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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03099551
Other study ID # 1.672.795
Secondary ID
Status Active, not recruiting
Phase Phase 4
First received March 28, 2017
Last updated March 31, 2017
Start date December 2016
Est. completion date June 2017

Study information

Verified date March 2017
Source Faculty Sao Leopoldo Mandic Campinas
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of the present study was to evaluate the efficacy of two different toothbrushes (manual and sonic) on plaque control


Description:

A parallel randomized clinical trial, examiner-blind, was conducted involving 56 patients with ages from 15 to 20, all students of CAMP (Centro de Formação e Integração Social), in the city of São Bernardo do Campo, state of São Paulo, Brazil. Randomization: the subjects were randomly allocated to two different groups (A for the manual toothbrush and B for the sonic toothbrush) by removing from an urn a paper with their respective group. Silness & Löe Gingival Index, the Turesky Modification of the Quigley Hein Plaque Index and the Community Periodontal Index were evaluated at baseline and after 3 and 6 months.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 56
Est. completion date June 2017
Est. primary completion date March 2017
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 15 Years to 20 Years
Eligibility Inclusion Criteria:

- Subjects had to be in generally good health, and possessing a minimum of 20 permanent natural teeth, excluding third molars.

Exclusion Criteria:

- Subjects were excluded if they had fixed orthodontic appliances, advanced periodontal disease, limited manual dexterity, active caries, medical conditions limiting their salivary function or immunological condition, and if they were smokers.

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Group using manual toothbrush Curaprox 5460 Ultra Soft
Manual toothbrush usage with Bass technique twice a day during 2 minutes
Group using sonic toothbrush Edel White
Sonic toothbrush usage twice a day during 2 minutes

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Faculty Sao Leopoldo Mandic Campinas

References & Publications (47)

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Ayad F, Petrone DM, Wachs GN, Mateo LR, Chaknis P, Panagakos F. Comparative efficacy of a specially engineered sonic powered toothbrush with unique sensing and control technologies to two commercially available power toothbrushes on established plaque and gingivitis. J Clin Dent. 2012;23 Spec No A:A5-10. — View Citation

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Barros VA, Costa SM, Zanin L, Flório FM. Evaluation of an educational activity in the oral health of students. Int J Dent Hyg. 2017 Feb;15(1):23-29. doi: 10.1111/idh.12152. — View Citation

BASS CC. The optimum characteristics of toothbrushes for personal oral hygiene. Dent Items Interest. 1948 Jul;70(7):697-718. — View Citation

Borges Tde F, Regalo SC, Taba M Jr, Siéssere S, Mestriner W Jr, Semprini M. Changes in masticatory performance and quality of life in individuals with chronic periodontitis. J Periodontol. 2013 Mar;84(3):325-31. doi: 10.1902/jop.2012.120069. — View Citation

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Cifcibasi E, Koyuncuoglu CZ, Baser U, Bozacioglu B, Kasali K, Cintan S. Comparison of manual toothbrushes with different bristle designs in terms of cleaning efficacy and potential role on gingival recession. Eur J Dent. 2014 Jul;8(3):395-401. doi: 10.4103/1305-7456.137655. — View Citation

Erbe C, Klukowska M, Tsaknaki I, Timm H, Grender J, Wehrbein H. Efficacy of 3 toothbrush treatments on plaque removal in orthodontic patients assessed with digital plaque imaging: a randomized controlled trial. Am J Orthod Dentofacial Orthop. 2013 Jun;143(6):760-6. doi: 10.1016/j.ajodo.2013.03.008. — View Citation

Fjeld KG, Mowe M, Eide H, Willumsen T. Effect of electric toothbrush on residents' oral hygiene: a randomized clinical trial in nursing homes. Eur J Oral Sci. 2014 Apr;122(2):142-8. doi: 10.1111/eos.12113. — View Citation

Goyal CR, Klukowska M, Grender JM, Cunningham P, Qaqish J. Evaluation of a new multi-directional power toothbrush versus a marketed sonic toothbrush on plaque and gingivitis efficacy. Am J Dent. 2012 Sep;25 Spec No A(A):21A-26A. — View Citation

