Trial of Toothpaste to Reduce Plaque and Inflammation
A Randomized Trial of Plaque Identifying Toothpaste on Reduction of Plaque and Inflammation
1 other identifier
interventional
61
1 country
1
Brief Summary
Dental plaque causes caries and periodontal disease and data are sparse about toothpaste and plaque removal. Inflammation, caused by dental plaque, is a risk factor for cardiovascular disease. (CVD) The availability of (Plaque HD (TM), a plaque identifying toothpaste with targetol technology (TM)), afforded the unique opportunity to test whether there were statistically significant and clinically important reductions in plaque and inflammation in a randomized trial of apparently healthy individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 24, 2016
CompletedFirst Posted
Study publicly available on registry
January 28, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 22, 2016
CompletedResults Posted
Study results publicly available
January 14, 2021
CompletedJanuary 14, 2021
January 1, 2021
7 months
January 24, 2016
March 13, 2017
January 11, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in Oral Plaque
Measure description "percentage" refers to the change in plaque percentage from the baseline to the follow-up visit. The follow-up visit occurred between 30 and 60 days post baseline.
Baseline to 30 - 60 days post baseline
Change in Hs-CRP Serum Level
Measure description "mg/L" refers to the change in hs-CRP per mg/L from the baseline to the follow-up visit. The follow-up visit occurred between 30 and 60 days post baseline.
Baseline to 30 - 60 days post baseline
Secondary Outcomes (2)
Change in Oral Plaque - PSS Analysis
Baseline to 30-60 days post
Change in Inflammation - PSS Analysis
Baseline to 30-60 days post
Study Arms (2)
Plaque identifying toothpaste
ACTIVE COMPARATORA 30 day supply of daily syringes containing a plaque identifying toothpaste with targetol
Non-plaque identifying toothpaste
ACTIVE COMPARATORA 30 day supply of daily syringes containing an identical non plaque identifying toothpaste without targetol
Interventions
Plaque identifying toothpaste with targetol
Non-plaque identifying toothpaste without targetol
Eligibility Criteria
You may qualify if:
- Apparently healthy men and women age 19-45 with no history of CVD
- All 12 anterior teeth present (canine to canine in both upper and lower arches)
- English speaking
- Ability to commit to two 30 minute appointments These appointment must be 1 month apart)
You may not qualify if:
- Student, faculty or staff with a clinical role at the University of Illinois College of Dentistry
- Individuals taking aspirin, other non-steroidal anti-inflammatory drugs or statins.
- Women who are pregnant or nursing
- Women taking birth control pills or using any hormone released birth control device
- Women on hormone replacement therapy
- Individuals who have taken antibiotics within two weeks of data collection appointment
- Individuals experiencing xerostomia
- Individuals who have experienced an illness, infection or tissue injury within two weeks of data collection appointment
- Individuals with arthritis, lupus or other chronic inflammatory conditions or syndromes
- Individuals with allergies to dyes or over the counter products
- Individuals who have missing anterior teeth, fixed or removable appliances or visible decay or staining in the anterior region (canine to canine in both upper and lower arches)
- Individuals whom have had a dental prophylaxis within 30 days of the data collection visit
- Individuals who have had a new restoration placed (anywhere in the oral cavity) within 30 days of the data collection visit
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Illinois at Chicagolead
- Florida Atlantic Universitycollaborator
Study Sites (1)
UIC Clinical Research Center
Chicago, Illinois, 60612, United States
Related Publications (35)
Kim YH, Lee SY. Identification of non-streptococcal organisms from human dental plaque grown on the Streptococcus-selective medium mitis-salivarius agar. Arch Oral Biol. 2015 Feb;60(2):267-71. doi: 10.1016/j.archoralbio.2014.11.002. Epub 2014 Nov 8.
PMID: 25463904BACKGROUNDde Oliveira C, Watt R, Hamer M. Toothbrushing, inflammation, and risk of cardiovascular disease: results from Scottish Health Survey. BMJ. 2010 May 27;340:c2451. doi: 10.1136/bmj.c2451.
