Gingivitis Clinical Trial
Official title:
Three Month Clinical Efficacy of an Ethyl Lauroyl Arginate HCL (LAE) Mouth Rinse: Effect on Gingivitis
Subjects will be given special instructions about eating, smoking and taking care of their
teeth during the 18 hours before they come to the dentist's office for screening. At that
first visit, they will be examined by a dentist, who will examine their mouths with a dental
instrument to determine whether they qualify to participate in the trial. Someone who works
for the dentist will also take some oral measurements.
Participants who qualify to be in the study will receive a treatment for their gingivitis and
have an equal chance of being assigned to one of three treatment groups. Subjects in all
three groups will be given toothpaste that is already available in stores. They will brush
their teeth twice daily with a one-inch strip of toothpaste in their regular manner. After
brushing, subjects in one group will use an experimental mouth rinse that is not available in
stores. Another group will be given a mouth rinse to use that is already available in stores,
and the third group will not use any mouth rinse at all. After they receive their assigned
products subjects will be supervised while they brush their teeth and/or rinse to ensure they
understand exactly how to use the products. All other brushing and rinsing over the next
three months will be at home, but subjects will be required to keep a diary to record their
brushing and rinsing times twice each day.
Subjects will be required to bring their diaries and any leftover toothpaste and mouth rinse
with them for four more scheduled appointments after about 1 week, 2 weeks, 4 weeks, and 3
months. At those appointments, the dentist will examine their mouths, make sure there are no
safety concerns, and examine again to get the measurements needed. One of the dentist's staff
members will take other measurements as well.
The study will determine the measured effects of the experimental mouth rinse on gingivitis,
and compare these results to the mouth rinse that is already available, as well as to using
no mouth rinse at all.
At screening/baseline, subjects will present to the clinical site having refrained from oral
hygiene for at least 8 hours, but no more than 18 hours, and from eating or smoking for at
least 4 hours for baseline examinations. Baseline examinations will include Macpherson
modification of the Lobene Stain Index (Extrinsic Stain), Volpe-Manhold Index (Calculus), and
oral hard and soft tissue exam, Modified Gingival Index (MGI), Bleeding Index (BI) and Plaque
Index (PI). After the baseline oral examinations, subjects who qualify will receive a
whole-mouth supragingival dental prophylaxis and random assignment to one of three treatment
groups.
Subjects randomized to the control group will brush twice daily with a marketed fluoride
toothpaste. Subjects randomized to the experimental group will brush twice daily with a
marketed fluoride toothpaste and use an experimental mouth rinse. The last randomized group
will brush twice daily with a marketed fluoride toothpaste and rinse with a marketed mouth
rinse twice daily. The first product use will be conducted under supervision of study
personnel. All other brushing and rinsing will be unsupervised and the subjects will be
required to maintain a diary card to document twice-daily product use, with brushing and
rinsing times. Diaries along with product accountability will be used to check for subject
compliance.
Subjects will return to the clinical site after one week (Day 7±1 day), two weeks (Day 14±2
days), four weeks (Day 28±3 days) and three months (Day 91±5 days). Oral hard and soft tissue
safety, MGI, BI, and PI will be assessed at all visits. Extrinsic Stain and Calculus will be
assessed at baseline, four weeks and three months by a different examiner.
At the end of the study, subjects will return all used and unused product to the clinical
site.
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