Goyal CR, Qaqish J, He T, Grender J, Walters P, Biesbrock AR. A randomized 12-week study to compare the gingivitis and plaque reduction benefits of a rotation-oscillation power toothbrush and a sonic power toothbrush. J Clin Dent. 2009;20(3):93-8. — View Citation

Grender J, Williams K, Walters P, Klukowska M, Reick H. Plaque removal efficacy of oscillating-rotating power toothbrushes: review of six comparative clinical trials. Am J Dent. 2013 Apr;26(2):68-74. Review. — View Citation

Hashim R, Williams S, Thomson WM. Oral hygiene and dental caries in 5- to 6-year-old children in Ajman, United Arab Emirates. Int J Dent Hyg. 2013 Aug;11(3):208-15. doi: 10.1111/idh.12011. — View Citation

Jin LJ, Armitage GC, Klinge B, Lang NP, Tonetti M, Williams RC. Global oral health inequalities: task group--periodontal disease. Adv Dent Res. 2011 May;23(2):221-6. doi: 10.1177/0022034511402080. — View Citation

Kinane DF, Berglundh T, Lindhe J. Patogênese da Pariodontite. In: Lindhe J, Lang N. P, Karring T. Tratado de Periodontia Clínica e Implantologia Oral. 5a ed. Rio de Janeiro: Guanabara Koogan; 2010. P.271-91.

Klukowska M, Grender JM, Conde E, Ccahuana-Vasquez RA, Goyal CR. A randomized 12-week clinical comparison of an oscillating-rotating toothbrush to a new sonic brush in the reduction of gingivitis and plaque. J Clin Dent. 2014;25(2):26-31. — View Citation

Klukowska M, Grender JM, Conde E, Ccahuana-Vasquez RA, Ram Goyal C. A randomized clinical trial evaluating gingivitis and plaque reduction of an oscillating-rotating power brush with a new brush head with angled bristles versus a marketed sonic brush with self-adjusting technology. Am J Dent. 2014 Aug;27(4):179-84. — View Citation

Klukowska M, Grender JM, Conde E, Goyal CR, Qaqish J. A six-week clinical evaluation of the plaque and gingivitis efficacy of an oscillating-rotating power toothbrush with a novel brush head utilizing angled CrissCross bristles versus a sonic toothbrush. J Clin Dent. 2014;25(2):6-12. — View Citation

Klukowska M, Grender JM, Conde E, Goyal CR. A 12-week clinical comparison of an oscillating-rotating power brush versus a marketed sonic brush with self-adjusting technology in reducing plaque and gingivitis. J Clin Dent. 2013;24(2):55-61. — View Citation

Klukowska M, Grender JM, Timm H. A single-brushing study to compare plaque removal efficacy of a new power brush to an ADA reference manual toothbrush. Am J Dent. 2012 Sep;25 Spec No A(A):10A-13A. — View Citation

LOE H, SILNESS J. PERIODONTAL DISEASE IN PREGNANCY. I. PREVALENCE AND SEVERITY. Acta Odontol Scand. 1963 Dec;21:533-51. — View Citation

Lopes MWF, Gusmão ES, Alves RV, Cimões R. The Impacto f Chronic Periodontitis on Quality of Life in Brazilian Subjects. Acta Stomatol Croat. 2009 June;43(2):89-98.

Marinho BVS, Arau´jo ACS. Uso dos enxaguato´rios bucais sobre a gengivite e biofilme dental. International Journal of Dentistry 2007; 6(4):124-31.

Marini I, Bortolotti F, Parenti SI, Gatto MR, Bonetti GA. Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients: a blind randomized clinical trial. Angle Orthod. 2014 Sep;84(5):896-901. doi: 10.2319/112113-856.1. Epub 2014 Mar 18. — View Citation

Meusel DR, Ramacciato JC, Motta RH, Brito Júnior RB, Flório FM. Impact of the severity of chronic periodontal disease on quality of life. J Oral Sci. 2015 Jun;57(2):87-94. doi: 10.2334/josnusd.57.87. — View Citation

Moritis K, Jenkins W, Hefti A, Schmitt P, McGrady M. A randomized, parallel design study to evaluate the effects of a Sonicare and a manual toothbrush on plaque and gingivitis. J Clin Dent. 2008;19(2):64-8. — View Citation