PMID: 20508025BACKGROUNDKholy KE, Genco RJ, Van Dyke TE. Oral infections and cardiovascular disease. Trends Endocrinol Metab. 2015 Jun;26(6):315-21. doi: 10.1016/j.tem.2015.03.001. Epub 2015 Apr 16.
PMID: 25892452BACKGROUNDMbawalla HS, Masalu JR, Astrom AN. Socio-demographic and behavioural correlates of oral hygiene status and oral health related quality of life, the Limpopo-Arusha school health project (LASH): a cross-sectional study. BMC Pediatr. 2010 Nov 30;10:87. doi: 10.1186/1471-2431-10-87.
PMID: 21118499BACKGROUNDGundala R, Chava VK. Effect of lifestyle, education and socioeconomic status on periodontal health. Contemp Clin Dent. 2010 Jan;1(1):23-6. doi: 10.4103/0976-237X.62516.
PMID: 22114373BACKGROUNDAl-Anezi SA, Harradine NW. Quantifying plaque during orthodontic treatment: Angle Orthod. 2012 Jul;82(4):748-53. doi: 10.2319/050111-312.1. Epub 2011 Nov 1.
PMID: 22044115BACKGROUNDCarter K, Landini G, Walmsley AD. Automated quantification of dental plaque accumulation using digital imaging. J Dent. 2004 Nov;32(8):623-8. doi: 10.1016/j.jdent.2004.06.006.
PMID: 15476956BACKGROUNDShort VL, Ivory-Walls T, Smith L, Loustalot F. The Mississippi Delta Cardiovascular Health Examination Survey: Study Design and Methods. Epidemiol Res Int. 2014 Jan 1;2014(Article 499 861461):861461. doi: 10.1155/2014/861461.
PMID: 25844257BACKGROUNDMozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, de Ferranti S, Despres JP, Fullerton HJ, Howard VJ, Huffman MD, Judd SE, Kissela BM, Lackland DT, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Matchar DB, McGuire DK, Mohler ER 3rd, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Willey JZ, Woo D, Yeh RW, Turner MB; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2015 update: a report from the American Heart Association. Circulation. 2015 Jan 27;131(4):e29-322. doi: 10.1161/CIR.0000000000000152. Epub 2014 Dec 17. No abstract available.
PMID: 25520374BACKGROUNDAnderson KM, Odell PM, Wilson PW, Kannel WB. Cardiovascular disease risk profiles. Am Heart J. 1991 Jan;121(1 Pt 2):293-8. doi: 10.1016/0002-8703(91)90861-b.
PMID: 1985385BACKGROUNDLoos BG, Craandijk J, Hoek FJ, Wertheim-van Dillen PM, van der Velden U. Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. J Periodontol. 2000 Oct;71(10):1528-34. doi: 10.1902/jop.2000.71.10.1528.
PMID: 11063384BACKGROUNDDanesh J, Wheeler JG, Hirschfield GM, Eda S, Eiriksdottir G, Rumley A, Lowe GD, Pepys MB, Gudnason V. C-reactive protein and other circulating markers of inflammation in the prediction of coronary heart disease. N Engl J Med. 2004 Apr 1;350(14):1387-97. doi: 10.1056/NEJMoa032804.
PMID: 15070788BACKGROUNDRamamoorthy RD, Nallasamy V, Reddy R, Esther N, Maruthappan Y. A review of C-reactive protein: A diagnostic indicator in periodontal medicine. J Pharm Bioallied Sci. 2012 Aug;4(Suppl 2):S422-6. doi: 10.4103/0975-7406.100318.
PMID: 23066303BACKGROUNDD'Aiuto F, Parkar M, Andreou G, Suvan J, Brett PM, Ready D, Tonetti MS. Periodontitis and systemic inflammation: control of the local infection is associated with a reduction in serum inflammatory markers. J Dent Res. 2004 Feb;83(2):156-60. doi: 10.1177/154405910408300214.
