Gingival Recession Clinical Trial
Official title:
A Pilot Randomized Clinical Trial of a Manual Bristle-less Tooth Brush Demonstrates Slight Improvement in Gingival Recession Compared to a Conventional Soft Manual Brush
This study tests if a bristle-less tooth brush has any measurable effect on gum recession in
patients who are seen regularly for preventive dental care compared to a regular soft
tooth-brush.
Subjects are recruited from patients attending the Western University of Health Sciences
Dental Center and asked to continue regular preventive dental care while using either the
test or control brush for a year and using floss and toothpaste supplied by the researchers.
The exams include measurement of plaque, pockets and gum recession every 3 months, and
involve photographs and impressions of the teeth and gums to record any changes that occur.
Purpose: This randomized clinical trial tested if a novel bristle-less tooth brush design is
more effective in preventing gingival recession in adults receiving periodontal maintenance
than a soft tooth brush with nylon bristles.
Materials and methods: The investigators will recruit 23 subjects with gingival recession
who received regular periodontal maintenance care at Western University of Health Sciences
Dental Center, and who did not exhibit signs of acute dental and systemic disease, occlusal
discrepancies and parafunctional habits. The investigators will randomly assign these
subjects to two groups, one using a soft nylon-bristled tooth brush, and the other group
using the experimental tooth brush that contains a brush head with short, soft, rubbery
cones. Both groups will receive regular maintenance and periodontal exams by blinded
examiners every 3-4 months measuring probing depth, bleeding on probing, plaque indices, and
gingival recession. In addition, gingival recession will also be determined using a
measuring guide on study models obtained with polyvinylsiloxane impressions. For added
control of confounding variables, both groups will be supplied with abrasivity tooth paste
and waxed floss while receiving repeated oral hygiene instruction and phone follow-up.
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