Gingivitis Clinical Trial
Official title:
A Randomized Parallel Method Development Study Comparing Clinical to Subclinical Effects From Oral Cleaning Modalities
The purpose of this research study is to investigate water flow in dental devices and to understand the function of water flow behind oral hygiene improvements. Understanding this mechanism may help with the design of future products.
The overall clinical response (plaque, gingivitis, bleeding) in participants with varying
stages of gingival health as well as the causative or indicative hallmarks of selected
biological responses underpinning the overt clinical manifestations described above will be
evaluated. The chief biological response that will be investigated is how a reduction in the
concentration of bacterial lipopolysaccharide endotoxins (LPS) in interproximal plaque may
influence improvements in the clinical response (e.g., through mitigation of bleeding) when
compared to a change in the plaque biomass within which a large component of the endotoxins
reside. The hypothesis is that improvements in clinical bleeding may result more from the
removal or reduction of toxic bacterial products that serve as the direct impetus of the
inflammatory response rather than from sheer bulk removal of interproximal plaque. From a
methods development perspective, this study will also assess the feasibility of measuring
endotoxin load from clinical samples. Ultimately it is anticipated that a comprehensive
evaluation of clinical benefits conferred by continuous fluid streaming will emerge upon
analysis of the relationships between clinical and biological data sets, particularly where
causal relationships may exist between both parameters.
The devices used in this study are subject only to Class I (general controls) and considered
exempt from the premarket notification procedures and not subject to section 510(k), 515, or
520(m,) of the FDC Act in order to be legally marketed. Thus, the study does not meet the
definition of an Applicable Clinical Trial.
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