PMID: 14742655BACKGROUNDNoack B, Genco RJ, Trevisan M, Grossi S, Zambon JJ, De Nardin E. Periodontal infections contribute to elevated systemic C-reactive protein level. J Periodontol. 2001 Sep;72(9):1221-7. doi: 10.1902/jop.2000.72.9.1221.
PMID: 11577954BACKGROUNDRidker PM, Hennekens CH, Buring JE, Rifai N. C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med. 2000 Mar 23;342(12):836-43. doi: 10.1056/NEJM200003233421202.
PMID: 10733371BACKGROUNDRidker PM, Cushman M, Stampfer MJ, Tracy RP, Hennekens CH. Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men. N Engl J Med. 1997 Apr 3;336(14):973-9. doi: 10.1056/NEJM199704033361401.
PMID: 9077376BACKGROUNDPepys MB, Hirschfield GM. C-reactive protein: a critical update. J Clin Invest. 2003 Jun;111(12):1805-12. doi: 10.1172/JCI18921. No abstract available.
PMID: 12813013BACKGROUNDVan Dyke TE, van Winkelhoff AJ. Infection and inflammatory mechanisms. J Clin Periodontol. 2013 Apr;40 Suppl 14:S1-7. doi: 10.1111/jcpe.12088.
PMID: 23627321BACKGROUNDKim HC, Yang DM, Lee CM, Jin W, Nam DH, Song JY, Kim JY. Acute appendicitis: relationships between CT-determined severities and serum white blood cell counts and C-reactive protein levels. Br J Radiol. 2011 Dec;84(1008):1115-20. doi: 10.1259/bjr/47699219. Epub 2010 Dec 1.
PMID: 21123307BACKGROUNDPejcic A, Kesic LJ, Milasin J. C-reactive protein as a systemic marker of inflammation in periodontitis. Eur J Clin Microbiol Infect Dis. 2011 Mar;30(3):407-14. doi: 10.1007/s10096-010-1101-1. Epub 2010 Nov 6.
PMID: 21057970BACKGROUNDCusumano CA. Periodontal disease associated with an increased CRP in chronic hemodialysis patients. Rev Nefrol Dial Trans. 2013; 33:188-195.
BACKGROUNDLoos BG. Systemic markers of inflammation in periodontitis. J Periodontol. 2005 Nov;76(11 Suppl):2106-15. doi: 10.1902/jop.2005.76.11-S.2106.
PMID: 16277583BACKGROUNDTonetti MS. Periodontitis and risk for atherosclerosis: an update on intervention trials. J Clin Periodontol. 2009 Jul;36 Suppl 10:15-9. doi: 10.1111/j.1600-051X.2009.01417.x.
PMID: 19432627BACKGROUNDPersson GR, Persson RE. Cardiovascular disease and periodontitis: an update on the associations and risk. J Clin Periodontol. 2008 Sep;35(8 Suppl):362-79. doi: 10.1111/j.1600-051X.2008.01281.x.
PMID: 18724863BACKGROUNDGoyal L, Bey A, Gupta ND, Sharma VK. Comparative evaluation of serum C-reactive protein levels in chronic and aggressive periodontitis patients and association with periodontal disease severity. Contemp Clin Dent. 2014 Oct;5(4):484-8. doi: 10.4103/0976-237X.142816.
PMID: 25395764BACKGROUNDKumar KR, Ranganath V, Naik R, Banu S, Nichani AS. Assessment of high-sensitivity C-reactive protein and lipid levels in healthy adults and patients with coronary artery disease, with and without periodontitis--a cross-sectional study. J Periodontal Res. 2014 Dec;49(6):836-44. doi: 10.1111/jre.12172. Epub 2014 Mar 12.