Nathoo S, Mankodi S, Mateo LR, Chaknis P, Panagakos F. A clinical study comparing the supragingival plaque and gingivitis efficacy of a specially engineered sonic powered toothbrush with unique sensing and control technologies to a commercially available manual flat-trim toothbrush. J Clin Dent. 2012;23 Spec No A:A11-6. — View Citation

Nightingale KJ, Chinta SK, Agarwal P, Nemelivsky M, Frisina AC, Cao Z, Norman RG, Fisch GS, Corby P. Toothbrush efficacy for plaque removal. Int J Dent Hyg. 2014 Nov;12(4):251-6. doi: 10.1111/idh.12081. Epub 2014 Apr 17. — View Citation

Papapanou PN, Lindhe J. Epidemiologia das doenças periodontais. In: Lindhe J, Lang NP, Karring T. Tratado de Periodontia Clínica e Implantologia Oral. 5a ed. Rio de Janeiro: Guanabara Koogan; 2010. p.123-70.

Parizi MT, Mohammadi TM, Afshar SK, Hajizamani A, Tayebi M. Efficacy of an electric toothbrush on plaque control compared to two manual toothbrushes. Int Dent J. 2011 Jun;61(3):131-5. doi: 10.1111/j.1875-595X.2011.00029.x. — View Citation

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Peng Y, Wu R, Qu W, Wu W, Chen J, Fang J, Chen Y, Farella M, Mei L. Effect of visual method vs plaque disclosure in enhancing oral hygiene in adolescents and young adults: a single-blind randomized controlled trial. Am J Orthod Dentofacial Orthop. 2014 Mar;145(3):280-6. doi: 10.1016/j.ajodo.2013.10.021. — View Citation

Pizzo G, Licata ME, Pizzo I, D'Angelo M. Plaque removal efficacy of power and manual toothbrushes: a comparative study. Clin Oral Investig. 2010 Aug;14(4):375-81. doi: 10.1007/s00784-009-0303-3. Epub 2009 Jun 23. — View Citation

QUIGLEY GA, HEIN JW. Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc. 1962 Jul;65:26-9. — View Citation

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Rufasto Goche K, Saavedra Alvarado B. Aplicación de un programa educativo en salud oral en adolescentes de una institución educativa peruana. Rev Estomatol Herediana 2012 abr-jun; ;22(2):82-90.

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Schmickler J, Wurbs S, Wurbs S, Lange K, Rinke S, Hornecker E, Mausberg RF, Ziebolz D. Influence of the utilization time of different manual toothbrushes on oral hygiene assessed during a 6-month observation period: a randomized clinical trial. J Periodontol. 2014 Aug;85(8):1050-8. doi: 10.1902/jop.2013.130442. Epub 2013 Dec 12. — View Citation

Soares D, Andrade A, Pinto AR, Seabra M, Macho V. Doenças da gengiva e periodonto em crianças e adolescentes. Acta Pediatr Port 2009 40(1):23-29.

Swierkot K, Brusius M, Leismann D, Nonnenmacher C, Nüsing R, Lubbe D, Schade-Brittinger C, Mengel R. Manual versus sonic-powered toothbrushing for plaque reduction in patients with dental implants: an explanatory randomised controlled trial. Eur J Oral Implantol. 2013 Summer;6(2):133-44. — View Citation

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* Note: There are 47 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Silness & Löe Gingival Index 0 = Normal gingiva; 1 = Mild inflammation - slight change in colour, slight oedema. No bleeding on probing; 2 = Moderate inflammation - redness, oedema and glazing; bleeding on probing; 3 = Severe inflammation - marked redness and oedema. Ulceration. Tendency to spontaneous bleeding 6 months
Primary Turesky Modification of the Quigley Hein Plaque Index 0 = No plaque; 1 = Separate flecks of plaque at the cervical margin of the tooth; 2 = A thin continuous band of plaque (up to one mm) at the cervical margin of the tooth; 3 = A band of plaque wider than one mm but covering less than one third of the crown of the tooth; 4 = Plaque covering at least one-third but less than two-thirds of the crown of the tooth; 5 = Plaque covering two-thirds or more of the crown of the tooth 6 months
Primary Community periodontal index 0 = No periodontal disease; 1 = Bleeding on probing; 2 = Calculus with plaque seen or felt by probing. 6 months
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