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This study is a double-blind, randomised, parallel group efficacy study. A minimum of 240 healthy female and male participants aged 18-70 years will be enrolled onto the study according to the inclusion/exclusion criteria. The accepted participants will then be randomly allocated to one of the two test products which they will use at home, twice a day for the duration of the study. Dental assessments of gingival condition and plaque level will be conducted after 4, 13 and 26 weeks of product use at the study site.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test toothpaste | Experimental | Toothpaste containing proteins, enzymes and 1450 ppm fluoride as sodium fluoride |
|
| Negative control toothpaste | Active Comparator | Toothpaste containing 1450 ppm fluoride as sodium fluoride |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Toothpaste containing proteins and enzymes | Other | Toothpaste containing proteins, enzymes and 1450 ppm fluoride as sodium fluoride |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in gingival condition as measured by Gingival Index | The gingival condition was assessed using gingival index (GI) [1]. The scoring criteria were: 0 = Absence of inflammation; 1 = Mild inflammation - slight change in colour and little change in texture; 2 = Moderate inflammation - moderate glazing, redness, oedema, and hypertrophy (bleeding on pressure); 3 = Severe inflammation - marked redness and hypertrophy (tendency to spontaneous bleeding). Each eligible tooth was scored at six sites: facial (body, mesial, distal) and lingual (body, mesial, distal). The participant's score at each timepoint is the average of all tooth sites measured. [1] LOE H, SILNESS J. Acta Odontol Scand. 1963;21:533-551. | 13 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in gingival condition as measured by Gingival Index | The gingival condition was assessed using gingival index (GI) [1]. The scoring criteria were: 0 = Absence of inflammation; 1 = Mild inflammation - slight change in colour and little change in texture; 2 = Moderate inflammation - moderate glazing, redness, oedema, and hypertrophy (bleeding on pressure); 3 = Severe inflammation - marked redness and hypertrophy (tendency to spontaneous bleeding). Each eligible tooth was scored at six sites: facial (body, mesial, distal) and lingual (body, mesial, distal). The participant's score at each timepoint is the average of all tooth sites measured. [1] LOE H, SILNESS J. Acta Odontol Scand. 1963;21:533-551. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital of Stomatology, Xi'an Jiaotong University | Xi'an | Shaanxi | 710004 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41184910 | Derived | Hu X, Zhang P, Zhang L, Matheson JR, Lin S, Sun JN, Delfanti C, Tian J, Gupta AK, Vasantharaghavan R, Huang R. The effect of enzyme and protein containing toothpaste on gingival condition: a randomised controlled study. BMC Oral Health. 2025 Nov 3;25(1):1727. doi: 10.1186/s12903-025-07096-7. |
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Consent was not obtained from participants for this purpose.
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Statistician
| Control fluoride toothpaste | Other | Toothpaste containing sodium fluoride at 1450 ppm F |
|
| 4 weeks and 26 weeks |
| Change in plaque levels as measured by Modified Quigley and Hein Plaque Index | Plaque was disclosed and assessed using modified Quigley and Hein plaque index (MQHPI) [1]. The scoring criteria were: 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 1/3 of the crown of the tooth; 4 = Plaque covering at least one-third but less than 2/3 of the crown of the tooth; 5 = Plaque covering 2/3 or more of the crown of the tooth. Each eligible tooth was scored at six sites: facial (body, mesial, distal) and lingual (body, mesial, distal). The participant's score at each timepoint is the average of all tooth sites measured. [1] Turesky S, Gilmore ND, Glickman I. J Periodontol. 1970;41(1):41-43. | 4 weeks, 13 weeks and 26 weeks |
| ID | Term |
|---|---|
| D005891 | Gingivitis |
| D003773 | Dental Plaque |
| ID | Term |
|---|---|
| D007239 | Infections |
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D003741 | Dental Deposits |
| D014076 | Tooth Diseases |
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| ID | Term |
|---|---|
| D004798 | Enzymes |
| ID | Term |
|---|---|
| D045762 | Enzymes and Coenzymes |
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