PMID: 24620793BACKGROUNDAnitha G, Nagaraj M, Jayashree A. Comparative evaluation of levels of C-reactive protein and PMN in periodontitis patients related to cardiovascular disease. J Indian Soc Periodontol. 2013 May;17(3):330-2. doi: 10.4103/0972-124X.115657.
PMID: 24049333BACKGROUNDZijnge V, van Leeuwen MB, Degener JE, Abbas F, Thurnheer T, Gmur R, Harmsen HJ. Oral biofilm architecture on natural teeth. PLoS One. 2010 Feb 24;5(2):e9321. doi: 10.1371/journal.pone.0009321.
PMID: 20195365BACKGROUNDChen T, Yu WH, Izard J, Baranova OV, Lakshmanan A, Dewhirst FE. The Human Oral Microbiome Database: a web accessible resource for investigating oral microbe taxonomic and genomic information. Database (Oxford). 2010 Jul 6;2010:baq013. doi: 10.1093/database/baq013.
PMID: 20624719BACKGROUNDBokhari SA, Khan AA, Butt AK, Azhar M, Hanif M, Izhar M, Tatakis DN. Non-surgical periodontal therapy reduces coronary heart disease risk markers: a randomized controlled trial. J Clin Periodontol. 2012 Nov;39(11):1065-74. doi: 10.1111/j.1600-051X.2012.01942.x. Epub 2012 Sep 11.
PMID: 22966824BACKGROUNDKajikawa M, Nakashima A, Maruhashi T, Iwamoto Y, Iwamoto A, Matsumoto T, Hidaka T, Kihara Y, Chayama K, Goto C, Taguchi A, Noma K, Higashi Y. Poor oral health, that is, decreased frequency of tooth brushing, is associated with endothelial dysfunction. Circ J. 2014;78(4):950-4. doi: 10.1253/circj.cj-13-1330. Epub 2014 Feb 5.
PMID: 24500034BACKGROUNDMani A, Vadvadgi V, Anarthe R, Saini R, Mani S. A clinical study on Dental Air Force Cleaning System on adult chronic periodontits and its assessment to C-reactive protein levels. Int J Exp Dent Sci. 2012; 1:14-18.
BACKGROUNDHarnacke D, Winterfeld T, Erhardt J, Schlueter N, Ganss C, Margraf-Stiksrud J, Deinzer R. What is the best predictor for oral cleanliness after brushing? Results from an observational cohort study. J Periodontol. 2015 Jan;86(1):101-7. doi: 10.1902/jop.2014.140152.
PMID: 25186778BACKGROUNDStevens K, Belavsky B, Evans CA, Viana MG, Wu C. Evaluation of plaque removal efficacy of a novel dye-containing toothpaste: a clinical trial. Int J Dentistry Oral Sci. 2016; 3(1):185-189
BACKGROUND
Related Links
- The World Health Organization. Cardiovascular Diseases (CVDs)
- American Heart Association. Heart and Stroke Statistics.
- Relationship between serum antibody titres to porphyromonas gingivalis and hs-CRP levels as inflammatory markers of periodontitis.
- Hs-CRP: The test \| high-sensitivity C-reactive protein; hs-CRP test: High-sensitivity C-reactive protein \| lab tests online.
- HSRIC: Grants, funding and fellowships.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Funding limited the study to a small number of subjects. Funding also limited options to compensate subject as a method to pre-select subjects with elevated hs-CRP.
Results Point of Contact
- Title
- Kimberly Fasula RDH, MS, MPH
- Organization
- UIC College of Dentistry
Study Officials
- PRINCIPAL INVESTIGATOR
Kimberly Fasula, MS
University of Illinois at Chicago
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director of Clinic Operations & Clinical Instructor, College of Dentistry
Study Record Dates
First Submitted
January 24, 2016
First Posted
January 28, 2016
Study Start
September 1, 2015
Primary Completion
April 1, 2016
Study Completion
August 22, 2016
Last Updated
January 14, 2021
Results First Posted
January 14, 2021
Record last verified: 2021-01
Data Sharing
- IPD Sharing
- Will not share