participation in other clinical studies within 14 days of screening

+Posted results

Participant flow

MilestoneTapered Bristles A First, Tapered Bristle B Second, Then End Rounded BristlesTapered Bristles B First, End Rounded Bristles Second, Then Tapered Bristles AEnd Rounded Bristles First, Tapered Bristles A Second, Then Tapered Bristles B
Started433
Completed433
Not completed000

Outcome results

  • Change of Navy Plaque Index (Navy Pl) After One-time Brushing (Primary), Mean, score on a scale: Tapered Bristles A 367.5 +/- 67.4; Tapered Bristles B 346.5 +/- 70.4; End Rounded Bristles 355 +/- 50.9
  • Change of Digitally Measured Interdental Plaque Area After One-time Brushing (Primary)
  • Change of Navy Plaque Index (Navy PI) After 7-day Brushing (Secondary), Mean, score on a scale: Tapered Bristles A 366.3 +/- 67.6; Tapered Bristles B 346.9 +/- 70.4; End Rounded Bristles 354.9 +/- 51.2
  • Change of Digitally Measured Interdental Plaque Area After 7-day Brushing (Secondary)

Adverse events

Time frame: Up to 1 week

ArmDeathsSerious adverse eventsOther adverse events
Tapered Bristles A0/10 (0.0%)0/10 (0.0%)0/10 (0.0%)
Tapered Bristles B0/10 (0.0%)0/10 (0.0%)0/10 (0.0%)
End Rounded Bristles0/10 (0.0%)0/10 (0.0%)1/10 (10.0%)

Other adverse events by term

TermOrgan systemTapered Bristles ATapered Bristles BEnd Rounded Bristles
Mouth ulcerGastrointestinal disorders0/100/101/10

Limitations and caveats: Plaque area is not measured by image analysis due to: 1. The plaque area is so small as area% in a total region of interest. 2. Most of plaque on teeth surface of buccal side was removed after 2-minute brushing in most of subjects, so it is difficult to detect their difference. 3. Quality of accumulated plaque, e.g. thick but shallow area vs. thin but broad area, is hard to do the assessment. 4. Some photos were not appropriate for image analysis due to being a little out of focus.

+Locations (1)

FacilityCityCountryStatus
The University of Tennessee Health Science CenterMemphis, TennesseeUnited States

+Study documents

+Investigators